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Published in: BMC Public Health 1/2006

Open Access 01-12-2006 | Research article

Prevalence of self-reported hypertension and its relation to dietary habits, in adults; a nutrition & health survey in Greece

Authors: Christos Pitsavos, George A Milias, Demosthenes B Panagiotakos, Dimitra Xenaki, George Panagopoulos, Christodoulos Stefanadis

Published in: BMC Public Health | Issue 1/2006

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Abstract

Background

Hypertension leads to many degenerative diseases, the most common being cardiovascular in origin. This study has been designed to estimate the prevalence of self-reported hypertension in a random nationwide sample of adult Greek population, while focus was set to the assessment of participants' nutritional habits in relation to their hypertension status.

Methods

A random-digit dialed telephone survey. Based on a multistage, stratified sampling, 5003 adults (18 – 74 yr) participated (men: 48.8%, women: 51.2%). All participants were interviewed via telephone by trained personnel who used a standard questionnaire. The questionnaire included demographic and socioeconomic characteristics, medical history, lifestyle habits and nutritional assessment.

Results

The prevalence of self-reported hypertension was 13.3% in men and 17.7% in women (P < 0.001). Furthermore, women reported higher values of systolic blood pressure (180 ± 27 mmHg) than men (169 ± 24 mmHg). Positive relationships were found between hypertension status and the prevalence of the rest investigated health conditions (i.e. hypercholesterolaemia, diabetes mellitus, renal failure and obesity). Nutritional assessment showed that consumption of fish, fruits and juices, cereals, and low fat milk and yogurt was significantly higher among hypertensive subjects while the opposite was observed for food items as red meat, pork, egg, pasta and rice, full fat dairy products and desserts.

Conclusion

Hypertension seems to be a serious public health problem in Greece. It is encouraging that hypertensives may have started adopting some more healthy nutritional behaviour compared to normotensive ones. However, they can gain significant benefits regarding to blood pressure control, if they increase the level of compliance with dietary recommendations.
Literature
1.
go back to reference Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JLJ, Jones DW, Materson BJ, Oparil S, Wright JTJ, Roccella EJ: The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. Jama. 2003, 289 (19): 2560-2572. 10.1001/jama.289.19.2560.CrossRefPubMed Chobanian AV, Bakris GL, Black HR, Cushman WC, Green LA, Izzo JLJ, Jones DW, Materson BJ, Oparil S, Wright JTJ, Roccella EJ: The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report. Jama. 2003, 289 (19): 2560-2572. 10.1001/jama.289.19.2560.CrossRefPubMed
2.
go back to reference Kannel WB: Blood pressure as a cardiovascular risk factor: prevention and treatment. Jama. 1996, 275 (20): 1571-1576. 10.1001/jama.275.20.1571.CrossRefPubMed Kannel WB: Blood pressure as a cardiovascular risk factor: prevention and treatment. Jama. 1996, 275 (20): 1571-1576. 10.1001/jama.275.20.1571.CrossRefPubMed
3.
go back to reference Stamler J, Stamler R, Neaton JD: Blood pressure, systolic and diastolic, and cardiovascular risks. US population data. Arch Intern Med. 1993, 153 (5): 598-615. 10.1001/archinte.153.5.598.CrossRefPubMed Stamler J, Stamler R, Neaton JD: Blood pressure, systolic and diastolic, and cardiovascular risks. US population data. Arch Intern Med. 1993, 153 (5): 598-615. 10.1001/archinte.153.5.598.CrossRefPubMed
4.
go back to reference Ezzati M, Lopez AD, Rodgers A, Vander Hoorn S, Murray CJ: Selected major risk factors and global and regional burden of disease. Lancet. 2002, 360 (9343): 1347-1360. 10.1016/S0140-6736(02)11403-6.CrossRefPubMed Ezzati M, Lopez AD, Rodgers A, Vander Hoorn S, Murray CJ: Selected major risk factors and global and regional burden of disease. Lancet. 2002, 360 (9343): 1347-1360. 10.1016/S0140-6736(02)11403-6.CrossRefPubMed
5.
