Examinando por Autor "Celis-Morales, Carlos"
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Ítem Asociación entre cáncer y fitness cardiorrespiratorio en población chilena: Resultados de la Encuesta Nacional de Salud 2016-2017(Sociedad Medica de Santiago, 2023-09) Parra-Soto, Solange; Poblete-Valderrama, Felipe; Garrido, Alex; Concha-Cisternas, Yeny; Álvarez, Cristian; Cigarroa, Igor; Díaz-Martínez, Ximena; Petermann-Rocha, Fanny; Celis-Morales, Carlos; Vásquez-Gómez, JaimeIntroducción: La actividad física y el fitness cardiorrespiratorio (FCR) son factores protectores en el desarrollo del cáncer. Sin embargo, se desconoce el FCR en población chilena diagnosticada con cáncer. Objetivo: Evaluar la asociación que tuvo el FCR entre las personas con y sin diagnóstico de cáncer, y secundariamente comparar la tendencia del FCR según años de diagnóstico de cáncer en la población chilena. Método: Se analizaron datos de 5.483 personas de la Encuesta Nacional de Salud 2016-2017 entre 15 y 98 años. El diagnóstico de cáncer (todos los disponibles) se calcula con preguntas estandarizadas, y el FCR se calcula con método abreviado (demografía, antropometría, estilos de vida). Se realizó análisis de regresión lineal ajustado por variables de confusión con el módulo de análisis de muestras complejas del programa STATA v.16 (95% IC, p < 0,05). Resultados: Las personas con algún tipo de diagnóstico de cáncer, versus aquellas sin cáncer, presentaron un menor nivel de FCR (fi: -1,23 [95% IC: -1,52; -0,94]). Al comparar los niveles de FCR según tipo de cáncer, se observaron resultados similares para cáncer colorrectal, de mama y útero (p < 0,001), pero no para cáncer de tiroides (p = 0,253). Hubo menor FCR desde el primer año de diagnóstico de todo tipo de cáncer hasta sobre diez años, aunque no significativo (p = 0,109). Conclusión: Los diagnosticados con cáncer presentaron menor FCR en comparación con los no diagnosticados. Además, en las personas con cáncer el FCR disminuye al aumentar los años desde el primer diagnóstico. Sería importante evaluar e incrementar el FCR en pacientes oncológicos.Ítem Association between oral health and cognitive decline in older Chileans(2023-01) Nazar, Gabriela; Díaz-Toro, Felipe; Roa, Pablo; Petermann-Rocha, Fanny; Troncoso-Pantoja, Claudia; Leiva-Ordóñez, Ana María; Cigarroa, Igor; Celis-Morales, CarlosObjective: To identify the association between oral health and suspected cognitive impairment in older adults in Chile. Method: Cross-sectional study including 1826 people ≥60 years who participated in the National Health Survey of Chile, 2016-2017. Oral health was evaluated by the number of teeth, presence of caries, use of dental prostheses, self-reported oral health, and pain and/or discomfort in the oral cavity. Cognitive impairment was assessed using the Mini-Mental State Examination (MMSE). The association was evaluated by logistic and linear regression, adjusted for sociodemographic and lifestyle variables. Results: Compared with people without suspicion of cognitive impairment, people with suspected impairment had five fewer teeth (13.4 vs. 8.5 teeth), a much higher difference in women than in men, and a higher frequency of oral pain. Edentulism and fewer teeth were associated with a higher likelihood of suspected cognitive impairment, associations that were not maintained in adjusted models. Oral pain was associated with a higher likelihood of suspected impairment even in the most adjusted model (odds ratio: 1.99; 95% confidence interval [95%CI]: 1.09-3.63). In linear models, an increase of 2% (95%CI: 0.01-0.05) in the MMSE score was observed for each additional tooth. Conclusions: Poor oral health, particularly tooth loss and the presence of pain, was associated with cognitive impairment in older adults in Chile.