HealthResJ, health, medicine, nursing, research https://ejournals.epublishing.ekt.gr/index.php/HealthResJ/sitemap

Religiosity and coronary heart disease In Greek adults


Published: Oct 10, 2022
Keywords:
Religiosity coronary heart disease, belief
Athanasios Anadiotis
Georgia Toylia
Theodoros Kapadochos
Konstantinos Tsioufis
Abstract

Background: In developed countries, cardiovascular disease is the most common cause of both death and functional disability. The last decades, scientific community shows an increasing interest exploring the relationship between religious and health factors.


Aim: The aim of the present study was to explore associations between factors related to religiosity and self-reported Coronary Heart Disease (CHD).


Material and Method: This was a descriptive observational study, conducted during a 2-year period. The final studied sample consisted of 1062 citizens of Greece. Data collection was performed by using a special designed questionnaire based on relevant literature review.


Results: Half of the studied sample was men, (n=529, 49.9%). The majority of participants (77.1%) was living in urban areas of the country and was mean educated (67.1%). When asked about their employment status, most of them (65%) answered that they were professionally active. As far as their medical history is concerned, the majority of participants (88%) had no CHD history, no history of diabetes mellitus (90.3%), no history of dyslipidemias (71.8%) and no history of hypertension (71.8%). Moreover, 29.9% of the participants were overweight. Religious fasting follows 51.4% of the sample and the reason for fasting is because the church imposes fasting rules.  The factor “fasting” was also related to CHD occurrence, as those who were following religious fasting had no history of CHD. A significant difference was found between responders with conscious belief in God and CHD occurrence.


Conclusion: The findings of this study suggest that factors related to religiosity, such as doubt in God belief and religious fasting may influence CHD incidence. Prospective cohort studies and clinical trial studies that specifically designed to assess the effect of religiosity on CHD outcome are necessary to be conducted.