go back to reference Wolf-Maier K, Cooper RS, Banegas JR, Giampaoli S, Hense HW, Joffres M, Kastarinen M, Poulter N, Primatesta P, Rodriguez-Artalejo F, Stegmayr B, Thamm M, Tuomilehto J, Vanuzzo D, Vescio F: Hypertension prevalence and blood pressure levels in 6 European countries, Canada, and the United States. Jama. 2003, 289 (18): 2363-2369. 10.1001/jama.289.18.2363.CrossRefPubMed Wolf-Maier K, Cooper RS, Banegas JR, Giampaoli S, Hense HW, Joffres M, Kastarinen M, Poulter N, Primatesta P, Rodriguez-Artalejo F, Stegmayr B, Thamm M, Tuomilehto J, Vanuzzo D, Vescio F: Hypertension prevalence and blood pressure levels in 6 European countries, Canada, and the United States. Jama. 2003, 289 (18): 2363-2369. 10.1001/jama.289.18.2363.CrossRefPubMed
6.
go back to reference Collins R, Peto R, MacMahon S, Hebert P, Fiebach NH, Eberlein KA, Godwin J, Qizilbash N, Taylor JO, Hennekens CH: Blood pressure, stroke, and coronary heart disease. Part 2, Short-term reductions in blood pressure: overview of randomised drug trials in their epidemiological context. Lancet. 1990, 335 (8693): 827-838. 10.1016/0140-6736(90)90944-Z.CrossRefPubMed Collins R, Peto R, MacMahon S, Hebert P, Fiebach NH, Eberlein KA, Godwin J, Qizilbash N, Taylor JO, Hennekens CH: Blood pressure, stroke, and coronary heart disease. Part 2, Short-term reductions in blood pressure: overview of randomised drug trials in their epidemiological context. Lancet. 1990, 335 (8693): 827-838. 10.1016/0140-6736(90)90944-Z.CrossRefPubMed
7.
go back to reference Burt VL, Whelton P, Roccella EJ, Brown C, Cutler JA, Higgins M, Horan MJ, Labarthe D: Prevalence of hypertension in the US adult population. Results from the Third National Health and Nutrition Examination Survey, 1988-1991. Hypertension. 1995, 25 (3): 305-313.CrossRefPubMed Burt VL, Whelton P, Roccella EJ, Brown C, Cutler JA, Higgins M, Horan MJ, Labarthe D: Prevalence of hypertension in the US adult population. Results from the Third National Health and Nutrition Examination Survey, 1988-1991. Hypertension. 1995, 25 (3): 305-313.CrossRefPubMed
8.
go back to reference Palmer A, Bulpitt C, Beevers G, Coles E, Fletcher A, Ledingham J, Petrie J, Webster J, Dollery C: Risk factors for ischaemic heart disease and stroke mortality in young and old hypertensive patients. J Hum Hypertens. 1995, 9 (8): 695-697.PubMed Palmer A, Bulpitt C, Beevers G, Coles E, Fletcher A, Ledingham J, Petrie J, Webster J, Dollery C: Risk factors for ischaemic heart disease and stroke mortality in young and old hypertensive patients. J Hum Hypertens. 1995, 9 (8): 695-697.PubMed
9.
go back to reference EUROASPIRE. A European Society of Cardiology survey of secondary prevention of coronary heart disease: principal results. EUROASPIRE Study Group. European Action on Secondary Prevention through Intervention to Reduce Events. Eur Heart J. 1997, 18 (10): 1569-1582. EUROASPIRE. A European Society of Cardiology survey of secondary prevention of coronary heart disease: principal results. EUROASPIRE Study Group. European Action on Secondary Prevention through Intervention to Reduce Events. Eur Heart J. 1997, 18 (10): 1569-1582.
10.
go back to reference Ascherio A, Rimm EB, Giovannucci EL, Colditz GA, Rosner B, Willett WC, Sacks F, Stampfer MJ: A prospective study of nutritional factors and hypertension among US men. Circulation. 1992, 86 (5): 1475-1484.CrossRefPubMed Ascherio A, Rimm EB, Giovannucci EL, Colditz GA, Rosner B, Willett WC, Sacks F, Stampfer MJ: A prospective study of nutritional factors and hypertension among US men. Circulation. 1992, 86 (5): 1475-1484.CrossRefPubMed
11.
