Angeliki Papadaki

University of Bristol

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Manolis Linardakis

University of Crete

Arne Astrup

Novo Nordisk Foundation

J. Alfredo Martínéz

Universidad de Navarra

Teodora Handjieva‐Darlenska

Medical University of Sofia

Wim H. M. Saris

Maastricht University

Anthony Kafatos

University of Crete

A. Pfeiffer

German Institute of Human Nutrition

Thomas M. Larsen

University of Copenhagen

Marleen A. van Baak

Maastricht University

Russell Jago

University of Bristol

Cooperative Institutions

Universidad de Zaragoza

174

Spanish Biomedical Research Centre in Physiopathology of Obesity and Nutrition

149

Universidad de Granada

125

Instituto de Salud Carlos III

Consejo Superior de Investigaciones Científicas

University of Crete

Karolinska Institutet

Instituto de Ciencia y Tecnología de Alimentos y Nutrición

Instituto de Investigación Sanitaria Aragón

University of Bristol

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The role of plant-based dietary patterns in reducing COVID-19 risk and/or severity in adults: A systematic review and meta-analysis of observational studies

Clinical Nutrition (2024)

Angeliki Papadaki Eimear Mc Coy Dimitrios A. Anastasilakis Natia Peradze Christos S. Mantzoros

Plant-based dietary patterns (PBDs) might protect against COVID-19 risk and reduce severity of infection. This systematic review with meta-analysis aimed to examine the association between PBDs and risk of COVID-19 infection, hospitalization, intensive care unit (ICU) admission, and/or mortality, in adults.

2019-20 coronavirus outbreak

10.1016/j.clnu.2024.05.033

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Fruit and vegetable consumption in a sample of 11-year-old children in ten European countries – the PRO GREENS cross-sectional survey

Public Health Nutrition (2014)

Christel Lynch Ása Gudrun Kristjansdottir Saskia J. te Velde Nanna Lien Eva Roos

To describe fruit and vegetable intake of 11-year-old children in ten European countries and compare it with current dietary guidelines.

Cross-sectional study

Consumption

10.1017/s1368980014001347

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Biomarker evaluation of Greek adolescents’ exposure to secondhand smoke

Human & Experimental Toxicology (2009)

Constantine Vardavas MN Tzatzarakis María Plada Aristeidis M. Tsatsakis Angeliki Papadaki

Exposure to secondhand smoke (SHS) is a significant threat to public health, and represents a danger for both the development and health status of children and adolescents. Taking the above into account, our aim was to quantify Greek adolescents’ exposure to SHS using serum cotinine levels. During 2006, 341 adolescents aged 13-17 were randomly selected from high schools in Heraklion and agreed to participate as part of the European Healthy Lifestyle in Europe by Nutrition in Adolescence (HELENA) study. Blood samples were drawn from a random sample of 106 adolescents, while serum cotinine/nicotine concentrations were measured by Gas Chromatography—Mass Spectrometry (GC-MS). The mean levels of serum cotinine and nicotine were calculated at 1.60 ± 2.18 ng/mL and 4.48 ± 4.00 ng/mL, respectively, while 97.7% of the non-smoker adolescents were found to have measureable levels of serum cotinine indicating exposure to SHS. The analysis revealed that their paternal (p = .001) and maternal smoking habits (p = .018) as also the existence of a younger brother or sister (p = .008) were the main modifiers of SHS exposure during adolescence. Conclusively, almost all of the measured Greek adolescents were exposed to SHS, even when their parents were non-smokers. This finding indicates the need for both community and school-based educational programmes as also the implementation of a comprehensive ban on smoking in public places.

Cotinine

Secondhand Smoke

Passive smoking

10.1177/0960327109354941

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The Effect of the Mediterranean Diet on Metabolic Health: A Systematic Review and Meta-Analysis of Controlled Trials in Adults

Nutrients (2020)

