期刊论文详细信息
Journal of Diabetes & Metabolic Disorders
High relative environmental humidity is associated with diabetes among elders living in Mediterranean islands
Demosthenes Panagiotakos2  Evangelos Polychronopoulos2  Christos Lionis5  Vassiliki Bountziouka2  George Metallinos2  Efthimios Gotsis2  Akis Zeimbekis1  Nikos Tsakountakis5  Kleomenis Kalogeropoulos3  Marianthi Morena3  Christos Chalkias3  Stefanos Tyrovolas4 
[1] Health Center of Kalloni, General Hospital of Mitilini, Mitilini, Greece;Department of Nutrition and Dietetics, Harokopio University, 46 Paleon Polemiston St., Glyfada, 166 74, Attica, Athens, Greece;Department of Geography, Harokopio University, Athens, Greece;Parc Sanitari Sant Joan de Déu, Fundació Sant Joan de Déu, CIBERSAM, Universitat de Barcelona, Dr Antoni Pujades, 42, 08830, Sant Boi de Llobregat, Barcelona, Spain;Clinic of Social and Family Medicine, School of Medicine, University of Crete, Heraklion, Greece
关键词: Mediterranean islands;    Diet;    Elderly;    Diabetes;    Temperature;    Relative humidity;   
Others  :  806248
DOI  :  10.1186/2251-6581-13-25
 received in 2013-09-05, accepted in 2014-01-13,  发布年份 2014
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【 摘 要 】

Background

Climate variation has long been studied in relation to human health. The aim of the present work was to evaluate the relationship between environmental humidity, and air temperature with the prevalence of diabetes, among elderly islanders.

Methods

During 2005–2011, 1959 elderly (aged 65 to 100 years) individuals from 13 Mediterranean islands were enrolled. Socio-demographic, clinical and lifestyle factors were assessed using standard procedures. Diabetes was defined as fasting blood glucose levels > 125 mg/dl. Relative environmental humidity was measured as a percentage of air moisture and mean daily temperature in degrees Celsius.

Results

For the present analysis 713 men (74 ± 7 years) and 596 women (73 ± 7 years) with complete data were studied; 27% of both men and women had diabetes. The prevalence of diabetes was 42% in the elders living in high relative humidity areas (i.e., >70%) as compared with 24% among those living at low relative humidity residential areas (p < 0.001). After adjusting for age, sex and mean temperature, an increase in the area’s relative humidity by 1 degree, increased the likelihood of having diabetes by 12% (OR = 1.12, 95% CI 1.05 to 1.20). No significant association was observed between mean temperature and diabetes (OR = 0.97, 95% CI 0.74, 1.26).

Conclusions

A considerable proportion of elderly, especially those living in high relative humidity areas, had diabetes. Further research is needed to confirm this observation and to understand the underlying mechanisms.

