Research Outputs

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Percepciones y caracterƭsticas de la prƔctica de actividad fƭsica durante la pandemia en adultos. Un estudio de caso en Chile

2024, Dr. Garrido-MƩndez, Alex, Dr. Poblete-Valderrama, Felipe, Dr. Matus-Castillo, Carlos, Toro-Salinas, AndrƩs, Ɓlvarez-Lepin, Cristian, Concha-Cisternas, Yeny, Rodriguez-Rodriguez, Fernando, Petermann-Rocha, Fanny, Celis-Morales, Carlos

La pandemia del COVID-19 modificĆ³ los estilos de vida de la poblaciĆ³n mundial, debido a las medidas de confinamiento para reducir la actividad social masiva. Esto aumentĆ³ los niveles de inactividad fĆ­sica y sus riesgos para la salud. Por ello, el Ministerio de Salud de Chile estableciĆ³ una banda horaria exclusiva para la prĆ”ctica de actividad fĆ­sica. Los objetivos del estudio fueron conocer las percepciones de los usuarios y las caracterĆ­sticas de la actividad fĆ­sica realizada durante la banda horaria. Se empleĆ³ un enfoque interpretativo, de diseƱo cualitativo, mediante un estudio de caso, con una entrevista personal y presencial. El instrumento fue un guion semiestructurado, aplicado a once sujetos adultos de ambos sexos, con edades entre los 24 y 69 aƱos, que realizaban actividad fĆ­sica en un parque de la ciudad de ConcepciĆ³n, Chile, durante el aƱo 2021. Los resultados indican que las personas realizaban actividades fĆ­sicas por placer, para cuidar la salud y socializar, y reportaron sentirse con energĆ­a durante el dĆ­a. Manifestaron un alto nivel de satisfacciĆ³n con esta medida y una alta motivaciĆ³n hacia la prĆ”ctica de actividad fĆ­sica, pero sugirieron ampliar el horario de la maƱana e introducir una nueva banda en la tarde. Por otro lado, realizaron actividades fĆ­sicas preferiblemente grupales, de cuatro a siete veces por semana, y de una a dos horas de duraciĆ³n. En conclusiĆ³n, las percepciones hacia la banda horaria fueron positivas, y las caracterĆ­sticas de las prĆ”cticas fĆ­sicas contribuyeron significativamente a mejorar la salud y el bienestar durante el confinamiento.

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Nivel educativo y su asociaciĆ³n con niveles de actividad fĆ­sica en Chile

2020, Garrido-MĆ©ndez, Alex, Matus-Castillo, Carlos, Poblete-Valderrama, Felipe, Flores Rivera, Carol, Petermann-Rocha, Fanny, RodrĆ­guez RodrĆ­guez, Fernando, VĆ”squez GĆ³mez, Jaime, DĆ­az-MartĆ­nez, Ximena, BeltrĆ”n, Ana Rosa, Celis-Morales, Carlos

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 ā‰„ (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.

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Association between physical activity and income levels in chilean adults

2021, Dr. Garrido-MĆ©ndez, Alex, Dr. Matus-Castillo, Carlos, Dr. Poblete-Valderrama, Felipe, Concha-Cisternas, Yeny, VĆ”squez-GĆ³mez, Jaime, Cigarroa, Igor, DĆ­az-MartĆ­nez, Ximena, MartĆ­nez-Sanguinetti, MarĆ­a, BeltrĆ”n, Ana, Martorell, Miquel, RamĆ­rez-AlarcĆ³n, Karina, Salas-Bravo, Carlos, Lasserre-Laso, Nicole, Parra-Soto, Solange, Petermann-Rocha, Fanny, Celis-Morales, Carlos

Background: The Chilean population reports high levels of physical inactivity. The relationship between income level, physical activity (PA) and sedentary behaviors is not well known. Aim: To describe the levels of PA and sedentary time, according to income levels in the Chilean population. Material and Methods: Analysis of data from the Chilean National Health Survey 2016-2017, which included 5,130 participants (52.9% women). The levels of PA and sedentary time were measured by the Global Physical Activity Questionnaire. Income levels were established according to the self-reported income per capita of the households and presented as quintiles. PA levels according to income levels were estimated by linear regression analyses. Results: Transport-related PA was higher in the lowest income quintiles (p = 0.039). There were no trends for income levels and PA domains including moderate, vigorous, total, occupational and leisure PA. The prevalence of leisure and occupational physical inactivities were higher in the lowest quintiles of income. Sitting time was higher in the higher income levels (p < 0.01). Conclusions: People in the lowest quintile for income spent more time in transport-related PA and less time sitting. However, physical inactivity prevalence during leisure and work time were higher in people with lower income.

