Health care access and prevalence of the metabolic syndrome among elders living in high-altitude areas of the mediterranean islands: The MEDIS study

Review of Diabetic Studies

Volumn 8, Issue 4, 2011, Pages 468-476

  Panagiotakos, Demosthenes ^a   Tyrovolas, Stefanos ^a   Chalkias, Christos ^a   Morena, Marianthi ^a   Tsiligianni, Ioanna ^b   Zeimbekis, Akis ^c   Gotsis, Efthimios ^a   Metallinos, George ^a   Bountziouka, Vassiliki ^a   Polychronopoulos, Evangelos ^a   Lionis, Christos ^b  

^a HAROKOPIO UNIVERSITY   (Greece)

^b UNIVERSITY OF CRETE   (Greece)

^c General Hospital of Mytilini   (Greece)

Author keywords

Diabetes; Elderly; High altitude; Interleukin 6; Mediterranean diet; Metabolic syndrome

Indexed keywords

AGED; ALTITUDE; ARTICLE; BODY MASS; CARDIOVASCULAR DISEASE; CLINICAL ASSESSMENT; CLINICAL EVALUATION; FEMALE; HEALTH CARE ACCESS; HEALTH CARE SYSTEM; HUMAN; HYPERCHOLESTEROLEMIA; HYPERTENSION; LIFESTYLE; MAJOR CLINICAL STUDY; MALE; MEDITERRANEAN DIET; METABOLIC SYNDROME X; OBESITY; PREVALENCE;

EID: 84862504068     PISSN: 16136071     EISSN: 16140575     Source Type: Journal    
DOI: 10.1900/RDS.2011.8.468     Document Type: Article

References (36)

