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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

Yıl 2024, Cilt: 7 Sayı: 1, 197 - 209, 25.01.2024
https://doi.org/10.33438/ijdshs.1369243

Öz

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.

Etik Beyan

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.

Destekleyen Kurum

Pontificia Universida Catolica de Chile

Teşekkür

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.

Kaynakça

  • Álvarez, C., Ramírez-Campillo, R., Miranda-Fuentes, C., et al. (2023). Lifestyle and cardiometabolic risk factors in the ethnic and non-ethnic population > 15 years of age: results from the National Chilean Health Survey 2016-2017. Nutr Hosp, 40(2). [PubMed]
  • Azeem, A., Julleekeea, A., Knight, B., Sohail, I., Bruyns-Haylett, M., & Sastre, M. (2023). Hearing loss and its link to cognitive impairment and dementia. Frontiers in Dementia, 2, 1199319. [CrossRef]
  • Baiduc, R. R., Sun, J. W., Berry, C. M., Anderson, M., & Vance, E. A. (2023). Relationship of cardiovascular disease risk and hearing loss in a clinical population. Scientific reports, 13(1), 1642. [PubMed]
  • Concha-Cisternas, Y., Vásquez-Gómez, J., Castro-Piñero, J., et al. (2023). Niveles de actividad física y tiempo sedente en personas mayores con fragilidad: resultados de la Encuesta Nacional de Salud 2016-2017. Nutr Hosp, 40(1), 28-34. [CrossRef]
  • Croll, P. H., Voortman, T., Vernooij, M. W., et al. (2019). The association between obesity, diet quality and hearing loss in older adults. Aging-Us, 11(1), 48-62. [PubMed]
  • Curhan, S. G., Eavey, R., Wang, M., Stampfer, M. J., & Curhan, G. C. (2013). Body mass index, waist circumference, physical activity, and risk of hearing loss in women. Am J Med, 126(12), 1142. e1141-1142. e1148. [PubMed]
  • Dillard, L. K., Pinto, A., Mueller, K. D., Schubert, C. R., Paulsen, A. J., Merten, N., et al. (2023). Associations of hearing loss and hearing aid use with cognition, health-related quality of life, and depressive symptoms. Journal of Aging and Health, 35(7-8), 455-465. [CrossRef]
  • Elshaer, N., Meleis, D., & Mohamed, A. (2023). Prevalence and correlates of occupational noise-induced hearing loss among workers in the steel industry. Journal of the Egyptian Public Health Association, 98(1), 11. [PubMed]
  • Foster, J. I., Williams, K. L., Timmer, B. H., & Brauer, S. G. (2022). The association between hearing impairment and postural stability in older adults: a systematic review and meta-analysis. Trends in hearing, 26, 23312165221144155. [CrossRef]
  • Garrido-Méndez, A., Concha-Cisternas, Y., Petermann-Rocha, F., Díaz-Martínez, X., Leiva, A. M., Troncoso, C., et al. (2019). Influencia de la edad sobre el cumplimiento de las recomendaciones de actividad física: Resultados de la Encuesta Nacional de Salud en Chile 2009-2010. Revista chilena de nutrición, 46(2), 121-128. [CrossRef]
  • Goman, A. M., & Lin, F. R. (2016). Prevalence of hearing loss by severity in the United States. American journal of public health, 106(10), 1820-1822. [PubMed]
  • Goodwin, M. V., Hogervorst, E., Hardy, R., Stephan, B. C., & Maidment, D. W. (2023). How are hearing loss and physical activity related? Analysis from the English longitudinal study of ageing. Preventive Medicine, 173, 107609. [CrossRef]
  • Hedges, L. V., & Olkin, I. (2014). Statistical methods for meta-analysis: Academic press.
  • Helzner, E. P., Patel, A. S., Pratt, S., Sutton-Tyrrell, K., Cauley, J. A., Talbott, E., et al. (2011). Hearing Sensitivity in Older Adults: Associations with Cardiovascular Risk Factors in the Health, Aging and Body Composition Study. Journal of the American Geriatrics Society, 59(6), 972-979. [PubMed]
  • Hopkins, W. G., Marshall, S. W., Batterham, A. M., & Hanin, J. (2009). Progressive statistics for studies in sports medicine and exercise science. Medicine and science in sports and exercise, 41(1), 3-13. [PubMed]
  • Kuo, P.-L., Di, J., Ferrucci, L., & Lin, F. R. (2021). Analysis of hearing loss and physical activity among US adults aged 60-69 years. JAMA network open, 4(4), e215484-e215484. [PubMed]
