Association Between Hearing Loss Suspect with Diabetes and Arterial Hypertension Risk Under Different Body Composition Phenotypes: Results from the Chilean National Health Survey 2016-17

Year 2024, , 197 - 209, 25.01.2024

Crıstıan Alvarez , David Toloza-ramírez , Lorena Martínez-ulloa Carolina Flores-bustos Arturo Flores-riquelme

https://doi.org/10.33438/ijdshs.1369243

Abstract

Purpose: 1) To characterize the glucose and blood pressure control in HLS adult participants based on four body composition phenotypes models from the Chilean National Health Survey 2016-17. 2) to associate the HLS and body composition phenotypes (based on calf and waist circumference [WC]) with arterial hypertension and diabetes markers. Method: A quantitative cross-sectional study based on the Chilean National Health Survey 2016-17, reporting adults with/without HLS based on four different phenotypes was carried out by the epidemiological group of the Institute of Rehabilitation and Exercise Sciences of the Universidad Andres bello, Chile (ICER-UNAB). Groups were as follows; Low skeletal muscle [SMM] and high waist circumference [WC] (Lsmm−Hwc, n=278), Low SMM and low WC (Lsmm−Lwc, n=479), High SMM and high WC (Hsmm−Hwc, n=2140), and High SMM and low WC (Hsmm−Lwc, n=2709). The primary outcomes were fasting plasma glucose, systolic, and diastolic blood pressure. Findings: In systolic blood pressure, there were significant differences between each Lsmm−Hwc (150 vs. 123 mmHg), Lsmm−Lwc (140 vs. 123 mmHg), and Hsmm−Hwc vs. the Reference group (145 vs. 123 mmHg, all P<0.0001). Systolic blood pressure reported significant Group x HLS interaction F (3.33), P=0.019, ES 0.004. In diastolic blood pressure, there were significant differences between each Lsmm−Hwc (74 vs. 72 mmHg) and Hsmm−Hwc vs. the Reference group (76 vs. 72 mmHg, both P<0.0001). Diastolic blood pressure reported significant Group x HLS interaction F (4.49), P=0.004, ES 0.005. Chilean adults with HLS, low SMM and high waist circumference shows a higher systolic and diastolic blood pressure.

Keywords

Body composition, Hearing loss, Quality of life, Diebetes, Arterial hypertension

Ethical Statement

The Chilean National Health Surveys were funded by the Chilean Ministry of Health and led by the Department of Public Health of the Pontificia Universidad Católica de Chile. The Chilean National Health Surveys were approved by the Ethics Research Committee of the Faculty of Medicine at the same university.

Supporting Institution

Pontificia Universida Catolica de Chile

Thanks

We thank all participants for their cooperation and the Chilean Health Ministry and School of Public Health, The Pontificia Universidad Católica de Chile, for commissioning, designing, and conducting the National Health Survey 2016–2017 (NHS16−17). All participants of the NHS16−17 signed an informed consent.

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