Skip Navigation
Skip to contents

JPMPH : Journal of Preventive Medicine and Public Health


Author index

Page Path
HOME > Browse Articles > Author index
Efthimios Gotsis 1 Article
The Impact of the Financial Crisis on Lifestyle Health Determinants Among Older Adults Living in the Mediterranean Region: The Multinational MEDIS Study (2005-2015)
Alexandra Foscolou, Stefanos Tyrovolas, George Soulis, Anargiros Mariolis, Suzanne Piscopo, Giuseppe Valacchi, Foteini Anastasiou, Christos Lionis, Akis Zeimbekis, Josep-Antoni Tur, Vassiliki Bountziouka, Dimitra Tyrovola, Efthimios Gotsis, George Metallinos, Antonia-Leda Matalas, Evangelos Polychronopoulos, Labros Sidossis, Demosthenes B. Panagiotakos
J Prev Med Public Health. 2017;50(1):1-9.   Published online December 19, 2016
  • 12,155 View
  • 335 Download
  • 32 Crossref
AbstractAbstract PDF
By the end of the 2000s, the economic situation in many European countries started to deteriorate, generating financial uncertainty, social insecurity and worse health status. The aim of the present study was to investigate how the recent financial crisis has affected the lifestyle health determinants and behaviours of older adults living in the Mediterranean islands.
From 2005 to 2015, a population-based, multi-stage convenience sampling method was used to voluntarily enrol 2749 older adults (50% men) from 20 Mediterranean islands and the rural area of the Mani peninsula. Lifestyle status was evaluated as the cumulative score of four components (range, 0 to 6), that is, smoking habits, diet quality (MedDietScore), depression status (Geriatric Depression Scale) and physical activity.
Older Mediterranean people enrolled in the study from 2009 onwards showed social isolation and increased smoking, were more prone to depressive symptoms, and adopted less healthy dietary habits, as compared to their counterparts participating earlier in the study (p<0.05), irrespective of age, gender, several clinical characteristics, or socioeconomic status of the participants (an almost 50% adjusted increase in the lifestyle score from before 2009 to after 2009, p<0.001).
A shift towards less healthy behaviours was noticeable after the economic crisis had commenced. Public health interventions should focus on older adults, particularly of lower socioeconomic levels, in order to effectively reduce the burden of cardiometabolic disease at the population level.


