Examinando por Autor "Hernandez-Triana, Eric"

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  • Publicación
    Acceso abierto
    Self-Reported Prevalence of Chronic Non-Communicable Diseases in Relation to Socioeconomic and Educational Factors in Colombia: A Community-Based Study in 11 Departments
    (World Heart Federation, 2020-04-21) Camacho López, Paul Anthony; Gómez Arbeláez, Diego; Otero, Johanna; González-Gómez, Silvia; Molina, Dora I.; Sanchez, Gregorio; Arcos, Edgar; Narvaez, Claudia; García, Henry; Pérez, Maritza; Hernandez-Triana, Eric; Durán Parra, Myriam; Cure, Carlos; Sotomayor, Aristides; Rico, Alvaro; Cotes, Fresia; Rangarajan, Sumathy; Yusuf, Salim; Lopez-Jaramillo, Patricio; Everest
    Background: Chronic non-communicable diseases are prevalent conditions in developing countries, such as Colombia. Several socioeconomic and educational factors have been associated with these pathologies. However, there is little country-specific information regarding the self-reported prevalence of chronic diseases and their association with the aforementioned factors in Colombia. Objectives: To evaluate the current situation of chronic non-transmissible diseases in Colombia by self-report and to analyze its potential relationship with sociodemographic, economic and educational factors. Methods: This is a cross-sectional baseline sub-analysis from the prospective, standardized collaborative PURE study in Colombia. Participants were recruited between 2005 to 2009, in 11 departments of the country, and included 7,485 subjects of 35 to 70 years old. Questionnaires of self-reported chronic non-communicable diseases, and demographic, socioeconomic and educational variables were applied. Results: Hypertension was the most prevalent chronic condition reported with a prevalence of 22.2% (21.2%–23.1%, 95% CI), followed by diabetes with a prevalence of 5.7% (5.1%–6.2%, 95% CI), asthma 2.7% (2.2%–3.0%, 95% CI), coronary heart disease 2.4% (2.0%–2.7%, 95% CI), stroke and heart failure 1.5% (1.2%–1.8%, 95% CI) each, chronic obstructive pulmonary disease 1.2% (0.6%–1.5%, 95% CI), and cancer 1.2% (1.0%–1.5%, 95% CI). Among the study sample, 23.3% (22.4%–24.3%, 95% CI) reported having one chronic NCDs, and 6.4% (5.9%–7.0%, 95% CI) reported having multiple chronic NCDs. The prevalence of multiple NCDs increased significantly with age, was more common in those from households with higher income, whereas it was significantly lower in persons with high education. The central and central-east regions of the country are those with the higher prevalence of self-reported NCDs. Conclusion: The results of the current study indicate the presence of socioeconomic and educational inequalities in the distribution of chronic NCDs in the Colombian population.
  • Publicación
    Acceso abierto
    The prediction of Metabolic Syndrome alterations is improved by combining waist circumference and handgrip strength measurements compared to either alone
    (Cardiovascular Diabetology, 2021-03-22) Lopez-Lopez, Jose; Cohen, Daniel Dylan; Ney-Salazar, Daniela; Martinez, Daniel; Otero, Johanna; Gomez-Arbelaez, Diego; Camacho-Lopez, Paul Antony; Sanchez-Vallejo, Gregorio; Arcos, Edgar; Narvaez, Claudia; Garcia, Henry; Perez, Maritza; Molina, Dora I.; Cure, Carlos; Sotomayor, Aristides; Rico, Alvaro; Hernandez-Triana, Eric; Duran Parra, Myriam; Cotes, Fresia; Leong, Darryl P.; Rangarajan, Sumathy; Yusuf, Salim; Lopez-Jaramillo, Patricio; Masira
    Background: Adiposity is a major component of the metabolic syndrome (MetS), low muscle strength has also been identifed as a risk factor for MetS and for cardiovascular disease. We describe the prevalence of MetS and evaluate the relationship between muscle strength, anthropometric measures of adiposity, and associations with the cluster of the components of MetS, in a middle-income country. Methods: MetS was defned by the International Diabetes Federation criteria. To assess the association between anthropometric variables (waist circumference (WC), waist-to-hip ratio (W/H), body mass index (BMI)), strength (hand‑grip/kg bodyweight (HGS/BW)) and the cluster of MetS, we created a MetS score. For each alteration (high triglycer‑ides, low HDLc, dysglycemia, or high blood pressure) one point was conferred. To evaluate the association an index of fat:muscle and MetS score, participants were divided into 9 groups based on combinations of sex-specifc tertiles of WC and HGS/BW. Results: The overall prevalence of MetS in the 5,026 participants (64% women; mean age 51.2 years) was 42%. Lower HGS/BW, and higher WC, BMI, and W/H were associated with a higher MetS score. Amongst the 9 HGS/BW:WC groups, participants in the lowest tertile of HGS/BW and the highest tertile of WC had a higher MetS score (OR=4.69 in women and OR=8.25 in men;p<0.01) compared to those in the highest tertile of HGS/BW and in the lowest tertile of WC. Conclusion: WC was the principal risk factor for a high MetS score and an inverse association between HGS/BW and MetS score was found. Combining these anthropometric measures improved the prediction of metabolic alterations over either alone