ArticleBMC public health2017
Diet, life-style and cardiovascular morbidity in the rural, free living population of Elafonisos island.
Article in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 28 citations in OpenAlex.
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- Self-rated health status and associated factors in rural workers.BMC public health · 2023Article
- Effects of Cardiac Rehabilitation and Diet Counselling on Adherence to the Mediterranean Lifestyle in Patients after Myocardial Infarction.Nutrients · 2022Article
- Adherence to the Mediterranean Diet: Impact of Geographical Location of the Observations.Nutrients · 2022Review
- Prevalence and determinants of obesity and abdominal obesity among rural workers in Southeastern Brazil.PloS one · 2022Article
- Epidemiological study of non-communicable diseases in the rural population of San Luis, Argentina. Methodological aspectsRevista de la Facultad de Ciencias Medicas (Cordoba, Argentina) · 2021Article
- Dietary patterns of Brazilian farmers and their relation with sociodemographic, labor, and lifestyle conditions.Nutrition journal · 2020Article
- Social life characteristics in relation to adherence to the Mediterranean diet in older adults: findings from the Hellenic Longitudinal Investigation of Aging and Diet (HELIAD) study.Public health nutrition · 2020Article
- Comparison of five international indices of adherence to the Mediterranean diet among healthy adults: similarities and differences.Nutrition research and practice · 2019Article
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7 authors at 1 institution in 1 country.
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Abstract
backgroundThere are about 70 small islands in the Aegean and Ionian Sea, of less than 300 Km
methodsPERSEAS (Prospective Evaluation of cardiovascular Risk Surrogates in Elafonisos Area Study) is an ongoing, population-based, longitudinal survey of cardiovascular risk factors, life-style characteristics and related morbidity/mortality performed in a small and relatively isolated island of the Aegean Sea, named Elafonisos. Validated, closed-ended questionnaires for demographic, socio-economic, clinical and lifestyle characteristics were distributed and analyzed. The MedDietScore, a validated Mediterranean diet score was also calculated. In addition, all participants underwent measurement of anthropometric parameters, blood pressure and a full blood panel for glucose and lipids.
resultsThe analysis included 596 individuals who represented 74.5% of the target population. The mean age of the population was 49.5 ± 19.6 years and 48.2% were males. Fifty participants (8.4%) had a history of cardiovascular disease (CVD). The rates of reported diabetes, hypertension, and hypercholesterolemia were 7.7%, 30.9% and 30.9% respectively, with screen-detection of each condition accounting for an additional 4.0%, 12.9%, and 23.3% of cases, respectively. Four hundred and seven individuals (68.3%) were overweight or obese, 25% reported being physically inactive and 36.6% were active smokers. The median MedDietScore was 25 [interquartile range: 6, range 12-47] with higher values significantly associated with older age, better education, increased physical activity, absence of history of diabetes and known history of hypercholesterolemia.
conclusionsObesity and traditional risk factors for CVD are highly prevalent among the inhabitants of a small Mediterranean island. Adherence to the traditional Mediterranean diet in this population is moderate, while physical activity is low. There seems to be a need for lifestyle modification programs in order to reverse the increasing cardiovascular risk trends in rural isolated areas of the Mediterranean basin.
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