Salud publica de Mexico · 2024
Associations between diabesity and allcause mortality: a prospective analysis of the Chilean National Health Survey 2009-2010.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Lanuza Fabian, Díaz-Toro Felipe, Troncoso-Pantoja Claudia, Leiva Ana María, Nazar Gabriela, Concha-Cisternas Yeny, Martorell Miquel, Labraña Ana María, Parra-Soto Solange, Ramírez-Alarcón Karina, Villagrán Marcelo, Lasserre-Laso Nicole, Ochoa-Rosales Carolina, Mardones Lorena, Carrasco-Marín Fernanda, Martínez-Maturana Nicolas, Celis-Morales Carlos, Petermann-Rocha Fanny
Аннотация
OBJECTIVE: To investigate whether patients with diabesity (the combination of both conditions) have a higher mortality risk than isolated obesity or type 2 diabetes (T2D), particularly when waist-circumference (WC) is used as a criterion for obesity.
MATERIALS AND METHODS: This longitudinal study included 4 514 Chilean participants from the Chilean National Health Survey 2009 and 2010. Participants were categorized into four groups based on WC and diagnosis of diabetes: a) normal, b) abdominal obesity-only, c) T2D-only, and d) diabesity. Cox proportional hazard models were performed to investigate the associations between diabesity and all-cause mortality. Analyses were also replicated using body mass index (BMI) categories.
RESULTS: After a median follow-up of 10.9 years, 445 (9.9%) participants died. In the fully-adjusted model, compared with participants with normal-conditions, those with diabesity had 1.37 (95%CI: 1.01,1.85) times higher all-cause mortality risk.
CONCLUSIONS: Individuals with diabesity had a higher mortality risk compared to their counterparts. The WC instead of BMI can be a more sensitive predictor of mortality risk in the Chilean population.
MATERIALS AND METHODS: This longitudinal study included 4 514 Chilean participants from the Chilean National Health Survey 2009 and 2010. Participants were categorized into four groups based on WC and diagnosis of diabetes: a) normal, b) abdominal obesity-only, c) T2D-only, and d) diabesity. Cox proportional hazard models were performed to investigate the associations between diabesity and all-cause mortality. Analyses were also replicated using body mass index (BMI) categories.
RESULTS: After a median follow-up of 10.9 years, 445 (9.9%) participants died. In the fully-adjusted model, compared with participants with normal-conditions, those with diabesity had 1.37 (95%CI: 1.01,1.85) times higher all-cause mortality risk.
CONCLUSIONS: Individuals with diabesity had a higher mortality risk compared to their counterparts. The WC instead of BMI can be a more sensitive predictor of mortality risk in the Chilean population.