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  • 1
    In: Journal of Atherosclerosis Prevention and Treatment, Hellenic Atherosclerosis Society, ( 2020-05-03), p. 39-47
    Abstract: Aim: The sex-specific effect of lipid-related biomarkers on 10-year first fatal/non fatal cardiovascular disease (CVD) incidence was evaluated. Material and Methods: ATTICA study was conducted during 2001-2012. N=1,514 men and n=1,528 women ( 〉 18 years) from greater Athens area, Greece were recruited. Follow-up (2011-2012) was achieved in n=2,020 participants.Baseline lipid profile was measured. In particular, total cholesterol (TC), high density lipoprotein cholesterol (HDL-C) and triglycerides (TGL), apolipoprotein B100 and A1 (ApoB100 and ApoA1) were measured. Low density lipoprotein cholesterol (LDL-C) was assessed through the Friedewald formula. Results: Overall CVD event was 15.5% (n=317) (19.7% in men and 11.7% in women, p 〈 0.001). HDL-C and TGL were independently associated with CVD in women; per 10mg/dL HDL-C increase, Hazard Ratio (HR)=0.73,95% Confidence Interval (95%CI)(0.53, 1.00) and per 10mg/dLTGL increase, HR=1.10,95%CI(1.00, 1.21). ApoA1 (per 10mg/dL increase, HR=0.90,95%CI(0.81, 0.99)) was inversely associated with CVD in women while a positive association with apoB100 was observed only in men (per 10mg/dL increase, HR=1.10,95%CI(1.00, 1.21)). Conclusions: Beyond the common cholesterol-adjusted risk scores, reclassifying total CVD risk according to other lipid markers may contribute to early CVD prevention.
    Type of Medium: Online Resource
    ISSN: 2654-0843
    Language: Unknown
    Publisher: Hellenic Atherosclerosis Society
    Publication Date: 2020
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  • 2
    In: Journal of Atherosclerosis Prevention and Treatment, Hellenic Atherosclerosis Society, ( 2020-09-03), p. 101-111
    Abstract: Although the parental influence on children’s dietary habits has been widely studied, little is known about the effect of parental health status on children’s dietary behavior. Thus, the association between the parental burden of cardiometabolic disease and its impact on children’s eating habits and behaviors was examined. Material and Methods: 1,728 children aged 10-12 years old along with one of their parents were enrolled in a cross-sectional study conducted during 2014-2016. Among others, children’s dietary habits and parental medical history were recorded. Children’s adherence to the Mediterranean diet (MD) was evaluated through the KIDMED score while the parental health status was assessed through a cardiometabolic risk score calculated for this study. The working sample was 1,133 children with a recorded parental health status. Results: Most parents (92.1%) reported at most 2 cardiometabolic risk factors including overweight/obesity, diabetes mellitus, hypertension, and dyslipidemia. Ordinal logistic regression analyses showed a significant association between children’s eating habits and adherence to the MD with the parental burden of cardiovascular disease. Children showed 6% higher odds of higher adherence to the MD (OR: 1.06, 95% CI: 1.01-1.12) and 54% lower odds of not having breakfast at all (OR: 0.46, 95% CI: 0.27-0.80) for a one-unit increase in the cardiometabolic risk score. The stratified analysis revealed a significant association between KIDMED score and CVD risk score only among boys (OR: 1.09, 95% CI: 1.01-1.18). Conclusions: Parental health status is positively associated with children’s dietary behavior and adherence to the MD indicating an additional source of influence.
    Type of Medium: Online Resource
    ISSN: 2654-0843
    Language: Unknown
    Publisher: Hellenic Atherosclerosis Society
    Publication Date: 2020
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  • 3
    Online Resource
    Online Resource
    Hellenic Atherosclerosis Society ; 2022
    In:  Journal of Atherosclerosis Prevention and Treatment Vol. 13, No. 1 ( 2022-1-3), p. 26-35
    In: Journal of Atherosclerosis Prevention and Treatment, Hellenic Atherosclerosis Society, Vol. 13, No. 1 ( 2022-1-3), p. 26-35
    Abstract: Cardiovascular diseases are one of the most serious chronic diseases worldwide and are considered to be the leading cause of death. They have significant effects on physical, mental and psychosocial condition, which seems to worsen patients’ quality of life. Chronic stress, post-traumatic stress disorder, depression and anxiety have been scientifically identified as risk factors for cardiovascular disease, but they also affect the severity and progression of the disease. Social support, especially perceived social support is a multidimensional concept related to the symptoms and prognosis of cardiovascular disease. It plays a fundamental role in the quality of life of patients with cardiovascular disease, as it facilitates adherence to treatment, active engagement and is associated with better health outcomes, lower cardiovascular morbidity and mortality. It is determined by the characteristics of the individual, the severity of the cardiovascular disease, as well as the degree and type of social support provided by significant others.
