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Asociación entre deterioro del flujo espiratorio máximo y prevalencia de enfermedades cardiovasculares y metabólicas en población adulta chilena: hallazgos preliminares de la Cohorte del Maule (MAUCO) / Peak expiratory flow and prevalence of cardiovascular and metabolic diseases in a Chilean adult population: preliminary findings from the Maule Cohort (MAUCO)
Orena CH, Viviana; Valdivia C, Gonzalo; Ferreccio R, Catterina.
  • Orena CH, Viviana; Universidad Mayor. Facultad de Ciencias. Escuela de Kinesiología. Temuco. CL
  • Valdivia C, Gonzalo; Pontificia Universidad Católica de Chile. Facultad de Medicina. Departamento de Salud Pública. Santiago. CL
  • Ferreccio R, Catterina; Pontificia Universidad Católica de Chile. Facultad de Medicina. Departamento de Salud Pública. Santiago. CL
Rev. chil. enferm. respir ; 35(1): 33-42, mar. 2019. tab
Article in Spanish | LILACS | ID: biblio-1003644
RESUMEN

Introducción:

La enfermedad respiratoria crónica determina alta morbimortalidad y frecuencia de comorbilidades cardiometabólicas. Evaluamos la asociación entre flujo espiratorio máximo (FEM) y algunas condiciones cardiometabólicas en adultos de una zona semirural, en la medición basal de la cohorte MAUCO (MAUle COhort). Material y

Método:

Estudio transversal (3.465 adultos, 40-74 años). Se midió el flujo espiratorio máximo (FEM) (mini-Wright, estándar ATS) utilizándose valores de Gregg y Nunn (FEM deteriorado ≤ 80% del teórico). Se obtuvo autorreporte/mediciones de hipertensión arterial (HTA), enfermedad cerebrovascular (ECV), infarto al miocardio (IAM), diabetes mellitus 2 (DM2), presión arterial, glicemia, colesterol, peso y talla. Actividad física y tabaquismo se evaluaron por encuesta, previa aprobación Ética. Se calcularon medidas de asociación, prevalencia y Odds Ratio (OR).

Resultados:

Muestra de 63,9% de mujeres edad media 55 (± 9) años, escolaridad media 9 (± 4) años. 84,7% tuvo exceso de peso, 81,5% inactividad física 29,4% fumadores actuales. Prevalencia de FEM bajo 50,6% (IC 95% 48,9-52,3). El autorreporte fue ACV 2,2% IAM 3,3, sospecha de hipertensión 24% y DM2 2,7%. Los OR crudos fueron significativos en mujeres que autorreportaron HTA, ECV, IAM y autorreporte/sospecha de DM2, y en hombres con autorreporte de ECV, sospecha de DM2 y autorreporte/sospecha de HTA. La asociación se mantuvo post-ajuste en mujeres para autorreporte de IAM y deterioro moderado (OR = 2,49) y severo del FEM (OR = 2,60) y en hombres para sospecha de DM2 y deterioro leve (OR = 5,24) y severo del FEM (OR = 6,19).

Conclusiones:

FEM resultó significativamente asociado con las enfermedades cardiometabólicas seleccionadas, con efecto sexo- específico para IAM (mujeres) y sospecha de DM2 (hombres). Se constata alta prevalencia de FEM alterado, y de enfermedades cardiometabólicas crónicas en la población estudiada.
ABSTRACT

Introduction:

Chronic respiratory diseases determine high morbimortality and cardiometabolic comorbidities. We evaluated the association between peak expiratory flow (PEF) and cardiometabolic conditions in adults in a semi-rural area, in the baseline of MAUCO cohort (MAUle COhort). Material and

Method:

Cross-sectional study (3,465 adults, 40-74 years). Peak expiratory flow (PEF) (mini-Wright, ATS standard) was measured (Gregg & Nunn; impaired PEF ≤ 80% predicted). Self-reported/measured hypertension (HT), cerebrovascular disease (CVD), myocardial infarction (AMI), diabetes mellitus 2 (DM2), blood pressure, glycemia, cholesterol, weight and height were obtained. Physical activity and smoking were surveyed, after Ethical approval. Association's measures, prevalence and Odds Ratio (OR) were calculated.

Results:

Sample of 63.9% of women, mean age 55 (± 9) years, schooling 9 (± 4) years. 84.7% had overweight, 81.5%physical inactivity 29.4% smokers. Low PEF 50.6% (48.9-52.3). Self-reported was CVD 2.2% AMI 3.3%, suspicion of hypertension 24% and DM2 2.7%. Crude OR`s were significant for women by self-reported hypertension, stroke, AMI and self-reported/suspicion DM2; in men for self-reported CVD, suspected DM2 and self-reported/suspected hypertension. The association remained post-adjusted in women self-reported AMI -moderate deterioration (OR = 2.49) and severe PEF (OR = 2.60) and in men suspected DM2 and mild (OR = 5.24) and severe deteriorated PEF (OR = 6.19).

Conclusions:

PEF was significantly associated with cardiometabolic diseases; sex- specific findings for AMI (women) and suspicion of DM2 (men). High prevalence of altered PEF and chronic cardiometabolic diseases were detected among the studied population.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Respiratory Tract Diseases / Cardiovascular Diseases / Maximal Expiratory Flow Rate / Metabolic Diseases Type of study: Diagnostic study / Etiology study / Health technology assessment / Observational study / Prevalence study / Prognostic study / Risk factors / Screening study Limits: Adult / Aged / Female / Humans / Male Country/Region as subject: South America / Chile Language: Spanish Journal: Rev. chil. enferm. respir Journal subject: Pulmonary Disease (Specialty) Year: 2019 Type: Article / Project document Affiliation country: Chile Institution/Affiliation country: Pontificia Universidad Católica de Chile/CL / Universidad Mayor/CL

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Full text: Available Index: LILACS (Americas) Main subject: Respiratory Tract Diseases / Cardiovascular Diseases / Maximal Expiratory Flow Rate / Metabolic Diseases Type of study: Diagnostic study / Etiology study / Health technology assessment / Observational study / Prevalence study / Prognostic study / Risk factors / Screening study Limits: Adult / Aged / Female / Humans / Male Country/Region as subject: South America / Chile Language: Spanish Journal: Rev. chil. enferm. respir Journal subject: Pulmonary Disease (Specialty) Year: 2019 Type: Article / Project document Affiliation country: Chile Institution/Affiliation country: Pontificia Universidad Católica de Chile/CL / Universidad Mayor/CL