【 授权许可】

   
2014 Tyrovolas et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]Danaei G, Finucane MM, Lu Y, Singh GM, Cowan MJ, Paciorek CJ, Lin JK, Farzadfar F, Khang YH, Stevens GA, Rao M, Ali MK, Riley LM, Robinson CA, Ezzati M, Global Burden of Metabolic Risk Factors of Chronic Diseases Collaborating Group (Blood Glucose): National, regional, and global trends in fasting plasma glucose and diabetes prevalence since 1980: systematic analysis of health examination surveys and epidemiological studies with 370 country-years and 2.7 million participants. Lancet 2011, 378:31-40.
  • [2]Wood D: Established and emerging cardiovascular risk factors. Am Heart J 2001, 141:49-57.
  • [3]Pitsavos C, Tampourlou M, Panagiotakos DB, Skoumas Y, Chrysohoou C, Nomikos T, Stefanadis C: Association between low-grade systemic inflammation and type 2 diabetes mellitus among men and women from the ATTICA Study. Rev Diabet Stud 2007, 4:98-104.
  • [4]Expert Committee on the Diagnosis and Classification of Diabetes Mellitus: Report of the expert committee on the diagnosis and classification of diabetes mellitus. Diabetes Care 2003, 26:S5-S20.
  • [5]Toutouzas K, Markou V, Drakopoulou M, Mitropoulos I, Tsiamis E, Stefanadis C: Patients with type two diabetes mellitus: increased local inflammatory activation in culprit atheromatous plaques. Hellenic J Cardiol 2005, 46:283-288.
  • [6]Stone N, Bilek S, Rosenbaum S: Recent national cholesterol education program adult treatment panel III update: adjustments and options. Am J Cardiol 2005, 96:53-59.
  • [7]Trichopoulou A, Kouris-Blazos A, Wahlqvist M, Gnardellis C, Lagiou P, Polychronopoulos E, Vassilakou T, Lipworth L, Trichopoulos D: Diet and overall survival in elderly people. BMJ 1995, 311:1457-1460.
  • [8]Walker KZ, Piers LS, Putt RS, Jones JA, O’Dea K: Effects of regular walking on cardiovascular risk factors and body composition in normoglycemic women and women with type 2 diabetes. Diabetes Care 1999, 22:555-561.
  • [9]Panagiotakos DB, Pitsavos C, Manios Y, Polychronopoulos E, Chrysohoou CA, Stefanadis C: Socio-economic status in relation to risk factors associated with cardiovascular disease, in healthy individuals from the ATTICA study. Eur J Cardiovasc Prev Rehabil 2005, 26:32-38.
  • [10]Panagiotakos DB, Pitsavos C, Chrysohoou C, Stefanadis C: The epidemiology of Type 2 diabetes mellitus in Greek adults: the ATTICA study. Diabet Med 2005, 22:1581-1588.
  • [11]Lionis C, Bathianaki M, Antonakis N, Papavasiliou S, Philalithis A: A high prevalence of diabetes mellitus in a municipality of rural Crete, Greece. Diabet Med 2001, 18:768-769.
  • [12]Tyrovolas S, Zeimbekis A, Bountziouka V, Voutsa K, Pounis G, Papoutsou S, Metallinos G, Ladoukaki E, Polychronopoulos E, Lionis C, Panagiotakos DB: Factors associated with the prevalence of diabetes mellitus among elderly men and women living in Mediterranean islands: the MEDIS study. Rev Diabet Stud 2009, 6:54-63.
  • [13]Analitis A, Katsouyanni K, Biggeri A, Baccini M, Forsberg B, Bisanti L, Kirchmayer U, Ballester F, Cadum E, Goodman PG, Hojs A, Sunyer J, Tiittanen P, Michelozzi P: Effects of cold weather on mortality: results from 15 European cities within the PHEWE project. Am J Epidemiol 2008, 168:1397-1408.
  • [14]Schneider A, Panagiotakos D, Picciotto S, Katsouyanni K, Löwel H, Jacquemin B, Lanki T, Stafoggia M, Bellander T, Koenig W, Peters A, AIRGENE Study Group: Air temperature and inflammatory responses in myocardial infarction survivors. Epidemiology 2008, 19:391-400.
  • [15]DeBono R, Vincenti K, Calleja N: Risk communication: climate change as a human-health threat, a survey of public perceptions in Malta. Eur J Public Health 2012, 22:144-149.
  • [16]Katsouyanni K, Analitis A: The role of pollution in heat wave mortality: systematic review. Epidemiology 2006, 17:145.
  • [17]Dilaveris P, Synetos A, Giannopoulos G, Gialafos E, Pantazis A, Stefanadis C: Climate impacts on myocardial infarction deaths in the Athens Territory: the CLIMATE study. Heart 2006, 92:1747-1751.
