Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Report of he MGSD Nutrition Study B. Karamanos MD Associate Professor of Medicine.

Slides:

Advertisements

Similar presentations

New Insights about Beef and Heart Health February 2012.

Advertisements

The Research Question Alka M. Kanaya, MD Associate Professor of Medicine, Epidemiology & Biostatistics UCSF October 3, 2011.

Egg Nutrition Center Cardiovascular Disease Presentation.

Cardio-Metabolic Syndrome Guidelines on Education, Detection and Early Treatment Heval Mohamed Kelli, PGY-2 Emory Internal Medicine Residency no conflict.

Metabolic Syndrome in Non-Diabetics Vilanova Fillat, M.B. Falguera Vilamajó, M. Garriga Badia, A. Miró Vallvé, N. Cebrian Aiguadé, C. Escardó Font, C Bacompte.

U.S. Dept of Health and Human Services. National High Blood Pressure Education Program. Seventh Report of Joint National Committee on Prevention, Detection,

A comparison of overall health between Asian and Australians from European background: A west Australian study of Diet & Metabolic Syndrome Risk Factors.

OBESITY and CHD Nathan Wong. OBESITY AHA and NIH have recognized obesity as a major modifiable risk factor for CHD Obesity is a risk factor for development.

Introductions Name address Favorite type of food Least favorite food Magazine you read most often All-time favorite movie Concert/performance you’d.

Final Exam Tuesday, 6/5, 2 PM Closed book – Essay and MC/TF Determining Energy Needs – p – Indirect calorimetry – Be able to do the calculations.

Special Diabetes Program for Indians Competitive Grant Program SPECIAL DIABETES PROGRAM FOR INDIANS Competitive Grant Program Clinical Goals for the Healthy.

Zhai, Public Health Nutrition, Feb 2002 WHAT IS CHINA DOING IN POLICY-MAKING TO PUSH BACK THE NEGATIVE ASPECTS OF THE NUTRITION TRANSITION? Fengying Zhai.

ADVICE. Advice Strongly advise adherence to diet and medication Smoking cessation, exercise, weight reduction Ensure diabetes education and advise Diabetes.

Obesity & Supplements The Fight Against Body Fat - Michael Dellogono -

Only You Can Prevent CVD Matthew Johnson, MD. What can we do to prevent CVD?

Understanding blood lipids and glucose How a Healthy Lifestyle can improve your numbers Susan Fullmer, PhD RD Associate Teaching Professor Nutrition, Dietetics,

Healthy eating for middle-years Professor Tom Sanders Nutritional Sciences Division.

Cardiovascular Disease in Women Module III: Risk Assessment Tool.

LIFESTYLE MODIFICATIONS FOR PREVENTING HEART DISEASE [e.g. HEART ATTACKS] [ primary prevention of coronary artery disease ] DR S. SAHAI MD [Med.], DM [Card]

Effects of Low-Fat Dairy Consumption on Markers of Low- Grade Systemic Inflammation and Endothelial Function in Overweight and Obese Subjects: An Intervention.

השמנת יתר חמד " ע פרופ ' ארדון רובינשטין.

IDF-EMME Region Meeting September 7-9, 2007 Cairo, Egypt.

How To Be Healthy Without Killing Yourself B Bottenberg, D.O., FNLA, FACOI.

Tt HRB Centre for Health and Diet Research The burden of hypertension Ivan J Perry, Dept. of Epidemiology and Public Health, University College Cork. Institute.

Metabolic Syndrome. America’s Health Status one-third of U.S. adults (35.7%) are obese. 17% (12.5 million) of children 2—19 years are obese. Top leading.

LDL-C target levels (mg/dL)  2 RF:

Department of Family & Community Medicine

The use of hospital pharmacy profiles to identify patients with metabolic syndrome and their history of nutrition intervention from a registered dietitian.

Metabolic Syndrome Yusra Mir, MD Zunairah Syed, MD Harjagjit Maan, MD.

1. Relation between dietary macronutrient and fiber intake with metabolic syndrome in Tehranian adults: Tehran Lipid and Glucose Study Hosseinpour S,

Nut consumption and diseases 實習生：張瀞文指導老師：蕭佩珍營養師 1.

STUDY REGARDING THE LIFESTYLE AND EATING HABITS AS RISK FACTORS FOR HEART DISEASE, IN CORONARY PATIENTS FROM THE HEART DISEASE CLINIC II ADULTS UMF Tg-Mures.

Leveraging Weight Loss in the Treatment of Type 2 Diabetes Part 1 of 4.

Hypertension, Cardiovascular Disease, Diabetes. 34% of Americans 36% of Americans.

