Greece is a country where in the original 7 countries study the prevalence of myocardial infarction in rural Greece was only 0.3% in middle aged men. Now the prevalence is comparable to the USA and rising. This is in contrast to other countries where the prevalence is falling.
Importantly here is a country where the Mediterranean diet is the rule. Or is it any more. Diets are changing , modes of life are changing, smoking is increasing as is the prevalence of diabetes, smoking, high blood pressure hypercholesterolaemia.
Who knows if the amount and type of cigarette is important. But why are people abandoning their traditional food for a more unhealthy diet? Or is there another element to this story?
Gikas et al 2008 Prevalence trends for myocardial infarction and conventional risk factors among Greek adults ( 2002-06) QJM vol 101 705-712
Birtwhistle What ever happened to the Mediterranean diet 2008 vol 101 741-742

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Martin Eastwood

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