Article Details
  • Section
  • Original Articles
Downloads
Download data is not yet available.
References
Panagiotakos DB, Pitsavos C, Chrysohoou C, Skoumas I, Stefanadis C; ATTICA Study. Five-year incidence of cardio-vascular disease and its predictors in Greece: the ATTICA study. Vasc Med. 2008;13(2):113-21. doi: 10.1177/1358863x07087731.
Kadda, O., Kotanidou, A., Manginas, A., Stavridis, G., Nan-as, S. and Panagiotakos, D.B. (2015), Lifestyle intervention and one-year prognosis of patients following open heart surgery: a randomised clinical trial. J Clin Nurs, 24: 1611-1621. https://doi.org/10.1111/jocn.12762.
Mahmood SS, Levy D, Vasan RS, Wang TJ. The Framing-ham Heart Study and the epidemiology of cardiovascular disease: a historical perspective. Lancet. 2014 Mar 15;383(9921):999-1008. doi: 10.1016/S0140-6736(13)61752-3.
Andersson C, Johnson AD, Benjamin EJ, Levy D, Vasan RS. 70-year legacy of the Framingham Heart Study. Nat Rev Cardiol. 2019;16(11):687-698. doi:10.1038/s41569-019-0202-5
Cybulska B, Kłosiewicz-Latoszek L. Landmark studies in coronary heart disease epidemiology. The Framingham Heart Study after 70 years and the Seven Countries Study after 60 years. Kardiol Pol. 2019;77(2):173-180. doi:10.5603/KP.a2019.0017
Kobayashi D, Shimbo T, Takahashi O, Davis RB, Wee CC. The relationship between religiosity and cardiovascular risk factors in Japan: a large-scale cohort study. J Am Soc Hypertens. 2015;9(7):553-562. doi:10.1016/j.jash.2015.04.003
Morawa E, Erim Y. Health-Related Lifestyle Behavior and Religiosity among First-Generation Immigrants of Polish Origin in Germany. Int J Environ Res Public Health. 2018 Nov 13;15(11). pii: E2545. doi: 10.3390/ijerph15112545.
Fawad Α. Religion, Fasting and Coronary Artery Disease. American Journal of Cardiology 2009;103(2):292.
Horne BD, May HT, Anderson JL, Kfoury AG, Bailey BM, McClure BS, Renlund DG, Lappé DL, Carlquist JF, Fisher PW, Pearson RR, Bair TL, Adams TD, Muhlestein JB; Inter-mountain Heart Collaborative Study. Usefulness of routine periodic fasting to lower risk of coronary artery disease in patients undergoing coronary angiography. Am J Cardiol. 2008 Oct 1;102(7):814-819. doi: 10.1016/j.amjcard.2008.05.021.
Hummer RA, Ellison CG, Rogers RG, Moulton BE, Romero RR. Religious involvement and adult mortality in the Unit-ed States: review and perspective. South Med J. 2004;97:1223–30.
Chida Y, Steptoe A, Powell LH. Religiosity/spirituality and mortality. A systematic quantitative review. Psychother Psychosom. 2009;78:81–90.
Feinstein M, Liu K, Ning H, Fitchett G, Lloyd-Jones DM. Burden of cardiovascular risk factors, subclinical athero-sclerosis, and incident cardiovascular events across di-mensions of religiosity: the multi-ethnic study of athero-sclerosis. Circulation. 2010;121:659–66.
Koenig HG. Religion, spirituality, and health: a review and update. Adv Mind Body Med. 2015;29(3):19-26.
Sarri KO, Tzanakis NE, Linardakis MK, Mamalakis GD, Kafa-tos AG. Effects of Greek Orthodox Christian Church fasting on serum lipids and obesity. BMC Public Health. 2003 May 16;3:16.
Mazokopakis Ε., Karagiannis C. Investigating of the effects of Orthodox Christian fasting on human health. Archives of Hellenic medicine 2018, 35(6):807-808.
Anyfantakis D., Symvoulakis E., Panagiotakos D., Tsetis D., Castanas E., Shea S., Venihaki M., Lionis C. Impact of relig-iosity/spirituality on biological and preclinical markers re-lated to cardiovascular disease. Results from the SPILI III study. HORMONES 2013, 12(3):386-396
Banerjee AT, Boyle MH, Anand SS, Strachan PH, Oremus M. The relationship between religious service attendance and coronary heart disease and related risk factors in Sas-katchewan, Canada. J Relig Health. 2014;53(1):141-156. doi:10.1007/s10943-012-9609-6
Lucchese FA, Koenig HG. Religion, spirituality and cardio-vascular disease: research, clinical implications, and op-portunities in Brazil. Rev Bras Cir Cardiovasc. 2013;28(1):103-128. doi:10.5935/1678-9741.20130015
Hemmati R, Bidel Z, Nazarzadeh M, et al. Religion, Spiritu-ality and Risk of Coronary Heart Disease: A Matched Case-Control Study and Meta-Analysis. J Relig Health. 2019;58(4):1203-1216. doi:10.1007/s10943-018-0722-z
Bartholomew CL, Muhlestein JB, Anderson JL, et al. Asso-ciation of periodic fasting lifestyles with survival and inci-dent major adverse cardiovascular events in patients un-dergoing cardiac catheterization. Eur J Prev Cardiol. 2022;28(16):1774-1781. doi:10.1093/eurjpc/zwaa050
Hojat M, Jahromi MK, Koshkaki SR, Rahmanian M. Com-parison of risk factors of cardiovascular diseases in male and female nurses. J Educ Health Promot. 2019;8:19. Published 2019 Jan 29. doi:10.4103/jehp.jehp_221_1
Oh S, Kim JH, Cho KH, Kim MC, Sim DS, Hong YJ, Ahn Y, Jeong MH. Religious Affiliations and Clinical Outcomes in Korean Patients With Acute Myocardial Infarction. Front Cardiovasc Med. 2022 Mar 23;9:835969. doi: 10.3389/fcvm.2022.835969.
Trepanowski JF, Bloomer RJ. The impact of religious fast-ing on human health. Nutr J. 2010;9:57. Published 2010 Nov 22. doi:10.1186/1475-2891-9-57
Sarri K, Linardakis M, Codrington C, Kafatos A. Does the periodic vegetarianism of Greek Orthodox Christians benefit blood pressure?. Prev Med. 2007;44(4):341-348. doi:10.1016/j.ypmed.2006.11.009
Most read articles by the same author(s)