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AsociaciĆ³n entre velocidad de marcha y deterioro cognitivo en personas mayores: Resultados de la Encuesta Nacional de Salud 2016-2017

2022, Dra. Troncoso-Pantoja, Claudia, Dr. Matus-Castillo, Carlos, Dr. Poblete-Valderrama, Felipe, Garrrido-MƩndez, Ɓlex, Concha-Cisternas, Yeny, Castro-PiƱero, JosƩ, VƔsquez, Jaime, Martorell, Miquel, Cigarroa, Igor, Petermann-Rocha, Fanny, Parra-Soto, Solange, Martƭnez- Sanguinetti, Marƭa, Nazar, Gabriela, Leiva-OrdoƱez, Ana, Diaz-Martƭnez, Ximena, Celis-Morales, Carlos

Antecedentes: La velocidad de la marcha podrĆ­a considerarse un marcador temprano de riesgo de deterioro cognitivo en personas mayores. Objetivo: Determinar la asociaciĆ³n entre velocidad de la marcha y sospecha de deterioro cognitivo en poblaciĆ³n mayor chilena. MĆ©todos: Se incluyeron 1788 personas mayores de la Encuesta Nacional de Salud (ENS) 2016-2017 que tenĆ­an informaciĆ³n sobre velocidad de marcha y sospecha de deterioro cognitivo. La velocidad de la marcha fue autorreportada y categorizada como marca lenta, normal y rĆ”pida. Sospecha de deterioro cognitivo fue evaluado a travĆ©s del cuestionario Mini Mental abreviado. La asociaciĆ³n entre marcha y deterioro cognitivo fue investigada mediante anĆ”lisis de regresiĆ³n logĆ­stica. Resultados: En comparaciĆ³n a las personas mayores que reportaron una velocidad de marcha rĆ”pida, aquellas que reportaron una marcha lenta presentaron 2,67 veces mayor probabilidad de tener deterioro cognitivo (OR: 2,67 [95% IC:1,62; 4,42], p<0,001). Al ajustar los modelos por variables de confusiĆ³n sociodemogrĆ”ficas, estilos de vida y salud, la asociaciĆ³n disminuyĆ³, pero, permaneciĆ³ significativa (OR: 1,78 [95% IC:1,15; 3,17], p=0,047). Mientras que las personas mayores que reportaron tener una velocidad de marcha normal no presentaron asociaciĆ³n con deterioro cognitivo. ConclusiĆ³n: Personas mayores que reportan una velocidad de marcha lenta presentaron una mayor probabilidad de sospecha de deterioro cognitivo. Considerando que el deterioro cognitivo es un sĆ­ndrome geriĆ”trico con alta prevalencia en poblaciĆ³n mayor, existe la necesidad de enfatizar en estrategias para un diagnĆ³stico temprano, por lo cual la velocidad de marcha podrĆ­a ser un instrumento Ćŗtil.

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Actividad fĆ­sica y tiempo sedente se asocian a sospecha de deterioro cognitivo en poblaciĆ³n adulta mayor chilena

2019, Poblete-Valderrama, Felipe, Flores Rivera, Carol, Petermann-Rocha, Fanny, Leiva, Ana Marƭa, Martƭnez-Sanguinetti, Marƭa Adela, Troncoso-Pantoja, Claudia, Mardones-Leiva, Lorena, Villagran-Orellana, Marcelo, Nazar, Gabriel, Ulloa, Natalia, Martorell, Miquel, Dƭaz-Martƭnez, Ximena, Lanuza, FabiƔn, Garrido-MƩndez, Alex, Celis-Morales, Carlos

