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International Journal of Epidemiology 2001;30:1076-1077
© International Epidemiological Association 2001

Cardiovascular disease and Diabetes

Commentary: Mediterranean paradoxes continue to provoke

John Powles

Department of Public Health and Primary Care, Institute of Public Health, Robinson Way, Cambridge CB2 2SR, jwp11@cam.ac.uk

In this issue of the International Journal of Epidemiology Jamrozik and colleagues ask whether the 'Mediterranean paradox' confers protection against abdominal aortic aneurisms (AAA) in addition to its traditionally cited protection against ischaemic heart disease.1 They seek answers to this question not in populations still living in the Mediterranean but in those who have migrated to Australia.

The authors conducted a trial of ultrasound screening for AAA in Perth, Western Australia. Of the 12 203 screened men, 1163 had been born in the Mediterranean region, 333 in Scotland, 258 in the Netherlands and 2801 elsewhere in northern Europe. The 'Mediterranean' subjects were, on average, about 5 cm shorter than the other birthplace groups. The diameter of the aorta was related to height, so the authors sought to control confounding from this source by multiplying . . . [Full Text of this Article]

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