Associations between diabesity and allcause mortality: a prospective analysis of the Chilean National Health Survey 2009-2010.

IF 2.4 4区医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Salud Publica De Mexico Pub Date : 2024-11-05 DOI:10.21149/15520

Fabian Lanuza, Felipe Díaz-Toro, Claudia Troncoso-Pantoja, Ana María Leiva, Gabriela Nazar, Yeny Concha-Cisternas, Miquel Martorell, Ana María Labraña, Solange Parra-Soto, Karina Ramírez-Alarcón, Marcelo Villagrán, Nicole Lasserre-Laso, Carolina Ochoa-Rosales, Lorena Mardones, Fernanda Carrasco-Marín, Nicolas Martínez-Maturana, Carlos Celis-Morales, Fanny Petermann-Rocha

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Abstract

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.

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来源期刊

Salud Publica De Mexico PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.30

自引率

21.70%

发文量

审稿时长

34 weeks

期刊介绍： Salud Pública de México se crea en 1959 y comienza a publicarse bimestralmente a partir de 1961; en 1988 inicia una nueva época en la que se refuerza su carácter de publicación científica con evaluación por pares. Es una revista publicada por el Instituto Nacional de Salud Pública (INSP), organismo descentralizado de la Secretaría de Salud de México, dedicado a la investigación, docencia y difusión del conocimiento en salud pública. El INSP, de acuerdo con la normatividad internacional, otorga a la revista independencia editorial.