  • [18]Panagiotakos DB, Chrysohoou C, Pitsavos C, Nastos P, Anadiotis A, Tentolouris C, Stefanadis C, Toutouzas P, Paliatsos A: Climatological variations in daily hospital admissions for acute coronary syndromes. Int J Cardiol 2004, 94:229-233.
  • [19]Danet S, Richard F, Montaye M, Beauchant S, Lemaire B, Graux C, Cottel D, Marécaux N, Amouyel P: Unhealthy effects of atmospheric temperature and pressure on the occurrence of myocardial infarction and coronary deaths: a 10-year survey. The Lille-World Health Organization MONICA project (Monitoring trends and determinants in cardiovascular disease). Circulation 1999, 100:e1-e7.
  • [20]Nafstad P, Skrondal A, Bjertness E: Mortality and temperature in Oslo, Norway, 1990–1995. Eur J Epidemiol 2001, 17:621-627.
  • [21]Misailidou M, Pitsavos C, Panagiotakos DB, Chrysohoou C, Stefanadis C: Short-term effects of atmospheric temperature and humidity on morbidity from acute coronary syndromes in free of air pollution rural Greece. Eur J Cardiovasc Prev Rehabil 2006, 13:846-848.
  • [22]Schwartz J, Samet JM, Patz JA: Hospital admissions for heart disease: the effects of temperature and humidity. Epidemiology 2004, 15:755-761.
  • [23]Tyrovolas S, Chalkias C, Morena M, Tsiligianni I, Zeimbekis A, Gotsis E, Metallinos G, Bountziouka V, Polychronopoulos E, Lionis C, Panagiotakos D: Health care access and prevalence of the metabolic syndrome among elders living in high-altitude areas of the Mediterranean islands: the MEDIS study. Rev Diabet Stud 2011, 8:468-476.
  • [24]Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults: 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, 285:2486-2497.
  • [25]Hellenic National Meteorological Service http://www.hnms.gr webcite
  • [26]Buckanan K, Carr S: Humidity, anxiety, and test performance: maintaining equity in tropical climates. SPJ Phychol 1999, 11:34-43.
  • [27]Tyrovolas S, Pounis G, Bountziouka V, Polychronopoulos E, Panagiotakos D: Repeatability and validation of a short, semi-quantitative food frequency questionnaire designed for older adults living in Mediterranean areas: the MEDIS-FFQ. J Nutr Gerontol Geriatr 2010, 29:311-324.
  • [28]Panagiotakos D, Pitsavos C, Stefanadis C: Dietary patterns: a Mediterranean diet score and its relation to CVD risk and markers. Nutr Metab Cardiovasc Dis 2006, 16:559-568.
  • [29]Papathanasiou G, Georgoudis G, Papandreou M, Spyropoulos P, Georgakopoulos D, Kalfakakou V, Evangelou A: Reliability measures of the short International Physical Activity Questionnaire (IPAQ) in Greek young adults. Hellenic J Cardiol 2009, 50:283-294.
  • [30]Hermans MP, Pepersack TM, Godeaux LH, Beyer I, Turc AP: Prevalence and determinants of impaired glucose metabolism in frail elderly patients: the Belgian Elderly Diabetes Survey (BEDS). J Gerontol A Biol Sci Med Sci 2005, 60:241-247.
  • [31]Bank of Greece: Report of the climate change impact. (in Greek). http://www.bankofgreece.gr/BogEkdoseis/Πληρης_Εκθϵση.pdf webcite
  • [32]Persinger MA: The Weather Matrix and Human Behavior. New York: Praeger; 1980.
  • [33]Persinger MA: Lag responses in mood reports to changes in the weather matrix. Int J Biometeorol 1975, 19:108-114.
  • [34]Sanders JL, Brizzolara MS: Relationships between weather and mood. J Gen Psychol 1982, 107:155-156.
  • [35]Santos KT, Fernandes MH, Reis LA, Coqueiro RS, Rocha SV: Depressive symptoms and motor performance in the elderly: a population based study. Rev Bras Fisioter 2012, 16:295-300.
  • [36]Kaburagi T, Hirasawa R, Yoshino H, Odaka Y, Satomi M, Nakano M, Fujimoto E, Kabasawa K, Sato K: Nutritional status is strongly correlated with grip strength and depression in community-living elderly Japanese. Public Health Nutr 2011, 14:1893-1899.
  • [37]Panagiotakos DB, Tzima N, Pitsavos C, Chrysohoou C, Zampelas A, Toussoulis D, Stefanadis C: The association between adherence to the Mediterranean diet and fasting indices of glucose homoeostasis: the ATTICA Study. J Am Coll Nutr 2007, 26:32-38.
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