  • Lee, D.-c., Sui, X., Church, T. S., Lavie, C. J., Jackson, A. S., & Blair, S. N. (2012). Changes in fitness and fatness on the development of cardiovascular disease risk factors: hypertension, metabolic syndrome, and hypercholesterolemia. Journal of the American College of Cardiology, 59(7), 665-672. [PubMed]
  • McKee, M. M., Stransky, M. L., & Reichard, A. (2018). Hearing loss and associated medical conditions among individuals 65 years and older. Disability and Health Journal, 11(1), 122-125. [PubMed]
  • Minsal. (2017). Departamento de Epidemiología. Encuesta Nacional de Salud 2016-2017. Retrieved from http://epi.minsal.cl/encuesta-ens/
  • MINSAL. (2018). Informe de Encuesta nacional de Salud 2016-2017. Riesgo Cardiovascular Retrieved from Santiago de Chile: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/http://epi.minsal.cl/wpcontent/uploads/2021/06/Informe_RCV_ENS_2016_17.pdf
  • NCEP. (2002). Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Final Report. Circulation, 106(25), 3143. [PubMed]
  • Pagotto, V., Santos, K. F. d., Malaquias, S. G., Bachion, M. M., & Silveira, E. A. (2018). Calf circumference: clinical validation for evaluation of muscle mass in the elderly. Revista brasileira de enfermagem, 71, 322-328. [PubMed]
  • Park, C. H., Yoon, K. J., Lee, Y. T., Jin, S. M., Lee, S. H., & Kim, T. H. (2022). Impact of Low Skeletal Muscle Mass and Obesity on Hearing Loss in Asymptomatic Individuals: A Population-Based Study. Healthcare, 10(10). [PubMed]
  • Park, D. J., Ha, S., Choi, J. S., Lee, S. H., Park, J.-E., & Seo, Y. J. (2020). Induced Short-Term Hearing Loss due to Stimulation of Age-Related Factors by Intermittent Hypoxia, High-Fat Diet, and Galactose Injection. International journal of molecular sciences, 21(19), 7068. [PubMed]
  • Petermann, F., Duran, E., Labraña, A. M., Martínez, M. A., Leiva, A. M., Garrido-Mendez, A., Celis-Morales, C. (2017). Risk factors associated with hypertension. Analysis of the 2009-2010 Chilean health survey. Rev Med Chil, 145(8), 996-1004. [PubMed]
  • Rolland, Y., Lauwers‐Cances, V., Cournot, M., Nourhashémi, F., Reynish, W., Rivière, D., et al. (2003). Sarcopenia, calf circumference, and physical function of elderly women: a cross‐sectional study. Journal of the American Geriatrics Society, 51(8), 1120-1124. [PubMed]
  • Samocha-Bonet, D., Wu, B., & Ryugo, D. K. (2021). Diabetes mellitus and hearing loss: A review. Ageing Research Reviews, 71, 101423. [PubMed]
  • Tamblay, N., Boggs, D., Huidobro, B., Tapia-Mora, D., Anabalon, K., Delgado, C., et al. (2023). Prevalence of Cognitive Impairment and Its Association With Hearing Loss Among Adults Over 50 Years of Age: Results From a Population-Based Survey in Santiago, Chile. American Journal of Audiology, 32(1), 150-159. [PubMed]
  • Tang, D., Tran, Y., Dawes, P., & Gopinath, B. (2023). A Narrative Review of Lifestyle Risk Factors and the Role of Oxidative Stress in Age-Related Hearing Loss. Antioxidants, 12(4), 878. [PubMed]
  • Tsao, C. W., Aday, A. W., Almarzooq, Z. I., Anderson, C. A. M., Arora, P., Avery, C. L., et al. (2023). Heart Disease and Stroke Statistics—2023 Update: A Report From the American Heart Association. Circulation, 147(8), e93-e621. [PubMed]
  • West, J. S. (2017). Hearing impairment, social support, and depressive symptoms among US adults: A test of the stress process paradigm. Social Science & Medicine, 192, 94-101. [PubMed]
  • Whelton, P. K., Carey, R. M., Aronow, W. S., Casey, D. E., Collins, K. J., Himmelfarb, C. D., et al. (2018). 2017
  • ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension, 71(6), 1269-1324. [PubMed]
  • WHO. (2000). Obesity: preventing and managing the global epidemic. 894:i–xii, 891–253. [PubMed]
  • WHO. (2021a). World Report on Hearing. Retrieved from [PubMed]
  • WHO. (2021b). World report on hearing. Geneva: World Health Organization; 2021. Licence: CC BY-NC-SA 3.0 IGO. Retrieved from Downloads/9789240020481-eng.pdf
Yıl 2024, Cilt: 7 Sayı: 1, 197 - 209, 25.01.2024
https://doi.org/10.33438/ijdshs.1369243

