1
|
Vásquez-Gómez J, Álvarez C, Concha-Cisternas Y, Beltrán AR, Díaz-Martínez X, Cigarroa I, Parra-Soto S, Petermann-Rocha F, Celis-Morales C. [Association of cardiorespiratory fitness with adiposity markers]. Rev Med Chil 2022; 150:1152-1161. [PMID: 37358125 DOI: 10.4067/s0034-98872022000901152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Accepted: 04/26/2022] [Indexed: 06/27/2023]
Abstract
BACKGROUND Cardiorespiratory fitness (CRF) is inversely associated with metabolic diseases and adiposity markers. AIM To assess the association of CRF with body mass index (BMI), waist circumference (WC) and obesity in a representative sample of the Chilean population. MATERIAL AND METHODS Data from 5,958 participants in the Chilean National Health Survey 2016-1027 aged 15 years or above were analyzed. CRF was estimated by an equation that included sociodemographic, anthropometric and health-related data and expressed in metabolic equivalent units (METs). The association between CRF and adiposity was assessed using linear and Poisson regression models and the results were presented as Prevalence Ratio (PR). RESULTS One MET increment in CRF was associated with a 3.27 kg/m2 (95% confidence intervals (CI): -3.35; -3.2) and 4.56 kg/m2 (95% CI: -4.67; -4.46) lower BMI in men and women, respectively. Waist circumference was 6.7 cm [95% CI: -6.98; -6.42] and 9 cm [95% CI: -9.33; -8.67] lower per 1-MET increment in CRF. With one MET increment, the probability of being obese was 34% (PR = 0.66 [95%CI: 0.63; 0.69]) and 36% (PR = 0.64 [95%CI: 0.61; 0.67]) lower in men and women, respectively. The probability of having a central obesity was 26% (PR = 0.74 [95%CI: 0.71; 0.77]) and 30% (PR = 0.70 [95%CI: 0.68; 0.73]) lower in men and women, respectively. CONCLUSIONS A higher estimated CRF was associated with lower adiposity levels and a lower risk of being obese in both men and women. Public health policies aiming to increase physical activity are needed to increase the CRF of the Chilean population.
Collapse
Affiliation(s)
- Jaime Vásquez-Gómez
- Centro de Investigación de Estudios Avanzados del Maule, Universidad Católica del Maule, Talca, Chile
| | - Cristian Álvarez
- School of Physical Therapy, Faculty of Rehabilitation Sciences, Universidad Andres Bello, Santiago, Chile
| | | | - Ana Rosa Beltrán
- Departamento de Educación, Facultad de Educación, Universidad de Antofagasta, Antofagasta, Chile
| | | | - Igor Cigarroa
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomas, Chile
| | - Solange Parra-Soto
- Departamento de Nutrición y Salud Pública, Facultad Ciencias de la Salud y de los Alimentos, Universidad del Bío-Bío, Chillán, Chile
| | - Fanny Petermann-Rocha
- School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, United Kingdom
| | - Carlos Celis-Morales
- School of Cardiovascular and Metabolic Health, University of Glasgow, Glasgow, United Kingdom
| |
Collapse
|
2
|
Muñoz-Fonseca F, Concha-Cisternas Y, Díaz-Martínez X, Celis-Morales C, Zapata-Lamana R, Cigarroa I. Efectos en la capacidad funcional de un programa de ejercicio físico terapéutico basado en telesalud en personas con diagnóstico de osteoartritis de rodilla y cadera. Rev Med Chil 2022; 150:33-45. [DOI: 10.4067/s0034-98872022000100033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/05/2021] [Accepted: 09/22/2021] [Indexed: 11/17/2022]
|
3
|
Matus-Castillo C, Garrido-Méndez A, Concha-Cisternas Y, Poblete-Valderrama F, Vásquez-Gómez J, Cigarroa I, Díaz-Martínez X, Martínez-Sanguinetti MA, Beltrán AR, Martorell M, Ramírez-Alarcón K, Salas-Bravo C, Lasserre-Laso N, Parra-Soto S, Petermann-Rocha F, Celis-Morales C. Niveles de actividad física y tiempo sedente según ingreso económico en Chile: resultados de la Encuesta Nacional de Salud 2016-2017. Rev Med Chil 2021; 149:1450-1458. [DOI: 10.4067/s0034-98872021001001450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Accepted: 07/12/2021] [Indexed: 11/17/2022]
|
4
|
Vásquez-Gómez JA, Garrido-Méndez A, Matus-Castillo C, Poblete-Valderrama F, Díaz-Martínez X, Concha-Cisternas Y, Cigarroa I, Martorell M, Martínez-Sanguinetti MA, Leiva-Ordoñez AM, Petermann-Rocha F, Celis-Morales C. [Sociodemographic Patterning of Cardiorespiratory Fitness Derived by Equation in the Chilean Population: Findings from the Chilean Health Survey 2016-2017]. Rev Med Chil 2021; 148:1750-1758. [PMID: 33844740 DOI: 10.4067/s0034-98872020001201750] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Accepted: 11/19/2020] [Indexed: 11/17/2022]
Abstract
BACKGROUND Cardiorespiratory fitness is a strong predictor of mortality and chronic diseases. However, its estimation is costly and time consuming which may limit it broad use in population-based studies. AIM To estimate the cardiorespiratory fitness of the Chilean population by using equations and to characterize fitness levels of the Chilean population by sociodemographic factors. MATERIAL AND METHODS This cross-sectional study included 5,958 adults from the Chilean Health Survey conducted between 2016 and 2017. Cardiorespiratory fitness was estimated from sex-specific equations for men and women and expressed as METs (Energy Metabolic Equivalent). Fitness levels were characterized by sociodemographics factors (age, sex, education, income and area of residency). RESULTS Fitness levels were higher in men (9.01 METs) than in women (6.76 METs) and in average decrease by 0.59 and 0.34 METs per each year increment in age for men and women, respectively. Fitness levels were 12.7 METs and 7.8 METs for 20-year-old men and women, respectively. However, fitness levels decreased to 7.8 METs and 4.3 METs in 90-year-old men and women, respectively. Fitness levels were also higher in individuals living in urban setting, those with higher education or income levels and lean individuals. CONCLUSIONS This study reports fitness levels in a nationally representative sample of Chile. Fitness levels were higher in men than women however, its decline with age was more pronounce in men than women.
Collapse
Affiliation(s)
- Jaime A Vásquez-Gómez
- Centro de Investigación de Estudios Avanzados del Maule (CIEAM), Vicerrectoría de Investigación y Postgrado, Universidad Católica del Maule, Talca, Chile
| | - Alex Garrido-Méndez
- Departamento de Ciencias del Deporte y Acondicionamiento Físico, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Carlos Matus-Castillo
- Departamento de Ciencias del Deporte y Acondicionamiento Físico, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Felipe Poblete-Valderrama
- Departamento de Ciencias del Deporte y Acondicionamiento Físico, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Ximena Díaz-Martínez
- Departamento Ciencias de la Educación, Grupo de Investigación de Calidad de Vida, Universidad del Bío-Bío, Chillán, Chile
| | | | - Igor Cigarroa
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Chile
| | - Miquel Martorell
- Departamento de Nutrición y Dietética, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | | | - Ana María Leiva-Ordoñez
- Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | - Fanny Petermann-Rocha
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, United Kingdom
| | - Carlos Celis-Morales
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, United Kingdom
| |
Collapse
|
5
|
Troncoso-Pantoja C, Concha-Cisternas Y, Leiva-Ordoñez AM, Martínez-Sanguinetti MA, Petermann-Rocha F, Díaz-Martínez X, Martorell M, Nazar G, Ulloa N, Cigarroa-Cuevas I, Albala C, Márquez C, Lera L, Celis-Morales C. [Prevalence of frailty among Chilean older people]. Rev Med Chil 2021; 148:1418-1426. [PMID: 33844711 DOI: 10.4067/s0034-98872020001001418] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2019] [Accepted: 09/23/2020] [Indexed: 11/17/2022]
Abstract
BACKGROUND The assessment of frailty among older people could help to reduce its social and health burden. AIM To determine and characterize the prevalence of frailty in Chilean older adults. MATERIAL AND METHODS We studied 233 participants, aged > 60 years, participating in the Chilean National Health Survey 2016-2017. Frailty was assessed using modified Fried criteria. Thus, people classified as frail should meet at least 3 out of the 5 criteria (low strength, low physical activity, low body mass index, slow walking pace and tiredness). RESULTS The prevalence of frailty was 10.9% (7.7% for men and 14.1% for women). The prevalence of pre-frailty was 59.0% whereas 30.1% of participants were classified as robust. At the age of 80 years 58 and 62% of men and women were frail, respectively. These figures increased to 90 and 87% at the age of 90 years. The prevalence of pre-frailty increased from 43 to 92.1% among men and from 76% and 78% among women from the ages of 60 to 90 years, respectively. CONCLUSIONS The prevalence of frailty increased markedly with age. It is important to implement prevention strategies to allow an early identification of high-risk individuals.
