The effect of diet, lifestyle and psychological factors in the prognosis of ischemic heart failure

Salourou, Maria; Archontakis, Stefanos; Sideris, Skevos; Parisis, Ioannis; Siasos, Gerasimos; Oikonomou, Evangelos; Mourouzis, Konstantinos; Sideris, Konstantinos; Stefanadis, Christodoulos; Tousoulis, Dimitrios

doi:10.1016/j.metop.2019.03.001

Cited by 2 publications

(2 citation statements)

References 54 publications

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“…Elderly age could also play a role in cluster 4. In cluster 3, two important factors could be the high percentages of males and the frequency of unhealthy lifestyles known to be important risk factors for cardiac diseases [44].…”

Section: Discussionmentioning

confidence: 99%

Current Pharmacological Treatment of Type 2 Diabetes Mellitus in Undocumented Migrants: Is It Appropriate for the Phenotype of the Disease?

Fiorini

Cortinovis

Corrao

et al. 2020

IJERPH

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Type 2 diabetes is increasingly recognized as a spectrum of metabolic disorders sharing chronic hyperglycaemia. In Europe, the continually growing number of migrants from developing countries could affect diabetes phenotypes. We evaluated a population of 426 Italians and 412 undocumented migrants. Using 17 variables (with the exclusion of ethnic origin) we performed a multiple component analysis to detect potential clusters, independently from ethnicity. We also compared the two groups to evaluate potential ethnicity associated differences. We found five clusters of patients with different disease phenotypes. Comparing Italians with undocumented migrants, we noted that the first had more often cardiovascular risk factors and neurologic involvement, while the latter had a higher frequency of diabetic ulcers and renal involvement. Metformin was used in a comparable percentage of patients in all clusters, but other antidiabetic treatments showed some differences. Italians were more often on insulin, due to a larger use of long acting insulin, and received a larger number of oral antidiabetics in combination. Pharmacological treatment of comorbidities showed some differences too. We suggest that type 2 diabetes should be considered as a spectrum of diseases with different phenotypes also in heterogeneous populations, and that this is not due only to ethnic differences.

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Section: Discussionmentioning

confidence: 99%

Current Pharmacological Treatment of Type 2 Diabetes Mellitus in Undocumented Migrants: Is It Appropriate for the Phenotype of the Disease?

Fiorini

Cortinovis

Corrao

et al. 2020

IJERPH

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“…However, recent studies identified the association of napping practice with incidence and prevalence of MetS, and type 2 DM [ [29] , [30] , [31] ]. In contrast, midday nap is not associated with the prognosis of ischemic heart failure [ 32 ]. While there is a consistent U-shaped curve association between short (<6 h) and long (>8 h) nocturnal sleep with ill health, daytime napping with short duration of nighttime sleep has been connected with an increased risk of developing type 2 DM.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of metabolic syndrome, its risk factors and associated lifestyles in Myanmar adult people: A community based cross-sectional study

Maw

2021

Metabolism Open

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Objectives Metabolic syndrome (MetS) is the constellation of cardio-metabolic risk factors, and it can illustrate the coming burden of cardiovascular diseases and diabetes mellitus. Myanmar faces larger pressure from cardio-metabolic diseases and there is no existing data to understand the magnitude of MetS in adult population. This study aimed to investigate the extent of existing people with MetS in the community and to know the related lifestyle factors to MetS. Methods A community based cross-sectional study was performed in convenient sample of 302 Myanmar adult people. Prevalence of MetS and associated risk factors were identified by collecting sociodemographic information, anthropometric measurements, and blood investigation of glucose and lipid profiles. Logistic regression analysis was performed for developing statistical models to estimate the odd ratios (OR) and confidence intervals (CI). Results Prevalence of MetS is 29.1%, and there is no significant difference between male and female prevalence. Abdominal obesity is the highest component of MetS (OR: 28.37, CI: 12.41–64.85, p < 0.001) especially for female (OR: 44.52, CI: 17.19–115.31, p < 0.001), and hypertriglyceridemia (OR: 11.05, CI: 6.20–19.66, p < 0.001) is the commonest in male. Age is the constant risk for developing MetS (OR: 4.06, CI: 1.91–8.64, p < 0.001) whereas the practice of midday nap is the behavior related to increased occurrence of MetS (OR: 1.97, CI: 1.16–3.38, p < 0.05). Dietary pattern, smoking status, drinking alcoholic beverages and physical activity involvement do not impact on the development of MetS. Education, occupation, income and other sociodemographic factors do not produce significant effect on cardio-metabolic status. Obesity, diabetes, and hypertensive conditions of community residents are also explored. Conclusions Modifiable pathophysiological conditions such as abdominal obesity, and obesity play a vital role in preventing MetS before it occurs while unmodifiable risk factor such as getting older and female sex are not as much important as changeable lifestyle habits.

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The effect of diet, lifestyle and psychological factors in the prognosis of ischemic heart failure

Cited by 2 publications

References 54 publications

Current Pharmacological Treatment of Type 2 Diabetes Mellitus in Undocumented Migrants: Is It Appropriate for the Phenotype of the Disease?

Current Pharmacological Treatment of Type 2 Diabetes Mellitus in Undocumented Migrants: Is It Appropriate for the Phenotype of the Disease?

Prevalence of metabolic syndrome, its risk factors and associated lifestyles in Myanmar adult people: A community based cross-sectional study

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