Dr. Poblete-Valderrama, Felipe

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.

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 15–101 years) from the Chilean National Health Survey (CNHS) 2009–2010. 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 (≥65y) than younger individuals (≤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.

Antecedentes: La velocidad de la marcha podría considerarse un marcador temprano de riesgo de deterioro cognitivo en personas mayores. Objetivo: Determinar la asociación entre velocidad de la marcha y sospecha de deterioro cognitivo en población mayor chilena. Métodos: Se incluyeron 1788 personas mayores de la Encuesta Nacional de Salud (ENS) 2016-2017 que tenían información sobre velocidad de marcha y sospecha de deterioro cognitivo. La velocidad de la marcha fue autorreportada y categorizada como marca lenta, normal y rápida. Sospecha de deterioro cognitivo fue evaluado a través del cuestionario Mini Mental abreviado. La asociación entre marcha y deterioro cognitivo fue investigada mediante análisis de regresión logística. Resultados: En comparación a las personas mayores que reportaron una velocidad de marcha rápida, 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 confusión sociodemográficas, estilos de vida y salud, la asociación disminuyó, pero, permaneció 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 asociación con deterioro cognitivo. Conclusión: 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 síndrome geriátrico con alta prevalencia en población mayor, existe la necesidad de enfatizar en estrategias para un diagnóstico temprano, por lo cual la velocidad de marcha podría ser un instrumento útil.