Collapse
Affiliation(s)
- Claudia Troncoso-Pantoja
- Departamento de Salud Pública, Facultad de Medicina, CIEDE-UCSC, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | | | - Ana María Leiva-Ordoñez
- Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | | | | | - Ximena Díaz-Martínez
- Grupo de Investigación Calidad de Vida en distintas poblaciones, Departamento de Ciencias de la Educación, Universidad del Biobío, Chillán, Chile
| | - Miquel Martorell
- Departamento de Nutrición y Dietética, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | - Gabriela Nazar
- Departamento de Psicología, Facultad de Ciencias Sociales, Universidad de Concepción, Concepción, Chile
| | - Natalia Ulloa
- Departamento de Bioquímica Clínica e Inmunología, Facultad de Farmacia y Centro de Vida Saludable, Universidad de Concepción, Concepción, Chile
| | | | - Cecilia Albala
- Instituto de Nutrición y Tecnología de los Alimentos (INTA), Universidad de Chile, Chile
| | - Carlos Márquez
- Instituto de Nutrición y Tecnología de los Alimentos (INTA), Universidad de Chile, Chile
| | - Lydia Lera
- Instituto de Nutrición y Tecnología de los Alimentos (INTA), Universidad de Chile, Chile
| | - Carlos Celis-Morales
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom
| |
Collapse
|
6
|
Castillo-Paredes A, Inostroza Jiménez N, Parra-Saldías M, Palma-Leal X, Felipe JL, Págola Aldazabal I, Díaz-Martínez X, Rodríguez-Rodríguez F. Environmental and Psychosocial Barriers Affect the Active Commuting to University in Chilean Students. Int J Environ Res Public Health 2021; 18:ijerph18041818. [PMID: 33668427 PMCID: PMC7918915 DOI: 10.3390/ijerph18041818] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Revised: 01/22/2021] [Accepted: 02/02/2021] [Indexed: 12/21/2022]
Abstract
Biking and walking are active commuting, which is considered an opportunity to create healthy habits. Objective: The purpose of this study was to determine the main environmental and psychosocial barriers perceived by students, leading to less Active Commuting (AC) to university and to not reaching the Physical Activity (PA) recommendations. Material and Methods: In this cross-sectional study, 1349 university students (637 men and 712 women) were selected. A self-reported questionnaire was applied to assess the mode of commuting, PA level and barriers to the use of the AC. Results: Women presented higher barriers associated with passive commuting than men. The main barriers for women were “involves too much planning” (OR: 5.25; 95% CI: 3.14–8.78), “It takes too much time” (OR: 4.62; 95% CI: 3.05–6.99) and “It takes too much physical effort “ (OR: 3.18; 95% CI: 2.05–4.94). In men, the main barriers were “It takes too much time” (OR: 4.22; 95% CI: 2.97–5.99), “involves too much planning” (OR: 2.49; 95% CI: 1.67–3.70) and “too much traffic along the route” (OR: 2.07; 95% CI: 1.47–2.93). Psychosocial barriers were found in both sexes. Conclusions: Psychosocial and personal barriers were more positively associated with passive commuting than environmental barriers. Interventions at the university are necessary to improve the perception of AC and encourage personal organization to travel more actively.
Collapse
Affiliation(s)
- Antonio Castillo-Paredes
- Grupo AFySE, Investigación en Actividad Física y Salud Escolar, Escuela de Pedagogía en Educación Física, Facultad de Educación, Universidad de Las Américas, Santiago 8370035, Chile
- Correspondence: ; Tel.: +56-988388592
| | - Natalia Inostroza Jiménez
- Área Salud, Universidad Tecnológica de Chile INACAP, La Serena 1700000, Chile;
- Magíster en Nutrición para la Actividad Física y el Deporte, Escuela de Nutrición y Dietética, Facultad de Ciencias, Universidad Mayor, Santiago 8580745, Chile
| | - Maribel Parra-Saldías
- IRyS Research Group, School of Physical Education, Pontificia Universidad Católica de Valparaíso, Valparaíso 2374631, Chile; (M.P.-S.); (X.P.-L.); (F.R.-R.)
| | - Ximena Palma-Leal
- IRyS Research Group, School of Physical Education, Pontificia Universidad Católica de Valparaíso, Valparaíso 2374631, Chile; (M.P.-S.); (X.P.-L.); (F.R.-R.)
| | - José Luis Felipe
- School of Sport Sciences, Universidad Europea de Madrid, 28670 Madrid, Spain; (J.L.F.); (I.P.A.)
| | - Itziar Págola Aldazabal
- School of Sport Sciences, Universidad Europea de Madrid, 28670 Madrid, Spain; (J.L.F.); (I.P.A.)
| | - Ximena Díaz-Martínez
- Quality of Life Research Group in Different Populations, Department of Education Sciences, Universidad del Bíobío, Chillan 3800949, Chile;
| | - Fernando Rodríguez-Rodríguez
- IRyS Research Group, School of Physical Education, Pontificia Universidad Católica de Valparaíso, Valparaíso 2374631, Chile; (M.P.-S.); (X.P.-L.); (F.R.-R.)
| |
Collapse
|
7
|
Garrido-Méndez Á, Matus-Castillo C, Poblete-Valderrama F, Flores-Rivera C, Petermann-Rocha F, Rodríguez-Rodríguez F, Vásquez-Gómez J, Díaz-Martínez X, Beltrán AR, Celis-Morales C. [Association of physical inactivity with low levels of education]. Rev Med Chil 2020; 148:295-303. [PMID: 32730373 DOI: 10.4067/s0034-98872020000300295] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2019] [Accepted: 03/09/2020] [Indexed: 11/17/2022]
Abstract
BACKGROUND A higher educational level is associated with healthier lifestyles. AIM To assess the association between the level of compliance with physical activity recommendations and years of formal education in Chilean adults. MATERIAL AND METHODS Analysis include 6,174 participants from the National Health Survey 2016-2017. Physical activity levels were assessed through the Global Physical Questionnaire (GPAQ v2). Physical inactivity was defined as < 600 MET/minute/week. RESULTS Among subjects without education, 44% and 27% of women and men respectively, were physically inactive. Among women and men with the highest number of years of education (> 16) the figures for physical inactivity were 27% and 15% respectively. The odds for not meeting the physical activity recommendations was 2.3 [95% confidence intervals (CI): 1.57; 3.38] and 3.9 [95% CI: 2.27; 6.95] in women and men without any formal education respectively, as compared with those who reported 12 years of education. Women and men who reported a high level of education ≥ (16 years) did not show significant differences compared to the reference group. CONCLUSIONS People with low levels of education are were likely to be physically inactive.
Collapse
Affiliation(s)
- Álex Garrido-Méndez
- Departamento de Ciencias del Deporte y Acondicionamiento Físico, Facultad de Educación, Universidad Católica de la Santísima Concepción, Chile
| | - Carlos Matus-Castillo
- Departamento de Ciencias del Deporte y Acondicionamiento Físico, Facultad de Educación, Universidad Católica de la Santísima Concepción, Chile
| | - Felipe Poblete-Valderrama
- Facultad de Salud, Escuela de Ciencias del Deporte y Actividad Física, Universidad Santo Tomás, Sede Valdivia, Chile
| | - Carol Flores-Rivera
- Facultad de Educación y Ciencias Sociales, Universidad Andrés Bello, Sede Concepción, Chile
| | | | | | | | | | - Ana Rosa Beltrán
- Departamento de Educación, Universidad de Antofagasta, Antofagasta, Chile
| | - Carlos Celis-Morales
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, United Kingdom
| |
Collapse
|
8
|
Martorell M, Labraña AM, Ramírez-Alarcón K, Díaz-Martínez X, Garrido-Méndez A, Rodríguez-Rodríguez F, Cigarroa I, Vásquez J, Concha Y, Martínez-Sanguinetti MA, Leiva AM, Álvarez C, Petermann-Rocha F, Salas-Bravo C, Celis-Morales C. [Comparison between self-reported and device measured physical activity according to nutritional status]. Rev Med Chil 2020; 148:37-45. [PMID: 32730434 DOI: 10.4067/s0034-98872020000100037] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Accepted: 11/11/2019] [Indexed: 11/17/2022]
Abstract
BACKGROUND It is unknown if nutritional status could influence the accuracy of self-reported physical activity (PA) levels. AIM To compare PA measured using the international physical activity questionnaire (IPAQ) and by accelerometry (ActiGraph) according to nutritional status in Chilean adults. MATERIAL AND METHODS This is an observational cross-sectional study that used information from the GENADIO project carried out in Chile between 2009-2011. The sample consisted of 322 people. PA levels and sitting time were determined through the IPAQ self-report questionnaire and ActiGraph accelerometers (GTM1). The nutritional status was determined according to body mass index (BMI). RESULTS Compared with the measurement made with accelerometry, the IPAQ self-report questionnaire underestimated the levels of light PA, total PA and sedentary time in -171.5, -54.8 and -40.6 min / day, respectively. However, IPAQ overestimated the levels of moderate PA and vigorous PA in 91.0 and 47.3 min/day respectively, compared with accelerometry. Compared with normal weight, obese subjects reported higher levels of moderate PA (105.5 and 48.9 min/day, respectively) and vigorous PA (54.1 and 38.3 min/day respectively). Total PA had a greater delta of underestimation between IPAQ and accelerometer measurements in normal weight than in obese subjects (-122.1 vs -16.5 min/day, respectively). CONCLUSIONS The measurement of PA by means of a self-report questionnaire was discrepant with its objective measurement with an accelerometer. The discrepancy is even higher in obese people.
