Associations between diabesity and allcause mortality: a prospective analysis of the Chilean National Health Survey 2009-2010
Year: 2024
Type: article
Study design: Observational Study
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.
Source: Salud Pública de México
DOI: 10.21149/15520
Authors: 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
Institutions: Universidad Católica de Temuco, Universidad Andrés Bello, Universidad Católica de la Santísima Concepción, Arturo Prat University, Austral University of Chile, University of Concepción, Universidad Autónoma de Chile, Universidad Santo Tomás, University of Bío-Bío, Adolfo Ibáñez University, Universidad de La Frontera, Catholic University of the Maule, Universidad Diego Portales
Language: English
Subfield: Endocrinology, Diabetes and Metabolism
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W4404131751