Associations between diabesity and all-cause mortality: a prospective analysis of the Chilean National Health Survey 2009-2010

Fabián 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

doi:10.21149/15520

Associations between diabesity and all-cause mortality: a prospective analysis of the Chilean National Health Survey 2009-2010

Fabián 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

Research output: Contribution to journal › Article › peer-review

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.

Translated title of the contribution	Asociaciones entre diabesidad y mortalidad por todas las causas: un análisis prospectivo de la Encuesta Nacional de Salud de Chile 2009-2010
Original language	English
Pages (from-to)	798-806
Number of pages	9
Journal	Salud Publica de Mexico
Volume	66
Issue number	6
DOIs	https://doi.org/10.21149/15520
State	Published - 2024
Externally published	Yes

Keywords

central obesity
diabesity
diabetes mellitus
mortalities
overnutrition

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.21149/15520

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Lanuza, F., Díaz-Toro, F., Troncoso-Pantoja, C., Leiva, A. M., Nazar, G., Concha-Cisternas, Y., Martorell, M., Labraña, A. M., Parra-Soto, S., Ramírez-Alarcón, K., Villagrán, M., Lasserre-Laso, N., Ochoa-Rosales, C., Mardones, L., Carrasco-Marín, F., Martínez-Maturana, N., Celis-Morales, C., & Petermann-Rocha, F. (2024). Associations between diabesity and all-cause mortality: a prospective analysis of the Chilean National Health Survey 2009-2010. Salud Publica de Mexico, 66(6), 798-806. https://doi.org/10.21149/15520

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title = "Associations between diabesity and all-cause mortality: a prospective analysis of the Chilean National Health Survey 2009-2010",

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.",

keywords = "central obesity, diabesity, diabetes mellitus, mortalities, overnutrition",

author = "Fabi{\'a}n Lanuza and Felipe D{\'i}az-Toro and Claudia Troncoso-Pantoja and Leiva, {Ana Mar{\'i}a} and Gabriela Nazar and Yeny Concha-Cisternas and Miquel Martorell and Labra{\~n}a, {Ana Mar{\'i}a} and Solange Parra-Soto and Karina Ram{\'i}rez-Alarc{\'o}n and Marcelo Villagr{\'a}n and Nicole Lasserre-Laso and Carolina Ochoa-Rosales and Lorena Mardones and Fernanda Carrasco-Mar{\'i}n and Nicolas Mart{\'i}nez-Maturana and Carlos Celis-Morales and Fanny Petermann-Rocha",

year = "2024",

doi = "10.21149/15520",

language = "English",

volume = "66",

pages = "798--806",

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Lanuza, F, Díaz-Toro, F, Troncoso-Pantoja, C, Leiva, AM, Nazar, G, Concha-Cisternas, Y, Martorell, M, Labraña, AM, Parra-Soto, S, Ramírez-Alarcón, K, Villagrán, M, Lasserre-Laso, N, Ochoa-Rosales, C, Mardones, L, Carrasco-Marín, F, Martínez-Maturana, N, Celis-Morales, C & Petermann-Rocha, F 2024, 'Associations between diabesity and all-cause mortality: a prospective analysis of the Chilean National Health Survey 2009-2010', Salud Publica de Mexico, vol. 66, no. 6, pp. 798-806. https://doi.org/10.21149/15520

TY - JOUR

T1 - Associations between diabesity and all-cause mortality

T2 - a prospective analysis of the Chilean National Health Survey 2009-2010

AU - Lanuza, Fabián

AU - Díaz-Toro, Felipe

AU - Troncoso-Pantoja, Claudia

AU - Leiva, Ana María

AU - Nazar, Gabriela

AU - Concha-Cisternas, Yeny

AU - Martorell, Miquel

AU - Labraña, Ana María

AU - Parra-Soto, Solange

AU - Ramírez-Alarcón, Karina

AU - Villagrán, Marcelo

AU - Lasserre-Laso, Nicole

AU - Ochoa-Rosales, Carolina

AU - Mardones, Lorena

AU - Carrasco-Marín, Fernanda

AU - Martínez-Maturana, Nicolas

AU - Celis-Morales, Carlos

AU - Petermann-Rocha, Fanny

PY - 2024

Y1 - 2024

N2 - 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.

AB - 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.

KW - central obesity

KW - diabesity

KW - diabetes mellitus

KW - mortalities

KW - overnutrition

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U2 - 10.21149/15520

DO - 10.21149/15520

M3 - Article

AN - SCOPUS:85209096521

SN - 0036-3634

VL - 66

SP - 798

EP - 806

JO - Salud Publica de Mexico

JF - Salud Publica de Mexico

IS - 6

ER -

Associations between diabesity and all-cause mortality: a prospective analysis of the Chilean National Health Survey 2009-2010

Abstract

Keywords

UN SDGs

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