Organizational criteria for Metabolic Syndrome National Cholesterol Education Program Adult Treatment Panel III World Health OrganizationAmerican Association.

Taipei Medical University. Adolescents with Higher Althernate Healthy Eating Index For Taiwan (AHEI-T) Scores Have Lower Blood Lipid Level De-Zhi Weng,

Diabetes National Diabetes Control Programme

Diabetes Center Hippokration Hospital B. Karamanos 2011 Gestational Diabetes in the Mediterranean Region Risk factors, pregnancy outcome, nutritional contributors.

Metabolic Syndrome in HIV- Infected Patients from MTCT-Plus, Thai Outpatient Population J. JANTARAPAKDE1,2,*, C. CHATURAWIT1,2, S. PENGNONYANG1,2, W. PIMA1,

Cultural and Lifestyle Determinants of Mexican American Adolescents’ Risk for Metabolic Syndrome Rafael E. Ruiz, ScM Deborah E. Bender, PhD, MPH Shoou-Yih.

Dr. I. Selvaraj Indian Railways Medical Service B.Sc., M.B.B.S., M.D.,D.P.H., D.I.H., PGCHFW ( NIHFW,New Delhi)., Life member of Indian Association of.

Successful use of Nutritional Guidelines to Prevent Type II Diabetes James J. Kenney PhD, RD.

Metabolic Syndrome Darwin Deen, MD, MS Albert Einstein College of Medicine Gina Lopez, MSII Sophie Davis School of Biomedical Education.

Paul Zimmet & George Alberti

Can lifestyle moderate the burden of CVD? Evangelos Polychronopoulos, MD, MPH, PhD Asst Professor of Preventive Medicine Harokopio University.

Monitoring Physical Health Stephen R. Marder, M.D. Professor, Semel Institute for Neuroscience and Human Behavior at UCLA Director, VA VISN 22 Mental Illness.

Geographic and Demographic Variation in the Prevalence of the Metabolic Syndrome in Canada Chris Ardern School of Physical and Health Education Queen’s.

CVD &Dietary management. :Learning objectives Good To know the risk factors of CHD, HAVE to know: general principles of nutritional therapy, Guidelines.

Flowchart of study participants MedDiet indicates Mediterranean diet; VOO, virgin olive oil Jordi Salas-Salvado, et al. Arch Intern Med 2008;168:

The short term effects of metabolic syndrome and its components on all-cause-cause mortality-the Taipei Elderly Health Examination Cohort Wen-Liang Liu.

INTERVENTION IS PREVENTION: For A Healthier Community Bronx County Medical Society 10 th Annual National Doctors Recognition Day March 20, 2013 Julie J.

Yusra Mir, MD Zunairah Syed, MD Harjagjit Maan, MD

Chapter 11 Diet and Health

Role of mediterranean diet in combating the problem of Syndrome x

Menzies Health Institute Queensland

به نام خدا.

Dietary patterns in a group of medical students

When Military Fitness Standards No Longer Apply

KIDPOWER Investigators and Co-investigators: Research by:

Comparison of baseline characteristics in participants who subsequently had an incident cardiovascular event or new-onset diabetes in the Prospective.

National Cholesterol Education Program

Chapter 10 Diet and Health

Dietary patterns and cardiovascular disease-related risks among women living with HIV. by Pedro A. Argueta.

Associations of Diet and Lifestyle with Hyperlipidemia for the Middle-Aged and Elderly in the Guangxi Bai Ku Yao and Han Populations Yin Ruixing, MD: Guangxi.

Metabolic Syndrome (N=160) Non-Metabolic Syndrome (N=138) 107/53

Nat. Rev. Gastroenterol. Hepatol. doi: /nrgastro

Level of risk factor control in the overall sample and by gender

Cardiovascular Disease in Women Module III: Risk Assessment Tool

The Healthy Beverage Index Is Associated with Reduced Cardio-metabolic Risk in US Adults: A Preliminary Analysis Kiyah J. Duffey, PhD Brenda M. Davy, PhD,

Presentation transcript:

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Report of he MGSD Nutrition Study B. Karamanos MD Associate Professor of Medicine 10 th Meeting of the MGSD 27 April 2007 Istambul

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS year mortality % in the 7 Country Study AreaN All cause CHD Non CHD Non Mediter ranean Mediter ranean Keys et al Am J Epidemiol 124:903, 1986

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Diet and 15 year mortality 7 – country study SAFAPositivePUFANull MUFANegativeProteinNull MUFA/SAFANegativeCHONull Keys et al Am J Epidem 124:903, 1986

