Skeletal muscle and body fat interact with blood pressure in cerebral vascular disease: characterization study from the Chilean National Health Survey 2016-17.

IF 1.1 4区医学 Q3 BUSINESS

Nutricion hospitalaria Pub Date : 2025-06-06 DOI:10.20960/nh.05721

Cristian Gabriel Álvarez Lepin, Paulina Ibacache-Saavedra, Carolina Fuentes, Macarena Ramos, Claudia Marchant, Lorena Martinez-Ulloa, Lissé Chiquinquirá Angarita-Dávila, Igor Cigarroa, David Andrade, Felipe Caamaño-Navarrete, Guido Contreras-Díaz, Luis Javier Chirosa-Ríos, Pedro Delgado-Floody

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引用次数: 0

Abstract

Background: peripheral (PVD) and cerebral vascular disease (CeVD) are two vascular conditions of relevance in older adults. However, there is little epidemiological studies about the body composition role (i.e., skeletal muscle mass [by calf circumference] and adiposity [by waist circumference]) in the diabetes and hypertension (HTN) prevalence in PVD and CeVD conditions.

Aim: to describe the characteristics of population with PVD and CeVD by different body composition phenotypes and determine the interaction between PVD/CeVD, and body composition with the HTN and diabetes prevalence.

Methods: a cross-sectional study of the Chilean population based on the National Health Survey 2016-17. A sample size of n = 233 participants was characterized according to previous PVD and CeVD or not No-PVD/No-CeVD history. Four body composition phenotypes were described such as; low skeletal muscle mass plus high waist circumference (Lsmm-Hwc), low skeletal muscle mass plus low waist circumference (Lsmm-Lwc), high skeletal muscle mass plus high waist circumference (Hsmm-Hwc), and high skeletal muscle mass plus low waist circumference (Hsmm-Lwc), by main outcomes as systolic (SBP), and diastolic BP (DBP) and fasting glucose.

Results: there was a significant interaction between body composition (Groups x CeVD), in SBP (CeVD, F (3.40), p = 0.002, ES: 0.007), where SBP in Lsmm-Lwc was higher (diff +28 mmHg) versus the Hsmm-Lwc reference group. Lsmm-Hwc (odds ratio [OR], 3.2 [1.8; 5.9], p < 0.0001), Lsmm-Lwc (OR, 1.7 [1.0; 3.1], p = 0.047), and Hsmm-Hwc (OR, 2.2 [1.5; 3.3], p < 0.0001) showed a higher risk for suffering from PVD vs. Hsmm-Lwc group.

Conclusion: Chilean adults with both PVD and CeVD are shown to be aged 60, with obesity and hypertensive condition, and report lower handgrip strength in comparison with adult peers with higher muscle mass and lower waist circumference.

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脑血管疾病中骨骼肌和体脂肪与血压的相互作用：智利国家健康调查2016-17的特征研究

背景：外周血管疾病（PVD）和脑血管疾病（CeVD）是两种与老年人相关的血管疾病。然而，关于PVD和CeVD患者的身体组成（即骨骼肌质量[以小腿围计算]和脂肪[以腰围计算]）在糖尿病和高血压（HTN）患病率中的作用的流行病学研究很少。目的：通过不同体组成表型描述PVD和CeVD人群的特征，确定PVD/CeVD、体组成与HTN和糖尿病患病率之间的相互作用。方法：基于2016-17年全国健康调查对智利人口进行横断面研究。n = 233名参与者根据既往PVD和CeVD或无PVD/无CeVD病史进行特征分析。描述了四种体成分表型，如；低骨骼肌量加高腰围（Lsmm-Hwc）、低骨骼肌量加低腰围（Lsmm-Lwc）、高骨骼肌量加高腰围（Hsmm-Hwc）和高骨骼肌量加低腰围（Hsmm-Lwc），主要指标为收缩压（SBP）、舒张压（DBP）和空腹血糖。结果：体成分（组x CeVD）与收缩压（CeVD, F (3.40), p = 0.002, ES: 0.007）之间存在显著的相互作用，其中Lsmm-Lwc组的收缩压高于Hsmm-Lwc参照组（diff +28 mmHg）。Lsmm-Hwc(优势比[OR]， 3.2 [1.8；5.9], p < 0.0001), Lsmm-Lwc (OR, 1.7 [1.0；3.1], p = 0.047), Hsmm-Hwc (OR, 2.2 [1.5；3.3], p < 0.0001)与Hsmm-Lwc组相比，患PVD的风险更高。结论：智利患有PVD和CeVD的成年人年龄为60岁，伴有肥胖和高血压，与肌肉质量较高、腰围较低的成年人相比，握力较低。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nutricion hospitalaria 医学-营养学

CiteScore

1.90

自引率

8.30%

发文量

181

审稿时长

3-6 weeks

期刊介绍： The journal Nutrición Hospitalaria was born following the SENPE Bulletin (1981-1983) and the SENPE journal (1984-1985). It is the official organ of expression of the Spanish Society of Clinical Nutrition and Metabolism. Throughout its 36 years of existence has been adapting to the rhythms and demands set by the scientific community and the trends of the editorial processes, being its most recent milestone the achievement of Impact Factor (JCR) in 2009. Its content covers the fields of the sciences of nutrition, with special emphasis on nutritional support.