Collapse
Affiliation(s)
- Miquel Martorell
- Departamento de Nutrición y Dietética, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | - Ana María Labraña
- Departamento de Nutrición y Dietética, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | - Karina Ramírez-Alarcón
- Departamento de Nutrición y Dietética, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | - Ximena Díaz-Martínez
- Departamento de Ciencias de la Educación, Universidad del Bío-Bío, Chillán, Chile
| | - Alex Garrido-Méndez
- Departamento de Ciencias del Deporte y Acondicionamiento Físico, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | | | - Igor Cigarroa
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Chile
| | - Jaime Vásquez
- Vicerrectoría de Investigación y Postgrado, Universidad Católica del Maule, Talca, Chile
| | - Yeny Concha
- Universidad Tecnológica de Chile INACAP, Chile
| | | | - Ana María Leiva
- Facultad de Medicina, Instituto de Anatomía, Universidad Austral de Chile, Valdivia, Chile
| | - Cristian Álvarez
- Departamento de Ciencias de La Actividad Física, Universidad de Los Lagos, Chile
| | - Fanny Petermann-Rocha
- Institute of Health and Wellbeing, University of Glasgow, University of Glasgow, Glasgow, United Kingdom
| | - Carlos Salas-Bravo
- Departamento de Educación Física, Facultad de Educación, Universidad de Concepción, Concepción, Chile
| | - Carlos Celis-Morales
- Institute of Health and Wellbeing, University of Glasgow, University of Glasgow, Glasgow, United Kingdom
| |
Collapse
|
9
|
Concha-Cisternas Y, Martínez-Sanguinetti MA, Leiva AM, Garrido-Méndez A, Matus-Castillo C, Díaz-Martínez X, Salas C, Ramírez-Alarcón K, Martorell M, Cigarroa I, Lassarre-Laso N, Troncoso C, Ferrari GLDM, Labraña AM, Parra S, Petermann-Rocha F, Celis-Morales C. [Physical activity and sedentary behaviors among people with cancer]. Rev Med Chil 2020; 148:168-177. [PMID: 32730493 DOI: 10.4067/s0034-98872020000200168] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2019] [Accepted: 01/15/2020] [Indexed: 11/17/2022]
Abstract
BACKGROUND One of the side effects of cancer treatment is a low level of physical activity (PA) due to fatigue and pain. AIM To quantify PA levels in Chilean people with cancer. MATERIAL AND METHODS Analysis of the National Health Survey 2016-2017 including 6,233 participants, comparing those with and without a self-report of cancer was conducted. Levels of PA and sitting time were assessed using the Global Physical Activity Questionnaire. RESULTS 3% of participants [confidence intervals (CI): 2.6; 3.9] reported having cancer and 34% [95% CI: 22.7; 46.7] of these reported being physically inactive, compared to 25% [95% CI: 22.5; 27,3] of those without cancer. Participants with cancer performed 56 and 77 minutes/day lower vigorous and total PA than participants without cancer. No differences between groups were observed for commuting PA, moderate PA and sedentary time. Lower level of PA was independent of the years elapsed since the diagnosis of cancer. CONCLUSIONS People with cancer are less physically active than their counterparts without the disease.
Collapse
Affiliation(s)
| | | | - Ana María Leiva
- Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | - Alex Garrido-Méndez
- Departamento de Ciencias del Deporte y Acondicionamiento Físico, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Carlos Matus-Castillo
- Departamento de Ciencias del Deporte y Acondicionamiento Físico, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | | | - Carlos Salas
- Departamento de Educación Física, Facultad de Educación, Universidad de Concepción, Concepción, Chile
| | - Karina Ramírez-Alarcón
- Departamento Nutrición y Dietética, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | - Miquel Martorell
- Departamento Nutrición y Dietética, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | - Igor Cigarroa
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Chile
| | | | - Claudia Troncoso
- Departamento de Salud Pública, Facultad de Medicina, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | | | - Ana María Labraña
- Departamento de Nutrición y Dietética, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | - Solange Parra
- Institute of Health and Wellbeing, University of Glasgow, Glasgow, UK
| | | | - Carlos Celis-Morales
- Centro de Investigación en Fisiología del Ejercicio (CIFE), Universidad Mayor, Chile
| |
Collapse
|
10
|
Medina I, Petermann-Rocha F, Waddell H, Díaz-Martínez X, Matus-Castillo C, Cigarroa I, Concha-Cisternas Y, Salas-Bravo C, Martínez-Sanguinetti MA, Celis-Morales C. Association between Different Modes of Travelling and Adiposity in Chilean Population: Findings from the Chilean National Health Survey 2016-2017. Int J Environ Res Public Health 2020; 17:ijerph17103731. [PMID: 32466197 PMCID: PMC7277509 DOI: 10.3390/ijerph17103731] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/21/2020] [Revised: 05/19/2020] [Accepted: 05/22/2020] [Indexed: 01/14/2023]
Abstract
BACKGROUND Active travel has been suggested as a feasible way of increasing physical activity levels. Although international studies have demonstrated its effect over different health outcomes and adiposity, there is still limited evidence on this topic in developing countries, such as Chile. AIM To investigate the associations between different types of travelling and markers of obesity in the Chilean adult population. METHODS 5411 participants from the Chilean National Health Survey 2016-2017 (CNHS) were included in this study. Active travel was assessed using a questionnaire. Car commuters, public transport (PT), walking and cycling were the four forms of travelling assessed. Bodyweight, body mass index and waist circumference were used as markers of adiposity. RESULTS Compared to car travellers, body weight, WC and BMI levels were lower for PT walking and cycling travellers. The odds for obesity (Odds ratio (OR): 0.41 (95% CI: 0.28; 0.61 p ≤ 0.001) were lower for walking and the odds (OR: 0.56 (95%CI: 0.35; 0.89 p = 0.014) for central obesity were significantly lower for cyclist in comparison to car travellers. Additionally, participation in any form of active travel (walking or cycling) was low, with only 20.9% of the population reporting being active travellers. CONCLUSION Active travel, such as walking and cycling, was associated with lower adiposity levels in the Chilean adult population. Promoting active travel could be a feasible strategy to tackle the high prevalence of obesity and physical inactivity in the Chilean population.
Collapse
Affiliation(s)
- Ignacio Medina
- British Heart Foundation Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow G12 8TA, UK; (I.M.); (F.P.-R.); (H.W.)
| | - Fanny Petermann-Rocha
- British Heart Foundation Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow G12 8TA, UK; (I.M.); (F.P.-R.); (H.W.)
- Institute of Health and Wellbeing, University of Glasgow, Glasgow G12 8RZ, UK
| | - Heather Waddell
- British Heart Foundation Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow G12 8TA, UK; (I.M.); (F.P.-R.); (H.W.)
- Institute of Health and Wellbeing, University of Glasgow, Glasgow G12 8RZ, UK
- Medical Research Council Centre for Inflammation Research, The Queen’s Medical Research Institute, The University of Edinburgh, Edinburgh EH16 4TJ, UK
| | - Ximena Díaz-Martínez
- Grupo de Investigación en Calidad de Vida, Departamento de Ciencias de la Educación, Facultad de Educación y Humanidades, Universidad del Biobío, Chillán 378000, Chile
| | - Carlos Matus-Castillo
- Departamento de Ciencias del Deporte y Acondicionamiento Físico, Universidad Católica de la Santísima Concepción, Concepción 4090541, Chile;
| | - Igor Cigarroa
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Santiago 8370003, Chile; (I.C.); (Y.C.-C.)
| | - Yeny Concha-Cisternas
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Santiago 8370003, Chile; (I.C.); (Y.C.-C.)
- Pedagogía en Educación Física, Facultad de Educación, Universidad Autónoma de Chile, Talca 3467987, Chile
| | - Carlos Salas-Bravo
- Departamento de Educación Física, Facultad de Educación, Universidad de Concepción, Concepción 4070386, Chile
| | | | - Carlos Celis-Morales
- British Heart Foundation Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow G12 8TA, UK; (I.M.); (F.P.-R.); (H.W.)
