Browsing by Author "Passi Solar, Alvaro Rodrigo"

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    Hypertension care cascade in Chile : a serial cross-sectional study of national health surveys 2003-2010-2017
    (2020) Passi Solar, Alvaro Rodrigo; Margozzini Maira, Paula; Mindell, Jennifer S.; Ruiz, Milagros; Valencia-Hernández, Carlos A.; Scholes, Shaun
    Abstract Background Trend data on hypertension prevalence and attainment indicators at each step of the care cascade (awareness, treatment, control) are required in Chile. This study aims to quantify trends (2003–2017) in prevalence and in the proportion of individuals with hypertension attaining each step of the care cascade among adults aged 17 years or older, and to assess the impact of lowering the blood pressure (BP) thresholds used to define elevated BP on these indicators. Methods We used data from 2003, 2010, and 2017 Chilean national health surveys. Each year we assessed levels of (1) mean systolic (SBP) and diastolic (DBP) blood pressure, (2) hypertension prevalence (BP ≥ 140/90 mmHg or use of antihypertensive treatment), and (3) awareness, treatment, and control. Logistic regression on pooled data was used to assess trends in binary outcomes; linear regression was used to assess trends in continuous SBP and DBP. We compared levels of hypertension prevalence using two sources to ascertain antihypertensive treatment (self-reported versus medicine inventory). The 2017 American College of Cardiology/American Heart Association (ACC/AHA) guidelines were used to re-define hypertension using lower thresholds (BP ≥ 130/80 mmHg). Results Hypertension prevalence was 34.0, 32.0 and 30.8% in 2003, 2010 and 2017, respectively. Levels of treated- and controlled-hypertension were significantly higher in 2017 than in 2003 (65% versus 41% for treatment, P < 0.001; 34% versus 14% for control, P < 0.001), while levels of awareness were stable (66% versus 59%, P = 0.130). Awareness, treatment, and control levels were higher among females in 2003, 2010, and 2017 (P < 0.001). Mean SBP and DBP decreased over the 15-year period, except for SBP among females on treatment. Adopting the 2017 ACC/AHA guidelines would increase hypertension prevalence by 17 and 55% in absolute and relative terms, respectively. Conclusions Chile has experienced a positive population-wide lowering in blood pressure distribution which may be explained partly by a significant rise in levels of treated- and controlled-hypertension since 2003. Lowering the thresholds used to define elevated BP would substantially increase the financial public health challenge of further improving attainment levels at each step of the care cascade. Innovative and collaborative strategies are needed to improve hypertension management, especially among males.
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    NUTRITION OF WOMEN IN CHILE
    (2017) Olagnero, G.; Mardones, F.; Passi Solar, Alvaro Rodrigo; Rosso R., Pedro Pablo; Torres, R.; Rozowski Narkunska, Samuel Jaime; Wood, J. C.; Fernandez, X.
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    Nutritional and metabolic benefits associated with active and public transport : Results from the Chilean National Health Survey, ENS 2016-2017
    (2020) Passi Solar, Alvaro Rodrigo; Margozzini Maira, Paula; Cortinez O'Ryan, A.; Muñoz Abogabir, Juan Carlos; Mindell, J. S.; CEDEUS (Chile)
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    Pregnancy outcomes and the use of two standards to assess adequacy of maternal body mass index in early gestation
    (2016) Mardones, F.; Rosso R., Pedro Pablo; Villarroel del Pino, Luis A.; Bacallao, J.; Domínguez de Landa, María Angélica; Passi Solar, Alvaro Rodrigo; Rojas, I.; Farías Jofré, Marcelo Enrique; Margozzini Maira, Paula
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    Study protocol for the Maule Cohort (MAUCO) of chronic diseases, Chile 2014-2024
    (2016) Ferreccio Readi, Catterina; Roa Strauch, Juan Carlos Enrique; Bambs S., Claudia; Vives Vergara, Alejandra; Corvalán R., Alejandro; Cortés Arancibia, Sandra; Foerster, Claudia.; Acevedo, Johanna.; Huidobro, Andrea.; Passi Solar, Alvaro Rodrigo
    Abstract Background Maule Cohort (MAUCO), a Chilean cohort study, seeks to analyze the natural history of chronic diseases in the agricultural county of Molina (40,000 inhabitants) in the Maule Region, Chile. Molina´s population is of particular interest because in the last few decades it changed from being undernourished to suffering excess caloric intake, and it currently has the highest national rates of cardiovascular diseases, stomach cancer and gallbladder cancer. Between 2009 and 2011 Molina´s poverty rate dropped from 24.1 % to 13.5 % (national average 20.4 %); in this period the county went from insufficient to almost complete basic sanitation. Despite these advances, chemical pollutants in the food and air are increasing. Thus, in Molina risk factors typical of both under-developed and developed countries coexist, generating a unique profile associated with inflammation, oxidative stress and chronic diseases. Methods/Design MAUCO is the core project of the recently established Advanced Center for Chronic Diseases (ACCDiS), Universidad de Chile & Pontificia Universidad Católica de Chile. In this study, we are enrolling and following 10,000 adults aged 38 to 74 years over 10 years. All eligible Molina residents will be enrolled. Participants were identified through a household census. Consenting individuals answer an epidemiological survey exploring risk factors (psycho-social, pesticides, diet, alcohol, and physical activity), medical history and physical and cognitive conditions; provide fasting blood, urine, and saliva samples; receive an electrocardiogram, abdominal ultrasound and bio-impedance test; and take a hand-grip strength test. These subjects will be re-interviewed after 2, 5 and 7 years. Active surveillance of health events is in place throughout the regional healthcare system. The MAUCO Bio-Bank will store 30 to 50 aliquots per subject using an NIH/NCI biorepository system for secure and anonymous linkage of samples with data. Discussion MAUCO´s results will help design public health interventions tailored to agricultural populations in Latin America.
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    The prevalence of rheumatoid arthritis in Chile : a nationwide study performed as part of the national health survey
    (2020) Durán, Josefina; Massardo Vega, Loreto; Llanos Muñoz, Carolina; Iacobelli Gabrielli, Sergio Hernán; Burgos, Paula I.; Cisternas Martínez, Marcela Carolina; Iruretagoyena B., Mirentxu; Armstrong Bruzzone, Macarena; Aguilera Insunza, Raquel; Radrigán Araya, Francisco José Ricardo; Martínez Ruiz-Esquide, María Eugenia; Passi Solar, Alvaro Rodrigo; Vásquez Aravena, Nancy Margarita; Margozzini Maira, Paula; Riedemann, P.; Crisóstomo, N.; Cifuentes, C.; Hagedorn, L.; Cisternas, A.
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    Uso inapropiado de medicamentos en adultos mayores: resultados de la Encuesta Nacional de Salud 2010
    (2016) Passi Solar, Alvaro Rodrigo; Margozzini Maira, Paula; Valenzuela Abarca, Eduardo; Hoyl Moreno, María Trinidad; Marín Larraín, Pedro Paulo; Carrasco Gorman, Marcela; Olea Ortega, Ricardo Alonso; Gac Espínola, Homero
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    World Congress Integrative Medicine & Health 2017: Part one
    (2017) Brinkhaus, Benno; Bedregal, Paula; Passi Solar, Alvaro Rodrigo; Rodríguez Núñez, Alfredo; Chang RathKamp, Mayling Raquel; Gutiérrez Oliva, Soledad; Falkenberg, Torkel; Haramati, Aviad; Willich, Stefan N.; Briggs, Josephine P.