Ítem Brisk Walking Pace Is Associated with Better Cardiometabolic Health in Adults: Findings from the Chilean National Health Survey 2016–2017(Multidisciplinary Digital Publishing Institute (MDPI), 2023-04) Cigarroa, Igor; Bravo-Leal, Michelle; Petermann-Rocha, Fanny; Parra-Soto, Solange; Concha-Cisternas, Yeny; Matus-Castillo, Carlos; Vásquez-Gómez, Jaime; Zapata-Lamana, Rafael; Parra-Rizo, María Antonia; Álvarez, Cristian; Celis-Morales, CarlosBackground: Although the importance of walking for promoting a better cardiometabolic health is widely known (this includes both cardiovascular and metabolic/endocrine systems), there is little knowledge regarding its appropriate pace to provide adults with more cardiometabolic benefits. Aim: To analyze the associations between different walking pace categories and cardiometabolic health markers in the adult Chilean population. Methods: Cross-sectional study. A total of 5520 participants aged 15 to 90 years old from the Chilean National Health Survey (CNHS) 2016–2017 were included. Walking pace categories (slow, average, and brisk) were collected through self-reported methods. Glycaemia, glycosylated hemoglobin (HbA1c), gamma glutamyl transferase (GGT), vitamin D2, vitamin D3, systolic and diastolic blood pressure, and lipid profile (Total, HDL, LDL, VLDL, No HDL cholesterol and triglycerides) were determined using blood sample tests and measured with the standardized methods described in the CNHS 2016–2017. Results: People who had a brisk walking pace were associated with lower levels of glycaemia, HbA1c, GGT, systolic and diastolic blood pressure, and higher vitamin D3 levels compared with those with a slow walking pace. Moreover, people with a brisk walking pace had lower levels of VLDL cholesterol compared with those with a slow walking pace. However, after adjusting the model to include sociodemographic background, nutritional status, and lifestyle variables, the differences remained only for glycaemia, HbA1c and systolic blood pressure levels. Conclusions: A brisk walking pace was associated with better cardiometabolic health markers and lipid profile compared with a slow walking pace. © 2023 by the authors.Ítem Frailty Index as a Predictor of Mortality in Middle-Aged and Older People: A Prospective Analysis of Chilean Adults(MDPI, 2023-01) Diaz-Toro, Felipe; Nazar, Gabriela; Troncoso, Claudia; Concha-Cisternas, Yeny; Leiva-Ordoñez, Ana Maria; Martinez-Sanguinetti, Maria Adela; Parra-Soto, Solange; Lasserre-Laso, Nicole; Cigarroa, Igor; Mardones, Lorena; Vásquez-Gómez, Jaime; Petermann-Rocha, Fanny; Diaz-Martinez, Ximena; Celis-Morales, CarlosWe aimed to investigate the association between frailty status and all-cause mortality in middle-aged and older people. We included 2661 individuals aged ≥ 35 from the Chilean National Health Survey 2009–2010. Mortality was determined through linkage with the Chilean Civil Registry and Identification. A 36-item frailty index (FI) was used to assess the frailty status. Associations between frailty status and all-cause mortality were assessed using Kaplan–Meier and Cox proportional hazard models adjusted for sociodemographic and lifestyle factors. A non-linear association was investigated using penalized cubic splines fitted in the Cox models. During an 8.9 median follow-up (interquartile range of 8.6–9.0), 308 individuals died (11.5%). Lower survival rates were observed in frail individuals compared to pre-frail and robust people (log-rank < 0.001). Compared with robust individuals, frail people had a higher mortality risk (HR: 2.35 [95% CI: 1.57 to 3.51]). Frail middle-aged individuals had a higher risk of dying independently of major risk factors. © 2023 by the authors.Ítem Latent class analyses of multimorbidity and all-cause mortality: A prospective study in Chilean adults(Public Library of Science, 2023-01) Nazar, Gabriela; Díaz-Toro, Felipe; Concha-Cisternas, Yeny; Leiva-Ordoñez, Ana María; Troncoso-Pantoja, Claudia; Celis-Morales, Carlos; Petermann-Rocha, FannyMultimorbidity patterns can lead to differential risks for all-cause mortality. Within the Chilean context, research on morbidity and mortality predominantly emphasizes individual diseases or combinations thereof, rather than specific disease clusters. This study aimed to identify multimorbidity patterns, along with their associations with mortality, within a representative sample of the Chilean population. 3,701 participants aged ≥18 from the Chilean National Health Survey 2009–2010 were included in this prospective study. Multimorbidity patterns were identified from 16 chronic conditions and then classified using latent class analyses. All-cause mortality data were extracted from the Chilean Civil Registry. The association of classes with all-cause mortality was carried out using Cox proportional regression models, adjusting by sociodemographic and lifestyle variables. Three classes were identified: a) Class 1, the healthiest (72.1%); b) Class 2, the depression/cardiovascular disease/ cancer class (17.5%); and c) Class 3, hypertension/chronic kidney disease class (10.4%). Classes 2 and 3 showed higher mortality risk than the healthiest class. After adjusting, Class 2 showed 45% higher mortality risk, and Class 3 98% higher mortality risk, compared with the healthiest class. Hypertension appeared to be a critical underlying factor of all-cause morbidity. Particular combinations of chronic diseases have a higher excess risk of mortality than others.