Level of Adherence to the Mediterranean Diet Among Elderly Individuals Living in Mediterranean Islands: Nutritional Report from the Medis Study

Tyrovolas, Stefanos; Polychronopoulos, Evangelos; Bountziouka, Vassiliki; Zeimbekis, Akis; Tsiligiani, Ioanna; Παπούτσου, Στάλω; Gotsis, Efthimios; Metallinos, George; Lionis, Christos; Panagiotakos, Demosthenes B.

doi:10.1080/03670240802577390

Cited by 38 publications

(51 citation statements)

References 17 publications

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“…Recent studies in European countries in particular have shown strong evidence that the Mediterranean dietary pattern, observed in some Mediterranean countries in the 1950s and 1960s, has changed to a more "westernized" type of diet at all ages [26,27]. In Greece, where this traditional dietary pattern was first observed after the Second World War, evidence suggests that the eating habits of young, middle-aged and elderly have changed to a more "westernized" pattern [28]. This change is mainly visible in areas of fast urbanization and economic development, where obesity is a major problem [26].…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with the Prevalence of Diabetes Mellitus Among Elderly Men and Women Living in Mediterranean Islands: The MEDIS Study

Tyrovolas

Zeimbekis²,

Bountziouka

et al. 2009

Rev Diabet Stud

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■ AbstractBACKGROUND: The aim of the present work was to evaluate the relationships between socio-demographic, clinical, lifestyle and psychological characteristics and the presence of diabetes mellitus, among elderly individuals without known cardiovascular disease. METHODS: During 2005-2007, 1190 elderly (aged 65 to 100 years) men and women (from Cyprus, Mitilini, Samothraki, Cephalonia, Crete, Lemnos, Corfu and Zakynthos) were enrolled. Sociodemographic, clinical and lifestyle factors were assessed using standard procedures. Diabetes mellitus was defined as fasting blood glucose >125 mg/dl or use of special medication. RESULTS: 21% of males and 23% of females had diabetes. Only 70% of diabetic participants were on a special diet and 76% were receiving pharmaceutical treatment. Diabetic individuals had higher prevalence of hypertension (80% vs. 64%, p < 0.001) and hypercholesterolemia (63% vs. 51%, p < 0.001) and reported lower physical activity status (p < 0.001), compared with non-diabetic participants. After adjusting for various confounders, hypertension and hypercholesterolemia were associated with a 144% (95% CI, 1.37-4.35) and 83% (95% CI, 1.13-2.94) higher likelihood of having diabetes, while moderate and vigorous exercise correlated with a 82% (95% CI, 0.09-0.81) and 67% (95% CI, 0.11-0.97) lower likelihood of diabetes. CONCLUSIONS: A considerable proportion of our elderly sample had diabetes and other metabolic disorders, almost 25% of which were untreated. Promotion of physical activities, even in the elderly, may contribute to reducing their burden of diabetes and provide them with a better quality of living.

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Section: Discussionmentioning

confidence: 99%

Factors Associated with the Prevalence of Diabetes Mellitus Among Elderly Men and Women Living in Mediterranean Islands: The MEDIS Study

Tyrovolas

Zeimbekis²,

Bountziouka

et al. 2009

Rev Diabet Stud

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“…The Mediterranean Islands Study (MEDIS) examined bioclinical, lifestyle, behavioral, and dietary characteristics in a sample of elderly people living in the Mediterranean Islands 21. MEDIS is a health and nutrition survey where a random, population-based, multistage sampling method was used to select 1,190 men and women (>65 years) from the Republic of Cyprus and the following Greek islands: Mitilini, Samothraki, Cephalonia, Crete, Limnos, Corfu, and Zakynthos.…”

Section: A Summary Of Observational/epidemiologic Studiesmentioning

confidence: 99%

Dietary habits and cardiovascular disease risk in middle-aged and elderly populations: a review of evidence

Tourlouki

Matalas²,

Panagiotakos³

2009

CIA

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BackgroundThe proportion of elderly is increasing worldwide. This trend is paralleled by an increase in chronic diseases, such as cardiovascular disease. A limited number of studies have investigated the effect of diet on cardiometabolic risk factors (such as hypertension, hypercholesterolemia, diabetes, obesity) in older populations, despite the fact that diet plays a significant role in elderly health. In this review, a summary of studies that have evaluated the effect of dietary habits on cardiovascular disease risk in elderly populations is presented.MethodsA search was made in available databases (PubMed and Scopus) looking for results from observational studies and clinical trials that assessed dietary habits on cardiovascular disease risk in elderly populations (>65 years old). Studies during the last decade were retrieved and summarized.ResultsAll eight of the reviewed observational studies and all three reviewed clinical trials performed in elderly populations reported an inverse association between healthy dietary patterns with cardiovascular disease risk and its predisposing markers.ConclusionDietary intervention strategies should be implemented in older adults, in order to prevent cardiovascular disease morbidity and mortality, and improve quality of life.

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“…Only few studies have been designed to explore the factors associated with the adherence to the Mediterranean diet specifically in the aforementioned areas, such as the Mediterranean islands [11,12] and even less interested young populations [13,14,15]. Some studies also emphasized the role of the environment ( i.e.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Adherence to the Mediterranean Diet among Adolescents Living in Sicily, Southern Italy

et al. 2013

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The present study aimed to examine the factors associated with increased Mediterranean diet (MD) adherence among a sample of Italian adolescents. A cross-sectional survey was conducted on 1135 students (13–16 years) attending 13 secondary schools of Sicily, southern Italy. Validated instruments were used for dietary assessment and the KIDMED score to assess adolescents’ adherence to the MD. A higher adherence to the MD was associated with high socioeconomic status (Odds Ratio [OR] 1.53, 95% Confidence Interval [CI]: 1.03–2.26) and high physical activity (OR 1.19, 95% CI: 1.02–1.70), whereas lower adherence was associated with living in an urban environment (OR 0.65, 95% CI: 0.44–0.97) and being obese (OR 0.59, 95% CI: 0.37–0.94). The adolescents’ KIDMED scores were inversely associated with adolescents’ intake of sweets, fast foods, fried foods, and sugary drinks, and directly with fruit, vegetables, pasta, fish, and cheese intakes. Urban-living adolescents were less likely to eat fruit and more prone to consume meat, sugary drinks, and fast food than rural-living adolescents. The latter were more likely to eat sweets and snacks. A general poor quality of food consumption in Italian adolescents away from the MD was reported, especially among those living in urban areas.

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Level of Adherence to the Mediterranean Diet Among Elderly Individuals Living in Mediterranean Islands: Nutritional Report from the Medis Study

Abstract: The level of adherence to the traditional Mediterranean diet was moderate. People living in rural areas seem to better hold these traditional dietary habits.

Cited by 38 publications

References 17 publications

Factors Associated with the Prevalence of Diabetes Mellitus Among Elderly Men and Women Living in Mediterranean Islands: The MEDIS Study

Factors Associated with the Prevalence of Diabetes Mellitus Among Elderly Men and Women Living in Mediterranean Islands: The MEDIS Study

Dietary habits and cardiovascular disease risk in middle-aged and elderly populations: a review of evidence

Factors Associated with Adherence to the Mediterranean Diet among Adolescents Living in Sicily, Southern Italy

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