Citations to this article as recorded by  
  • Lifestyle changes during the economic crisis: a Sri Lankans survey
    Piumika Sooriyaarachchi, Ranil Jayawardena
    Journal of Public Health.2023;[Epub]     CrossRef
  • Motivation for health behaviour: A predictor of adherence to balanced and healthy food across different coastal Mediterranean countries
    Marija Ljubičić, Marijana Matek Sarić, Ivo Klarin, Ivana Rumbak, Irena Colić Barić, Jasmina Ranilović, Ayman EL-Kenawy, Maria Papageorgiou, Elena Vittadini, Maša Černelič Bizjak, Raquel Guiné
    Journal of Functional Foods.2022; 91: 105018.     CrossRef
  • Nutritional status and associated factors of older persons in sub-Saharan Africa: a scoping review
    Paul Obeng, Henneh Kwaku Kyereh, Jacob Owusu Sarfo, Edward Wilson Ansah, Priscilla Yeye Adumoah Attafuah
    BMC Geriatrics.2022;[Epub]     CrossRef
  • Post-lockdown changes in diet in Italy and the USA: Return to old habits or structural changes?
    Gabriele Scozzafava, Caterina Contini, Francesca Gerini, Leonardo Casini
    Agricultural and Food Economics.2022;[Epub]     CrossRef
  • Adherence to the Mediterranean diet and weight status in children: the role of parental feeding practices
    Vassiliki Costarelli, Maria Michou, Demosthenes B. Panagiotakos, Christos Lionis
    International Journal of Food Sciences and Nutrition.2021; 72(1): 112.     CrossRef
  • Consumers’ attitude toward dietary supplements and functional food: a prospective survey in a Greek population sample
    Evangelia Tsartsou, Nikolaos Proutsos, Iakovos Papadopoulos, Vangelis Tzouvelekas, Elias Castanas, Marilena Kampa
    Hormones.2021; 20(1): 177.     CrossRef
  • The CASSIOPEA Study (Economic Crisis and Adherence to the Mediterranean diet: poSSIble impact on biOmarkers of inflammation and metabolic PhEnotypes in the cohort of the Moli-sAni Study): Rationale, design and characteristics of participants
    Marialaura Bonaccio, Simona Costanzo, Augusto Di Castelnuovo, Mariarosaria Persichillo, Amalia De Curtis, Marco Olivieri, Chiara Cerletti, Maria Benedetta Donati, Giovanni de Gaetano, Licia Iacoviello
    Nutrition, Metabolism and Cardiovascular Diseases.2021; 31(4): 1053.     CrossRef
  • Impacts of the 2008 Great Recession on dietary intake: a systematic review and meta-analysis
    Rosemary H. Jenkins, Eszter P. Vamos, David Taylor-Robinson, Christopher Millett, Anthony A. Laverty
    International Journal of Behavioral Nutrition and Physical Activity.2021;[Epub]     CrossRef
  • Household food spending, parental and childhood’s diet quality, in financial crisis: a cross-sectional study in Greece
    Rena I Kosti, Aikaterini Kanellopoulou, Venetia Notara, George Antonogeorgos, Andrea Paola Rojas-Gil, Ekaterina N Kornilaki, Areti Lagiou, Demosthenes B Panagiotakos
    European Journal of Public Health.2021; 31(4): 822.     CrossRef
  • Changes in lifestyle, diet, and body weight during the first COVID 19 ‘lockdown’ in a student sample
    K. Palmer, A. Bschaden, N. Stroebele-Benschop
    Appetite.2021; 167: 105638.     CrossRef
  • A Generation Shift in Mediterranean Diet Adherence and Its Association with Biological Markers and Health in Dalmatia, Croatia
    Jelena Šarac, Dubravka Havaš Auguštin, Mario Lovrić, Sarah Stryeck, Iva Šunić, Natalija Novokmet, Saša Missoni
    Nutrients.2021; 13(12): 4564.     CrossRef
  • Sex and age in relation to health and nutrition literacy levels in a sample of Greek adults
    Maria Michou, Demosthenes B. Panagiotakos, Christos Lionis, Vassiliki Costarelli
    International Journal of Health Promotion and Education.2020; 58(5): 229.     CrossRef
  • Changes in the Provision of Family Care to Frail Older People in Familistic Welfare States: Lessons From Israel and Italy
    Aviad Tur-Sinai, Georgia Casanova, Giovani Lamura
    Journal of Aging and Health.2020; 32(9): 972.     CrossRef
  • Economic crises, behavioral changes and hospitalization due to affective disorders in Brazil between 2003 and 2017: a nationwide cross-sectional study
    André Oliveira Werneck, Rômulo Araújo Fernandes, Danilo Rodrigues Silva
    Sao Paulo Medical Journal.2020; 138(2): 167.     CrossRef
  • A Decade of Crisis in the European Union: Lessons from Greece*
    Alexia Katsanidou, Zoe Lefkofridi
    JCMS: Journal of Common Market Studies.2020; 58(S1): 160.     CrossRef
  • Impact of a Moderately Hypocaloric Mediterranean Diet on the Gut Microbiota Composition of Italian Obese Patients
    Silvia Pisanu, Vanessa Palmas, Veronica Madau, Emanuela Casula, Andrea Deledda, Roberto Cusano, Paolo Uva, Sarah Vascellari, Francesco Boi, Andrea Loviselli, Aldo Manzin, Fernanda Velluzzi
    Nutrients.2020; 12(9): 2707.     CrossRef
