Examinando por Autor "Concha-Cisternas, Yeny"
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Ítem Association between a lifestyle score and all-cause mortality: a prospective analysis of the Chilean National Health Survey 2009–2010(Cambridge University Press CODEN, 2024-12-06) Petermann-Rocha, Fanny; Diaz-Toro, Felipe; Troncoso-Pantoja, Claudia; Martínez-Sanguinetti, María Adela; Leiva-Ordoñez, Ana María; Nazar, Gabriela; Concha-Cisternas, Yeny; Martínez, Ximena Díaz; Lanuza, Fabian; Carrasco-Marín, Fernanda; Martorell, Miquel; Ramírez-Alarcón, Karina; Labrana, Ana María; Parra-Soto, Solange; Villagran, Marcelo; Lasserre-Laso, Nicole; Cigarroa, Igor; Mardones, Lorena; Vásquez-Gómez, Jaime; Celis-Morales, Carlos A.Objective: To investigate the association between a lifestyle score and all-cause mortality in the Chilean population. Design: Prospective study. Settings: The score was based on seven modifiable behaviours: salt intake, fruit and vegetable intake, alcohol consumption, sleep duration, smoking, physical activity and sedentary behaviours. 1-point was assigned for each healthy recommendation. Points were summed to create an unweighted score from 0 (less healthy) to 7 (healthiest). According to their score, participants were then classified into: less healthy (0–2 points), moderately healthy (3–4 points) and the healthiest (5–7 points). Associations between the categories of lifestyle score and all-cause mortality were investigated using Cox proportional hazard models adjusted for confounders. Nonlinear associations were also investigated. Participants: 2706 participants from the Chilean National Health Survey 2009–2010. Results: After a median follow-up of 10·9 years, 286 (10·6 %) participants died. In the maximally adjusted model, and compared with the healthiest participants, those less healthy had 2·55 (95 % CI 1·75, 3·71) times higher mortality risk due to any cause. Similar trends were identified for the moderately healthy group. Moreover, there was a significant trend towards increasing the mortality risk when increasing unhealthy behaviours (hazard ratio model 3: 1·61 (95 % CI 1·34, 1·94)). There was no evidence of nonlinearity between the lifestyle score and all-cause mortality. Conclusion: Individuals in the less healthy lifestyle category had higher mortality risk than the healthiest group. Therefore, public health strategies should be implemented to promote adherence to a healthy lifestyle across the Chilean population.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 Effects of strength and flexibility training on knee valgus and pain in adult women physically active adult women(Federacion Espanola de Docentes de Educacion Fisica, 2024-12) Verdugo, Sebastián Astorga a; Silva, Soledad González; Araya, Aldo Martínez; Concha-Cisternas, Yeny; Luna-Villouta, Pablo; Alarcón-Rivera, Miguel; Fuentes-Barría, HéctorIntroduction: Knee valgus is a medial alignment of the joint that primarily affects women. The objective of this study was to evaluate the effects of a strength and flexibility training protocol on passive knee valgus (PKV), dynamic knee valgus (DKV), and the presence of pain in physically active young women. Thirty-four college women, aged 18-30 years, participated in a four-week training program, which included exercises with TheraBand®. The measurements included the Q-angle for PKV, the Landing Escape Test (LESS) for DKV, and the Analog Numerical Scale (ENA) for the presence of pain. The results indicated a significant decrease in PKV (p=0.0028), effect size (d=0.20), with a change of -2.21%. About DKV, significant reductions were observed at both the initial and second landings. The first landing exhibited a p-value of less than 0.0001, with a d-value of 0.34, resulting in a 10.06% change. The second landing demonstrated a p-value of 0.0226, with a d-value of 0.13, resulting in a 4.37% change. Furthermore, the presence of pain was found to decrease significantly (p=0.0019, d=0.89, -38.64% change). It can be concluded that a four-week combined strength and flexibility training protocol may be effective in reducing PKV, DKV, and pain in physically active women. © 2024 Federacion Espanola de Docentes de Educacion Fisica. All rights reservedÍtem Effects of two physical training programs on the cognitive status of a group of older