Α Î? Α ÎŁ Κ Î&#x; ΠΗ ÎŁ Η
R E V I E W
ΕΝΝΡνΚκΎ Î•Ď€ÎšÎ¸ÎľĎŽĎ ÎˇĎƒÎˇ Î‘Î¸ÎˇĎ ÎżĎƒÎşÎťÎŽĎ Ď‰ĎƒÎˇĎ‚ 4(1):8–18
Hellenic Journal of Atherosclerosis 4(1):8–18
Î&#x;Κ Î´ÎšÎąĎ„Ď ÎżĎ†ÎšÎşÎĎ‚ Ď…Ď€ÎˇĎ ÎľĎƒÎŻÎľĎ‚ ĎƒĎ„Îż ĎƒĎ?ĎƒĎ„ÎˇÎźÎą υγξίις, τΡν υγξίι κιΚ ÎźÎąÎşĎ ÎżÎśĎ‰ÎŻÎą του Ď€ÎťÎˇÎ¸Ď…ĎƒÎźÎżĎ?
The nutritional services through the health care system, on population’s health and longevity
ÎŁĎ„. Î¤Ď…Ď ÎżÎ˛ÎżÎťÎŹĎ‚, Ευ. Î ÎżÎťĎ…Ď‡Ď ÎżÎ˝ĎŒĎ€ÎżĎ…ÎťÎżĎ‚, Δ.Î’. ΠινιγΚωτΏκος
St. Tyrovolas, Ev. Polychronopoulos, D.Î’. Panagiotakos Department of Nutrition and Dietetics, Harokopio University, Athens, Greece
ΤΟΎΟι Î•Ď€ÎšĎƒĎ„ÎŽÎźÎˇĎ‚ ΔΚιΚτοΝογίις-Î”ÎšÎąĎ„Ď ÎżĎ†ÎŽĎ‚, Î§ÎąĎ ÎżÎşĎŒĎ€ÎľÎšÎż Î ÎąÎ˝ÎľĎ€ÎšĎƒĎ„ÎŽÎźÎšÎż, ΑθΎνι
ΑIM: Population’s status has started to change and the group of older people arises. This higher portion of older people, leads to an increased number of deaths due to cancer and cardiovascular disease. Limited studies have investigated the effect of health care services on longevity. In this work, findings from studies throughout the world are presented in order to evaluate the effect of nutritional and health services on population’s health status. MATERIAL-METHODS: Studies that have assessed the associations of nutritional and other health care services (i.e., physicians supply, etc.) on longevity and health status were retrieved (searches in PubMed, EMBASE, Scopus, up to January 2012) and summarized here. RESULTS: Few studies, have evaluated the role of health care services on population’s health status. The majority of the studies reported a beneficial association between the frequency of physicians and mortality. Furthermore some other studies reported weak or no associations between physician’s supply and longevity. Also nutritional services in clinical environment seem to benefit clinical outcome, while there is a lim-
