Evidence map›Paper›PMID 33160307›Full record

ArticleBMC public health2020

High prevalence of cardiovascular risk factors in adults living in Greece: the EMENO National Health Examination Survey.

Giota Touloumi, Argiro Karakosta, Natasa Kalpourtzi, Magda Gavana, Apostolos Vantarakis, Maria Kantzanou, Christos Hajichristodoulou, Grigoris Chlouverakis, Grigoris Trypsianis, Paraskevi V Voulgari and 6 more

Abstract read
In one paragraph

Article in BMC public health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed.

  1. Article
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  4. The Economic Cost of Obesity: A Cost-of-Illness Study in Greece.Applied health economics and health policy · 2026
    Article
  5. Review
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  7. Article
  8. Hypertension care: the knowledge and attitudes of the community pharmacists.Journal of pharmaceutical policy and practice · 2025
    Article
  9. Review
  10. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Giota TouloumiDepartment of Hygiene, Epidemiology, & Medical Statistics, Medical School, National and Kapodistrian University of Athens, 75 Mikras Asias Street, 11527, Athens, Greece. gtouloum@med.uoa.gr.
Argiro KarakostaDepartment of Hygiene, Epidemiology, & Medical Statistics, Medical School, National and Kapodistrian University of Athens, 75 Mikras Asias Street, 11527, Athens, Greece.
Natasa KalpourtziDepartment of Hygiene, Epidemiology, & Medical Statistics, Medical School, National and Kapodistrian University of Athens, 75 Mikras Asias Street, 11527, Athens, Greece.
Magda GavanaDepartment of Primary Health Care, General Practice and Health Services Research, Medical School of Aristotle University, Thessaloniki, Greece.
Apostolos VantarakisPublic Health, Medical School, University of Patras, Patra, Greece.
Maria KantzanouDepartment of Hygiene, Epidemiology, & Medical Statistics, Medical School, National and Kapodistrian University of Athens, 75 Mikras Asias Street, 11527, Athens, Greece.
Christos HajichristodoulouDepartment of Hygiene and Epidemiology, Medical Faculty, University of Thessaly, Larisa, Greece.
Grigoris ChlouverakisLaboratory of Biostatistics, School of Medicine, University of Crete, Crete, Greece.
Grigoris TrypsianisLaboratory of Medical Statistics, Medical School, Democritus University of Thrace, Thrace, Greece.
Paraskevi V VoulgariDepartment of Internal Medicine, Medical School, University of Ioannina, Ioannina, Greece.
Yannis AlamanosInstitute of Epidemiology, Preventive Medicine and Public Health, Corfu, Greece.
Konstantinos Makrilakis1st Dept of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Stavros Liatis1st Dept of Propaedeutic Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Stylianos ChatzipanagiotouDepartment of Medical Biopathology, Medical School, National and Kapodistrian University of Athens, Eginition Hospital, Athens, Greece.
George StergiouHypertension Center STRIDE-7, 3rd Department of Medicine, Medical School, National and Kapodistrian University of Athens, Sotiria Hospital, Athens, Greece.
EMENO study group

Funding

Hellenic Diabetes Association (GR) Κ.Ε. 12008Operational Program "Education and Lifelong Learning" MIS 376659
6 · The paper itself

Abstract

backgroundNationwide data on cardiovascular risk factors prevalence is lacking in Greece. This work presents the findings of the national health examination survey EMENO (2013-2016) regarding the prevalence of hypertension, hypercholesterolemia, diabetes, obesity and smoking.

methodsA random sample of adults (≥18 years) was drawn by multistage stratified random sampling based on 2011 Census. All EMENO participants with ≥1 measurement of interest [blood pressure (BP), fasting glucose, HbA1c, total cholesterol (TC), Body Mass Index (BMI)] were included. Hypertension was defined as BP ≥ 140/90 mmHg and/or antihypertensive treatment; diabetes as fasting glucose≥126 mg/dL and/or HbA1c ≥ 6.5% or self-reported diabetes; hypercholesterolemia as TC ≥ 190 mg/dL. Sampling weights were applied to adjust for study design and post-stratification weights to match sample age and sex distribution to population one. Non-response was adjusted by inverse probability weighting.

resultsOf 6006 EMENO participants, 4822 were included (51.5% females, median age:47.9 years). The prevalence of hypertension was 39.2%, higher in men (42.4%) than in women (36.1%); of hypercholesterolemia 60.2%, similar in men (59.5%) and women (60.9%); of diabetes 11.6%, similar men (12.4%) and women (10.9%); of obesity 32.1%, higher in women (33.5% vs 30.2%), although in subjects aged 18-40 year it was higher in men; of current smoking 38.2%, higher in men (44.0%) than in women (32.7%). The prevalence of all risk factors increased substantially with age, except smoking, which followed an inverse U shape.

conclusionsThe burden of cardiovascular risk factors among Greek adults is alarming. There is considerable preventive potential and actions at health care and societal level are urgently needed.

Indexed as

Cardiovascular DiseasesDiabetes MellitusHypertensionAdolescentAdultCross-Sectional StudiesFemaleGreeceHeart Disease Risk FactorsHumansMaleMiddle AgedPrevalenceRisk FactorsYoung AdultCardiovascular diseaseDiabetesHealth examination surveyHypercholesterolemiaHypertensionObesityPopulation-based study

Identifiers

PMID33160307
PMCPMC7648277

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.