- Institute of Health and Wellbeing, University of Glasgow, Glasgow G12 8RZ, UK
- Centro de Investigación en Fisiología del Ejercicio (CIFE), Universidad Mayor, Santiago 7510041, Chile
- Laboratorio de Rendimiento Humano, Grupo de Estudio en Educación, Actividad Física y Salud (GEEAFyS), Universidad Católica del Maule, Talca 3480112, Chile
- Correspondence: ; Tel.: +562-2518-9701
| | | |
Collapse
|
11
|
Poblete-Valderrama F, Rivera CF, Petermann-Rocha F, Leiva AM, Martínez-Sanguinetti MA, Troncoso C, Mardones L, Villagrán M, Nazar G, Ulloa N, Martorell M, Díaz-Martínez X, Lanuza F, Garrido-Méndez A, Celis-Morales C. [Physical activity and sedentary behaviours are associated with cognitive impairment in Chilean older adults]. Rev Med Chil 2020; 147:1247-1255. [PMID: 32186632 DOI: 10.4067/s0034-98872019001001247] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2018] [Accepted: 09/10/2019] [Indexed: 11/17/2022]
Abstract
BACKGROUND Lifestyle factors could promote healthy ageing. AIM To investigate the association between physical activity (PA), sedentary behavior and cognitive impairment in Chilean older adults. MATERIAL AND METHODS We included 1,390 participants from the National Health Survey (2009-2010). The Mini-Mental State Examination was used to diagnose cognitive impairment. Physical activity and sedentary behavior were assessed with the Global Physical Activity Questionnaire (GPAQ). Logistic regression was performed to investigate the associations. RESULTS Compared with older adults with lower levels of PA (< 48 min/day), those with middle (48-248 min/day) and higher (>248 min/day) levels of PA had lower odds for cognitive impairment (Odds ratio (OR): 0.57 [95% confidence intervals (CI): 0.33; 0.82], p < 0.01 and 0.58 [95% CI: 0.32; 0.83], p < 0.01, respectively). Participants who reported spending more than 8 hours/day sitting had a high odds for cognitive impairment compared to those who spent < 4 hours/day (OR: 3.70 [95% CI: 1.37; 6.03], p = 0.01). CONCLUSIONS Both PA and sedentary behavior were independently associated with cognitive decline independent of major confounding factors in Chilean older adults.
Collapse
Affiliation(s)
| | - Carol Flores Rivera
- Escuela de Salud Pública, Facultad de Medicina, Facultad de Medicina, Santiago, Chile
| | | | - Ana María Leiva
- Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | | | - Claudia Troncoso
- Facultad de Medicina, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Lorena Mardones
- Departamento de Ciencias Básicas, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Marcelo Villagrán
- Departamento de Ciencias Básicas, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Gabriela Nazar
- Departamento de Psicología y Centro Vida Saludable, Universidad de Concepción, Concepción, Chile
| | - Natalia Ulloa
- Departamento de Bioquímica Clínica, Facultad de Farmacia y Centro de Vida Saludable, Universidad de Concepción, Concepción, Chile
| | - Miquel Martorell
- Departamento de Nutrición, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | - Ximena Díaz-Martínez
- Grupo de Investigación Calidad de Vida, Departamento Ciencias de la Educación, Universidad del Biobío, Chillán, Chile
| | - Fabián Lanuza
- Departamento Pediatría y Cirugía Infantil, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile
| | - Alex Garrido-Méndez
- Departamento de Ciencias del Deporte y Acondicionamiento Físico, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Carlos Celis-Morales
- Institute of Health and wellbeing, University of Glasgow, Glasgow, United Kingdom
| |
Collapse
|
12
|
Nazar G, Leiva AM, Troncoso C, Martínez A, Petermann-Rocha F, Villagrán M, Mardones L, Martorell M, Labraña AM, Ulloa N, Díaz-Martínez X, Poblete-Valderrama F, Garrido-Méndez A, Celis-Morales C. [Association between sleep duration and cognitive impairment in older people]. Rev Med Chil 2020; 147:1398-1406. [PMID: 32186600 DOI: 10.4067/s0034-98872019001101398] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2018] [Accepted: 11/07/2019] [Indexed: 11/17/2022]
Abstract
Background Sleep duration may be a risk factor for cognitive impairment. Aim To investigate the association between sleep duration and cognitive function in Chilean older adults. Material and Methods We analyzed information from 1,384 participants aged > 60 years participating in the National Health Survey 2009-2010 who were assessed with the Mini Mental State Examination (MMSE) and self-reported their average daily sleep hours. Logistic regression analysis was performed to investigate the association between MMSE and sleep duration. Results Compared to those participants who reported sleeping 7 hours per day, those that reported sleeping < 5 hours had a higher odd for cognitive impairment (Odds ratio (OR): 3.66 [95% confidence intervals (CI: 1.69; 7.95], p < 0.01). Similarly, those who reported sleeping > 8 hours per day also showed a higher odd for cognitive impairment (OR: 2.56 [95% CI: 1.32; 4.95], p < 0.01). This association was even stronger for people who reported more than 10 hours of sleep per day (OR: 4.46 [95% CI: 1.32; 4.95], p < 0.01). Conclusions Long and short sleep duration is associated with cognitive impairment in older adults in Chile independent of major confounding factors.
Collapse
Affiliation(s)
- Gabriela Nazar
- Departamento de Psicología, Centro Vida Saludable, Universidad de Concepción, Concepción, Chile
| | - Ana María Leiva
- nstituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | - Claudia Troncoso
- Facultad de Medicina, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Adela Martínez
- Instituto de Farmacia, Facultad de Ciencias, Universidad Austral de Chile, Valdivia, Chile
| | | | - Marcelo Villagrán
- Departamento de Ciencias Básicas, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Lorena Mardones
- Departamento de Ciencias Básicas, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Miquel Martorell
- Departamento de Nutrición y Dietética, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | - Ana María Labraña
- Departamento de Nutrición y Dietética, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | - Natalia Ulloa
- Departamento de Bioquímica Clínica e Inmunología, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | | | | | - Alex Garrido-Méndez
- Departamento de Ciencias del Deporte y Acondicionamiento Físico, Facultad de Educación, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Carlos Celis-Morales
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, United Kingdom
| |
Collapse
|
13
|
Martínez-Sanguinetti MA, Leiva AM, Petermann-Rocha F, Troncoso-Pantoja C, Villagrán M, Lanuza-Rilling F, Nazar G, Poblete-Valderrama F, Díaz-Martínez X, Celis-Morales C. [Factors associated with cognitive impairment in older adults in Chile]. Rev Med Chil 2020; 147:1013-1023. [PMID: 31859966 DOI: 10.4067/s0034-98872019000801013] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2019] [Accepted: 08/08/2019] [Indexed: 11/17/2022]
Abstract
BACKGROUND The risk factors for the development of cognitive impairment are not well known. AIM To identify socio-demographic, lifestyle and health-related factors associated with cognitive impairment in older Chilean adults. MATERIAL AND METHODS Data analysis of 1,384 participants ≥ 60 years who participated in the National Health Survey of Chile 2009-2010. Sociodemographic, lifestyle and health-related factors were used as exposure variables of interest. Cognitive impairment was assessed using an abbreviated version of the Mini Mental test and defined as a score < 13 points of a maximum of 19. A logistic regression was used to identify factors associated with cognitive impairment. RESULTS In this sample, the prevalence of cognitive impairment was 11.6 [95% confidence intervals (CI): 8.8; 15.2]. The factors associated with cognitive impairment were age (Odds ratio (OR) for > 76 years: 4.89, p < 0.01), male sex (OR: 2.42, p = 0.02), lower education (OR: 21.6, p < 0.01), physical inactivity (OR: 2.07, p = 0.02), sedentary behavior (OR: 2.23, p = 0.01), sleeping > 9/hours/day (OR: 2.98, p = 0.01), consumption of < 5 portions/day of fruit and vegetables (OR: 2.02, p = 0.05), having an unhealthy lifestyle (OR: 6.10, p = 0.0001), being underweight (OR: 3.67, p < 0.01), obesity (OR: 3.32, p = 0.03), having hearing impairment (OR: 2.26, p = 0.02), having a visual impairment (OR: 3.89, p < 0.01), a history of depression (OR: 3.03, p = 0.01) and having a physical disability (OR: 5.63, p < 0.01). CONCLUSIONS We identified 14 factors associated with cognitive impairment. Although some of these factors were non-modifiable such as age and sex, most of them could be modified by implementing prevention programs aiming to improve lifestyle behaviors in older adults in Chile.
