Prevalence of multimorbidity in the Cypriot population; A cross-sectional study (2018–2019)

Kyprianidou, Maria; Panagiotakos, Demosthenes B.; Faka, Antigoni; Kambanaros, Maria; Makris, Konstantinos C.; Christophi, Costas A.

doi:10.1371/journal.pone.0239835

Cited by 17 publications

(24 citation statements)

References 39 publications

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“…Future prevention programmes and practice guidelines in Cyprus and elsewhere should take into account the beneficial effects of Mediterranean diet on multi-morbidity. are presented elsewhere (22) . Participants would provide verbal consent before responding anonymously, to the questionnaire.…”

Section: Discussionmentioning

confidence: 99%

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Adherence to the Mediterranean diet in Cyprus and its relationship to multi-morbidity: an epidemiological study

Kyprianidou

Panagiotakos

Faka

et al. 2020

Public Health Nutr.

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Objective To examine the adherence to the Mediterranean diet in the adult general population of Cyprus and assess its relationship with multi-morbidity. Design A representative sample of the adult population of Cyprus was selected in 2018-2019 using stratified sampling. Demographics, Mediterranean diet, smoking, and physical activity, as well as the presence of chronic, clinical, and mental conditions were collected using a validated questionnaire. Diseases were classified according to the International Classification of Diseases, 10th Revision (ICD-10). Setting The five government-controlled municipalities of the Republic of Cyprus. Participants A total of 1140 Cypriot men and women over 18-year old. Results The average Mediterranean Diet score was 15.5 ± 4.0 with males and residents of rural regions being more adherent to the Mediterranean Diet compared to females and residents of urban regions respectively (p<0.05). Being in the higher tertile of adherence to the Mediterranean diet was associated with lower odds of multi-morbidity compared to the lower tertile and this result was statistically significant even after adjusting for age, gender, smoking habits, and physical activity (OR= 0.68, 95% CI: 0.46, 0.99). Conclusions The study provides evidence of the adherence to Mediterranean diet in Cypriot population and its association with multi-morbidity. Adherence to the Mediterranean diet was associated with lower risk of multi-morbidity. Future research would attempt to replicate such results that could add solid pieces of evidence towards meeting some criteria of causality and severity tests, hence prevention programs and practice guidelines in Cyprus and elsewhere should take into account those beneficial effects.

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Section: Discussionmentioning

confidence: 99%

“…The response rate was 90 %, and the final study sample did not significantly differ from the general population in terms of region, age and gender (all P-values > 0•05). More details of the study are presented elsewhere (22) .…”

Section: Settingmentioning

confidence: 99%

Adherence to the Mediterranean diet in Cyprus and its relationship to multi-morbidity: an epidemiological study

Kyprianidou

Panagiotakos

Faka

et al. 2020

Public Health Nutr.

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“…It has been reported that lack of sleep affects the endocrine pathways (48) and is associated with several chronic diseases, including cardio-metabolic and neurodegenerative diseases (23,24). In fact, in our study, the most common combination of diseases among people with multimorbidity were diseases of the circulatory and endocrine systems (29). In addition, most of the people with multimorbidity who have an endocrine or circulatory disorder reported poor quality of sleep.…”

Section: Current Smokermentioning

confidence: 51%

“…The mean number of conditions was 1.07. The most prevalent chronic diseases were the diseases of the circulatory system, followed by the endocrine system and the digestive-excretory system, whereas the most common combinations among people with multimorbidity were diseases of the circulatory and endocrine systems (25%), followed by circulatory and digestive-excretory systems (20%), and circulatory and nervous systems (19%) (29).…”

