Factores asociados al desarrollo de diabetes mellitus tipo 2 en Chile = Risk factors associated with type 2 diabetes in Chile

Background: Worldwide, prevalence of type 2 diabetes has doubled in the last years, mainly due to unhealthy lifestyle behaviours. They are many risk factors associated with diabetes, however, which factors are associated with diabetes in the Chilean population remains unknown. Therefore, the aim was to determine what risk factors are associated with the development of diabetes in Chile. Methods: Four thousand and seven hundred participants from the cross-sectional 2009-2010 National Health Survey were included in this study (4,162 normal; 538 diabetics). Risk factors assessed were socio-demographic, anthropometric, lifestyle, well-being and comorbidities. The association between diabetes and risk factors was examined using logistic regression. Results: The main non-modifiable risk factors associated with diabetes were age ≥ 45 year, female and family history of diabetes; whereas the main modifiable risk factors were hypertension, overweight, obesity, central obesity, physical inactivity and higher levels of sitting time. Conclusion: The identification of modifiable risk factors for DMT2 is key to control and decrease the prevalence of this pathology and to improve the quality of life of the population

Consumo de bebidas azúcaradas ayer y hoy: ¿cuál es el escenario para la población chilena? = Sugar-sweetened beverage consumption, what is the scenario for Chile?

No abstract available

El sedentarismo se asocia a un incremento de factores de riesgo cardiovascular y metabólicos independiente de los niveles de actividad física = Sedentary lifestyle is associated with metabolic and cardiovascular risk factors independent of physical activity

Background: Sedentary behavior is a main risk factor for cardiovascular disease and mortality. Aim: To investigate the association between sedentary behavior and metabolic and cardiovascular risk factors. Material and Methods: We assessed 322 participants aged between 18 to 65 years. Physical activity and sedentary behavior were measured with accelerometers (Actigraph®). Body mass index (BMI), waist circumference, percentage of body fat, diet and blood markers (glucose, lipid profile, insulin and HOMA-IR) were measured with standardized protocols. Results: Thirty four percent of participants were physically inactive and spent on average 8.7 h/day on sedentary activities. Per one hour increase in sedentary behavior there were significant adverse changes in glucose (4.79 mg/dl), insulin (2.73 pmol/l), HOMA-IR (0.75), BMI (0.69 kg/m2), waist circumference (1.95 cm), fat mass (1.03%), total cholesterol (9.73 mg/dl), HDL-cholesterol (-3.50 mg/dl), LDL-cholesterol (10.7 mg/dl) and triglycerides (12.4 mg/dl). These findings were independent of main confounding factors including total physical activity, dietary factors, BMI and socio-demographics. Conclusions: The detrimental effect of sedentary behaviors on cardiometabolic and obesity-related traits is independent of physical activity levels. Therefore, reducing sedentary time should be targeted in the population apart from increasing their physical activity levels

Menor peso corporal, de índice de masa corporal y de perímetro de cintura se asocian a una disminución en factores de riesgo cardiovascular en población chilena = Effects of a lower body weight or waist circumference on cardiovascular risk. Findings from the Chilean health survey

Background: Overall and central obesity are important risk factors for cardiovascular disease. Aim: To investigate the association of body weight, body mass index (BMI) and waist circumference (WC) with cardiovascular risk factors in Chile. Material and methods: We included 5,157 participants from the National Health Survey 2009-2010. Prevalence of type 2 diabetes, hypertension, metabolic syndrome and dyslipidemia (high total cholesterol and triglyceride levels and low HDL-cholesterol) were defined using international recommendations. BMI and WC were measured using standardized protocols. Results: A five percent lower body weight, BMI and WC were associated with a significant reduction in cardiovascular risk factors. For each 5% reduction in body weight, the risk for hypertension decreased by 8 and 9% in women and men respectively. Similar risk reductions were observed for diabetes (9 and 11% respectively), metabolic syndrome (23 and 30% respectively), low HDL cholesterol (13 and 13% respectively), high triglyceride levels (16 and 18% respectively) and total cholesterol (8 and 10% respectively). Similar findings were observed for BMI and WC. Conclusions: Lower body weight, BMI or WC are associated with important reductions in cardiovascular risk factors. A 5% reduction in these adiposity markers could be a perfectly feasible goal for lifestyle interventions

Is the hotel industry really committed to the environment? Answering using the business models framework

This paper conceptualizes Environmental Business Models in the hotel industry as the result of a balanced emphasis on several initiatives regarding value proposition, value creation and value capture. It tests how this framework affects 120 Spanish hotel chains by assessing their sustainability reports and websites. The results show that Environmental Business Models are still poorly developed and present uneven progress in their components. This may be a sign that managers are currently using a partial perspective for environmental management with a focus on value creation initiatives that mainly have a marketing or a cost impact.Agencia Estatal de Investigación | Ref. 10.13039/501100011033Universidade de Vigo/CISU

Factores asociados al desarrollo de obesidad en Chile: resultados de la Encuesta Nacional de Salud 2009-2010 = Risk factors for obesity: analysis of the 2009-2010 Chilean Health Survey

Background: Chile has one of the highest obesity rates in Latin America. However, the factors that could explain this high prevalence of obesity are unknown. Aim: To determine the main risk factors for the development of obesity in Chile. Material and methods: We included 1398 obese and 1478 normal weight participants of the National Health Survey 2009-2010. The risk factors considered were socioeconomic variables, diet, physical activity, comorbidities and general wellbeing. Results: The main factors associated with a higher risk of being obese were age, high salt consumption and high alcohol intake. Education, income and living in rural or urban zones were protective for women and risk factors for men. The probability of being obese increases in women that sleep less than seven hours per day or have a poor health. Sedentariness and lack of physical activity were risk factors among men. Conclusions: The identification of these risk factors may help to implement public health interventions to tackle obesity in Chile