    Type of Medium: Online Resource
    ISSN: 2654-0843
    Language: Unknown
    Publisher: Hellenic Atherosclerosis Society
    Publication Date: 2022
    Location Call Number Limitation Availability
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  • 4
    Online Resource
    Online Resource
    Hellenic Atherosclerosis Society ; 2021
    In:  Journal of Atherosclerosis Prevention and Treatment Vol. 12, No. 2 ( 2021-5-3), p. 41-50
    In: Journal of Atherosclerosis Prevention and Treatment, Hellenic Atherosclerosis Society, Vol. 12, No. 2 ( 2021-5-3), p. 41-50
    Abstract: Women’s health global agenda has recently reformulated to address more accurate cardiovascular diseases (CVDs) prevention, diagnosis and treatment. The aim of the present work was to review the hitherto global and national policies and practices which address gender equality in health with the focus oriented towards CVDs in women. Scientific databases and health organizations’ websites that present/discuss policies and initiatives targeting to enhance a sex-centered approach regarding general health and/or specifically cardiac health care were reviewed in a systematic way. In total, n=53 relevant documents were selected. The selected policies and initiatives included position statements, national action plans, evidence-based guidelines, guidance/recommendations, awareness campaigns, regulations/legislations and state-of-the art reports by national/international projects and conferences. The target audiences of large stakeholders (e.g., American Heart Association, European Society of Cardiology, Centre of Disease Control and Prevention) were female citizens, health professionals and researchers. Much as policy makers have recognized the sex/gender gap in CVD field, there is still much to be done. Thereby, tailor-made strategies,shouldbe designed, evaluated and delivered on a global, yet most importantly a national basis, to achieve gender equity against CVDs.
    Type of Medium: Online Resource
    ISSN: 2654-0843
    Language: Unknown
    Publisher: Hellenic Atherosclerosis Society
    Publication Date: 2021
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  • 5
    Online Resource
    Online Resource
    Hellenic Atherosclerosis Society ; 2022
    In:  Journal of Atherosclerosis Prevention and Treatment Vol. 13, No. 2 ( 2022-9-3), p. 74-84
    In: Journal of Atherosclerosis Prevention and Treatment, Hellenic Atherosclerosis Society, Vol. 13, No. 2 ( 2022-9-3), p. 74-84
    Abstract: Cardiovascular disease (CVD) is the leading cause of mortality, with rising evidence of differences between women and men, worldwide. Data from the literature indicate the presence of gender-specific differences both in biological responses and in lifestyle behaviors to psychological stress. There is evidence suggesting that women experience higher levels of psychological problems, such as anxiety and depression. The connection between psychological factors and CVD can be explained by behavioral and biological risk factors, as well as underlying mechanisms, such as the sympathetic nervous system overactivity and the hypothalamic-pituitary-adrenal function impairment. Moreover, some psychosocial factors may place women at particular risk of CVDs. Given these hypotheses, the present review summarizes the existing knowledge about psychological factors and CVD connection in women, highlighting the sex differences.
    Type of Medium: Online Resource
    ISSN: 2654-0843
    Language: Unknown
    Publisher: Hellenic Atherosclerosis Society
    Publication Date: 2022
    Location Call Number Limitation Availability
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  • 6
    Online Resource
    Online Resource
    Hellenic Atherosclerosis Society ; 2020
    In:  Journal of Atherosclerosis Prevention and Treatment ( 2020-09-03), p. 87-92
    In: Journal of Atherosclerosis Prevention and Treatment, Hellenic Atherosclerosis Society, ( 2020-09-03), p. 87-92
    Abstract: In the “era” of evidence-based medicine it is now well appreciated that systematic reviews and meta-analyses of randomized clinical trials are more powerful than other designs in their ability to answer research questions regarding the effectiveness of interventions. In this paper a critical appraisal is made regarding the validity of clinical trials and their role in formulating clinical guidelines.
    Type of Medium: Online Resource
    ISSN: 2654-0843
    Language: Unknown
    Publisher: Hellenic Atherosclerosis Society
    Publication Date: 2020
    Location Call Number Limitation Availability
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  • 7
    Online Resource
    Online Resource
    Hellenic Atherosclerosis Society ; 2023
    In:  Journal of Atherosclerosis Prevention and Treatment Vol. 14, No. 1 ( 2023-5-3), p. 11-22
    In: Journal of Atherosclerosis Prevention and Treatment, Hellenic Atherosclerosis Society, Vol. 14, No. 1 ( 2023-5-3), p. 11-22
    Abstract: Aim: Low adherence to health-related behaviors to treatment is still a major public health challenge in primary healthcare settings. Our aim was to assess the repeatability of a tool that can be used by health care professionals in the primary health care sector, as a means to evaluate the degree of adherence to medication and recommended lifestyle changes of patients with cardiometabolic diseases while simultaneously identifying potential treatment obstacles. Material: The Integrated Assessment of Adherence to Treatment Questionnaire for Cardio Metabolic Diseases (IAATQ-CMD) tool includes 126 questions concerning the following domains: (i) socio-demographic characteristics, (ii) medical history, (iii) dietary and lifestyle habits, (iv) healthcare system, (v) patients’ disease/treatment/health status awareness, (vi) adherence to medication (vii) self-efficacy to medication and lifestyle changes, and (viii) therapeutic treatment views/perceptions. In order to evaluate the repeatability of the IAATQ- CMD tool, Cohen’s kappa statistic was calculated for qualitative questions, while Kendall’s tau-b and the Bland & Altman methods were applied for quantitative questions. Results: Fifty individuals (Mean (Standard Deviation (SD)): (66 (14) years old; 68% females) were recruited for the repeatability process. The repeatability of all parts of the IAATQ-CMD questionnaire was found to be adequate, as the relevant statistics (Cohen’s kappa, Kendall’s tau-b and the Bland & Altman method) ranged in acceptable limits.
    Type of Medium: Online Resource
    ISSN: 2654-0843
    Language: Unknown
    Publisher: Hellenic Atherosclerosis Society
    Publication Date: 2023
    Location Call Number Limitation Availability
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