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Change in Mortality after a two point increment in the Mediterranean Diet Score MortalityHRCI Total – 0.87 CVD – 0.94 Cancer – 0.98 NEJM 348:2599, 2003

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Fat intake g/day in Nicotera, Italy Males67117 Females51119

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Comparison of the Dietary Questionnaire with the 3-Day Diet Diary Questionnairep3-Day Diet Diary Energy Kcal/day 1897NS1791 CHO g/day Prot g/day83NS80 Fat g/day79NS81

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Comparison of the Dietary Questionnaire with the 3-Day Diet Diary Questionnairep3-Day Diet Diary Animal Fat35NS35 Plant Fat41NS43 Cholesterol263NS263 Fibre g/day

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Subjects studied 4254 MalesFemalesTotal Normals Diabetics Total

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Obesity % in males and females without and with Diabetes AlgEgyI-PavI-RomGrBulgSerb M 7.5% F 6.1% M F norm DM

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Conclusions The prevalence of obesity varies greatly among Mediterranean countries In diabetics does not reach the 80% reported in the literature

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Energy intake and % contribution of each nutrient to it (normals) AlgEgyI-PavI-RomGrBulg Energy Protein% Fat% CHO%

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Conclusions The prevalence of obesity varies greatly among Mediterranean countries In diabetics does not reach the 80% reported in the literature Diet composition varies greatly among countries

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 MGSD NormalDiabetic Kcal/day2654*1897 CHO %47.9*44.0 Fat %32.8*34.6 Prot %16.0*19.3 Fiber g/d22.2NS21.9

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Percentage of subjects who meet the Nutritional Recommendations of the DNSG. (normal & diabetic) AlgEgyI-PavI-RomGrBulgSerb Prot, CHO and Fat N DM All above and Fibre N DM

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Mediterranean Diet Comparison of data from the 7 – country and MGSD studies. Greece BreadPotatoVegetFruitMeatCheeseMilk Kromhout D. Am J Clin Nutr 49:889, Karamanos B. Eur J Clin Nutr 56:983, 2002

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Mediterranean Diet Score Plant /Animal Fat ratio Vegetables Alcohol ConsumptionMeat Legumes Dairy products Cereals Fruits Fish Score 0-9 Good > 5 BMJ 311: , 1995

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 MGSD g/dNormalDiabetic Bread219 * 170 Fish3234 Fruit325 * 266 Meat Vegetables185 * 252 % Recomm3225 % MedDiet5836

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Conclusions The prevalence of obesity varies greatly among Mediterranean countries In diabetics does not reach the 80% reported in the literature Diet composition varies greatly among countries Nutritional recommendations and MD are followed by very few subjects, especially in diabetics

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Fat intake and Diabetes MGSD Study Unknown DMControls Fat %34.7 *30.4 Animal Fat % 14.2 **10.6 Thanopulou A. Diabetes Care 26:302, %34.0%

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Conclusions The prevalence of obesity varies greatly among Mediterranean countries In diabetics does not reach the 80% reported in the literature Diet composition varies greatly among countries Nutritional recommendations and MD are followed by very few subjects, especially in diabetics Fat intake is related with the incidence of diabetes

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Prevalence of the Metabolic Syndrome by country and in the population as a whole

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Prevalence of the Metabolic Syndrome by BMI category p<0,001

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Prevalence of the Metabolic Syndrome in the Mediterranean countries Observed (499 subjects) Expected (441 subjects) % p= % OR=1.18 (CI )

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Metabolic Syndrome (NCEP-ATP III) Presence  3 of the following risk factors Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. JAMA. 2001;285: Risk factorLevel Central Obesity Waist circumference Males Females >102 cm > 88 cm Triglycerides  150 mg% HDL-C Males Females <40 mg/dL <50 mg/dL Blood Pressure  130 /  85 mm Hg Fasting Glucose  110 mg%

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 DM2NORp W * HDL * BP30.1%14.2%1.8<0.001 Tg * HDL* BP27.9%27.9%11.7%2.3<0.001 W * Tg * BP23.3%7.2%2.8<0.001 W * Tg * HDL21.0%7.2%5.9<0.001 W * Tg * HDL * BP 17.6%5.2%3.9<0.001

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007 Conclusions The prevalence of obesity varies greatly among Mediterranean countries In diabetics does not reach the 80% reported in the literature Diet composition varies greatly among countries Nutritional recommendations are followed by very few subjects, especially in diabetics Fat intake is related with the incidence of diabetes The components of MetS cluster more frequently than expected by chance Diabetes per se promotes the clustering of the other 4 components of MetS

Diabetes Centre Hippokration Hospital Athens, Greece B. KARAMANOS 2007