Siesta and the risk of coronary heart disease: results from a population-based, case-control study in Costa Rica

Campos, Hannia; Siles, Xinia

doi:10.1093/intjepid/29.3.429

Cited by 70 publications

(65 citation statements)

References 22 publications

(13 reference statements)

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“…On the other hand, taking a nap (siesta) is a typical characteristic of the Mediterranean life-style that has been hypothesized as a beneficial factor against CHD [29], but not all evidence is consistent [30].When we analyzed the habit of taking a nap, we found a strong association between this typical Mediterranean habit and the adherence to a MDP but this association was only present in men. The discordant findings between the Greek study and the recently conducted study in Costa Rica might be explained because of residual confounding given the positive association between the adherence to the MDP and siesta.…”

Section: Discussionmentioning

confidence: 80%

Determinants of the adherence to an "a priori" defined Mediterranean dietary pattern

Sánchez-Villegas

Martínez²,

Irala

et al. 2002

European Journal of Nutrition

116

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s Summary Background A prospective cohort study with university level participants was initiated to study the effect of Mediterranean diet on health. Aims The objective of this study was to identify possible lifestyle and socioeconomic variables associated with the consumption of a Mediterranean dietary pattern (MDP). Method: This analysis includes 1587 males and 2260 females. MDP was defined "a priori" by summing the standardized residuals of nutrients and foods after adjusting a regression model using total energy intake as the independent variable. Multiple regression and non-parametric locally weighted regression models were adjusted with the relative adherence to the MDP as the dependent variable in males and females. Results Women were more compliant than men with the MDP (Coefficient regression (b) = 4.1; Confidence Interval (CI) 95 % = 3.2 to 4.9). The compliance with the MDP was significantly poorer among younger participants both in men and women (p < 0.001 in men and in women). Participants who were more physically active were more likely to fulfill the traditional MDP (p = 0.01 in men and p < 0.001 in women). Conclusions Our findings provide evidence supporting the progressive departure from the traditional MDP in younger and highly educated subjects of the Mediterranean area. A more active life-style is associated with a better compliance with the MDP.s Key words eating patternsMediterranean dietary patternconfounders

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Section: Discussionmentioning

confidence: 80%

Determinants of the adherence to an "a priori" defined Mediterranean dietary pattern

Sánchez-Villegas

Martínez²,

Irala

et al. 2002

European Journal of Nutrition

116

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“…Self-reported diabetes and hypertension were validated as previously described. 22 Following the interviews, anthropometrical measurements (height, weight, blood pressure, waist/hip diameter and skinfold thickness) were collected by trained fieldworkers while subjects wore light clothing and no shoes. Additionally, biological specimens (subcutaneous fat aspiration and blood samples) were collected.…”

Section: Data Collectionmentioning

confidence: 99%

Adipose tissue arachidonic acid and the metabolic syndrome in Costa Rican adults

Williams¹,

Baylin²,

Campos³

2007

Clinical Nutrition

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“…The present analysis focuses only on the control population, and details on the overall case -control design can be found elsewhere 17,18 . Briefly, cases were survivors of a first acute myocardial infarction, and they were recruited each year for a period of 10 years.…”

Section: Study Populationmentioning

confidence: 99%

“…Energy expenditure was calculated for each activity as the product of frequency (times per week), duration (hours per time) and intensity (metabolic equivalent task or MET). Validation studies and details are published elsewhere 17,18 .…”

Section: Data Collectionmentioning

confidence: 99%

Socio-economic status and health awareness are associated with choice of cooking oil in Costa Rica

Colón‐Ramos

Kabagambe

Baylin

et al. 2007

Public Health Nutr.

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Objective: To examine the socio-economic and lifestyle determinants of cooking oil choice in Costa Rica during the last decade (1994)(1995)(1996)(1997)(1998)(1999)(2000)(2001)(2002)(2003)(2004). Design: Cross-sectional study. Subjects (total n ¼ 2274) belonged to the control population of a large case-control study; they were recruited yearly. Data about type of oil used for cooking, dietary intake, socio-economic and demographic characteristics were collected. Setting: A dietitian visited all subjects and conducted the interviews at their homes; all subjects lived in the Costa Rican central valley region. Subjects: Adult, free-living, rural and urban Costa Ricans with no history of myocardial infarction and physical or mental disability. Results: The odds of choosing soybean over palm oil increased significantly each year (P , 0.05) and was determined by high socio-economic status (SES) and variables that suggest health awareness (self-reported history of hypertension, high cholesterol, multivitamin use and intake of green leafy vegetables). The odds of choosing other unsaturated oils, namely corn and sunflower, over soybean oil also increased yearly (P , 0.05) and was associated with the same two factors (high SES and health awareness). Palm oil users remained in the lowest SES tertile and were more likely to live in rural areas. Across all SES tertiles, high health awareness determined the odds of choosing other unsaturated oils over palm oil, and soybean oil (P , 0.05). Conclusion: These data show that, in addition to SES, health awareness is associated with the selection of unsaturated oils over palm oil in a developing country undergoing transition. These data should be considered when targeting nutrition messages and policies that promote better dietary choices.

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Siesta and the risk of coronary heart disease: results from a population-based, case-control study in Costa Rica

Cited by 70 publications

References 22 publications

Determinants of the adherence to an "a priori" defined Mediterranean dietary pattern

Determinants of the adherence to an "a priori" defined Mediterranean dietary pattern

Adipose tissue arachidonic acid and the metabolic syndrome in Costa Rican adults

Socio-economic status and health awareness are associated with choice of cooking oil in Costa Rica

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