Öz

Kaynakça

  • Álvarez, C., Ramírez-Campillo, R., Miranda-Fuentes, C., et al. (2023). Lifestyle and cardiometabolic risk factors in the ethnic and non-ethnic population > 15 years of age: results from the National Chilean Health Survey 2016-2017. Nutr Hosp, 40(2). [PubMed]
  • Azeem, A., Julleekeea, A., Knight, B., Sohail, I., Bruyns-Haylett, M., & Sastre, M. (2023). Hearing loss and its link to cognitive impairment and dementia. Frontiers in Dementia, 2, 1199319. [CrossRef]
  • Baiduc, R. R., Sun, J. W., Berry, C. M., Anderson, M., & Vance, E. A. (2023). Relationship of cardiovascular disease risk and hearing loss in a clinical population. Scientific reports, 13(1), 1642. [PubMed]
  • Concha-Cisternas, Y., Vásquez-Gómez, J., Castro-Piñero, J., et al. (2023). Niveles de actividad física y tiempo sedente en personas mayores con fragilidad: resultados de la Encuesta Nacional de Salud 2016-2017. Nutr Hosp, 40(1), 28-34. [CrossRef]
  • Croll, P. H., Voortman, T., Vernooij, M. W., et al. (2019). The association between obesity, diet quality and hearing loss in older adults. Aging-Us, 11(1), 48-62. [PubMed]
  • Curhan, S. G., Eavey, R., Wang, M., Stampfer, M. J., & Curhan, G. C. (2013). Body mass index, waist circumference, physical activity, and risk of hearing loss in women. Am J Med, 126(12), 1142. e1141-1142. e1148. [PubMed]
  • Dillard, L. K., Pinto, A., Mueller, K. D., Schubert, C. R., Paulsen, A. J., Merten, N., et al. (2023). Associations of hearing loss and hearing aid use with cognition, health-related quality of life, and depressive symptoms. Journal of Aging and Health, 35(7-8), 455-465. [CrossRef]
  • Elshaer, N., Meleis, D., & Mohamed, A. (2023). Prevalence and correlates of occupational noise-induced hearing loss among workers in the steel industry. Journal of the Egyptian Public Health Association, 98(1), 11. [PubMed]
  • Foster, J. I., Williams, K. L., Timmer, B. H., & Brauer, S. G. (2022). The association between hearing impairment and postural stability in older adults: a systematic review and meta-analysis. Trends in hearing, 26, 23312165221144155. [CrossRef]
  • Garrido-Méndez, A., Concha-Cisternas, Y., Petermann-Rocha, F., Díaz-Martínez, X., Leiva, A. M., Troncoso, C., et al. (2019). Influencia de la edad sobre el cumplimiento de las recomendaciones de actividad física: Resultados de la Encuesta Nacional de Salud en Chile 2009-2010. Revista chilena de nutrición, 46(2), 121-128. [CrossRef]
  • Goman, A. M., & Lin, F. R. (2016). Prevalence of hearing loss by severity in the United States. American journal of public health, 106(10), 1820-1822. [PubMed]
  • Goodwin, M. V., Hogervorst, E., Hardy, R., Stephan, B. C., & Maidment, D. W. (2023). How are hearing loss and physical activity related? Analysis from the English longitudinal study of ageing. Preventive Medicine, 173, 107609. [CrossRef]
  • Hedges, L. V., & Olkin, I. (2014). Statistical methods for meta-analysis: Academic press.
  • Helzner, E. P., Patel, A. S., Pratt, S., Sutton-Tyrrell, K., Cauley, J. A., Talbott, E., et al. (2011). Hearing Sensitivity in Older Adults: Associations with Cardiovascular Risk Factors in the Health, Aging and Body Composition Study. Journal of the American Geriatrics Society, 59(6), 972-979. [PubMed]