Collapse
Affiliation(s)
| | - Ana María Leiva
- Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | | | - Claudia Troncoso-Pantoja
- Departamento de Salud Pública, Facultad de Medicina, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Marcelo Villagrán
- Departamento de Ciencias Básicas, Facultad de Medicina, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Fabián Lanuza-Rilling
- Departamento de Pediatría y Cirugía infantil, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile
| | - Gabriela Nazar
- Departamento de Psicología y Centro de Vida Saludable, Facultad de Ciencias Sociales, Universidad de Concepción, Concepción, Chile
| | | | - Ximena Díaz-Martínez
- Departamento de Ciencias de la Educación, Facultad de Educación y Humanidades, Universidad del Biobío, Chillán, Chile
| | - Carlos Celis-Morales
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, United Kingdom
| |
Collapse
|
14
|
Cristi-Montero C, Steell L, Petermann F, Garrido-Méndez A, Díaz-Martínez X, Salas-Bravo C, Ramirez-Campillo R, Alvarez C, Rodriguez F, Aguilar-Farias N, Martinez MA, Leiva AM, Poblete-Valderrama F, Willis ND, Celis-Morales CA. Joint effect of physical activity and sedentary behaviour on cardiovascular risk factors in Chilean adults. J Public Health (Oxf) 2019; 40:485-492. [PMID: 29045709 DOI: 10.1093/pubmed/fdx134] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2017] [Accepted: 09/13/2017] [Indexed: 11/12/2022] Open
Abstract
Background To investigate the associations between combined categories of moderate-to-vigorous physical activity (MVPA) and sedentary behaviour (SB) with markers of adiposity and cardiovascular risk in adults. Methods Overall, 5040 participants (mean age 46.4 years and 59.3% women) from the cross-sectional Chilean National Health Survey 2009-2010 were included in this study. MVPA and SB were measured using the Global Physical Activity questionnaire. Four categories were computed using MVPA- and SB-specific cut-offs ('High-SB & Active', 'Low-SB & Active', 'High-SB & Inactive' and 'Low-SB & Inactive'). Results Compared to the reference group ('High-SB & Inactive'), those in 'High-SB & Active' and 'Low-SB & Active' were less likely to have an obese BMI (OR: 0.67 [0.54; 0.85], P = 0.0001 and 0.74 [0.59; 0.92] P = 0.0007, respectively) and less likely to have metabolic syndrome (OR: 0.63 [0.49; 0.82], P < 0.0001 and 0.72 [0.57; 0.91], P = 0.007), central obesity (OR: 0.79 [0.65; 0.96], P = 0.016 and 0.71 [0.59; 0.84], P < 0.0001), diabetes (OR: 0.45 [0.35; 0.59], P < 0.0001 and 0.44 [0.34; 0.56], P < 0.0001) and hypertension (OR: 0.52 [0.43; 0.63], P < 0.0001 and 0.60 [0.50; 0.72], P < 0.0001), respectively. Conclusions Being physically active and spending less time in SBs was associated with lower adiposity and improvements in cardiovascular risk factors.
Collapse
Affiliation(s)
- Carlos Cristi-Montero
- Grupo IRyS, Escuela de Educación Física, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile
| | - Lewis Steell
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, UK
| | - Fanny Petermann
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, UK
| | | | - Ximena Díaz-Martínez
- Grupo de Investigación Calidad de Vida y Estilos de vida saludables, Facultades de Educación y Humanidades, Universidad del Bío-Bío, Chillan, Chile
| | - Carlos Salas-Bravo
- Departamento de Educación Física, Facultad de Educación, Universidad de Concepción, Concepción, Chile
| | - Rodrigo Ramirez-Campillo
- Departamento de Ciencias de la Actividad Física, Núcleo de Investigación en Salud, Actividad Física y Deporte, Universidad de los Lagos, Osorno, Chile
| | - Cristian Alvarez
- Departamento de Ciencias de la Actividad Física, Núcleo de Investigación en Salud, Actividad Física y Deporte, Universidad de los Lagos, Osorno, Chile
| | - Fernando Rodriguez
- Grupo IRyS, Escuela de Educación Física, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile
| | - Nicolas Aguilar-Farias
- Departamento de Educación Física, Deportes y Recreación, Universidad de La Frontera, Temuco, Chile
| | - Maria A Martinez
- Instituto de Farmacia, Facultad de Ciencias, Universidad Austral de Chile, Valdivia, Chile
| | - Ana M Leiva
- Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | | | - Naomi D Willis
- Human Nutrition Research Centre, Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK
| | - Carlos A Celis-Morales
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, UK.,Human Nutrition Research Centre, Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK.,Centro de Fisiología y Biomecánica, Universidad Mayor, Santiago, Chile
| |
Collapse
|
15
|
Díaz-Martínez X, Steell L, Martinez MA, Leiva AM, Salas-Bravo C, Labraña AM, Duran E, Cristi-Montero C, Livingstone KM, Garrido-Méndez A, Alvarez C, Poblete-Valderrama F, Luisa Zagalaz M, Valdivia-Moral P, Cuadra L, Ulloa N, Willis ND, Celis-Morales CA. Higher levels of self-reported sitting time is associated with higher risk of type 2 diabetes independent of physical activity in Chile. J Public Health (Oxf) 2019; 40:501-507. [PMID: 28977545 DOI: 10.1093/pubmed/fdx091] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2017] [Accepted: 07/04/2017] [Indexed: 11/14/2022] Open
Abstract
Background Sitting behaviours have increased markedly during the last two decades in Chile. However, their associations with health outcomes such as diabetes have not been reported. Therefore, the aim of this study was to investigate the independent association of self-reported sitting time with diabetes-related markers and diabetes prevalence in Chile. Methods This cross-sectional study included participants (aged ≥18 years) from the Chilean National Health Survey 2009-10 (n = 4457). Fasting glucose and haemoglobin A1c (HbA1c) were measured by standardized protocols. The prevalence of type 2 diabetes (T2D) was determined using WHO criteria. Physical activity (PA) and time spent sitting were determined using the Global Physical Activity Questionnaire (GPAQ). Results The odds ratio for T2D was 1.10 [95% CI: 1.04-1.16, P = 0.002] and 1.08 [1.02-1.14, P = 0.002] per 1 h increase in sitting time in men and women, respectively, independent of age, education, smoking, BMI and total PA. Overall, prevalence of T2D was 10.2 and 17.2% in individuals classified in the lowest and highest categories of sitting time, respectively. No significant associations were found between sitting time and glucose or HbA1c. Conclusions Sitting time is positively associated with diabetes risk, independent of socio-demographic, obesity and PA levels, in the Chilean population.
Collapse
Affiliation(s)
- Ximena Díaz-Martínez
- Quality of Life Research Group, Department of Education Science, Faculty of Education and Humanity, University of Bio-Bio, Chillan, Chile
| | - Lewis Steell
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, UK
| | - María Adela Martinez
- Institute of Pharmacy, Faculty of Science, University Austral of Chile, Valdivia, Chile
| | - Ana María Leiva
- Institute of Anatomy, Faculty of Medicine, University Austral of Chile, Valdivia, Chile
| | - Carlos Salas-Bravo
- Departamento de Educación Física, Facultad de Educación y Centro de Vida Saludable de la Universidad de Concepción, Concepción, Chile
| | - Ana María Labraña
- Department of Nutrition and Dietetics, Faculty of Pharmacy, University of Concepción, Concepción, Chile
| | - Eliana Duran
- Department of Nutrition and Dietetics, Faculty of Pharmacy, University of Concepción, Concepción, Chile
| | - Carlos Cristi-Montero
- School of Physical Education, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile
| | - Katherine M Livingstone
- Deakin University, Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Geelong, Australia
| | | | - Cristian Alvarez
- Department of Physical Activity Sciences, Research Nucleus in Health, Physical Activity and Sport, Universidad de Los Lagos, Osorno, Chile
| | | | - María Luisa Zagalaz
- Grupo de Investigación del PAIDI, Universidad de Jaén (España), HUM653, Innovación Didáctica en Actividad Física (IDAF), Spain
| | - Pedro Valdivia-Moral
- Grupo de Investigación del PAIDI, Universidad de Granada (España), HUM653, Innovación Didáctica en Actividad Física (IDAF), Spain
| | - Liliana Cuadra
- Departamento de Educación Física, Facultad de Educación y Centro de Vida Saludable de la Universidad de Concepción, Concepción, Chile
| | - Natalia Ulloa
- Departamento de Bioquímica Clínica e Inmunología, Facultad de Farmacia y Centro de Vida Saludable de la Universidad de Concepción, Concepción, Chile
| | - Naomi D Willis
- Human Nutrition Research Centre, Institute of Cellular Medicine, Newcastle University, Newcastle, UK
| | - Carlos A Celis-Morales
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, UK.,Human Nutrition Research Centre, Institute of Cellular Medicine, Newcastle University, Newcastle, UK
| |
Collapse
|
16
|
Steell L, Garrido-Méndez A, Petermann F, Díaz-Martínez X, Martínez MA, Leiva AM, Salas-Bravo C, Alvarez C, Ramirez-Campillo R, Cristi-Montero C, Rodríguez F, Poblete-Valderrama F, Floody PD, Aguilar-Farias N, Willis ND, Celis-Morales CA. Active commuting is associated with a lower risk of obesity, diabetes and metabolic syndrome in Chilean adults. J Public Health (Oxf) 2019; 40:508-516. [PMID: 28977515 DOI: 10.1093/pubmed/fdx092] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2017] [Accepted: 07/04/2017] [Indexed: 11/12/2022] Open
Abstract
Background There is limited evidence on how active commuting is associated with health benefits in developing countries. The aim of this study therefore was to investigate the associations between active commuting and markers of adiposity and cardiometabolic risk in the Chilean adult population. Methods In total, 5157 participants from the Chilean National Health Survey 2009-10 were included in this cross-sectional study. Active commuting was measured using the Global Physical Activity Questionnaire (GPAQ v2). Body mass index (BMI) and waist circumference (WC) were measured and used to define obesity and central obesity. Type 2 diabetes (T2D) and metabolic syndrome were determined using WHO and updated ATPIII-NCEP criteria, respectively. Results The main finding of this study is that a 30 min increase in active commuting is associated with lower odds for BMI > 25.0 kg m-2 (0.93 [95% CI: 0.88-0.98, P = 0.010]). Similarly, the odds for central obesity was 0.87 [0.82-0.92, P < 0.0001]. Similar associations were found for T2D (0.81 [0.75-0.88], P < 0.0001) and metabolic syndrome (OR: 0.86 [0.80-0.92], P < 0.0001). Conclusion Our findings show that active commuting is associated with lower adiposity and a healthier metabolic profile including lower risk for obesity, diabetes and metabolic syndrome.