Ítem Prevalence of pre-sarcopenic obesity in Chilean older people. Results of the National Health Survey 2016-2017(Asociacion Espanola de Dietistas-Nutricionistas, 2023) Concha-Cisternasa, Yeny; Diaz, Felipe; Castro-Pinero, Jose; Lanuza, Fabian; Laserre, Nicole; Leiva-Ordohez, Ana Maria; Cigarroa, Igor; Nazar, Gabriela; Parra-Soto, Solange; Celis-Morales, Carlos; Petermann-Rocha, FannyIntroduction: There are no studies in Chile that quantify the prevalence of pre-sarcopenic obesity. Therefore, this study aimed to determine the prevalence of pre-sarcopenic obesity in Chilean older adults.Methodology: 240 people >60 years from the Chilean National Health Survey 2016-2017 were included. Pre-sarcopenia was estimated with the handgrip test and obesity was defined using waist circumference. As a sensitivity analysis, obesity was classified in a subsample of 129 people using body mass index (BMI). Based on the obesity and muscle strength criteria, the participants were categorized as: normal; obesity/ normal; normal/ pre-sarcopenia and obesity/pre-sarcopenia. Results: 22.6% of the population presented obesity/pre-sarcopenia using waist circumference as a diagnostic parameter. The prevalence of pre-sarcopenic obesity was higher in women (22.9%), in older people (33.0%), with urban residence (22.8%), and lower educational levels (37.3%). By incorporating the BMI as an obesity criterion, a decrease in the prevalence of pre-sarcopenic obesity (12.2%) and a higher percentage of women with this phenotype were identified. Conclusions: The prevalence of pre-sarcopenic obesity was identified in 22.6% of the older Chilean population included. Considering the role of obesity and sarcopenia in the development of non-communicable diseases, its identification and early detection could allow the creation of interventions that favours the survival and health of the elderly. © 2023 Asociacion Espanola de Dietistas-Nutricionistas. All rights reserved.Ítem Relationship between anthropometric characteristics, self-perception of body mass index, physical condition and eating habits in university health and education students(Sociedad Chilena de Nutricion Bromatologia y Toxilogica, 2023-02) Parra-Soto, Solange; Poblete-Valderrama, Felipe; Lamana, Rafael Zapata; Cigarroa, Igor; Iturra, José; Cenzano-Castillo, Lizette; Vásquez, Jaime; Garrido-Méndez, Alex; Celis-Morales, Carlos; Rivera, Carol Flores; Monterrosa, ArmandoIntroduction: The university stage is a period of modification in lifestyles. Pedagogy and health career students, addi-tionally, will assume the role of guides and models regarding healthy behaviours towards their students and patients, respectively. Objective: To evaluate the relationship between anthropometric characteristics, self-perception of body mass index (BMI), physical condition and eating habits among pedagogy and health career university students. Mate-rials and method: Descriptive and correlational study. The sample consisted of 158 university students (age 22.5 ± 2.5 years). Anthropometric characteristics, self-perception of BMI, physical condition and eating habits were evaluated. Results: BMI was positively correlated with perceived BMI (r= 0.46, p= 0.012). Waist circumference was positively correlated with perceived BMI and handgrip strength. The percentage of body fat was positively correlated with the perceived BMI and negatively with the physical condition (power, handgrip and flexibility). Arm muscle area was correlated with perceived BMI, perceived BMI score, and physical condition. Eating habits were negatively correlated with perceived BMI but not with anthropometric characteristics. Conclusion: University students from health and education careers with better anthropometric characteristics (lower BMI, waist circumference and fat percentage, and greater muscle area of the arm), have a higher self-perception of BMI and better performance in fitness tests physical. © 2023, Sociedad Chilena de Nutricion Bromatologia y Toxilogica. All rights reserved.