Cardiovascular disease risk factors and dietary habits of farmers from Crete 45 years after the first description of the Mediterranean diet

European Journal of Preventive Cardiology

Volumn 17, Issue 4, 2010, Pages 440-446

  Vardavas, Constantine I ^a,b   Linardakis, Manolis K ^a   Hatzis, Christos M ^a   Saris, Wim H m ^b   Kafatos, Anthony G ^a  

^a UNIVERSITY OF CRETE   (Greece)

^b MAASTRICHT UNIVERSITY   (Netherlands)

Author keywords

adipose tissue; body mass index; cardiovascular disease; cholesterol; fatty acids; hypertension; Mediterranean diet; obesity; physical activity

Indexed keywords

CHOLESTEROL; MONOUNSATURATED FATTY ACID; SATURATED FATTY ACID;

ADULT; AGED; AGRICULTURAL WORKER; ARTICLE; BODY MASS; CALORIC INTAKE; CARDIOVASCULAR RISK; CHOLESTEROL BLOOD LEVEL; CONTROLLED STUDY; DIETARY INTAKE; FEEDING BEHAVIOR; FEMALE; GREECE; HUMAN; LIPID COMPOSITION; MALE; MEDITERRANEAN DIET; PRIORITY JOURNAL; SELF REPORT; SUBCUTANEOUS FAT; SYSTOLIC BLOOD PRESSURE;

ADIPOSITY; ADULT; AGRICULTURE; BLOOD PRESSURE; BODY MASS INDEX; CARDIOVASCULAR DISEASES; CHI-SQUARE DISTRIBUTION; CHOLESTEROL; CROSS-SECTIONAL STUDIES; DIET, MEDITERRANEAN; DIETARY FATS; ENERGY INTAKE; FOOD HABITS; FRUIT; GREECE; HEALTH SURVEYS; HUMANS; LIFE STYLE; MALE; MEAT; MIDDLE AGED; RISK ASSESSMENT; RISK FACTORS; TIME FACTORS;

EID: 77955473162     PISSN: 20474873     EISSN: 20474881     Source Type: Journal    
DOI: 10.1097/HJR.0b013e32833692ea     Document Type: Article

References (40)