Collapse
Affiliation(s)
- Lewis Steell
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, UK
| | | | - Fanny Petermann
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, UK
| | - Ximena Díaz-Martínez
- Grupo de Investigación Calidad de Vida, Departamento de Ciencias de la Educación, Facultad de Educación y Humanidades, Universidad del Bio-Bio, Chillan, Chile
| | - María Adela Martínez
- Instituto de Farmacia, Facultad de Ciencias, Universidad Austral de Chile, Valdivia, Chile
| | - Ana María Leiva
- Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | - Carlos Salas-Bravo
- Departamento de Educación Física, Facultad de Educación, Universidad de Concepción, Concepción, Chile
| | - Cristian Alvarez
- Department of Physical Activity Sciences, Research Nucleus in Health, Physical Activity and Sport, Universidad de Los Lagos, Osorno, Chile
| | - Rodrigo Ramirez-Campillo
- Department of Physical Activity Sciences, Research Nucleus in Health, Physical Activity and Sport, Universidad de Los Lagos, Osorno, Chile
| | - Carlos Cristi-Montero
- Grupo IRyS, Escuela de Educación Física, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile
| | - Fernando Rodríguez
- Grupo IRyS, Escuela de Educación Física, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile
| | | | - Pedro Delgado Floody
- Departamento de Educación Física, Deportes y Recreación, Universidad de La Frontera, Temuco, Chile
| | - Nicolás Aguilar-Farias
- Departamento de Educación Física, Deportes y Recreación, Universidad de La Frontera, Temuco, Chile
| | - Naomi D Willis
- Human Nutrition Research Centre, Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK
| | - Carlos A Celis-Morales
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, UK.,Human Nutrition Research Centre, Institute of Cellular Medicine, Newcastle University, Newcastle upon Tyne, UK
| |
Collapse
|
17
|
Vásquez-Gómez JA, Matus-Castillo C, Petermann-Rocha F, Concha-Cisternas Y, Leiva AM, Martínez-Sanguinetti MA, Troncoso-Pantoja C, Garrido-Mendez A, Díaz-Martínez X, Salas C, Ulloa N, Álvarez C, Ramírez-Campillo R, Rodríguez-Rodríguez F, Cristi-Montero C, Lanuza F, Celis-Morales C. [Lifestyles of Chilean housewives. Analysis of the 2009-2010 Chilean Health Survey]. Rev Med Chil 2019; 147:1144-1153. [PMID: 33625448 DOI: 10.4067/s0034-98872019000901144] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2018] [Accepted: 08/22/2019] [Indexed: 11/17/2022]
Abstract
BACKGROUND Housewives represent a important proportion of the Chilean population. However, there is limited evidence about their lifestyles. AIM To characterize lifestyles and determine the level of compliance with healthy lifestyles guidelines of housewives in Chile. MATERIAL AND METHODS Housewives from the 2009-2010 National Health Survey were included. The variables studied included levels of physical activity (PA), sedentary behavior, diet, hours of sleep and smoking. Compliance with healthy lifestyle behaviors was evaluated through logistic regression, granting a value of 1 for compliance and 0 for non-compliance. A healthy lifestyle was defined as meeting at least four healthy behaviors. RESULTS Housewives aged > 55 years had a higher BMI and waist circumference compared to those aged < 40 years. Housewives were also more likely to report moderate alcohol consumption and were more likely to meet a healthier lifestyle score (Odds ratio = 1.52 [95% confidence intervals: 1.09 to 2.11], p = 0.013). No significant age trends were observed for other lifestyle behaviors. CONCLUSIONS Housewives had high levels of central obesity, excess body weight and high levels of salt intake but low alcohol intake. Their healthy lifestyles behaviors increased along with increasing age.
Collapse
Affiliation(s)
- Jaime A Vásquez-Gómez
- Centro de Investigación en Estudios Avanzados del Maule, Universidad Católica del Maule, Talca, Chile
| | - Carlos Matus-Castillo
- Departamento de Ciencias del Deporte y Acondicionamiento Físico, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | | | | | - Ana María Leiva
- Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | | | - Claudia Troncoso-Pantoja
- CIEDE-UCSC, Facultad de Medicina, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Alex Garrido-Mendez
- Departamento de Ciencias del Deporte y Acondicionamiento Físico, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Ximena Díaz-Martínez
- Departamento de Ciencias de la Educación, Facultad de Educación y Humanidades, Universidad del Biobío, Chillán, Chile
| | - Carlos Salas
- Departamento de Educación Física, Facultad de Educación, Universidad de Concepción, Concepción, Chile
| | - Natalia Ulloa
- Centro de Vida Saludable, Universidad de Concepción, Concepción, Chile
| | - Cristian Álvarez
- Núcleo de Investigación en Salud, Actividad Física y Deporte, Laboratorio de Rendimiento Humano, Universidad de Los Lagos, Osorno, Chile
| | - Rodrigo Ramírez-Campillo
- Núcleo de Investigación en Salud, Actividad Física y Deporte, Laboratorio de Rendimiento Humano, Universidad de Los Lagos, Osorno, Chile
| | | | - Carlos Cristi-Montero
- Escuela de Educación Física, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile
| | - Fabián Lanuza
- Departamento de Pediatría y Cirugía Infantil, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile
| | - Carlos Celis-Morales
- Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, United Kingdom
| |
Collapse
|
18
|
Cristi-Montero C, Sadarangani KP, Garrido-Méndez A, Poblete-Valderrama F, Díaz-Martínez X, Celis-Morales C. [Relationship between levels of physical activity and sedentarism with metabolic syndrome. ENS Chile 2009-2010.]. Salud Publica Mex 2019; 61:166-173. [PMID: 30958959 DOI: 10.21149/8879] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2017] [Accepted: 12/11/2018] [Indexed: 11/06/2022] Open
Abstract
OBJECTIVE .To use a new methodology to classify the level of physical activity (PA) by combining the levels of PA and sedentary time (SED) in order to establish its association with metabolic syndrome (MS). MATERIALS AND METHODS A representative sample of Chilean adults (≥18 years old) who participated in the National Health Survey (ENS 2009-2010) was included in this study (n=5 040). Four categories were created using a combination of PA and SED levels through the GPAQ questionnaire. MS was defined accord- ing to the norms established by NCEP ATP-III. RESULTS A lower probability of MS was observed only in the categories that comply with the international recommendations of PA, "active and low-SED" (OR=0.72 [0.57 to 0.91]) and "active and high-SED" (OR=0.63 [0.49 to 0.81]).While the level of SED (high/low) was not associated with a significant reduction of MS in any of the groups. CONCLUSIONS This type of classification demonstrates that the main strategy to reduce the risk of MS should be associated with compliance with the recommendations of PA.
Collapse
Affiliation(s)
- Carlos Cristi-Montero
- Escuela de Educación Física, Pontificia Universidad Católica deValparaíso.Valparaíso, Chile
| | - Kabir P Sadarangani
- Escuela de Kinesiología, Facultad de Ciencias de la Salud, Universidad San Sebastián. Santiago, Chile.,Escuela de Kinesiololgía, Facultad de Salud y Odontología, Universidad Diego Portales. Santiago, Chile
| | - Alex Garrido-Méndez
- Carrera de Educación Física, Universidad San Sebastián. Concepción, Chile.,Universidad Católica de la Santísima Concepción. Concepción, Chile
| | | | - Ximena Díaz-Martínez
- Grupo de Investigación Calidad deVida, Departamento de Ciencias de la Educación, Universidad del Biobío. Chillán, Chile
| | - Carlos Celis-Morales
- Centro de Investigación en Fisiología del Ejercicio, Universidad Mayor. Santiago, Chile
| |
Collapse
|
19
|
Leiva AM, Petermann-Rocha F, Martínez-Sanguinetti MA, Troncoso-Pantoja C, Concha Y, Garrido-Méndez A, Díaz-Martínez X, Lanuza-Rilling F, Ulloa N, Martorell M, Álvarez C, Celis-Morales C. [Association of a healthy lifestyle index with cardiovascular risk factors in Chileans adults]. Rev Med Chil 2019; 146:1405-1414. [PMID: 30848743 DOI: 10.4067/s0034-98872018001201405] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2018] [Accepted: 11/16/2018] [Indexed: 11/17/2022]
Abstract
BACKGROUND Healthy lifestyles are associated with a better metabolic and cardiovascular health profile. AIM To investigate the association between a lifestyle score and cardiovascular risk in Chilean adults. MATERIAL AND METHODS A healthy lifestyle score was derived for 2,774 participants in the Chilean National Health Survey 2009-2010 and based on seven modifiable behaviors (salt intake, fruit and vegetable intake, alcohol consumption, sleep duration, smoking, physical activity and sedentary behaviors). A high score represented a healthier lifestyle whereas a low score represents an unhealthy lifestyle. The association between the lifestyle score and cardiovascular risk factors (obesity, hypertension, diabetes, dyslipidemia and metabolic syndrome), was explored using logistic regression models. RESULTS One quartile increment in the healthy lifestyle score was associated with a lower risk for obesity (Odds ratio (OR): 0.82 [95% confidence intervals (CI): 0.75 to 0.90], p < 0.01), central obesity (OR: 0.88 [95% CI: 0.81 to 0.96], p < 0.01), diabetes (OR: 0.84 [95% CI: 0.75 to 0.95], p < 0.04) and dyslipidemia (OR: 0.90 [95% CI: 0.83 to 0.98], p = 0.01). These results were independent of major confounding factors. CONCLUSIONS The adherence to a healthy lifestyle is associated with lower cardiovascular risk.
