Cardiovascular disease in Greece; the latest evidence on risk factors
George Michas1, George Karvelas1, Athanasios Trikas1
1Department of Cardiology, "Elpis" General Hospital of Athens, Athens, Greece.
Insights
Cardiovascular disease (CVD) remains a major concern in Greece, with risk factors like hypertension and obesity increasing. While smoking decreases, unhealthy diets and financial pressures worsen the CVD outlook.
Area of Science:
- Public Health
- Epidemiology
- Cardiology
Background:
- Cardiovascular disease (CVD) constitutes a significant health burden in Europe, responsible for nearly 45% of all deaths.
- Greece faces a high mortality rate from ischemic heart disease and stroke, linked to modifiable risk factors.
- Unfavorable trends in risk factors contribute to the growing CVD problem in Greece.
Purpose of the Study:
- To review the latest evidence on major cardiovascular disease risk factors in Greece.
- To analyze trends in modifiable risk factors over the past two decades.
- To assess the impact of socioeconomic factors, like the Greek debt crisis, on CVD risk.
Main Methods:
- Literature review of studies from the last two decades.
- Analysis of trends in prevalence of key CVD risk factors.
- Examination of dietary habits, physical activity, smoking, and socioeconomic influences.
Main Results:
- Prevalence of hypertension, hypercholesterolemia, diabetes mellitus, and obesity has remained stable or increased.
- A decrease in active smokers and an increase in physical activity are observed.
- Adoption of unhealthy dietary habits, moving away from the Mediterranean diet, is noted, exacerbated by the Greek debt crisis.
- While CVD mortality remained stable during the financial crisis, cardiovascular event incidence is increasing.
- Factors like medication affordability, healthcare deficiencies, and rising depression prevalence may worsen the situation.
Conclusions:
- Continued effort is required to manage established and emerging CVD risk factors in Greece.
- Addressing unhealthy dietary shifts and socioeconomic challenges is crucial for CVD prevention.
- Public health strategies must adapt to evolving risk factor landscapes and economic pressures.
Abstract:
Cardiovascular disease (CVD) is a significant and ever-growing problem in Europe, accounting for nearly 45% of all deaths and leading to significant morbidity. Greece is one of the European Union member states that top the list of deaths due to ischemic heart disease and stroke, a fact that is mainly attributed to unfavorable changes in modifiable risk factors. The aim of this review is to examine the latest evidence on the most important CVD risk factors. According to studies conducted during the last two decades, the prevalence of arterial hypertension, hypercholesterolemia, diabetes mellitus, and obesity remained relatively stable or increased. The decrease in the prevalence of active smokers and the increase in physical activity, during the last few years, are the main favorable risk modifications in the Greek population. Nevertheless, citizens of Greece seem to gradually adopt unhealthy dietary habits by moving away from Mediterranean diet, as issue that is intensified after the outbreak of the Greek debt crisis. Furthermore, the inability of some patients to afford their medications and the possible health care deficiencies as well as the increasing prevalence of depression may make the situation even worse. During the financial crisis, CVD mortality seems to have remained unaffected, but there is evidence that the incidence of cardiovascular events is increasing. More effort is needed to control established and emerging CVD risk factors among the Greek population.
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