go back to reference Appel LJ, Moore TJ, Obarzanek E, Vollmer WM, Svetkey LP, Sacks FM, Bray GA, Vogt TM, Cutler JA, Windhauser MM, Lin PH, Karanja N: A clinical trial of the effects of dietary patterns on blood pressure. DASH Collaborative Research Group. N Engl J Med. 1997, 336 (16): 1117-1124. 10.1056/NEJM199704173361601.CrossRefPubMed Appel LJ, Moore TJ, Obarzanek E, Vollmer WM, Svetkey LP, Sacks FM, Bray GA, Vogt TM, Cutler JA, Windhauser MM, Lin PH, Karanja N: A clinical trial of the effects of dietary patterns on blood pressure. DASH Collaborative Research Group. N Engl J Med. 1997, 336 (16): 1117-1124. 10.1056/NEJM199704173361601.CrossRefPubMed
12.
go back to reference Lip GY, Beevers DG: Alcohol, hypertension, coronary disease and stroke. Clin Exp Pharmacol Physiol. 1995, 22 (3): 189-194.CrossRefPubMed Lip GY, Beevers DG: Alcohol, hypertension, coronary disease and stroke. Clin Exp Pharmacol Physiol. 1995, 22 (3): 189-194.CrossRefPubMed
13.
go back to reference Kafatos A, Diacatou A, Voukiklaris G, Nikolakakis N, Vlachonikolis J, Kounali D, Mamalakis G, Dontas AS: Heart disease risk-factor status and dietary changes in the Cretan population over the past 30 y: the Seven Countries Study. Am J Clin Nutr. 1997, 65 (6): 1882-1886.PubMed Kafatos A, Diacatou A, Voukiklaris G, Nikolakakis N, Vlachonikolis J, Kounali D, Mamalakis G, Dontas AS: Heart disease risk-factor status and dietary changes in the Cretan population over the past 30 y: the Seven Countries Study. Am J Clin Nutr. 1997, 65 (6): 1882-1886.PubMed
14.
go back to reference de Lorgeril M, Salen P, Martin JL, Monjaud I, Delaye J, Mamelle N: Mediterranean diet, traditional risk factors, and the rate of cardiovascular complications after myocardial infarction: final report of the Lyon Diet Heart Study. Circulation. 1999, 99 (6): 779-785.CrossRefPubMed de Lorgeril M, Salen P, Martin JL, Monjaud I, Delaye J, Mamelle N: Mediterranean diet, traditional risk factors, and the rate of cardiovascular complications after myocardial infarction: final report of the Lyon Diet Heart Study. Circulation. 1999, 99 (6): 779-785.CrossRefPubMed
15.
go back to reference Kris-Etherton P, Eckel RH, Howard BV, St Jeor S, Bazzarre TL: AHA Science Advisory: Lyon Diet Heart Study. Benefits of a Mediterranean-style, National Cholesterol Education Program/American Heart Association Step I Dietary Pattern on Cardiovascular Disease. Circulation. 2001, 103 (13): 1823-1825.CrossRefPubMed Kris-Etherton P, Eckel RH, Howard BV, St Jeor S, Bazzarre TL: AHA Science Advisory: Lyon Diet Heart Study. Benefits of a Mediterranean-style, National Cholesterol Education Program/American Heart Association Step I Dietary Pattern on Cardiovascular Disease. Circulation. 2001, 103 (13): 1823-1825.CrossRefPubMed
16.
go back to reference Whelton PK, He J, Appel LJ, Cutler JA, Havas S, Kotchen TA, Roccella EJ, Stout R, Vallbona C, Winston MC, Karimbakas J: Primary prevention of hypertension: clinical and public health advisory from The National High Blood Pressure Education Program. Jama. 2002, 288 (15): 1882-1888. 10.1001/jama.288.15.1882.CrossRefPubMed Whelton PK, He J, Appel LJ, Cutler JA, Havas S, Kotchen TA, Roccella EJ, Stout R, Vallbona C, Winston MC, Karimbakas J: Primary prevention of hypertension: clinical and public health advisory from The National High Blood Pressure Education Program. Jama. 2002, 288 (15): 1882-1888. 10.1001/jama.288.15.1882.CrossRefPubMed
17.
go back to reference Frankel LR: On the definition of response rates. A special report of the CASRO Task Force on Completion Rates. 1982, New York , The Council of American Survey Research Organizations Frankel LR: On the definition of response rates. A special report of the CASRO Task Force on Completion Rates. 1982, New York , The Council of American Survey Research Organizations
18.
go back to reference Executive Summary of The Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III). Jama. 2001, 285 (19): 2486-2497. 10.1001/jama.285.19.2486. Executive Summary of The Third Report of The National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, And Treatment of High Blood Cholesterol In Adults (Adult Treatment Panel III). Jama. 2001, 285 (19): 2486-2497. 10.1001/jama.285.19.2486.