  • The association of sodium intake with successful aging, in 3,349 middle-aged and older adults: Results from the ATTICA and MEDIS cross-sectional epidemiological studies
    Alexandra Foscolou, Elena Critselis, Stefanos Tyrovolas, Christina Chrysohoou, Nenad Naumovski, Loukianos Rallidis, Evangelos Polychronopoulos, Antonia-Leda Matalas, Labros S. Sidossis, Demosthenes Panagiotakos
    Nutrition and Healthy Aging.2020; 5(4): 287.     CrossRef
  • Access to health care in an age of austerity: disabled people’s unmet needs in Greece
    Elena S. Rotarou, Dikaios Sakellariou
    Critical Public Health.2019; 29(1): 48.     CrossRef
  • Socioeconomic and psychosocial determinants of adherence to the Mediterranean diet in a general adult Italian population
    Emilia Ruggiero, Augusto Di Castelnuovo, Simona Costanzo, Mariarosaria Persichillo, Francesca Bracone, Chiara Cerletti, Maria Benedetta Donati, Giovanni de Gaetano, Licia Iacoviello, Marialaura Bonaccio, Licia Iacoviello, Americo Bonanni, Marialaura Bonac
    European Journal of Public Health.2019; 29(2): 328.     CrossRef
  • Development & validation of the Greek version of the nutrition literacy scale
    Maria Michou, Demosthenes B. Panagiotakos, Vassiliki Costarelli
    Mediterranean Journal of Nutrition and Metabolism.2019; 12(1): 61.     CrossRef
  • Cardiovascular disease risk status during the years of the financial crisis: The Greek case
    Demosthenes Panagiotakos, Alexandra Foscolou
    Hellenic Journal of Cardiology.2019; 60(3): 189.     CrossRef
  • Development and validation of the Greek version of the comprehensive parental feeding questionnaire
    Maria Michou, Demosthenes B. Panagiotakos, Eirini Mamalaki, Maria Yannakoulia, Vassiliki Costarelli
    Mediterranean Journal of Nutrition and Metabolism.2019; 12(2): 211.     CrossRef
  • Socioeconomic inequalities in relation to health and nutrition literacy in Greece
    Maria Michou, Demosthenes B. Panagiotakos, Christos Lionis, Vassiliki Costarelli
    International Journal of Food Sciences and Nutrition.2019; 70(8): 1007.     CrossRef
  • Dietary Patterns and Their Association with Anxiety Symptoms among Older Adults: The ATTICA Study
    Maria F. Masana, Stefanos Tyrovolas, Natasa Kollia, Christina Chrysohoou, John Skoumas, Josep Maria Haro, Dimitrios Tousoulis, Charalambos Papageorgiou, Christos Pitsavos, Demosthenes B. Panagiotakos
    Nutrients.2019; 11(6): 1250.     CrossRef
  • Excess body weight and abdominal obesity in relation to selected psychosocial characteristics in primary school children
    Ioannis Vassiloudis, Vassiliki Costarelli
    Nutrition & Food Science.2019; 50(4): 739.     CrossRef
  • Alarming endoscopic data in young and older asymptomatic people: Results of an open access, unlimited age colonoscopic screening for colorectal cancer
    Vasileios Panteris, Nikolaos Vasilakis, Maria Demonakou, Eleni Kornarou, Eftyxios Ktenas, Emanuella Rapti, George Spithakis, Konstantina Katopodi, Maria Horti, Stefani Vgenopoulou, John Triantafyllidis, Apostolos Papalois, Panagiotis Karantan
    Molecular and Clinical Oncology.2019;[Epub]     CrossRef
  • Demographic-Specific Rates for Life Events in the Cardiovascular Health Study and Comparisons With Other Studies
    Peter P Vitaliano, Annette L Fitzpatrick, Lee E Williams, Michalina A Montano, Joan E Russo
    Innovation in Aging.2018;[Epub]     CrossRef
  • Socioeconomic status and impact of the economic crisis on dietary habits in Italy: results from the INHES study
    Marialaura Bonaccio, Augusto Di Castelnuovo, Americo Bonanni, Simona Costanzo, Mariarosaria Persichillo, Chiara Cerletti, Maria Benedetta Donati, Giovanni de Gaetano, Licia Iacoviello
    Journal of Public Health.2018; 40(4): 703.     CrossRef
  • Impact of the financial crisis on COPD burden: Greece as a case study
    Ourania S. Kotsiou, Spyridon Zouridis, Marinos Kosmopoulos, Konstantinos I. Gourgoulianis
    European Respiratory Review.2018; 27(147): 170106.     CrossRef
  • Ten-Year Trends (1999–2010) of Adherence to the Mediterranean Diet among the Balearic Islands’ Adult Population
    Maria Bibiloni, Mónica González, Alicia Julibert, Isabel Llompart, Antoni Pons, Josep Tur
    Nutrients.2017; 9(7): 749.     CrossRef
  • Metabolic profile of the Mediterranean healthy Eating, Lifestyle and Aging (MEAL) study cohort
    Antonio Mistretta, Stefano Marventano, Alessio Platania, Justyna Godos, Fabio Galvano, Giuseppe Grosso
    Mediterranean Journal of Nutrition and Metabolism.2017; 10(2): 131.     CrossRef
  • The prevalence of depression in rheumatoid arthritis in China: A systematic review
    Xin Fu, Zhi-Jun Li, Chun-Jun Yang, Liangshu Feng, Lemeng Sun, Yang Yao, Yu-Ting Huang
    Oncotarget.2017; 8(32): 53623.     CrossRef

JPMPH : Journal of Preventive Medicine and Public Health