adults in chile(MDPI, 2021) Quezada, Humberto Castillo; Martínez-Salazar, Cristian; Fuentealba-Urra, Sergio; Hernández-Mosqueira, Claudio; Garcés, Nelson Araneda; Rodríguez-Rodríguez, Fernando; Concha-Cisternas, Yeny; Molina-Sotomayor, EdgardoIntroduction: The effect of two physical training methods on older adults should be in-vestigated in greater depth and its results shared with the community. Objective: To determine the effects of two types of physical training on the functional features associated with the cognitive state and the effect on a physiological mediator of growth hormone (IGF-1) in older women. Material and Methods: Quasi-experimental study that included 12 weeks of training in two groups divided into resistance and aerobic training. The study included a population of 113 women aged 69.39 ± 6.48 years from Talcahuano, Chile. All participants were randomly assigned to either group. The MINIMENTAL test was used to examine the executive functions of cognitive state and blood con-centration of IGF-1, which was also used to examine neurotrophic factors. For the assessment of physical condition, an indirect test was used for the maximum mass displaced in one repetition (1RM) by the limbs and the TM6 test to estimate maximal oxygen consumption. Results: Significant differences between the groups with respect to the total score obtained in the MINIMENTAL test (EG1 = 28.13 ± 2.26; EG2 = 28.57 ± 1.83 and CG = 23.47 ± 2.80; ANOVA; p = 0.000) were observed. A post hoc analysis revealed no significant differences when examining executive functions individually between groups (Bonferroni; p > 0.05). An increase in the neurotrophic factor IGF-1 was also recorded in the training groups (EG1 p = 0.014 and EG2 p = 0.005). The pre-and post-test showed large differences in magnitude in the resistance training group (ES = 0.9; 20.41% change). Conclu-sion: Both workouts produce an overall improvement in the functions associated with cognitive status and increase blood concentrations of IGF-1 in older adults. © 2021 by the authors. Licensee MDPI, Basel, Switzerland.Ítem Estimated Oxygen Consumption with the Abbreviated Method and Its Association with Vaccination and PCR Tests for COVID-19 from Socio-Demographic, Anthropometric, Lifestyle, and Morbidity Outcomes in Chilean Adults(MDPI, 2022-06-01) Vásquez-Gómez, Jaime; Faúndez-Casanova, César; de Carvalho, Ricardo Souza; Castillo-Retamal, Franklin; Reyes, Pedro Valenzuela; Concha-Cisternas, Yeny; Luna-Villouta, Pablo; Álvarez, Cristian; Godoy-Cumillaf, Andrés; Hernández-Mosqueira, Claudio; Cigarroa, Igor; Garrido-Méndez, Alex; Matus-Castillo, Carlos; Castillo-Retamal, Marcelo; Ribeiro, Ivana LeaoCOVID-19 causes cardiovascular and lung problems that can be aggravated by confinement, but the practice of physical activity (PA) could lessen these effects. The objective of this study was to evaluate the association of maximum oxygen consumption (VO2 max) with vaccination and PCR tests in apparently healthy Chilean adults. An observational and cross-sectional study was performed, in which 557 people from south-central Chile participated, who answered an online questionnaire on the control of COVID-19, demographic data, lifestyles, and diagnosis of non-communicable diseases. VO2 max was estimated with an abbreviated method. With respect to the unvaccinated, those . who received the first (OR:0.52 [CI:0.29;0.95], p = 0.019) and second vaccine (OR:0.33 [CI:0.18;0.59], p = 0.0001) were less likely to have an increased VO2 max. The first vaccine was inversely associated with VO2 max (mL/kg/min) (β:−1.68 [CI:−3.06; −0.3], p = 0.017), adjusted for BMI (β:−1.37 [CI:−2.71; −0.03], p = 0.044) and by demographic variables (β:−1.82 [CI:−3.18; −0.46], p = 0.009); similarly occur for the second vaccine (β: between −2.54 and −3.44, p < 0.001) on models with and without adjustment. Having taken a PCR test was not significantly associated with VO2 max (mL/kg/min). It is concluded that vaccination significantly decreased VO2 max, although it did not indicate cause and effect. There is little evidence of this interaction, although the results suggest an association, sinceVO2 max could prevent and attenuate the contagion symptoms and effects. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.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.