19.
go back to reference Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care. 1997, 20 (7): 1183-1197. Report of the Expert Committee on the Diagnosis and Classification of Diabetes Mellitus. Diabetes Care. 1997, 20 (7): 1183-1197.
20.
go back to reference Pitsavos C, Panagiotakos DB, Chrysohoou C, Stefanadis C: Epidemiology of cardiovascular risk factors in Greece: aims, design and baseline characteristics of the ATTICA study. BMC Public Health. 2003, 3 (1): 32-10.1186/1471-2458-3-32.CrossRefPubMedPubMedCentral Pitsavos C, Panagiotakos DB, Chrysohoou C, Stefanadis C: Epidemiology of cardiovascular risk factors in Greece: aims, design and baseline characteristics of the ATTICA study. BMC Public Health. 2003, 3 (1): 32-10.1186/1471-2458-3-32.CrossRefPubMedPubMedCentral
21.
go back to reference Psaltopoulou T, Orfanos P, Naska A, Lenas D, Trichopoulos D, Trichopoulou A: Prevalence, awareness, treatment and control of hypertension in a general population sample of 26,913 adults in the Greek EPIC study. Int J Epidemiol. 2004, 33 (6): 1345-1352. 10.1093/ije/dyh249.CrossRefPubMed Psaltopoulou T, Orfanos P, Naska A, Lenas D, Trichopoulos D, Trichopoulou A: Prevalence, awareness, treatment and control of hypertension in a general population sample of 26,913 adults in the Greek EPIC study. Int J Epidemiol. 2004, 33 (6): 1345-1352. 10.1093/ije/dyh249.CrossRefPubMed
22.
go back to reference Stergiou GS, Thomopoulou GC, Skeva II, Mountokalakis TD: Prevalence, awareness, treatment, and control of hypertension in Greece: the Didima study. Am J Hypertens. 1999, 12 (1O Pt 1): 959-965. 10.1016/S0895-7061(99)00136-3.CrossRefPubMed Stergiou GS, Thomopoulou GC, Skeva II, Mountokalakis TD: Prevalence, awareness, treatment, and control of hypertension in Greece: the Didima study. Am J Hypertens. 1999, 12 (1O Pt 1): 959-965. 10.1016/S0895-7061(99)00136-3.CrossRefPubMed
23.
go back to reference Lindholm LH, Koutis AD, Lionis CD, Vlachonikolis IG, Isacsson A, Fioretos M: Risk factors for ischaemic heart disease in a Greek population. A cross-sectional study of men and women living in the village of Spili in Crete. Eur Heart J. 1992, 13 (3): 291-298.PubMed Lindholm LH, Koutis AD, Lionis CD, Vlachonikolis IG, Isacsson A, Fioretos M: Risk factors for ischaemic heart disease in a Greek population. A cross-sectional study of men and women living in the village of Spili in Crete. Eur Heart J. 1992, 13 (3): 291-298.PubMed
24.
go back to reference Panagiotakos DB, Pitsavos CH, Chrysohoou C, Skoumas J, Papadimitriou L, Stefanadis C, Toutouzas PK: Status and management of hypertension in Greece: role of the adoption of a Mediterranean diet: the Attica study. J Hypertens. 2003, 21 (8): 1483-1489. 10.1097/00004872-200308000-00011.CrossRefPubMed Panagiotakos DB, Pitsavos CH, Chrysohoou C, Skoumas J, Papadimitriou L, Stefanadis C, Toutouzas PK: Status and management of hypertension in Greece: role of the adoption of a Mediterranean diet: the Attica study. J Hypertens. 2003, 21 (8): 1483-1489. 10.1097/00004872-200308000-00011.CrossRefPubMed
25.
go back to reference Klungel OH, de Boer A, Paes AH, Nagelkerke NJ, Seidell JC, Bakker A: Estimating the prevalence of hypertension corrected for the effect of within-person variability in blood pressure. J Clin Epidemiol. 2000, 53 (11): 1158-1163. 10.1016/S0895-4356(00)00228-6.CrossRefPubMed Klungel OH, de Boer A, Paes AH, Nagelkerke NJ, Seidell JC, Bakker A: Estimating the prevalence of hypertension corrected for the effect of within-person variability in blood pressure. J Clin Epidemiol. 2000, 53 (11): 1158-1163. 10.1016/S0895-4356(00)00228-6.CrossRefPubMed
26.
