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Association of leisure time and occupational physical activity with obesity and cardiovascular risk factors in Chile

2019, Petermann-Rocha, Fanny, Brown, Rosemary E., Diaz-Martínez, Ximena, Leiva, Ana M., Martínez, María A., Poblete-Valderrama, Felipe, Garrido-Méndez, Alex, Matus-Castillo, Carlos, Luarte-Rocha, Cristian, Salas-Bravo, Carlos, Troncoso-Pantoja, Claudia, García-Hermoso, Antonio, Ramírez-Vélez, Robinson, Vásquez-Gómez, Jaime A., Rodríguez-Rodríguez, Fernando, Álvarez, Cristian, Celis-Morales, Carlos

The aim of this study was to investigate the association between physical activity (PA), both occupational (OPA) and during leisure time (LTPA), with obesity and cardiovascular risk factors in Chilean adults. 5,157 participants from the Chilean National Health Survey 2009–2010 were included in this study. OPA and LTPA levels were assessed using the Global Physical Activity Questionnaire. The association between both PA with obesity and cardiovascular risk factors was determined using logistic regression. Our findings showed a significant trend between higher LTPA and lower odds for obesity (OR 0.64 [95% CI: 0.53; 0.76], central obesity 0.52 [0.44; 0.61]) and other cardiovascular risk factors including diabetes (OR: 0.72 [0.55; 0.94]), hypertension (OR: 0.59 [0.50; 0.71]) and metabolic syndrome (OR: 0.62 [0.50; 0.78]). In contrast, OPA was only associated with lower odds of diabetes (OR: 0.79 [0.65; 0.98]) and hypertension (0.85 [0.74; 0.98]). In conclusion, LTPA was associated with a lower risk of all major cardiovascular risk factors, whereas OPA was only associated with a lower risk of diabetes and hypertension.

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Menopausia y factores de riesgo cardiovascular en mujeres chilenas

2020, Martorell, Miquel, Ramírez Alarcón, Karina, Labraña, Ana María, Barrientos, Danahe, Opazo, Makarena, Martínez-Sanguinetti, María Adela, Leiva, Ana María, Troncoso-Pantoja, Claudia, Lasserre-Laso, Nicole, Nazar, Gabriela, Celis-Morales, Carlos, Petermann-Rocha, Fanny

Background: Menopause exposes women to an increased cardiovascular risk. Aim: To determine the association between menopause and cardiovascular risk factors in Chilean adult women using data from the National Health Survey (NHS) 2016-2017. Material and Methods: Data from 2,139 women over 40 years of age participating in the NHS 2016-2017, with information about menopause and cardiovascular risk factors was used. Expansion factors were applied to this sample, obtaining an expanded sample of 3,733,191 participants. Laboratory values (blood glucose, triglycerides, HDL and total cholesterol) and anthropometric measurements (body weight, height and waist circumference) were analyzed. The presence of hypertension, diabetes, and metabolic syndrome (MetS) were also recorded. Results: Sixty seven percent of surveyed women were menopausal and had higher systolic blood pressure than non-menopausal participants. Menopause was significantly associated with hypertension (Odds ratio (OR): 2.43 [95% confidence intervals (CI): 1.71; 3.45], p < 0.01) and diabetes (OR: 2.05 [95% CI: 1.32; 3.19], p < 0.01). However, no association was observed with obesity, abdominal obesity or MetS. Conclusions: In these women, a positive association was identified between menopause and hypertension as well as diabetes.

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Sociodemographic patterns of urine sodium excretion and its association with hypertension in Chile: A cross-sectional analysis

2019, Petermann Rocha, Fanny, Sillars, Anne, Brown, Rosemary, Sweeney, Lauren, Troncoso-Pantoja, Claudia, García Hermoso, Antonio, Leiva, Ana María, Martínez, María Adela, Diaz Martínez, Ximena, Poblete Valderrama, Felipe, Garrido-Méndez, Alex, Cataldo, Ximena, Iturra Gonzalez, José, Salas, Carlos, Lara, José, Gray, Stuart R., Celis Morales, Carlos

Objective: The aim of the study was to determine the main factors (sociodemographic, anthropometric, lifestyle and health status) associated with high Na excretion in a representative population of Chile. Design: Na excretion (g/d), a valid marker of Na intake, was determined by urine analysis and Tanaka's formulas. Blood pressure was measured by trained staff and derived from the mean of three readings recorded after 15 min rest. The associations of Na excretion with blood pressure and the primary correlates of high Na excretion were determined using logistic regression. Setting: Chileans aged ≥15 years.ParticipantsParticipants (n 2913) from the Chilean National Health Survey 2009-2010. Results: Individuals aged 25 years or over, those who were obese and those who had hypertension, diabetes or metabolic syndrome were more likely to have higher Na excretion. The odds for hypertension increased by 10·2 % per 0·4 g/d increment in Na excretion (OR=1·10; 95 % CI 1·06, 1·14; P < 0·0001). These findings were independent of major confounding factors. Conclusions: Age, sex, adiposity, sitting behaviours and existing co-morbidities such as diabetes were associated with higher Na excretion levels in the Chilean population. These findings could help policy makers to implement public health strategies tailored towards individuals who are more likely to consume high levels of dietary salt.