Annals of Epidemiology
Volume 18, Issue 5 , Pages 387-394 , May 2008

Determinants of Physical Inactivity Among Men and Women From Greece: A 5-Year Follow-Up of the ATTICA Study

  • Demosthenes B. Panagiotakos, DrMedSCi

      Affiliations

    • Department of Nutrition Science-Dietetics, Harokopio University
    • Corresponding Author InformationAddress correspondence to: Demosthenes B Panagiotakos, 46 Paleon Polemiston St., Glyfada, 166 74, Attica, Greece. Tel.: +3210-9603116; fax: +3210-9600719.
  • ,
  • Christos Pitsavos, MD, PhD

      Affiliations

    • First Cardiology Clinic, School of Medicine, University of Athens, Athens, Greece
  • ,
  • Yannis Lentzas, MD

      Affiliations

    • First Cardiology Clinic, School of Medicine, University of Athens, Athens, Greece
  • ,
  • Yannis Skoumas, MD

      Affiliations

    • First Cardiology Clinic, School of Medicine, University of Athens, Athens, Greece
  • ,
  • Labros Papadimitriou, MD

      Affiliations

    • First Cardiology Clinic, School of Medicine, University of Athens, Athens, Greece
  • ,
  • Akis Zeimbekis, MD

      Affiliations

    • First Cardiology Clinic, School of Medicine, University of Athens, Athens, Greece
  • ,
  • Christodoulos Stefanadis, MD, PhD

      Affiliations

    • First Cardiology Clinic, School of Medicine, University of Athens, Athens, Greece

Received 22 July 2007 ,Accepted 6 November 2007.