go back to reference Okura Y, Urban LH, Mahoney DW, Jacobsen SJ, Rodeheffer RJ: Agreement between self-report questionnaires and medical record data was substantial for diabetes, hypertension, myocardial infarction and stroke but not for heart failure. J Clin Epidemiol. 2004, 57 (10): 1096-1103. 10.1016/j.jclinepi.2004.04.005.CrossRefPubMed Okura Y, Urban LH, Mahoney DW, Jacobsen SJ, Rodeheffer RJ: Agreement between self-report questionnaires and medical record data was substantial for diabetes, hypertension, myocardial infarction and stroke but not for heart failure. J Clin Epidemiol. 2004, 57 (10): 1096-1103. 10.1016/j.jclinepi.2004.04.005.CrossRefPubMed
27.
go back to reference Foucan L, Bangou-Bredent J, Ekouevi DK, Deloumeaux J, Roset JE, Kangambega P: Hypertension and combinations of cardiovascular risk factors. An epidemiologic case-control study in an adult population in Guadeloupe (FWI). Eur J Epidemiol. 2001, 17 (12): 1089-1095. 10.1023/A:1021213729434.CrossRefPubMed Foucan L, Bangou-Bredent J, Ekouevi DK, Deloumeaux J, Roset JE, Kangambega P: Hypertension and combinations of cardiovascular risk factors. An epidemiologic case-control study in an adult population in Guadeloupe (FWI). Eur J Epidemiol. 2001, 17 (12): 1089-1095. 10.1023/A:1021213729434.CrossRefPubMed
28.
go back to reference Rudnichi A, Safar M, Asmar R, Guize L, Benetos A: Prevalence of cardiovascular risk factors in a French population. J Hypertens Suppl. 1998, 16 (1): S85-90. 10.1097/00004872-199816010-00013.CrossRefPubMed Rudnichi A, Safar M, Asmar R, Guize L, Benetos A: Prevalence of cardiovascular risk factors in a French population. J Hypertens Suppl. 1998, 16 (1): S85-90. 10.1097/00004872-199816010-00013.CrossRefPubMed
29.
go back to reference Castelli WP, Anderson K: A population at risk. Prevalence of high cholesterol levels in hypertensive patients in the Framingham Study. Am J Med. 1986, 80 (2A): 23-32. 10.1016/0002-9343(86)90157-9.CrossRefPubMed Castelli WP, Anderson K: A population at risk. Prevalence of high cholesterol levels in hypertensive patients in the Framingham Study. Am J Med. 1986, 80 (2A): 23-32. 10.1016/0002-9343(86)90157-9.CrossRefPubMed
30.
go back to reference Alderman MH, Cohen H, Madhavan S: Diabetes and cardiovascular events in hypertensive patients. Hypertension. 1999, 33 (5): 1130-1134.CrossRefPubMed Alderman MH, Cohen H, Madhavan S: Diabetes and cardiovascular events in hypertensive patients. Hypertension. 1999, 33 (5): 1130-1134.CrossRefPubMed
31.
go back to reference Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. UK Prospective Diabetes Study Group. Bmj. 1998, 317 (7160): 703-713. Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. UK Prospective Diabetes Study Group. Bmj. 1998, 317 (7160): 703-713.
32.
go back to reference Ostlund REJ, Staten M, Kohrt WM, Schultz J, Malley M: The ratio of waist-to-hip circumference, plasma insulin level, and glucose intolerance as independent predictors of the HDL2 cholesterol level in older adults. N Engl J Med. 1990, 322 (4): 229-234.CrossRefPubMed Ostlund REJ, Staten M, Kohrt WM, Schultz J, Malley M: The ratio of waist-to-hip circumference, plasma insulin level, and glucose intolerance as independent predictors of the HDL2 cholesterol level in older adults. N Engl J Med. 1990, 322 (4): 229-234.CrossRefPubMed
33.
go back to reference Lauer MS, Anderson KM, Kannel WB, Levy D: The impact of obesity on left ventricular mass and geometry. The Framingham Heart Study. Jama. 1991, 266 (2): 231-236. 10.1001/jama.266.2.231.CrossRefPubMed Lauer MS, Anderson KM, Kannel WB, Levy D: The impact of obesity on left ventricular mass and geometry. The Framingham Heart Study. Jama. 1991, 266 (2): 231-236. 10.1001/jama.266.2.231.CrossRefPubMed
34.