Collapse
Affiliation(s)
- Ana María Leiva
- Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | | | | | | | - Yeny Concha
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Chile
| | | | - Ximena Díaz-Martínez
- Departamento de Ciencias de la Educación, Facultad de Educación y Humanidades, Universidad del Biobío, Chillán, Chile
| | - Fabián Lanuza-Rilling
- Departamento de Pediatría y Cirugía Infantil, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile
| | - Natalia Ulloa
- Centro de Vida Saludable, Universidad de Concepción, Concepción, Chile
| | - Miquel Martorell
- Departamento de Nutrición y Dietética, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | - Cristian Álvarez
- Grupo de investigación de área prioritaria Calidad de Vida y Bienestar Humano, Departamento de Ciencias de la Actividad Física, Universidad de Los Lagos, Osorno, Chile
| | - Carlos Celis-Morales
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, United Kingdom
| | | |
Collapse
|
20
|
Petermann F, Troncoso-Pantoja C, Martínez MA, Leiva AM, Ramírez-Campillo R, Poblete-Valderrama F, Garrido-Méndez A, Díaz-Martínez X, Ulloa N, Concha Y, Celis-Morales C. [Risk of cognitive impairment among older people with diabetes or family history of the disease]. Rev Med Chil 2018; 146:872-881. [PMID: 30534865 DOI: 10.4067/s0034-98872018000800872] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2018] [Accepted: 07/24/2018] [Indexed: 11/17/2022]
Abstract
BACKGROUND Although cardiovascular risk factors are associated with an impaired cognitive function, the impact of diabetes on cognitive function in Chilean adults is unknown. AIM To investigate the association of diabetes or family history of the disease with cognitive impairment in older adults. MATERIALS AND METHODS Data from the 2009-2010 Chilean National Health Survey including 1,384 participants aged ≥ 60 years were included in this study. A score below 13 points for the Mini Mental State Examination (MMSE) was considered an indication of cognitive impairment. Logistic regression analyses were performed to assess the association between MMSE, diabetes and family history of the disease. RESULTS Cognitive impairment increased with age (Odds ratio (OR): 1.83 [95% confidence intervals (CI): 1.53; 2.19], p < 0.01, per 5 years increment in age). This trend was greater in individuals with diabetes (OR: 2.37 [95% CI: 1.68; 3.35], p < 0.01) compared to those without the disease. A similar trend was identified among individuals with a family history of diabetes compared to those without. CONCLUSIONS Older adults with diabetes are more susceptible to develop cognitive impairment.
Collapse
Affiliation(s)
- Fanny Petermann
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, United Kingdom
| | - Claudia Troncoso-Pantoja
- CIEDE-USCS, Facultad de Medicina, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - María Adela Martínez
- Instituto de Farmacia, Facultad de Ciencias, Universidad Austral de Chile, Valdivia, Chile
| | - Ana María Leiva
- Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | - Rodrigo Ramírez-Campillo
- Laboratorio de Medición y Evaluación Deportiva, Departamento de Ciencias de la Actividad Física, Universidad de los Lagos, Osorno, Chile
| | | | - Alex Garrido-Méndez
- Departamento de Ciencias del Deporte y Acondicionamiento Físico, Universidad Católica de la Santísima Concepción, Concepción, Chile
| | - Ximena Díaz-Martínez
- Departamento de Ciencias de la Educación, Facultad de Educación y Humanidades, Universidad del Biobío, Chillán, Chile
| | - Natalia Ulloa
- Centro de Vida Saludable, Universidad de Concepción, Concepción, Chile
| | - Yeny Concha
- Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Chile
| | - Carlos Celis-Morales
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, United Kingdom
| |
Collapse
|
21
|
Díaz-Martínez X, Petermann F, Leiva AM, Garrido-Méndez A, Salas-Bravo C, Martínez MA, Labraña AM, Duran E, Valdivia-Moral P, Zagalaz ML, Poblete-Valderrama F, Alvarez C, Celis-Morales C. [Association of physical inactivity with obesity, diabetes, hypertension and metabolic syndrome in the chilean population]. Rev Med Chil 2018; 146:585-595. [PMID: 30148922 DOI: 10.4067/s0034-98872018000500585] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/31/2016] [Accepted: 04/18/2018] [Indexed: 11/17/2022]
Abstract
BACKGROUND Physical inactivity is an important cardiovascular risk factor. AIM To investigate the association of physical inactivity with obesity, metabolic markers, type 2 diabetes mellitus, hypertension and metabolic syndrome in Chilean adults. MATERIAL AND METHODS Participants from the National Health Survey 2009-10 (n = 5,157) were included in this study. Body mass index, waist circumference, metabolic markers (blood glucose, glycosylated hemoglobin and lipid profile) were the outcomes. Type 2 diabetes, hypertension and metabolic syndrome were determined using international criteria. Physical activity levels were determined using the Global Physical Activity Questionnaire and physical inactivity was defined as < 600 METs/minutes/week. RESULTS Compared to their physically active peers, inactive men and women had a higher odds ratio (OR) for obesity (OR: 1.77 [95% confidence intervals (CI): 1.29-2.42], p < 0.01 and 1.25 [95% CI: 102-1.54], p < 0.035, respectively), diabetes (OR: 2.47 [1.80-3.38], p < 0.01 and 1.72 [1.35-2.19], p = 0.002, respectively) and hypertension (OR: 1.66 [1.31-2.09], p < 0.01 and 1.83 [1.54-2.18] respectively. An association of physical inactivity with central obesity and metabolic syndrome was observed only in men (OR: 1.92 [1.42- 2.58], p < 0.01 and 1.74 [1.23-2.47], p < 0.01, respectively). CONCLUSIONS Not meeting the physical activity recommendations is associated with obesity, diabetes, hypertension and metabolic syndrome, which are important cardiovascular risk factors.
