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Identifier

000442073

Title

Ανάλυση της καρδιαγγειακής υγειάς των επιζώντων στη μελέτη του Σπηλίου (Spili IV follow-up study

Alternative Title

Cardiovascular Health Analysis of the living population of Spili Project (Spili IV follow-up study

Author

Χαροντάκη, Άννα-Μαρία

Thesis advisor

Λιονής, Χρήστος
Συμβουλάκης, Εμμανουήλ
Λιναρδάκης, Εμμανουήλ

Reviewer

Αναστασάκη, Μαριλένα

Abstract

Introduction: Cardiovascular disease is a major issue, especially in Europe because it is the leading cause of death. Aim: The purpose of this study was to re-investigate cardiovascular morbidity and mortality and to re-evaluate the cardiovascular profile of the remaining population of the third study of Spili Project (SPILI III). Some aims of the study were: (a) the morbidity profile of the sample in the study population (b) the mortality profile of the sample in the study population (c) the relationship between sense of coherence and (d) religiosity / spirituality, with morbidity of cardiovascular diseases (e) and the assessment of survival rates. Objectives: The objectives of the study included the investigation of psycho-social factors that may affect the occurrence of Cardiovascular Disease (CVD) and prolong survival. Study population & Methods: It was an epidemiological observational study, took place in Spili. Eligible participants were 195(participants in Spili III). Of these, 187 were eventually included in the study analysis (130 living and 57 deceased). Questionnaires were completed by the researcher and recorded demographic and somatometric characteristics, health habits and morbidity. Correlations were examined between current morbidity with sense of coherence scale, and with religiosity / spirituality based on the respective questionnaires (SOC & RFI / SBI), as used in study SPILI III. In addition, a detailed record of the cause of death was made from the death certificates of persons who died after the SPILI III study. 10 The data analysis was performed using the software program Statistical Package for Social Sciences (SPSS 26). Descriptive statistics were used to present the characteristics of the sample, while Cox regression was used to estimate survival rates. Results: CVD is the third most common disease in the study population (33.8%). In addition, 64.9% of deaths from the previous phase of the study to date, are due to diseases of the circulatory system (ie 95%: 52.0,76.3), and the mean age of death was 85,6. The RR of CVD was 1,40 (p>0,05) and statistically significantly higher risk of mortality was found for female (RR = 1.61, p = 0,007), while SOC was no statistically significant (RR=0,78 p>0,05). In addition, high SOC values act protectively in the prevalence of CVD. Significant differences were found between living and deceased, with living maintaining lower values in indicators such as plasma fibrinogen (p = 0.008), blood sugar (p = 0,004) and CRP (p = 0.031). Conclusions: CVD has a lower incidence than other diseases, while mortality from SPILI III is estimated at a high mean age. Regarding mortality, the risk of the factor of RFI/SRB does not seem to be as significant as that of SOC that is protectively associated with mortality from CVD.

Language

Greek

Subject

Cardiovascular disease

Morbidity

Mortality

Sence of coherence

Θνησιμότητα

Θρησκευτικότητα

Καρδιαγγειακά νοσήματα

Νοσηρότητα

Issue date