go back to reference Joffres MR, Ghadirian P, Fodor JG, Petrasovits A, Chockalingam A, Hamet P: Awareness, treatment, and control of hypertension in Canada. Am J Hypertens. 1997, 10 (10 Pt 1): 1097-1102. 10.1016/S0895-7061(97)00224-0.CrossRefPubMed Joffres MR, Ghadirian P, Fodor JG, Petrasovits A, Chockalingam A, Hamet P: Awareness, treatment, and control of hypertension in Canada. Am J Hypertens. 1997, 10 (10 Pt 1): 1097-1102. 10.1016/S0895-7061(97)00224-0.CrossRefPubMed
35.
go back to reference De Backer G, Myny K, De Henauw S, Doyen Z, Van Oyen H, Tafforeau J, Kornitzer M: Prevalence, awareness, treatment and control of arterial hypertension in an elderly population in Belgium. J Hum Hypertens. 1998, 12 (10): 701-706. 10.1038/sj.jhh.1000695.CrossRefPubMed De Backer G, Myny K, De Henauw S, Doyen Z, Van Oyen H, Tafforeau J, Kornitzer M: Prevalence, awareness, treatment and control of arterial hypertension in an elderly population in Belgium. J Hum Hypertens. 1998, 12 (10): 701-706. 10.1038/sj.jhh.1000695.CrossRefPubMed
36.
go back to reference Touyz RM, Campbell N, Logan A, Gledhill N, Petrella R, Padwal R: The 2004 Canadian recommendations for the management of hypertension: Part III--Lifestyle modifications to prevent and control hypertension. Can J Cardiol. 2004, 20 (1): 55-59.PubMed Touyz RM, Campbell N, Logan A, Gledhill N, Petrella R, Padwal R: The 2004 Canadian recommendations for the management of hypertension: Part III--Lifestyle modifications to prevent and control hypertension. Can J Cardiol. 2004, 20 (1): 55-59.PubMed
37.
go back to reference Willett WC, Sacks F, Trichopoulou A, Drescher G, Ferro-Luzzi A, Helsing E, Trichopoulos D: Mediterranean diet pyramid: a cultural model for healthy eating. Am J Clin Nutr. 1995, 61 (6 Suppl): 1402S-1406S.PubMed Willett WC, Sacks F, Trichopoulou A, Drescher G, Ferro-Luzzi A, Helsing E, Trichopoulos D: Mediterranean diet pyramid: a cultural model for healthy eating. Am J Clin Nutr. 1995, 61 (6 Suppl): 1402S-1406S.PubMed
38.
go back to reference Groziak SM, Miller GD: Natural bioactive substances in milk and colostrum: effects on the arterial blood pressure system. Br J Nutr. 2000, 84 Suppl 1: S119-25.PubMed Groziak SM, Miller GD: Natural bioactive substances in milk and colostrum: effects on the arterial blood pressure system. Br J Nutr. 2000, 84 Suppl 1: S119-25.PubMed
39.
go back to reference Tuomilehto J, Lindstrom J, Hyyrynen J, Korpela R, Karhunen ML, Mikkola L, Jauhiainen T, Seppo L, Nissinen A: Effect of ingesting sour milk fermented using Lactobacillus helveticus bacteria producing tripeptides on blood pressure in subjects with mild hypertension. J Hum Hypertens. 2004, 18 (11): 795-802. 10.1038/sj.jhh.1001745.CrossRefPubMed Tuomilehto J, Lindstrom J, Hyyrynen J, Korpela R, Karhunen ML, Mikkola L, Jauhiainen T, Seppo L, Nissinen A: Effect of ingesting sour milk fermented using Lactobacillus helveticus bacteria producing tripeptides on blood pressure in subjects with mild hypertension. J Hum Hypertens. 2004, 18 (11): 795-802. 10.1038/sj.jhh.1001745.CrossRefPubMed
40.
go back to reference FitzGerald RJ, Murray BA, Walsh DJ: Hypotensive peptides from milk proteins. J Nutr. 2004, 134 (4): 980S-8S.PubMed FitzGerald RJ, Murray BA, Walsh DJ: Hypotensive peptides from milk proteins. J Nutr. 2004, 134 (4): 980S-8S.PubMed
41.