Angeliki Papadaki Eric Nolen‐Doerr Christos S. Mantzoros

The Mediterranean diet (MD) may provide metabolic benefits but no systematic review to date has examined its effect on a multitude of outcomes related to metabolic health. This systematic review with meta-analysis (International Prospective Register of Systematic Reviews, PROSPERO; number CRD42019141459) aimed to examine the MD's effect on metabolic syndrome (MetSyn) incidence, components and risk factors (primary outcomes), and incidence and/or mortality from MetSyn-related comorbidities and receipt of pharmacologic treatment for MetSyn components and comorbidities (secondary outcomes). We searched Pubmed, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Web of Science for controlled trials published until June 2019, comparing the MD with no treatment, usual care, or different diets in adults. Studies not published in English and not promoting the whole MD were excluded. Two authors independently extracted data and assessed risk of bias using the Cochrane Collaboration's and Risk of Bias in non-randomised studies (ROBINS-I) tools. Reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Random-effects meta-analyses, subgroup analyses and meta-regressions were performed, and heterogeneity was quantified using the I2 statistic. We identified 2654 reports and included 84 articles reporting 57 trials (n = 36,983). In random effects meta-analyses, the MD resulted in greater beneficial changes in 18 of 28 MetSyn components and risk factors (body weight, body mass index, waist circumference, systolic and diastolic blood pressure, glucose, insulin, homeostatic model assessment of insulin resistance (HOMA-IR) index, total-, low-density lipoprotein (LDL)- and high-density lipoprotein (HDL)-cholesterol, triglycerides, alanine transaminase, hepatic fat mass, C-reactive protein, interleukin-6, tumour necrosis factor-a, and flow-mediated dilatation) and lower risk of cardiovascular disease incidence (risk ratio (RR) = 0.61, 95% confidence intervals (CI) 0.42-0.80; I2 = 0%), and stroke (RR = 0.67, 95% CI 0.35-0.98; I2 = 0%). Only six studies reported effects on pharmacotherapy use, and pooled analysis indicated no differences between diet groups. Lack of consistency in comparator groups and other study characteristics across studies resulted in high heterogeneity for some outcomes, which could not be considerably explained by meta-regressions. However, a consistent direction of beneficial effect of the MD was observed for the vast majority of outcomes examined. Findings support MD's beneficial effect on all components and most risk factors of the MetSyn, in addition to cardiovascular disease and stroke incidence. More studies are needed to establish effects on other clinical outcomes and use of pharmacotherapy for MetSyn components and comorbidities. Despite the high levels of heterogeneity for some outcomes, this meta-analysis enabled the comparison of findings across studies and the examination of consistency of effects. The consistent direction of effect, suggesting the MD's benefits on metabolic health, supports the need to promote this dietary pattern to adult populations.

Mediterranean Diet

10.3390/nu12113342

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The role of the home environment in sugar-sweetened beverage intake among northern Mexican adolescents: a qualitative study

Journal of Public Health (2018)

Ana G. Ortega‐Avila Angeliki Papadaki Russell Jago

To explore adolescents' perceptions of how the home environment promotes the intake of sugar-sweetened beverages (SSBs) and to identify the potential environmental cues that trigger SSB intake at home. Twenty-nine semi-structured interviews were conducted among adolescents, aged 15–19 years, residing in an urban area in Northwest Mexico. Thematic analysis was used to analyse the data. Adolescents perceived that the availability of SSBs in the household increased their intake of SSBs. Availability of SSBs was facilitated mainly by taste preferences, ease of buying and beliefs that fruit-containing SSBs are healthy. Availability at home was considered important because SSBs were normally consumed with food during meals. Family influences and a lack of parental regulation were also regarded as factors promoting adolescents' SSB intake at home. Drinking SSBs with food and having SSBs available at home were identified as habits that had been performed by participants' families for many years. These findings provide insights into the role of the home and family environment in promoting SSB intake. Future interventions to reduce SSB intake in this sample of Mexican adolescents should address availability and facilitators of SSB intake at home, family influences and parental regulation.

Thematic Analysis

10.1007/s10389-018-0993-6

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Citations (12)

The childhood obesity plan needs a whole diet approach targeting environmental change: Childhood obesity: Time for action - Eighth Report of Session 2017–19

Laura Johnson Zoi Toumpakari Angeliki Papadaki

Action plan

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Contents Vol. 52, 2008

Annals of Nutrition and Metabolism (2008)

Ibrahim Elmadfa Alexa Meyer Vienna Rust Fereidoun Azizi Tehran Berg

10.1159/000154924

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Socioeconomic Inequalities in Physical Activity and Sedentary Behaviour in Chile:: A Systematic Review of Observational Studies

María Jesús Vega‐Salas Paola Caro Osorio Laura Johnson Miranda Armstrong Angeliki Papadaki

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Accessing Meals on Wheels: A Qualitative Study Exploring the Experiences of Service Users and People Who Refer Them to the Service

Angeliki Papadaki Mary Wakeham Becky Ali Miranda Armstrong Paul Willis

Meals on Wheels (MoWs) provide access to daily meals and social contact to adults with care and support needs.MoWs could be essential for the increasing rates of an ageing population and adults living with complex needs in England, yet many do not know that the service exists. This study aimed to explore the perceptions of MoWs service users, and people who refer them to MoWs (‘referrers’), with accessing and setting up the service in England, and what information would be valued when considering accessing MoWs services.Semi-structured interviews were conducted in May-July 2022 with seven service users and 21 referrers, recruited from four MoWs providers across England. Data were analysed using thematic analysis. Participants indicated various pathways into the service, but referrers (family members) were more likely to be the ones enquiring about, and setting up, MoWs for service users. Once an enquiry about MoWs had been made, the service was perceived as straightforward to set up.However, existing preconceptions and stereotypes about the service (e.g. bringing to mind ‘school meals’, aimed solely at older adults) were perceived to act as barriers to accessing MoWs.Information that participants deemed important to have available when deciding on whether to access MoWs related to the meals (e.g. nutritional value, variety, need for any preparation, catering for individual needs), the specific services provided (e.g. wellbeing checks, daily social contact), the reliability and flexibility of delivery, and the cost of services. These findings could inform MoWs providers’ public awareness strategies about MoWs, in order to facilitate referrals to the service for adults with care and support needs.

Thematic Analysis

10.20944/preprints202309.0310.v1

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PHN volume 25 issue 7 Cover and Back matter

Public Health Nutrition (2022)

Emma Patterson Filip Andersson Liselotte Schäfer Elinder Yuan‐Yuei Chen Wei‐Liang Chen

An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

10.1017/s1368980022001070

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