References 

  1. Gordon NF, Gulanick M, Costa F, Fletcher G, Franklin BA, Roth EJ, et al. American Heart Association Council on Clinical Cardiology, Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention; the Council on Cardiovascular Nursing; the Council on Nutrition, Physical Activity, and Metabolism; and the Stroke Council. Physical activity and exercise recommendations for stroke survivors: an American Heart Association scientific statement from the Council on Clinical Cardiology, Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention; the Council on Cardiovascular Nursing; the Council on Nutrition, Physical Activity, and Metabolism; and the Stroke Council. Stroke. 2004;35:1230–1240
  2. Miller TD, Balady GJ, Fletcher GF. Exercise and its role in the prevention and rehabilitation of cardiovascular disease. Ann Behav Med. 1997;19:220–229
  3. Fletcher GF. The antiatherosclerotic effect of exercise and development of an exercise prescription. Cardiol Clin. 1996;14:85–95
  4. Panagiotakos DB, Pitsavos C, Stefanadis C. GREECS Study Investigators. Short-term prognosis of patients with acute coronary syndromes through the evaluation of physical activity status, the adoption of Mediterranean diet and smoking habits: the Greek Acute Coronary Syndromes (GREECS) study. Eur J Cardiovasc Prev Rehabil. 2006;13:901–908
  5. Ogilvie D, Foster CE, Rothnie H, Cavill N, Hamilton V, Fitzsimons CF, et al. Scottish Physical Activity Research Collaboration. Interventions to promote walking: systematic review. BMJ. 2007;334:1204
  6. U.S. Department of Health and Human Services . Physical Activity and Health: A Report of the Surgeon General. Atlanta, GA: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion; 1996;
  7. Annual Global Move for Health Initiative; A Concept Paper. Geneva: World Health Organization; WHO/NMH/NPH/PAH/03.1.
  8. Pitsavos C, Panagiotakos DB, Lentzas Y, Stefanadis C. Epidemiology of leisure-time physical activity in socio-demographic, lifestyle and psychological characteristics of men and women in Greece: the ATTICA Study. BMC Public Health. 2005;5:37
  9. Varo JJ, Martinez-Gonzalez MA, Irala-Estevez J, Kearney J, Gibney M, Martinez JA. Distribution and determinants of sedentary lifestyles in the European Union. Int J Epidemiol. 2003;32:138–146
  10. Allison KR. Predictors of inactivity: an analysis of the Ontario Health Survey. Can J Public Health. 1996;87:354–358
  11. Eaton CB, Reynes J, Assaf AR, Feldman H, Lasater T, Carleton RA. Predicting physical activity change in men and women in two New England communities. Am J Prev Med. 1993;9:209–219
  12. Droomers M, Schrijvers CT, Mackenbach JP. Educational level and decreases in leisure time physical activity: predictors from the longitudinal GLOBE study. J Epidemiol Community Health. 2001;55:562–568
  13. Pitsavos C, Panagiotakos DB, Chrysohoou C, Stefanadis C. Epidemiology of Cardiovascular risk factors in Greece; aims, design and baseline characteristics of the ATTICA study. BMC Public Health. 2003;3(32):1–9
  14. Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35:1381–1395
  15. Katsouyanni K, Rimm EB, Gnardellis C, Trichopoulos D, Polychronopoulos E, Trichopoulou A. Reproducibility and relative validity of an extensive semi-quantitative food frequency questionnaire using dietary records and biochemical markers among Greek schoolteachers. Int J Epidemiol. 1997;26:S118–S127
  16. Panagiotakos DB, Milias GA, Pitsavos C, Stefanadis C. MedDietScore: a computer program that evaluates the adherence to the Mediterranean dietary pattern and its relation to cardiovascular disease risk. Comput Methods Programs Biomed. 2006;83:73–77
  17. Panagiotakos DB, Pitsavos C, Arvaniti F, Stefanadis C. Adherence to the Mediterranean food pattern predicts the prevalence of hypertension, hypercholesterolemia, diabetes and obesity, among healthy adults; the accuracy of the MedDietScore. Prev Med. 2007;44:335–340
  18. Zung W. A Self-Rating Depression Scale. Arch Gen Psych. 1965;12:63–70
  19. Fountaoulakis KN, Papadopoulou M, Kleanthous S, Papadoupoulou A, Bizeli V, Nimatoudis I, et al. Reliability and psychometric properties of the Greek translation of the Sate-Trate Anxiety Inventory form Y: Preliminary data. Ann Gen Psychiatry. 2006;31(5):2
  20. Bigelow D, Garreau MJ, Young DJ. Quality of Life Questionnaire-Interviewer Rating Version. Western Mental Health Research Center. Portland, OR: Oregon Health Sciences University; 1991;
  21. Hickman M, Roberst C, de Matos C. Exercise and leisure time activities. In: Currie , et al. editor. Health and health behaviour in school-aged children. A WHO Cross-National Study (HBSC) International Report. Health Policy for Children and Adolescents (HEPCA) Series No., 1. Copenhagen: WHO; 2000;p. 73–83
  22. Caspersen CJ, Pereira MA, Curran KM. Changes in physical activity patterns in the United States, by sex and cross-sectional age. Med Sci Sports Exerc. 2000;32:1601–1609
  23. Vaz dA , Graca P, Afonso C, D'Amicis A, Lappalainen R, Damkjaer S. Physical activity levels and body weight in a nationally representative sample in the European Union. Public Health Nutr. 1999;2:105–113
  24. Zunft HJ, Friebe D, Seppelt B, Widhalm K, Remaut de Winter AM, Vaz dA . Perceived benefits and barriers to physical activity in a nationally representative sample in the European Union. Public Health Nutr. 1999;2:153–160
  25. Carney RM, Freedland KE, Miller GE, Jaffe AS. Depression as a risk factor for cardiac mortality and morbidity. A review of potential mechanisms. J Psychos Res. 2002;53:897–902
  26. Lennox SS, Bedell JR, Stone AA. The effect of exercise on normal mood. J Psychosom Res. 1990;34:629–636
  27. Weyerer S. Physical inactivity and depression in the community: evidence from the upper Bavarian field study. Int J Sports Med. 1992;13:492–496
  28. Cooper-Patrick L, Ford DE, Mead LA. Exercise and depression in midlife: A prospective study. Am J Public Health. 1997;87:670–673
  29. Dunn AL, Trivedi MH, O'Neal HA. Physical activity dose-response effects on outcomes of depression and anxiety. Med Sci Sports Exerc. 2001;33:S587–S597
  30. Strawbridge WJ, Deleger S, Roberts RE, Kaplan GA. Physical activity reduces the risk of subsequent depression for older adults. Am J Epidemiol. 2002;156:328–334

PII: S1047-2797(07)00464-4

doi: 10.1016/j.annepidem.2007.11.002

Annals of Epidemiology
Volume 18, Issue 5 , Pages 387-394 , May 2008