go back to reference Clare DA, Swaisgood HE: Bioactive milk peptides: a prospectus. J Dairy Sci. 2000, 83 (6): 1187-1195.CrossRefPubMed Clare DA, Swaisgood HE: Bioactive milk peptides: a prospectus. J Dairy Sci. 2000, 83 (6): 1187-1195.CrossRefPubMed
42.
go back to reference Davalos A, Miguel M, Bartolome B, Lopez-Fandino R: Antioxidant activity of peptides derived from egg white proteins by enzymatic hydrolysis. J Food Prot. 2004, 67 (9): 1939-1944.PubMed Davalos A, Miguel M, Bartolome B, Lopez-Fandino R: Antioxidant activity of peptides derived from egg white proteins by enzymatic hydrolysis. J Food Prot. 2004, 67 (9): 1939-1944.PubMed
43.
go back to reference Fujita H, Sasaki R, Yoshikawa M: Potentiation of the antihypertensive activity of orally administered ovokinin, a vasorelaxing peptide derived from ovalbumin, by emulsification in egg phosphatidylcholine. Biosci Biotechnol Biochem. 1995, 59 (12): 2344-2345.CrossRefPubMed Fujita H, Sasaki R, Yoshikawa M: Potentiation of the antihypertensive activity of orally administered ovokinin, a vasorelaxing peptide derived from ovalbumin, by emulsification in egg phosphatidylcholine. Biosci Biotechnol Biochem. 1995, 59 (12): 2344-2345.CrossRefPubMed
44.
go back to reference Yoshii H, Tachi N, Ohba R, Sakamura O, Takeyama H, Itani T: Antihypertensive effect of ACE inhibitory oligopeptides from chicken egg yolks. Comp Biochem Physiol C Toxicol Pharmacol. 2001, 128 (1): 27-33. 10.1016/S1532-0456(00)00172-1.CrossRefPubMed Yoshii H, Tachi N, Ohba R, Sakamura O, Takeyama H, Itani T: Antihypertensive effect of ACE inhibitory oligopeptides from chicken egg yolks. Comp Biochem Physiol C Toxicol Pharmacol. 2001, 128 (1): 27-33. 10.1016/S1532-0456(00)00172-1.CrossRefPubMed
45.
go back to reference Elwood PC, Strain JJ, Robson PJ, Fehily AM, Hughes J, Pickering J, Ness A: Milk consumption, stroke, and heart attack risk: evidence from the Caerphilly cohort of older men. J Epidemiol Community Health. 2005, 59 (6): 502-505. 10.1136/jech.2004.027904.CrossRefPubMedPubMedCentral Elwood PC, Strain JJ, Robson PJ, Fehily AM, Hughes J, Pickering J, Ness A: Milk consumption, stroke, and heart attack risk: evidence from the Caerphilly cohort of older men. J Epidemiol Community Health. 2005, 59 (6): 502-505. 10.1136/jech.2004.027904.CrossRefPubMedPubMedCentral
46.
go back to reference Massey LK: Dairy food consumption, blood pressure and stroke. J Nutr. 2001, 131 (7): 1875-1878.PubMed Massey LK: Dairy food consumption, blood pressure and stroke. J Nutr. 2001, 131 (7): 1875-1878.PubMed
47.
go back to reference Hu FB, Stampfer MJ, Rimm EB, Manson JE, Ascherio A, Colditz GA, Rosner BA, Spiegelman D, Speizer FE, Sacks FM, Hennekens CH, Willett WC: A prospective study of egg consumption and risk of cardiovascular disease in men and women. Jama. 1999, 281 (15): 1387-1394. 10.1001/jama.281.15.1387.CrossRefPubMed Hu FB, Stampfer MJ, Rimm EB, Manson JE, Ascherio A, Colditz GA, Rosner BA, Spiegelman D, Speizer FE, Sacks FM, Hennekens CH, Willett WC: A prospective study of egg consumption and risk of cardiovascular disease in men and women. Jama. 1999, 281 (15): 1387-1394. 10.1001/jama.281.15.1387.CrossRefPubMed
48.
go back to reference Vargas CM, Burt VL, Gillum RF, Pamuk ER: Validity of self-reported hypertension in the National Health and Nutrition Examination Survey III, 1988-1991. Prev Med. 1997, 26 (5 Pt 1): 678-685. 10.1006/pmed.1997.0190.CrossRefPubMed Vargas CM, Burt VL, Gillum RF, Pamuk ER: Validity of self-reported hypertension in the National Health and Nutrition Examination Survey III, 1988-1991. Prev Med. 1997, 26 (5 Pt 1): 678-685. 10.1006/pmed.1997.0190.CrossRefPubMed
49.
