Bio-psychosocial determinants of cardiovascular disease in a rural population on Crete, Greece: formulating a hypothesis and designing the SPILI-III study
Lionis, Christos, Anyfantakis, Dimitrios, Symvoulakis, Emannouil K., Shea, Sue, Panagiotakos, Demosthenes and Castanas, Elias (2010) Bio-psychosocial determinants of cardiovascular disease in a rural population on Crete, Greece: formulating a hypothesis and designing the SPILI-III study. BMC Research Notes, 3 (258). pp. 1-6. ISSN 1756-0500 (doi:10.1186/1756-0500-3-258)
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Background: In 1988, the SPILI project was established in order to evaluate the cardiovascular disease (CVD) risk
profile of the inhabitants of Spili, in rural Crete, Greece. The first reports from this project revealed that against the unfavourable risk factors’ profile observed, only a few men with a previous myocardial infarction were encountered. A follow-up study (SPILI II) was performed twelve years after the initial examination, and the unfavourable cardiovascular risk profile was re-confirmed.
Presentation of the Hypothesis: This paper presents a hypothesis formulated on the basis of previous research to
investigate if dynamic psycho-social determinants, including social coherence of the local community, religiosity and spirituality, are protective against the development of coronary heart disease in a well-defined population. Testing the Hypothesis: A follow-up examination of this Cretan cohort is currently being performed to assess the link between psychosocial factors and CVD. Psychosocial factors including sense of control, religiosity and spirituality are assessed in together with conventional CVD risk factors. Smoking and alcohol consumption, as well as dietary habits and activity levels are recorded. Oxidative stress and inflammatory markers, as well as ultrasound measurement of carotid intima media thickness, a preclinical marker of atherosclerosis, will also be measured. Implications of the hypothesis tested: The issue of the cardio-protective effect of psycho-social factors would be revisited based on the results of this Cretan cohort; nevertheless, further research is needed across different subpopulations in order to establish a definite relationship. A comprehensive approach based on the aspects of biosocial life may result in more accurate CVD risk management.
|Additional Information:|| Citation: Lionis et al.: Bio-psychosocial determinants of cardiovascular disease in a rural population on Crete, Greece: formulating a hypothesis and designing the SPILI-III study. BMC Research Notes 2010 3:258.  © 2010 Lionis et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.|
|Uncontrolled Keywords:||bio-psychosocial, cardiovascular, rural Crete, hypothesis|
|Subjects:||R Medicine > RC Internal medicine|
R Medicine > RC Internal medicine > RC0321 Neuroscience. Biological psychiatry. Neuropsychiatry
|School / Department / Research Groups:||School of Health & Social Care|
School of Health & Social Care > Department of Health Development
|Last Modified:||20 Mar 2012 14:46|
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