1. Kromhout D. Epidemiology of cardiovascular diseases in Europe. Public Health Nutr 2001; 4: 441–457.
2. Health at a glance: OECD indicators 2005 OECD Publishing. 2005.
3. Sans S, Kesteloot H, Kromhout D, On behalf of the task force. The burden of cardiovascular diseases mortality in Europe. Task force of the European society of cardiology on cardiovascular mortality and morbidity statistics in Europe. Eur Heart J 1997; 18: 123–148.
4. Keys A Coronary heart disease in seven countries. Circulation. 1970; 41 (Suppl 1):1–211.
5. Renaud S, de Lorgeril M, Delaye J, Guidollet J, Jacquard F, Mamelle N, et al Cretan Mediterranean diet for prevention of coronary heart disease. Am J Clin Nutr 1995; 61 (Suppl):1360S–1367S.
6. De Lorgeril M, Renaud S, Mamelle N, Salen P, Martin JL, Monjaud I, et al Mediterranean alphalinolenic acidrich diet in the secondary prevention of coronary heart disease. Lancet 1994; 343: 1454–1459.
7. Trichopoulos D, Lagiou P. Mediterranean diet and overall mortality differences in the European Union. Public Health Nutr 2004; 7: 949–951.
8. Panagiotakos DB, Pitsavos C, Chrysohoou C, Skoumas J, Tousoulis D, Toutouza M, et al Impact of lifestyle habits on the prevalence of the metabolic syndrome among Greek adults from the ATTICA study. Am Heart J 2004; 147: 106–112.
9. Menotti A, Lanti M, Kromhout D, Blackburn H, Nissinen A, Dontas A, et al Forty-year coronary mortality trends and changes in major risk factors in the first 10 years of follow up in the seven countries study. Eur J Epidemiol 2007; 22: 747–754.
10. Christakis G, Severinghaus EL, Maldonado Z, Kafatos F, Hashim S. Crete: a study in the metabolic epidemiology of coronary heart disease. Am J Cardiol 1965; 15: 320–332.
11. Kromhout D, Keys A, Aravanis C, Buzina R, Fidanza F, Giampaoli S, et al Food consumption patterns in the 1960's in seven countries. Am J Clin Nutr 1989; 49: 889–894.
12. Mamalakis G, Jansen E, Cremers H, Kiriakakis M, Tsibinos G, Kafatos A. Depression and adipose and serum cholesteryl ester polyunsaturated fatty acids in the survivors of the seven countries study population of Crete. Eur J Clin Nutr 2006; 60: 1016–1023.
13. WHO: World Health Organization. Obesity: preventing and managing the global epidemic. WHO/NUT/98.1. Geneva. Switzerland: World Health Organization; 1998.
14. Vardavas CI, Linardakis M, Hatzis C, Saris WHM, Kafatos A. Prevalence of obesity and physical inactivity among farmers from Crete (Greece), four decades after the seven countries study. Nutr Metab Cardiovasc Dis 2009; 19: 156–162.
15. Kafatos AG, Verhagen H, Moschandreas J, Apostolaki I, Van Westerop J. Mediterranean diet of Crete: foods and nutrient content. J Am Diet Assoc 2000; 100: 1487–1493.
16. Sarri K, Linardakis M, Codrington C, Kafatos A. Does the periodic vegetarianism of Greek Orthodox Christians benefit blood pressure? Prev Med 2007; 44: 3418.
17. Vardavas CI, Linardakis M, Hatzis C, Malliaraki N, Saris W, Kafatos A. Smoking status in relation to serum and dietary vitamin and micronutrient concentrations. Tob Induc Dis 2008; 4: 8.
18. Beynen AC, Katan MB. Why do polyunsaturated fatty acids lower serum cholesterol? Am J Clin Nutr 1985; 42: 560–563.
19. Zachariadou T, Stoffers HE, Christophi CA, Philalithis A, Lionis C. Implementing the European guidelines for cardiovascular disease prevention in the primary care setting in Cyprus: lessons learned from a health care services study. BMC Health Serv Res 2008; 8: 148.
20. Kok L, Engelfriet P, Jacobsvan der Bruggen MA, Hoogenveen RT, Boshuizen HC, Verschuren MW. The costeffectiveness of implementing a new guideline for cardiovascular risk management in primary care in the Netherlands. Eur J Cardiovasc Prev Rehabil 2009; 16: 371–376.
21. DanonHersch N, MarquesVidal P, Bovet P, Chiolero A, Paccaud F, Peécoud A, et al Prevalence, awareness, treatment and control of high blood pressure in a Swiss city general population: the CoLaus study. Eur J Cardiovasc Prev Rehabil 2009; 16: 6672.
22. Levi F, Chatenoud L, Bertuccio P, Lucchini F, Negri E, Vecchia CL. Mortality from cardiovascular and cerebrovascular diseases in Europe and other areas of the world: an update. Eur J Cardiovasc Prev Rehabil 2009. [Epub ahead of print].