1. Executive Summary of the Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). JAMA 2001. 285:2486-2497.
2. Ford ES, Giles WH, Dietz WH. Prevalence of the meta-bolic syndrome among US adults: findings from the third National Health and Nutrition Examination Survey. JAMA 2002. 287:356-359.
3. Grundy SM. Hypertriglyceridemia, atherogenic dyslipide-mia, and the metabolic syndrome. Am J Cardiol 1998. 81:18B-25B.
4. Miccoli R, Bianchi C, Odoguardi L, Penno G, Cari-cato F, Giovannitti MG, Pucci L, Del Prato S. Prevalence of the metabolic syndrome among Italian adults according to ATP III definition. Nutr Metab Cardiovasc Dis 2005.15(4):250-254.
5. Boronat M, Chirino R, Varillas VF, Saavedra P, Mar-rero D, Fábregas M, Nóvoa FJ. Prevalence of the metabolic syndrome in the island of Gran Canaria: comparison of three major diagnostic proposals. Diabet Med 2005. 22(12):1751.
6. Panagiotakos DB, Pitsavos C, Chrysohoou C, Skou-mas J, Tousoulis D, Toutouza M, Toutouzas P, Ste-fanadis C. Impact of lifestyle habits on the prevalence of the metabolic syndrome among Greek adults from the ATTICA study. Am Heart J 2004. 147(1):106-112.
7. Peacock AJ. Medical problems of high altitude. J R Coll Physicians Edinb 2008. 38:126-128.
8. Mohanna S, Baracco R, Seclen S. Lipid profile, waist circumference, and body mass index in a high altitude population. High Alt Med Biol 2006. 7(3):245-255.
9. Baracco R, Mohanna S, Seclen S. A comparison of the prevalence of metabolic syndrome and its components in high and low altitude populations in Peru. Metab Syndr Relat Disord 2007. 5(1):55-62.
10. Wolf EE, Selland MA, Mazzeo RS, Reeves JT. Systemic hypertension at 4,300 m is related to sympathoadrenal activity. J Appl Physiol 1994. 76:1643-1650.
11. Fiori G, Faccini F, Pettener D, Rimondi A, Battistini N, Bedgoni G. Relationships between blood pressure, an-thropometric characteristic and blood lipid in high and low altitude population from central Asia. Ann Hum Biol 2000. 27:19-28.
12. Mirrakhimov MM, Rafibekova ZH, Dzhumagulova AS, Meimanaliev TS, Murataliev TM, Shatemirova KK. Prevalence and clinical peculiarities of essential hypertension in population living at high altitude. Cor Vasa 1985. 27:23-28.
13. Sharma S. Clinical, biochemical, electrocardiographic and noninvasive hemodynamic assessment of cardiovascular status in natives at high to extreme altitudes (3000m-5500m) of the Himalayan region. Indian Heart J 1990. 42:375-379.
14. Fujimoto N, Matsubayashi K, Miyahara T, Murai A, Matsuda M, Shio H, Suzuki H, Kameyama M, Saito A, Shuping L. The risk factors for ischemic heart disease in Tibetan highlanders. Jpn Heart J 1989. 30:27-34.
15. Dominguez Coello S, Cabrera De Leon A, Bosa Ojeda F, Perez Mendez LI, Diaz Gonzalez L, Aguirre-Jaime AJ. High density lipoprotein cholesterol increases with living altitude. Int J Epidemiol 2000. 29:65-70.
16. De Mendoza S, Nucete H, Ineichen E, Salazar E, Zerpa A, Glueck CJ. Lipids and lipoproteins in subjects at 1,000 and 3,500 meter altitudes. Arch Environ Health 1979. 34:308-311.
17. Jefferson JA, Escudero E, Hurtado ME, Kelly JP, Swenson ER, Wener MH, Burnier M, Maillard M, Schreiner GF, Schoene RB, Hurtado A, Johnson RJ, Hyperuricemia, hypertension, and proteinuria associated with high-altitude polycythemia. Am J Kidney Dis 2002. 39:1135-1142.
18. Pasini GF, Donato F, Buizza MA, Fantoni C, Gelatti U, Tani M, Grassi V. Prevalence of risk factors for coronary heart disease in a mountain community in northern Italy. G Ital Cardiol 1999. 29:891-897.
19. Temte JL. Elevation of serum cholesterol at high altitude and its relationship to hematocrit. Wilderness Environ Med 1996. 7:216-224.
20. Koutis AD, Lionis CD, Isacsson A, Jakobsson A, Fio-retos M, Lindholm LH. Characteristics of the 'Metabolic Syndrome X' in a cardiovascular low risk population in Crete. Eur Heart J 1992. 13:865-871.
21. Mathers CD, Iburg KM, Salomon JA, Tandon A, Chatterji S, Ustün B, Murray CJ. Global patterns of healthy life expectancy in the year 2002. BMC Public Health 2004. 4:66.
22. Kotlyakov VM, Komarova AI. Elsevier's Dictionary of Geography. Elsevier 2007.
23. Kapos V, Rhind J, Edwards M, Price MF, Ravilious C. Developing a map of the world's mountain forests. In: Price MF and Butt N. Forests in Sustainable Mountain Development: A State-of-Knowledge Report for 2000, CAB International 2000.
24. Hassan R, Scholes R, Ash N. Ecosystems and human well-being: current state and trends: findings of the Condition and Trends Working Group of the Millennium Ecosystem Assessment. Island Press 2005. Chapter 1, pp. 681-716.
25. Tyrovolas S, Pounis G, Bountziouka V, Poly-chronopoulos E, Panagiotakos D. Repeatability and validation of a short, semi-quantitative food frequency questionnaire designed for older adults living in Mediterranean areas: the MEDIS-FFQ. J Nutr Gerontol Geriatr 2010. 29(3):311-324.
26. Panagiotakos D, Pitsavos C, Stefanadis C. Dietary patterns: a Mediterranean diet score and its relation to CVD risk and markers. Nutr Metab Cardiovasc Dis 2006. 16:559-568.
27. Papathanasiou G, Georgoudis G, Papandreou M, Spyropoulos P, Georgakopoulos D, Kalfakakou V, Evangelou A. Reliability measures of the short International Physical Activity Questionnaire (IPAQ) in Greek young adults. Hellenic J Cardiol 2009. 50: 283-94.
28. Tyrovolas S, Zeimbekis A, Bountziouka V, Voutsa K, Pounis G, Papoutsou S, Metallinos G, Ladoukaki E, Polychronopoulos E, Lionis C, Panagiotakos DB, Factors Associated with the Prevalence of Diabetes Mellitus Among Elderly Men and Women Living in Mediterranean Islands: The MEDIS Study. Rev Diabet Stud 2009. 6:54-63.
29. Kuk JL, Ardern CI. Age and sex differences in the clustering of metabolic syndrome factors: association with mortality risk. Diabetes Care 2010. 33(11):2457-2461.
30. Prussian KH, Barksdale-Brown DJ, Dieckmann J. Racial and Ethnic Differences in the Presentation of Metabolic Syndrome. J Nurse Pract 2007. 3(4):229-239.
31. Haynes R, Gale S. Deprivation and poor health in rural areas: inequalities hidden by averages. Health Place 2000. 6:275-285.
32. Oikonomou N, Tountas Y. Insufficient primary care services to the rural population of Greece. Rural Remote Health 2011. 11:1661.
33. Tountas Y, Karnaki P, Pavi E. Reforming the reform: the Greek national health system in transition. Health Policy 2002. 62:15-29.
34. Lionis CD, Sasarolis SM, Koutis AD, Antonakis NA, Benos A, Papavasiliou S, Fioretos M. Measuring the prevalence of diabetes mellitus in a Greek primary health care district, Fam Pract 1996. 13(1):18-21.
35. Tyrovolas S, Tountas Y, Polychronopoulos E, Panagiotakos D. A parametric model of the role of nutritional services within the health care system, in relation to cardiovascular disease risk among older individuals. Int J Car-diol 2012. 155:110-114.
36. Tyrovolas S, Polychronopoulos E, Tountas Y, Panagiotakos DB. Modelling nutritional services in relation to the health status of older individuals living on Mediterranean islands. Rural Remote Health 2011. 11:1776.