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Control of hypertension

Adoption of the Mediterranean diet may assist the control of hypertension


 

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International Conference
Traditional Mediterranean Diet: Past, Present and Future
Athens, 21 - 23 April 2004

Prevalence of high blood pressure in Greece; the role of the adoption of the Mediterranean diet (the Attica Study)


AIM
The aim of this work is to evaluate the prevalence, awareness, treatment and control of hypertension in a random sample of cardiovascular disease free adults in Greece. A secondary goal is to evaluate the association between hypertension status and adoption of the Mediterranean diet.
 
METHODS
The Attica Study is a cross sectional survey. Based on a multi-stage sampling, 1128 men and 1154 women (>18 years old) were enrolled. The survey included a detailed interview and, among other clinical measurements, status and management of blood pressure levels was recorded. Adoption of the Mediterranean diet was assessed through a special nutrient questionnaire.
 
RESULTS
The prevalence of hypertension was 38.2% in men and 23.9% in women (P <0.05). The majority of men (65%) and women (38%) were untreated, and of those who were treated, only 15% were adequately controlled. Multivariate logistic regression analysis revealed that the adoption of the Mediterranean diet was associated with 26% (odds ratio = 0.74, P = 0.008) lower risk of being hypertensive, and with 36% (odds ratio = 1.36, P = 0.021) higher probabilities of being controlled.
 
CONCLUSIONS
A considerable proportion of the general population is still not well controlled or is unaware of their hypertension. However, adoption of the Mediterranean type of diet seems to reduce population rates and may assist the control of hypertension at population level.


Demosthenes B. Panagiotakos, Christina Chrysohoou, Christos Pitsavos, Christodoulos Stefanadis, University of Athens, Greece

 

Main Menu

Session 1: Mediterranean diet - A gift of gods
Session 2: From Mediterranean diet to Mediterranean lifestyle.
Session 3: Can the Mediterranean diet be industrialized?
Session 4: The Medi-Rivage intervention study, results after three months' follow up.
Session 5: Santorini grapes against atherosclerosis and coronary heart disease.
Session 6: Bioavailability study of olive tree bioactive substances in biological fluids by mass spectrometric techniques aiming at the evaluation of their role on human health.
Session 7: The present role of the Mediterranean diet.
Session 8: Postprandial lipemia, dietary fat and Mediterranean diet.
Session 9: Contribution of table olives to the Mediterranean diet.
Session 10: Dietary Mediterranean diet in West Algerian healthy population.
Poster presentations: Development of a short dietary intake questionnaire for the quantitative estimation of adherence to the cardioprotective Mediterranean diet.
- Traditional practices related to the obesity in Moroccan Sahraoui women.
- Changes in food intake and plasma lipids in patients with coronary heart disease treated by angioplastry.
- The effect of Mediterranean diet on oxidative stress in endothelial nitric oxide synthase gene polymorphism (G894T) homozygotes; the Attica study.
- Mediterranean diet in Germany - an oxymoron?
- Biochemical and haematological data comparisons between the seven countries cohort of Crete and a cohort of younger men.
- Overweight and obesity in the seven countries study cohort of Crete in relation to energy and fat intake.
- Food intake by the seven countries cohorts of Crete and Netherlands 40 years apart.
- Blood pressure in the seven countries cohorts of Crete and Netherlands.
- The business dimension of the Mediterranean diet.
- Diet in Greece in modern times.
- Educational and economic determinants of food intake in participants of the Portuguese National Health Survey.
- Food consumption in Australia compared with Mediterranean countries (1962-1998).
- Prevalence of high blood pressure in Greece; the role of the adoption of the Mediterranean diet (the Attica Study).
- Animal welfare risks during the pre- and slaughter period influencing pork meat quality in Greece.
- Traditional Mediterranean dry cured hams - history, production and future perspectives.
- Assessment of nutritional status of students in the Hashemite University.
MeDiet2004


 
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