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oai:repisalud.isciii.es:20.500.12105/202672024-07-09T09:14:01Zcom_20.500.12105_15322com_20.500.12105_2051col_20.500.12105_16967

00925njm 22002777a 4500 dc Mariolis, Anargiros author Foscolou, Alexandra author Tyrovolas, Stefanos author Piscopo, Suzanne author Valacchi, Giuseppe author Tsakountakis, Nikos author Zeimbekis, Akis author Bountziouka, Vassiliki author Gotsis, Efthimios author Metallinos, George author Tyrovola, Dimitra author Tur, Josep A author Matalas, Antonia-Leda author Lionis, Christos author Polychronopoulos, Evangelos author Panagiotakos, Demosthenes author MEDIS Study Grp author 2016-06 To evaluate the role of geography i.e., continental vs. insular Mediterranean, on successful aging among older inhabitants. During 2005-2014, 2693 elderly (aged 65 to 100 years) individuals from 21 Mediterranean islands in Greece, Italy and Spain as well as Cyprus, Malta, and the rural region of Mani (southeast continental region of Greece keeping old-time traditions), were voluntarily recruited. Successful aging was evaluated using a validated index composed of 10 health-related socio-lifestyle and clinical characteristics. After accounting for age, sex, body mass index (BMI), physical activity, smoking habits, MedDietScore and access to health care services, the older inhabitants of islands were found to have a higher level of the successful aging index when compared to their counterparts in Mani (Beta=0.174, p<0.001); moreover, islanders exhibited slightly more years of good health (68.7 vs 68.4 years for Mani residents (p=0.99)). However, compared to the residents of Mani, islanders had 1.64 times higher odds (95% CI, 1.08-2.48) for having hypertension, 2.4-times higher odds (95% CI, 1.34-4.21) for having diabetes and 1.52 times higher odds (95% CI, 0.97-2.38) for having hypercholesterolemia. Engaging in physical activities and healthy dietary habits were the major determinants of healthy aging, among islanders as compared to their counterparts of continental Mani region. Elder residents of the continental Mani area enjoyed a better health status, whereas elder islanders had a higher level of successful aging; a finding which could be attributed to differences in lifestyle among elders. Mariolis A, Foscolou A, Tyrovolas S, Piscopo S, Valacchi G, Tsakountakis N, et al. Successful Aging among Elders Living in the Mani Continental Region vs. Insular Areas of the Mediterranean: the MEDIS Study. Aging Dis. 2016 Jun;7(3):285-94. 10.14336/AD.2015.1002 2152-5250 Aging and Disease http://hdl.handle.net/20.500.13003/10307 27330843 L627291876 2-s2.0-85018306061 http://hdl.handle.net/20.500.12105/20267 384840000010 Successful aging Longevity Mani region Mediterranean islands Cardiometabolic risk Lifestyle Successful Aging among Elders Living in the Mani Continental Region vs. Insular Areas of the Mediterranean: the MEDIS Study