Los factores del estilo de vida podrĆ­an promover un envejecimiento saludable. Objetivo: Investigar la asociaciĆ³n entre la actividad fĆ­sica (PA), comportamiento sedentario y deterioro cognitivo en chilenos mayores adultos. Material y MĆ©todos: Se incluyeron 1.390 participantes de la Encuesta Nacional de Salud (2009-2010). El Mini-mental El examen estatal se utilizĆ³ para diagnosticar el deterioro cognitivo. La actividad fĆ­sica y el comportamiento sedentario fueron evaluados con Cuestionario Global de Actividad FĆ­sica (GPAQ). RegresiĆ³n LogĆ­stica se realizĆ³ para investigar las asociaciones. Resultados: Comparados con adultos mayores con niveles mĆ”s bajos de PA (< 48 min/dĆ­a), aquellos con niveles medios (48-248 min/dĆ­a) y mĆ”s altos (>248 min/dĆ­a) de PA tuvieron menores probabilidades de deterioro cognitivo (Odds ratio (OR): 0,57 [95% IC: 0,32; 0,83], p < 0,01, respectivamente). Los participantes que informaron que pasaban mĆ”s de 8 horas al dĆ­a sentados tenĆ­an una alta probabilidad de deterioro cognitivo en comparaciĆ³n con aquellos que pasaban < 4 horas/ dĆ­a (OR: 3,70 [IC 95%: 1,37; 6,03], p = 0,01). Conclusiones: Tanto la PA como el comportamiento sedentario se asociaron independientemente con el deterioro cognitivo independiente de los principales factores de confusiĆ³n en adultos mayores chilenos.

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Prevalence and patterns of active commuting according to sociodemographic factors in the Chilean population

2019, Waddell, Heather, RodrĆ­guez-RodrĆ­guez, Fernando, Garrido-MĆ©ndez, Alex, DĆ­az-MartĆ­nez, Ximena, Poblete-Valderrama, Felipe, Petermann-Rocha, Fanny, Celis-Morales, Carlos

Introduction: The objective of this study was to investigate levels of self-reported active commuting by socio-demographics factors in Chile. Methods: This cross-sectional study was conducted in 5,157 participants (women: 59.3%, age range 15ā€“101 years) from the Chilean National Health Survey (CNHS) 2009ā€“2010. The Global Physical Activity Questionnaire (GPAQ v2) was utilised to measure frequency and time spent in active commuting (walking or cycling). In addition, age, sex, education, place of residence, income and occupation were used as socio-demographics factors of interest. Results: 31.9% [95% Confidence Interval (CI): 29.7; 34.2] of the population reported not doing any form of active commuting, this prevalence was higher in women than men (34.0% vs. 29.7%), in older (ā‰„65y) than younger individuals (ā‰¤24y) (44.1% vs. 24.4%), in individuals with lower education compared to higher education (38.4% vs. 28.2) and in retired individuals than in those who were employed (46.0% vs. 31.2%). Being a non-active commuter was associated with a higher prevalence of physical inactivity (OR: 11.1 [95% CI: 8.27; 14.8], p < 0.0001). Similar findings were observed when analyses were stratified by socio-demographics factors. Conclusions: Our findings show that prevalence and levels of active commuting differ by sociodemographic factors. In addition, our results provide evidence that commuting physical activity is an important domain that contribute to achieving the physical activity guidelines. Individuals who do not engage in active commuting presented a higher prevalence of physical inactivity.

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Anxiety, low self-esteem and a low happiness index are associated with poor school performance in Chilean adolescents: A cross-sectional analysis

2021, Dr. Poblete-Valderrama, Felipe, Zapata-Lamana, Rafael, Sanhueza-Campos, Cristian, Stuardo-Ɓlvarez, Marcia, Ibarra-Mora, Jessica, Mardones-Contreras, Marcela, Reyes-Molina, Daniel, VĆ”squez-GĆ³mez, Jaime, Lasserre-Laso, Nicole, Petermann-Rocha, Fanny, Parra-Rizo, Maria, Cigarroa, Igor

Objective: To analyze the relationship between anxiety, self-esteem, happiness index and primary school studentsā€™ academic performance in Chilean adolescents from the BiobĆ­o province. Methodology: 733 (46.1% girls; 12 (1.3 years)) public primary school students that completed the 2018 Health and School Performance Survey carried out in the BiobĆ­o province were included in this cross-sectional analysis. The BECK Anxiety Inventory (BAI) was used to measure anxiety while happiness index and self-esteem were measured using the subjective happiness scale and the Rosenberg self-esteem scale, respectively. School performance was measured by grade point average (GPA) of language, math, physical education and cumulative GPA, and behavior associated with cognition in the school context was also considered. The relationship between mental health indicators and school performance was investigated using a one-way ANOVA and Pearson correlation. Results: In comparison to students with low anxiety levels and high self-esteem and happiness levels, students with higher anxiety levels, lower self-esteem and happiness levels perceived themselves as having memory problems. They were also slower to solve math problems, had a shorter attention span in class and presented more difficulties in solving complex tasks, as well as being more nervous during testing. These students also got the lowest grade point average in math, language and physical education. Conclusions: High anxiety levels, low self-esteem and low happiness levels were associated with lower school performance and weaker behavior associated with cognition in Chilean adolescents. Implementing plans of emotional education and mental health could improve academic achievement.