23. Moschandreas J, Kafatos A, Aravanis C, Dontas A, Menotti A, Kromhout D. Longterm predictors of survival for the Seven Countries Study cohort from Crete: from 1960 to 2000. Int J Cardiol 2005; 100: 8591.
24. Romero-Corral A, Montori V, Somers V, Korinek J, Thomas RJ, Allison TG, et al Association of bodyweight with total mortality and with cardiovascular events in coronary heart disease: a systematic review of cohort studies. Lancet 2006; 368: 666–678.
25. Pitsavos C, Panagiotakos DB, Menotti A, Chrysohoou C, Skoumas J, Stefanadis C, et al Forty year follow-up of coronary heart disease mortality and its predictors: the Corfu cohort of the seven countries study. Prev Cardiol 2003; 6: 155–160.
26. Menotti A, Lanti M, Nedeljkovic S, Nissinen A, Kafatos A, Kromhout D. The relationship of age, blood pressure, serum cholesterol and smoking habits with the risk of typical and atypical coronary heart disease death in the European cohorts of the Seven Countries Study. Int J Cardiol 2006; 106: 157–163.
27. Menotti A, Blackburn H, Kromhout D, Nissinen A, Adachi H, Lanti M. Cardiovascular risk factors as determinants of 25year allcause mortality in the seven countries study. Eur J Epidemiol 2001; 17: 337–346.
28. Menotti A, Keys A, Blackburn H, Kromhout D, Karvonen M, Nissinen A, et al Comparison of multivariate predictive power of major risk factors for coronary heart diseases in seven countries: results from eight nations of the Seven Countries Study, 25 year follow up. J Cardiovasc Risk 1996; 3: 69–75.
29. Menotti A, Keys A, Aravanis C, Blackburn H, Dontas A, Fidanza F, et al Seven Countries Study. First 20 year mortality data in 12 cohorts of six countries. Ann Med 1989; 21: 175–179.
30. Panagiotakos DB, Pitsavos C, Polychronopoulos E, Chrysohoou C, Menotti A, Dontas A, et al Total cholesterol and body mass index in relation to 40 year cancer mortality (The corfu cohort of the Seven Countries Study). Cancer Epidemiol. Biomarkers Prev 2005; 14: 1797–1801.
31. Papadaki A, Vardavas C, Hatzis C, Kafatos A. Nutrient and food intake during a Greek Orthodox Fasting and non fasting week. Public Health Nutr 2007; 20: 18.
32. Sarri KO, Tzanakis NE, Linardakis MK, Mamalakis GD, Kafatos AG. Effects of Greek Orthodox Christian Church fasting on serum lipids and obesity. BMC Public Health 2003; 3: 16.
33. Panagiotakos DB, Matalas AL. Back to the ancient diet: A matter of urgency for southern European countries. Nutr Metab Cardiovasc Dis 2009; 19: 153–155.
34. Panagiotakos DB, Tzima N, Pitsavos C, Chrysohoou C, Zampelas A, Toussoulis D, et al The association between adherence to the Mediterranean diet and fasting indices of glucose homoeostasis: the ATTICA Study. J Am Coll Nutr 2007; 26: 32–38.
35. Harris W, Poston W, Haddock K. Tissue n3 and n6 fatty acids and risk for coronary heart disease events. Atherosclerosis 2007; 193: 110.
36. Trichopoulou A, Costacou T, Bamia C, Trichopoulos D. Adherence to a Mediterranean diet and survival in a Greek population. Engl J Med 2003; 348: 2599–2608.
37. Mendez MA, Popkin BM, Jakszyn P, Berenguer A, Tormo MJ, Sanchéz MJ, et al. Adherence to a Mediterranean diet is associated with reduced 3 year incidence of obesity. J Utr 2006; 136: 2934–2938.
38. Sánchez-Taínta A, Estruch R, Bulló M, Corella D, Gómez-Gracia E, Fiol M, et al Adherence to a Mediterranean type diet and reduced prevalence of clustered cardiovascular risk factors in a cohort of 3,204 high risk patients. Eur J Cardiovasc Prev Rehabil 2008; 15: 589–593.
39. Verschuren WM, Jacobs DR, Bloemberg BP, Kromhout D, Menotti A, Aravanis C, et al Serum total cholesterol and long term coronary heart disease mortality in different cultures. Twenty-five year follow-up of the seven countries study. JAMA 1995; 274: 1316.
40. Kromhout D, Menotti A, Bloemberg B, Aravanis C, Blackburn H, Buzina R, et al Dietary saturated and trans fatty acids and cholesterol and 25 year mortality from coronary heart disease: the Seven Countries Study. Prev Med 1995; 24: 308–315.