ΣΚÎ&#x;Î Î&#x;ÎŁ: Η δοΟΎ του Ď€ÎťÎˇÎ¸Ď…ĎƒÎźÎżĎ? ιΝΝΏΜξΚ κιΚ οΚ ΡΝΚκΚωΟÎνοΚ ιυΞΏνοντιΚ. Η ÎąĎ?ÎžÎˇĎƒÎˇ των Ď…Ď€ÎľĎ ÎŽÎťÎšÎşĎ‰Î˝ οδΡγξί ĎƒÎľ ιυΞΡΟÎνΡ ÎľÎźĎ†ÎŹÎ˝ÎšĎƒÎˇ τΡς Î˝ÎżĎƒÎˇĎ ĎŒĎ„ÎˇĎ„ÎąĎ‚ ÎąĎ€ĎŒ ÎşÎąĎ ÎşÎŻÎ˝ÎżĎ…Ď‚ κιΚ ÎşÎąĎ Î´ÎšÎąÎłÎłÎľÎšÎąÎşÎŹ Î˝ÎżĎƒÎŽÎźÎąĎ„Îą. Î•ÎťÎŹĎ‡ÎšĎƒĎ„ÎľĎ‚ ξίνιΚ οΚ ΟξΝÎτξς ÎźÎĎ‡Ď Îš ĎƒÎŽÎźÎľĎ Îą που Îχουν Î´ÎšÎľĎ ÎľĎ…Î˝ÎŽĎƒÎľÎš τΡν ÎľĎ€ÎŻÎ´Ď ÎąĎƒÎˇ των Ď…Ď€ÎˇĎ ÎľĎƒÎšĎŽÎ˝ υγξίις ĎƒĎ„Îˇ ÎźÎąÎşĎ ÎżÎśĎ‰ÎŻÎą. ÎŁÎľ ιυτΎ τΡν ÎľĎ ÎłÎąĎƒÎŻÎą θι Ď€ÎąĎ ÎżĎ…ĎƒÎšÎąĎƒĎ„ÎżĎ?ν ÎľĎ…Ď ÎŽÎźÎąĎ„Îą ÎąĎ€ĎŒ ΏΝΝξς ΟξΝÎτξς Οξ ĎƒÎşÎżĎ€ĎŒ τΡ ĎƒĎ…Î˝ÎżÎťÎšÎşÎŽ ÎąĎ€ÎżĎ„ÎŻÎźÎˇĎƒÎˇ τΡς ÎľĎ€ÎŻÎ´Ď ÎąĎƒÎˇĎ‚ των Ď…Ď€ÎˇĎ ÎľĎƒÎšĎŽÎ˝ Î´ÎšÎąĎ„Ď ÎżĎ†ÎŽĎ‚ ĎƒĎ„ÎˇÎ˝ υγξίι του Ď€ÎťÎˇÎ¸Ď…ĎƒÎźÎżĎ?. μΛΙΚÎ&#x;-ΜΕΘÎ&#x;ΔÎ&#x;ÎŁ: ΑνιΜΡτΎθΡκιν κιΚ ĎƒĎ…Î˝ÎżĎˆÎŻĎƒĎ„ÎˇÎşÎąÎ˝ ΟξΝÎτξς που Îχουν ÎąĎ€ÎżĎ„ÎšÎźÎŽĎƒÎľÎš τΚς ĎƒĎ…ĎƒĎ‡ÎľĎ„ÎŻĎƒÎľÎšĎ‚ ΟξτιΞĎ? των Î´ÎšÎąĎ„Ď ÎżĎ†ÎšÎşĎŽÎ˝ κιΚ ΏΝΝων Ď…Ď€ÎˇĎ ÎľĎƒÎšĎŽÎ˝ υγξίις (Ď€.χ Î´ÎšÎąÎ¸ÎľĎƒÎšÎźĎŒĎ„ÎˇĎ„Îą ÎšÎąĎ„Ď ĎŽÎ˝ Îş.Νπ.) ĎƒĎ„Îˇ ÎźÎąÎşĎ ÎżÎśĎ‰ÎŻÎą κιΚ Ď„Îą ξπίπξδο υγξίις (ÎąÎ˝ÎąÎśÎŽĎ„ÎˇĎƒÎˇ ĎƒĎ„Îż PubMed, EMBASE, Scopus Îως τον Î™ÎąÎ˝ÎżĎ…ÎŹĎ ÎšÎż του 2012). ΑΠÎ&#x;Î¤Î•Î›Î•ÎŁÎœÎ‘Î¤Î‘: ÎœÎšÎşĎ ĎŒĎ‚ ÎąĎ ÎšÎ¸ÎźĎŒĎ‚ ΟξΝξτών ÎχξΚ ÎąĎ€ÎżĎ„ÎšÎźÎŽĎƒÎľÎš τον Ď ĎŒÎťÎż των Ď…Ď€ÎˇĎ ÎľĎƒÎšĎŽÎ˝ υγξίις ĎƒĎ„Îż ξπίπξδο υγξίις του Ď€ÎťÎˇÎ¸Ď…ĎƒÎźÎżĎ?. Η Ď€ÎťÎľÎšÎżĎˆÎˇĎ†ÎŻÎą τους ινιφÎĎ ÎľÎš ÎľĎ…ÎľĎ ÎłÎľĎ„ÎšÎşÎŽ ÎľĎ€ÎŻÎ´Ď ÎąĎƒÎˇ ΟξτιΞĎ? τΡς ĎƒĎ…Ď‡Î˝ĎŒĎ„ÎˇĎ„ÎąĎ‚ των ÎšÎąĎ„Ď ĎŽÎ˝ κιΚ τΡς Î¸Î˝ÎˇĎƒÎšÎźĎŒĎ„ÎˇĎ„ÎąĎ‚. Î‘ÎşĎŒÎźÎˇ, ÎżĎ ÎšĎƒÎźÎνξς ΟξΝÎτξς ινÎĎ†ÎľĎ ÎąÎ˝ ÎąĎƒÎ¸ÎľÎ˝ÎľÎŻĎ‚ ÎŽ ÎşÎąÎ¸ĎŒÎťÎżĎ… ĎƒĎ…ĎƒĎ‡ÎľĎ„ÎŻĎƒÎľÎšĎ‚ ΟξτιΞĎ? τΡς Î´ÎšÎąÎ¸ÎľĎƒÎšÎźĎŒĎ„ÎˇĎ„ÎąĎ‚ ÎšÎąĎ„Ď ĎŽÎ˝ κιΚ τΡς ÎźÎąÎşĎ ÎżÎśĎ‰ÎŻÎąĎ‚. Î‘Ď€ĎŒ τΡν ΏΝΝΡ ÎźÎľĎ ÎšÎŹ, οΚ Î´ÎšÎąĎ„Ď ÎżĎ†ÎšÎşÎĎ‚ Ď…Ď€ÎˇĎ ÎľĎƒÎŻÎľĎ‚ φιίνξτιΚ νι ĎƒĎ…Î˝ÎľÎšĎƒĎ†Î-
Î”ÎˇÎźÎżĎƒÎ¸ÎνΡς Î’. ΠινιγΚωτΏκος, PhD ΠιΝιΚών Î ÎżÎťÎľÎźÎšĎƒĎ„ĎŽÎ˝ 46, 166 74 ΓΝυφΏδι, ΑθΎνι ΤΡΝ.: 210-96 03 116, Fax.: 210-96 00 719 e-mail: d.b.panagiotakos@usa.net Š 2013 ΕΝΝΡνΚκΎ Î•Ď„ÎąÎšĎ ÎľÎŻÎą Î‘Î¸ÎˇĎ ÎżĎƒÎşÎťÎŽĎ Ď‰ĎƒÎˇĎ‚
Demosthenes B. Panagiotakos, PhD 46 Paleon Polemiston street, GR-166 74 Glyfada, Athens, Greece Τel.: (+30) 210-96 03 116, Fax.: (+30) 210-96 00 719 e-mail: d.b.panagiotakos@usa.net