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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-MartĆ­nez, Ximena, Leiva, Ana M., MartĆ­nez, MarĆ­a A., Poblete-Valderrama, Felipe, Garrido-MĆ©ndez, Alex, Matus-Castillo, Carlos, Luarte-Rocha, Cristian, Salas-Bravo, Carlos, Troncoso-Pantoja, Claudia, GarcĆ­a-Hermoso, Antonio, RamĆ­rez-VĆ©lez, Robinson, VĆ”squez-GĆ³mez, Jaime A., RodrĆ­guez-RodrĆ­guez, Fernando, Ɓlvarez, 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 2009ā€“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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Association of self-reported walking speed with markers of adiposity and cardiovascular risk in Chile

2020, Dr. Garrido-MĆ©ndez, Alex, Dr. Matus-Castillo, Carlos, Dr. Poblete-Valderrama, Felipe, Dra. Troncoso-Pantoja, Claudia, Dr. Villagran-Orellana, Marcelo, VĆ”squez-GĆ³mez, Jaime, Rosa-BeltrĆ”n, Ana, Cigarroa-Cuevas, Igor, Lasserre-Laso, Nicole, Ɓlvarez, Cristian, DĆ­az-MartĆ­nez, Ximena, Salas-Bravo, Carlos, MartĆ­nez-Sanguinetti, MarĆ­a, Leiva-OrdoƱez, Ana, Petermann-Rocha, Fanny, Celis-Morales, Carlos

Background: Walking speed is a strong predictor of non-communicable diseases and mortality. Aim: To investigate the association of self-reported walking pace with adiposity, metabolic and cardiovascular markers in the Chilean population. Material and Methods: Analysis of data from 5,077 participants of the 2009-2010 National Health Survey (ENS 2009-2010). Walking speed was self-reported as average or slow pace. Body mass index (BMI), waist circumference (WC), blood pressure, blood glucose, glycosylated hemoglobin and lipid profile were the outcome. Results: In Chile, 11% (95% confidence intervals [CI]: 10.0; 12.7) of the population reported a slow walking pace. Compared with average walking people, those reporting a slow pace had a higher body weight (difference (āˆ†) 5.65 kg [95% CI: 3.22; 8.09], p < 0.01), BMI (D 2.48 kg/m 2 [95% CI: 1.53; 3.44], p < 0.01), WC (D 6.23 cm [95% CI: 4.12; 8.34], p < 0.01), serum triglycerides (D 30,9 mg/dl [95% CI: 5,31; 57,5], p = 0.018), and lower HDL cholesterol (D -2.32 mg/dl [95% CI: -4,24; -0,34], p = 0.022). Those reporting a slow pace had also a higher odd of being obese (odds ratio (OR): 2.46 [95% CI: 1.82; 3.33], p < 0.01), being diabetic (OR: 1.54 [95% CI: 1.02; 2.40], p = 0.018) and having metabolic syndrome (OR: 2.03 [95% CI: 1.30; 3.18], p = 0.002). Conclusions: In Chilean adults, slow walking pace is associated with and unfavorable adiposity and lipid profile, including a higher probability of being obese, diabetic and having metabolic syndrome.

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Fitness cardiorrespiratorio estimado mediante ecuaciĆ³n y su caracterizaciĆ³n sociodemogrĆ”fica en poblaciĆ³n chilena: Resultados de la Encuesta Nacional de Salud 2016-2017

2020, Dr. Garrido-MĆ©ndez, Alex, Dr. Matus-Castillo, Carlos, Dr. Poblete-Valderrama, Felipe, VĆ”squez-GĆ³mez, Jaime, DĆ­az-MartĆ­nez, Ximena, Concha-Cisternas, Yeny, Cigarroa, Igor, Martorell, Miquel, MartĆ­nez-Sanguinetti, MarĆ­a, Leiva-OrdoƱez, Ana, Petermann-Rocha, Fanny, Celis-Morales, Carlos

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.