Collapse
Affiliation(s)
- Ximena Díaz-Martínez
- Grupo de Investigación Calidad de Vida, Departamento Ciencias de la Educación, Universidad del Biobío, Chillán, Chile
| | - Fanny Petermann
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, United Kingdom
| | - Ana María Leiva
- Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | - Alex Garrido-Méndez
- Departamento de Ciencias del Deporte y Acondicionamiento Físico, Universidad Católica de la Santísima Concepción, Chile
| | - Carlos Salas-Bravo
- Departamento de Educación Física, Facultad de Educación, Universidad de Concepción, Concepción, Chile
| | - María Adela Martínez
- Instituto de Farmacia, Facultad de Ciencias, Universidad Austral de Chile, Valdivia, Chile
| | - Ana María Labraña
- Departamento de Nutrición y Dietética, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | - Eliana Duran
- Departamento de Nutrición y Dietética, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | | | | | | | | | - Carlos Celis-Morales
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, United Kingdom
| |
Collapse
|
22
|
Petermann F, Garrido-Méndez A, Díaz-Martínez X, Leiva AM, Martínez MA, Poblete-Valderrama F, Salas C, Cristi-Montero C, Celis-Morales C. [The joint effect of sitting time and obesity on the odds of developing type 2 diabetes]. Rev Med Chil 2018; 146:433-441. [PMID: 29999118 DOI: 10.4067/s0034-98872018000400433] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2017] [Accepted: 04/03/2018] [Indexed: 11/17/2022]
Affiliation(s)
- Fanny Petermann
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, United Kingdom
| | | | - Ximena Díaz-Martínez
- Departamento de Ciencias de la Educación, Universidad del Biobío, Chillán, Chile
| | - Ana María Leiva
- Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | - María Adela Martínez
- Instituto de Farmacia, Facultad de Ciencias, Universidad Austral de Chile, Valdivia, Chile
| | | | - Carlos Salas
- Departamento de Educación Física, Facultad de Educación, Universidad de Concepción, Concepción, Chile
| | | | - Carlos Celis-Morales
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, United Kingdom
| |
Collapse
|
23
|
Díaz-Martínez X, Garrido A, Martínez MA, Leiva AM, Álvarez C, Ramírez-Campillo R, Cristi-Montero C, Rodríguez F, Salas-Bravo C, Durán E, Abraña AM, Valdivia-Moral P, Zagalaz ML, Aguilar-Farías N, Celis-Morales CA. [Correlates of physical inactivity: Findings from the Chilean National Health Survey 2009-2010]. Rev Med Chil 2018; 145:1259-1267. [PMID: 29488566 DOI: 10.4067/s0034-98872017001001259] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2016] [Accepted: 08/28/2017] [Indexed: 11/17/2022]
Affiliation(s)
| | - Alexis Garrido
- Departamento de Educación Física, Universidad San Sebastián, Concepción, Chile
| | - María Adela Martínez
- Instituto de Farmacia, Facultad de Ciencias, Universidad Austral de Chile, Valdivia, Chile
| | - Ana María Leiva
- Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | - Cristian Álvarez
- Departamento de Ciencias de la Actividad Física, Universidad de Los Lagos, Osorno, Chile
| | | | - Carlos Cristi-Montero
- Escuela de Educación Física, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile
| | - Fernando Rodríguez
- Escuela de Educación Física, Pontificia Universidad Católica de Valparaíso, Valparaíso, Chile
| | - Carlos Salas-Bravo
- Departamento de Educación Física, Facultad de Educación, Universidad de Concepción, Concepción, Chile
| | - Eliana Durán
- Departamento de Nutrición y Dietética, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | - Ana María Abraña
- Departamento de Nutrición y Dietética, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | | | | | - Nicolás Aguilar-Farías
- Departamento de Educación Física, Deporte y Recreación, Universidad de La Frontera, Temuco, Chile
| | - Carlos A Celis-Morales
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, United Kingdom
| |
Collapse
|
24
|
Díaz-Martínez X, Petermann F, Salas Bravo C, Garrido-Méndez A, Martínez MA, Leiva AM, Alvarez C, Valdivia-Moral P, Zagalaz ML, Durán E, Labraña AM, Poblete-Valderrama F, Celis-Morales C. [The association between adiposity and diabetes is modified by physical activity]. Rev Med Chil 2018; 145:1394-1402. [PMID: 29664521 DOI: 10.4067/s0034-98872017001101394] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2017] [Accepted: 09/14/2017] [Indexed: 11/17/2022]
Affiliation(s)
| | - Fanny Petermann
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, United Kingdom
| | - Carlos Salas Bravo
- Departamento de Educación Física, Facultad de Educación, Universidad de Concepción, Concepción, Chile
| | | | - María Adela Martínez
- Instituto de Farmacia, Facultad de Ciencias, Universidad Austral de Chile, Valdivia, Chile
| | - Ana María Leiva
- Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | | | | | | | - Eliana Durán
- Departamento de Nutrición y Dietética, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | - Ana María Labraña
- Departamento de Nutrición y Dietética, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | | | - Carlos Celis-Morales
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, United Kingdom
| |
Collapse
|
25
|
Senosain-Leon V, Hidalgo A, Petermann F, Durán E, Labraña AM, Martínez MA, Leiva AM, Garrido-Méndez A, Poblete-Valderrama F, Díaz-Martínez X, Salas C, Celis-Morales C. Medidas de asociación en un estudio de factores de riesgo asociados al desarrollo de hipertensión arterial en Chile. Rev Med Chil 2018; 146:267-268. [DOI: 10.4067/s0034-98872018000200267] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
|
26
|
Petermann F, Díaz-Martínez X, Garrido-Méndez Á, Leiva AM, Martínez MA, Salas C, Poblete-Valderrama F, Celis-Morales C. [Association between type 2 diabetes and physical activity in individuals with family history of diabetes]. Gac Sanit 2017; 32:230-235. [PMID: 29203323 DOI: 10.1016/j.gaceta.2017.09.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Revised: 09/01/2017] [Accepted: 09/05/2017] [Indexed: 01/04/2023]
Abstract
OBJECTIVE To investigate whether the association between type 2 diabetes (T2D) and family history of diabetes is modified by the levels of physical activity in the Chilean population. METHOD In this study were included 5129 participants from the cross-sectional 2009-2010 National Health Survey. Physical activity level was assessed using the Global Physical Activity Questionnaire and family history of T2D, through self-reporting. The association between diabetes, family history of diabetes and physical activity was determined using logistic regression. RESULTS The odds of developing T2D in people with family history of this pathology is high, independent of their levels of physical activity and adiposity. Both men and women with family history of T2D have a higher probability of developing T2D. The odds ratio for having T2D was 5,49 (95%CI: 3,85-7,84; p <0,0001) in women, and 8,16 (95%CI: 4,96-13,4; p <0,0001) in men with family history of T2D and low levels of physical activity in comparison to those with high levels of physical activity and without a family history. CONCLUSION Given the elevated risk of developing T2D presented by individuals with a family history of this pathology, and the effect of physical activity in reducing such risk, people with family history of diabetes may need higher levels of physical activity to attenuate their susceptibility to T2D.
Collapse
Affiliation(s)
- Fanny Petermann
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, United Kingdom
| | - Ximena Díaz-Martínez
- Grupo de Investigación Calidad de Vida, Departamento de Ciencias de la Educación, Universidad del Biobío, Chillán, Chile
| | | | - Ana María Leiva
- Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | - María Adela Martínez
- Instituto de Farmacia, Facultad de Ciencias, Universidad Austral de Chile, Valdivia, Chile
| | - Carlos Salas
- Departamento de Educación Física, Facultad de Educación, Universidad de Concepción, Concepción, Chile
| | | | - Carlos Celis-Morales
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, United Kingdom; Centro de Investigaciones en Fisiología Integrada y Salud, Universidad Mayor, Santiago, Chile.
| |
Collapse
|
27
|
Petermann F, Durán E, Labraña AM, Martínez MA, Leiva AM, Garrido-Méndez A, Poblete-Valderrama F, Díaz-Martínez X, Salas C, Celis-Morales C. [Risk factors associated with hypertension. Analysis of the 2009-2010 Chilean health survey]. Rev Med Chil 2017; 145:996-1004. [PMID: 29189857 DOI: 10.4067/s0034-98872017000800996] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2017] [Accepted: 08/29/2017] [Indexed: 11/17/2022]
Abstract
BACKGROUND High blood pressure is one of the major risk factors for the development of cardiovascular disease, affecting 27% of the Chilean population in 2010. AIM To determine the risk factors associated with the development of hypertension. MATERIAL AND METHODS Analysis of the database of the 2009-2010 National Health Survey in which 4,901 participants were included. Socio-demographic factors, physical activity, eating habits, well-being and comorbidities were analyzed. RESULTS Women had a lower risk of developing hypertension than men (Odds ratio (OR): 0.69, 95% confidence intervals (CI): 0.59-0.81, p < 0.01). In both men and women, the risk is greater over the age of 25 years (OR: 2.90, 95% CI: 1.55-5.43, p < 0.01). The risk is greater in subjects who were overweight (OR: 1.61, 95% CI: 1.31-1.98, p < 0.01), obese (OR: 3.18, 95% CI: 2.56-3.95, p < 0.01), or had central obesity (OR: 2.25, 95% CI: 1.85-2.72, p < 0.01). Subjects with a family history of hypertension and diabetes also have a higher risk. CONCLUSIONS Identifying the risk factors associated with hypertension allows public health policies to be tailored to its prevention.
Collapse
Affiliation(s)
- Fanny Petermann
- Departamento de Nutrición y Dietética, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | - Eliana Durán
- Departamento de Nutrición y Dietética, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | - Ana María Labraña
- Departamento de Nutrición y Dietética, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile
| | - María Adela Martínez
- Instituto de Farmacia, Facultad de Ciencias, Universidad Austral de Chile, Valdivia, Chile
| | - Ana María Leiva
- Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | | | | | - Ximena Díaz-Martínez
- Departamento de Ciencias de la Educación, Universidad del Biobío, Chillán, Chile
| | - Carlos Salas
- Departamento de Educación Física, Facultad de Educación, Universidad de Concepción, Concepción, Chile
| | - Carlos Celis-Morales
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, United Kingdom
| |
Collapse
|
28
|
Celis-Morales C, Salas C, Martínez MA, Leiva AM, Garrido-Méndez A, Díaz-Martínez X. [The economic burden of physical inactivity in Chile]. Rev Med Chil 2017; 145:1091-1092. [PMID: 29189871 DOI: 10.4067/s0034-98872017000801091] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Affiliation(s)
- Carlos Celis-Morales
- BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, United Kingdom
| | - Carlos Salas
- Departamento de Educación Física, Facultad de Educación, Universidad de Concepción, Chile
| | - María Adela Martínez
- Instituto de Farmacia, Facultad de Ciencias, Universidad Austral de Chile, Valdivia, Chile
| | - Ana María Leiva
- Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile
| | | | | |
Collapse
|
29
|
Petermann F, Durán E, Labraña AM, Martínez MA, Leiva AM, Garrido-Méndez A, Poblete-Valderrama F, Díaz-Martínez X, Salas C, Celis-Morales C. Factores asociados al desarrollo de obesidad en Chile: resultados de la Encuesta Nacional de Salud 2009-2010. Rev Med Chil 2017; 145:716-722. [DOI: 10.4067/s0034-98872017000600716] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2017] [Accepted: 07/05/2017] [Indexed: 11/17/2022]
|