Impact of lifestyle habits on the prevalence of the metabolic syndrome among Greek adults from the ATTICA study

Panagiotakos, Demosthenes B.; Pitsavos, Christos; Chrysohoou, Christine; Skoumas, John; Tousoulis, Dimitris; Toutouza, Marina; Toutouzas, Pavlos; Stefanadis, Christodoulos

doi:10.1016/s0002-8703(03)00442-3

Cited by 233 publications

(170 citation statements)

References 21 publications

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“…Some authors suggest that women, non-smokers (116) and physically active subjects (113)(114)(115)119) with a higher educational level (119) have a healthier dietary pattern in general. For this reason, when analysing the relationship between the adscription to a dietary pattern and the presence or incidence of MetS, it is important to adjust for these possible confounders.…”

Section: Healthy and Unhealthy Dietary Patterns And Metabolic Syndromementioning

confidence: 99%

“…For example, in a cross-sectional survey of 1128 men and 1154 adult women from an urban area in Greece (the ATTICA Study), Panagiotakos et al (115) showed that adherence to this dietary pattern was associated with 20 % lower odds of having MetS, irrespective of age, gender, physical activity status, lipids and blood pressure levels. Recently, we have also observed an inverse relationship between the score of adherence to the MedDiet and the prevalence of MetS in a cross-sectional study of a cohort of 808 old participants at high cardiovascular risk from the PREDIMED Study.…”

Section: Mediterranean Diet and Metabolic Syndrome: The Evidencementioning

confidence: 99%

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Mediterranean diet and metabolic syndrome: the evidence

Babió

Bulló

Salas‐Salvadó

2009

Public Health Nutr.

157

106

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Background: The Mediterranean diet has long been related to a lower cardiovascular disease risk; however, more recent evidences also indicate that it has a favourable effect on adiposity and type 2 diabetes. Design: Review of the available literature in relation to Mediterranean diet and metabolic syndrome. Results: Several components of Mediterranean diet patterns have been inversely related with body mass index. They are considered to be modulators of insulin resistance, can exert beneficial effects on blood pressure, improve atherogenic dyslipidemia or attenuate the inflammatory burden associated with metabolic syndrome. Furthermore, a lower prevalence of metabolic syndrome has been associated with dietary patterns rich in fruits and vegetables, nuts, olive oil, legumes and fish, moderate in alcohol and low in red meat, processed meat, refined carbohydrates and whole-fat dairy products. Conclusions: There is much evidence suggesting that the Mediterranean diet could serve as an anti-inflammatory dietary pattern, which could help to fight diseases related to chronic inflammation, including metabolic syndrome.

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Section: Healthy and Unhealthy Dietary Patterns And Metabolic Syndromementioning

confidence: 99%

Section: Mediterranean Diet and Metabolic Syndrome: The Evidencementioning

confidence: 99%

Mediterranean diet and metabolic syndrome: the evidence

Babió

Bulló

Salas‐Salvadó

2009

Public Health Nutr.

157

106

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“…Depending on the criteria used, the prevalence of metabolic syndrome in the United States and Europe is around 20-30% in adults, [1][2][3] while in Asia, the prevalence is about 10-20%. [3][4][5] Recently, Hwang et al also present the prevalence of metabolic syndrome is 20% in men and 15.3% in women among Taiwanese adults.…”

Section: Introductionmentioning

confidence: 99%

Obesity and hepatitis B infection are associated with increased risk of metabolic syndrome in university freshmen

Chiu

et al. 2007

Int J Obes

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Objective: To investigate the prevalence of metabolic syndrome and its associated risk factors in a cohort of university freshmen. Design: A cross-sectional study in a university health center in North Taiwan. Subjects: A total of 8226 students (mean age: 19.272.3 years) receiving pre-entrance health examinations and lifestyle questionnaires during the 2005-2006 academic year were recruited. Measurements: A fasting plasma glucose, lipids, uric acid and hepatitis B serology were measured for each subject. The prevalence of metabolic syndrome and its individual components were examined using the America Heart Association and National Heart Lung Blood Institute criteria. The risk factors for metabolic syndrome were identified using a multivariate logistic regression analysis. Results: The prevalence of overweight, obesity and metabolic syndrome was 12.7% (17.0% in men and 7.6% in women), 13.0% (18.4% in men and 6.4% in women) and 4.6% (6.4% in men and 2.4% in women). The risk for metabolic syndrome increased with an increase of body mass index and plasma uric acid level, and decreased with the vigorous physical activity and current alcohol drinking. Furthermore, as compared to subjects with seroprotective titers from hepatitis B vaccination (antiHBs( þ ) and anti-HBc(À)), those without protective titers of anti-HBs after vaccination or without hepatitis B infection (antiHBs(À) and anti-HBc(À)) had 34% higher risk for metabolic syndrome, and those with natural infection of hepatitis B (anti-HBc( þ )) had 58% higher risk for metabolic syndrome. Conclusions: Overweight, obesity and metabolic syndrome were more common among men than women in university freshmen. Hepatitis B vaccination with anti-HBs( þ ) was associated with a lower risk of metabolic syndrome as compared to antiHBs(À). However, hepatitis B infection presented with anti-HBc( þ ) was associated with a higher risk of metabolic syndrome. The interplay between hepatitis B infection, hepatitis B vaccination and metabolic syndrome needs further investigation.

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“…2 In Europe and the United States, the prevalence of metabolic syndrome is approximately 20% in adults. 3,4 In Asians, the prevalence of metabolic syndrome is around 10-20%, [5][6][7] depending on regions and criteria used to define metabolic syndrome. Therefore, the metabolic syndrome has become a significant health problem worldwide and requires urgent attention.…”

Section: Introductionmentioning

confidence: 99%

Insulin resistance, obesity, and metabolic syndrome among non-diabetic pre- and post-menopausal women in North Taiwan

et al. 2006

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Objective: To investigate the relationship between the metabolic syndrome and its related factors among non-diabetic pre-and post-menopausal women in North Taiwan. Design: A cross-sectional study in a medical center in North Taiwan. Subjects: Five hundred and ninety-four, non-diabetic middle-aged women (age range ¼ 40-64 years, mean ¼ 48.975.4 years) were recruited. Measurements: The fasting plasma glucose, insulin, lipids levels and anthropometric indices were measured. The homeostasis model assessment was applied to estimate the degree of insulin resistance (HOMA-IR). Metabolic syndrome was defined by using the National Cholesterol Education Panel (NCEP) criteria and modified NCEP criteria (waist circumference 480 cm). Results: The prevalence of metabolic syndrome was 6.2% using NCEP criteria, and 8.9% using modified NCEP criteria. Postmenopausal women had a higher prevalence of metabolic syndrome and its individual components compared to premenopausal women except hyperglycemia and low HDL-C. In multiple logistic regression analysis with adjustment for age and menopausal status, both BMI and HOMA-IR were independently associated with the metabolic syndrome. Conclusion: The prevalence of metabolic syndrome was higher in post-menopausal than pre-menopausal women. Both obesity and insulin resistance may play an important role in the development of metabolic syndrome among the middle-aged women in North Taiwan.

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Impact of lifestyle habits on the prevalence of the metabolic syndrome among Greek adults from the ATTICA study

Cited by 233 publications

References 21 publications

Mediterranean diet and metabolic syndrome: the evidence

Mediterranean diet and metabolic syndrome: the evidence

Obesity and hepatitis B infection are associated with increased risk of metabolic syndrome in university freshmen

Insulin resistance, obesity, and metabolic syndrome among non-diabetic pre- and post-menopausal women in North Taiwan

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