go back to reference Wang Y, Wang QJ: The prevalence of prehypertension and hypertension among US adults according to the new joint national committee guidelines: new challenges of the old problem. Arch Intern Med. 2004, 164 (19): 2126-2134. 10.1001/archinte.164.19.2126.CrossRefPubMed Wang Y, Wang QJ: The prevalence of prehypertension and hypertension among US adults according to the new joint national committee guidelines: new challenges of the old problem. Arch Intern Med. 2004, 164 (19): 2126-2134. 10.1001/archinte.164.19.2126.CrossRefPubMed
50.
go back to reference Ayala C, Neff LJ, Croft JB, Keenan NL, Malarcher AM, Hyduk A, Bansil P, Mensah GA: Prevalence of self-reported high blood pressure awareness, advice received from health professionals, and actions taken to reduce high blood pressure among US adults--Healthstyles 2002. J Clin Hypertens (Greenwich). 2005, 7 (9): 513-519.CrossRef Ayala C, Neff LJ, Croft JB, Keenan NL, Malarcher AM, Hyduk A, Bansil P, Mensah GA: Prevalence of self-reported high blood pressure awareness, advice received from health professionals, and actions taken to reduce high blood pressure among US adults--Healthstyles 2002. J Clin Hypertens (Greenwich). 2005, 7 (9): 513-519.CrossRef
51.
go back to reference Kuskowska-Wolk A, Rossner S: The "true" prevalence of obesity. A comparison of objective weight and height measures versus self-reported and calibrated data. Scand J Prim Health Care. 1989, 7 (2): 79-82.CrossRefPubMed Kuskowska-Wolk A, Rossner S: The "true" prevalence of obesity. A comparison of objective weight and height measures versus self-reported and calibrated data. Scand J Prim Health Care. 1989, 7 (2): 79-82.CrossRefPubMed
52.
go back to reference Gunnell D, Berney L, Holland P, Maynard M, Blane D, Frankel S, Smith GD: How accurately are height, weight and leg length reported by the elderly, and how closely are they related to measurements recorded in childhood?. Int J Epidemiol. 2000, 29 (3): 456-464. 10.1093/ije/29.3.456.CrossRefPubMed Gunnell D, Berney L, Holland P, Maynard M, Blane D, Frankel S, Smith GD: How accurately are height, weight and leg length reported by the elderly, and how closely are they related to measurements recorded in childhood?. Int J Epidemiol. 2000, 29 (3): 456-464. 10.1093/ije/29.3.456.CrossRefPubMed
53.
go back to reference De Backer G, Ambrosioni E, Borch-Johnsen K, Brotons C, Cifkova R, Dallongeville J, Ebrahim S, Faergeman O, Graham I, Mancia G, Manger Cats V, Orth-Gomer K, Perk J, Pyorala K, Rodicio JL, Sans S, Sansoy V, Sechtem U, Silber S, Thomsen T, Wood D: European guidelines on cardiovascular disease prevention in clinical practice. Third Joint Task Force of European and Other Societies on Cardiovascular Disease Prevention in Clinical Practice. Eur Heart J. 2003, 24 (17): 1601-1610. 10.1016/S0195-668X(03)00347-6.CrossRefPubMed De Backer G, Ambrosioni E, Borch-Johnsen K, Brotons C, Cifkova R, Dallongeville J, Ebrahim S, Faergeman O, Graham I, Mancia G, Manger Cats V, Orth-Gomer K, Perk J, Pyorala K, Rodicio JL, Sans S, Sansoy V, Sechtem U, Silber S, Thomsen T, Wood D: European guidelines on cardiovascular disease prevention in clinical practice. Third Joint Task Force of European and Other Societies on Cardiovascular Disease Prevention in Clinical Practice. Eur Heart J. 2003, 24 (17): 1601-1610. 10.1016/S0195-668X(03)00347-6.CrossRefPubMed
Metadata
Title
Prevalence of self-reported hypertension and its relation to dietary habits, in adults; a nutrition & health survey in Greece
Authors
Christos Pitsavos
George A Milias
Demosthenes B Panagiotakos
Dimitra Xenaki
George Panagopoulos
Christodoulos Stefanadis
Publication date
01-12-2006
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2006
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-6-206

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