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Identifier	uch.med.msc//2005linardakis
Title	Συχνότητα εμφάνισης Μεταβολικού Συνδρόμου σε παιδικό, εφηβικό και ενήλικο πληθυσμό της Κρήτης σε σχέση με τη διατροφή τους
Alternative Title	The Metabolic Syndrome in Children, Adolescents and Adults of Crete in relation to their diet
Creator	Linardakis, Manolis
Abstract	The Metabolic Syndrome (MetSyn), is a major public health problem. It is defined as the clustering of three or more cardiovascular disease risk factors such as abdominal obesity, hypertension, hypertriglyceridaemia, low HDL cholesterol and hyperglycemia. The aim of the present study is to determine the prevalence of the MetSyn in children, adolescents and adults of Crete, and its association with their dietary intake assessed with the use of the USDA’s Healthy Eating Index (HEI). The study included 1222 children and adolescents (age, 3-171/2 years), and 2377 adults (age, 18-94 years) who participated in studies carried out in Crete over the last 16 years by the Preventive Medicine Clinic of the University of Crete. The prevalence of the MetSyn was computed and then associated with the HEI. The HEI assesses and classifies the dietary intake of individuals by providing a score (1-100) to indicate the degree of compliance with dietary recommendations. A score of less than 51 indicates a poor diet, a score of 51-80 indicates diet that needs improvement, and a score over 81 indicates a good diet. The prevalence of the MetSyn was 20% in adults (27% of men, 10.9% of women), and 3.9% in children and adolescents (4.2% of boys, 3.6% of girls). The HEI of children-adolescents and adults was 58.7 and 65.3 respectively (p<0.05) showing that both groups had diets that needed improvement. Compared to their counterparts with no risk factors, adults with the MetSyn had higher HEI (65.3 vs 64.4, p<0.05) due to the traditional dietary habits of the elderly who participated in this study, while childrenadolescents with the MetSyn had lower HEI (58.4 vs 59.8, p>0.05). Ten percent of the adults with the MetSyn had a poor diet and 21% had a good diet (p<0.001). Similarly, 36% of the children-adolescents with the MetSyn had a poor diet and only 5% had a good diet (p=0.026). Compared to their non-obese counterparts, obese children and adolescents had 85 times greater risk for developing the MetSyn (95%CI: 33-219, p<0.001), while for obese adults the risk was 89 times greater (95%CI: 44-178, p<0.001). Children and adolescents with the MetSyn were 30% less likely to have good cardiorespiratory fitness (OR=0.70, 95%CI: 0.49-0.99, p=0.042) compared to those with no risk factors. Primary prevention of the MetSyn can be achieved when appropriate intervention with nutrition education is provided early in life, and when every person makes better choices as regards their diet, physical activity and lifestyle in general.
Subject	μεταβολικό σύνδρομο, διατροφή, δείκτης υγιεινής διατροφής, παχυσαρκία, λιποπρωτεΐνες
Issue date	2005-03-01
Date available	0000-00-01
Collection	School/Department--School of Medicine--Department of Medicine--Post-graduate theses
	Type of Work--Post-graduate theses
Permanent Link	https://elocus.lib.uoc.gr//dlib/e/0/d/metadata-dlib-2005linardakis.tkl
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