Section: Multimorbiditymentioning

confidence: 99%

“…In recent years, multimorbidity, which is defined as the coexistence of two or more chronic conditions (25), has increased significantly (26). The overall prevalence of multimorbidity in adults has been reported as 18-30% (27,28), and in Cyprus, the age and gender-standardized prevalence of multimorbidity is estimated to be 29% (29), which is similar to the prevalence in other countries, such as Scotland (23.2%) (30), Australia (25.5%) (31), Serbia (26.9%) (32), and Brazil (23.6%) (33). Several studies (34)(35)(36) have shown an association between sleep disorders and multimorbidity.…”

Section: Introductionmentioning

confidence: 99%

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Quality of Sleep in the Cypriot Population and Its Association With Multimorbidity: A Cross-Sectional Study

Kyprianidou

Panagiotakos

Kambanaros

et al. 2021

Front. Public Health

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Poor sleep is a relatively common condition with possibly serious adverse health consequences. Lack of sleep affects the endocrine, immune, and nervous systems. In Cyprus, there is no information about the quality of sleep in the population. The goal of this study was to assess the quality of sleep in the Cypriot population and evaluate its association with multimorbidity. A representative sample of the adult population of Cyprus was selected in 2018–2019 among the five government-controlled municipalities of the Republic of Cyprus using stratified sampling. Data on sleep quality as well as on the presence of chronic, clinical, and mental health conditions were collected using a validated questionnaire. Diseases were classified according to the International Classification of Diseases, 10th Revision (ICD-10). A total of 1,140 Cypriot men and women over 18-years of age (range: 18–94) participated in the study. The median Pittsburgh sleep quality index score of the participants was 5 (first quartile = 3, third quartile = 7) with the maximum score being 17, which suggests that the Cypriot population has a relatively good quality of sleep overall, although, almost one-third of the study population had a poor quality of sleep. Women, residents of Paphos, and married people had a poorer quality of sleep (p < 0.05). Having a poor quality of sleep was associated with higher odds of multimorbidity (OR = 2.21, 95% CI: 1.55, 3.16), even after adjusting for demographics, socioeconomic, and lifestyle factors. Adopting good sleep habits could be beneficial and would potentially help reduce the risk of multimorbidity. Public health guidelines regarding the importance of sleep and its association with multimorbidity should be considered.

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A pathological convergence theory for non‐communicable diseases

Padrón‐Monedero

2023

Aging Medicine

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The current paradigm considers the study of non‐communicable diseases (NCDs), which are the main causes of mortality, as individual disorders. Nevertheless, this conception is being solidly challenged by numerous remarkable studies. The clear fact that the mortality, by virtually all NCDs, tends to cluster at old ages (with the exception of congenital malformations and certain types of cancer, among a few others); makes us intuitive to assume that the common convergence mechanism that exponentially increases mortality by almost all NCDs in older ages is cell aging. Moreover, when we study NCDs, we are not analyzing which disorders cause the mortality of the populations, rather that which disorders kill us before others do, because the aging of the individuals causes inevitably their death by one cause or another. This is not a defeatist perspective, but a challenging and efficient one. These intuitive assumptions have been supported by studies from the pathophysiologic, epidemiologic, and genetic fields, leading to the affirmation that, as NCDs share genetic and pathophysiological mechanisms (derived from mostly the same risk factors), they should no longer be considered independently. Those studies should make us reconsider our current conceptions of studying NCDs as individual disorders, and to hypothesize about a paradigm that would consider most NCDs (cancer, neurological pathologies, cardiovascular diseases, type II diabetes mellitus, chronic respiratory diseases, osteoarthritis, and osteoporosis, among others) different manifestations of the same process: the cell aging.

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Prevalence of multimorbidity in the Cypriot population; A cross-sectional study (2018–2019)

Cited by 17 publications

References 39 publications

Adherence to the Mediterranean diet in Cyprus and its relationship to multi-morbidity: an epidemiological study

Adherence to the Mediterranean diet in Cyprus and its relationship to multi-morbidity: an epidemiological study

Quality of Sleep in the Cypriot Population and Its Association With Multimorbidity: A Cross-Sectional Study

A pathological convergence theory for non‐communicable diseases

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