  • Hopkins, W. G., Marshall, S. W., Batterham, A. M., & Hanin, J. (2009). Progressive statistics for studies in sports medicine and exercise science. Medicine and science in sports and exercise, 41(1), 3-13. [PubMed]
  • Kuo, P.-L., Di, J., Ferrucci, L., & Lin, F. R. (2021). Analysis of hearing loss and physical activity among US adults aged 60-69 years. JAMA network open, 4(4), e215484-e215484. [PubMed]
  • Lee, D.-c., Sui, X., Church, T. S., Lavie, C. J., Jackson, A. S., & Blair, S. N. (2012). Changes in fitness and fatness on the development of cardiovascular disease risk factors: hypertension, metabolic syndrome, and hypercholesterolemia. Journal of the American College of Cardiology, 59(7), 665-672. [PubMed]
  • McKee, M. M., Stransky, M. L., & Reichard, A. (2018). Hearing loss and associated medical conditions among individuals 65 years and older. Disability and Health Journal, 11(1), 122-125. [PubMed]
  • Minsal. (2017). Departamento de Epidemiología. Encuesta Nacional de Salud 2016-2017. Retrieved from http://epi.minsal.cl/encuesta-ens/
  • MINSAL. (2018). Informe de Encuesta nacional de Salud 2016-2017. Riesgo Cardiovascular Retrieved from Santiago de Chile: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/http://epi.minsal.cl/wpcontent/uploads/2021/06/Informe_RCV_ENS_2016_17.pdf
  • NCEP. (2002). Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III) Final Report. Circulation, 106(25), 3143. [PubMed]
  • Pagotto, V., Santos, K. F. d., Malaquias, S. G., Bachion, M. M., & Silveira, E. A. (2018). Calf circumference: clinical validation for evaluation of muscle mass in the elderly. Revista brasileira de enfermagem, 71, 322-328. [PubMed]
  • Park, C. H., Yoon, K. J., Lee, Y. T., Jin, S. M., Lee, S. H., & Kim, T. H. (2022). Impact of Low Skeletal Muscle Mass and Obesity on Hearing Loss in Asymptomatic Individuals: A Population-Based Study. Healthcare, 10(10). [PubMed]
  • Park, D. J., Ha, S., Choi, J. S., Lee, S. H., Park, J.-E., & Seo, Y. J. (2020). Induced Short-Term Hearing Loss due to Stimulation of Age-Related Factors by Intermittent Hypoxia, High-Fat Diet, and Galactose Injection. International journal of molecular sciences, 21(19), 7068. [PubMed]
  • Petermann, F., Duran, E., Labraña, A. M., Martínez, M. A., Leiva, A. M., Garrido-Mendez, A., Celis-Morales, C. (2017). Risk factors associated with hypertension. Analysis of the 2009-2010 Chilean health survey. Rev Med Chil, 145(8), 996-1004. [PubMed]
  • Rolland, Y., Lauwers‐Cances, V., Cournot, M., Nourhashémi, F., Reynish, W., Rivière, D., et al. (2003). Sarcopenia, calf circumference, and physical function of elderly women: a cross‐sectional study. Journal of the American Geriatrics Society, 51(8), 1120-1124. [PubMed]
  • Samocha-Bonet, D., Wu, B., & Ryugo, D. K. (2021). Diabetes mellitus and hearing loss: A review. Ageing Research Reviews, 71, 101423. [PubMed]
  • Tamblay, N., Boggs, D., Huidobro, B., Tapia-Mora, D., Anabalon, K., Delgado, C., et al. (2023). Prevalence of Cognitive Impairment and Its Association With Hearing Loss Among Adults Over 50 Years of Age: Results From a Population-Based Survey in Santiago, Chile. American Journal of Audiology, 32(1), 150-159. [PubMed]
  • Tang, D., Tran, Y., Dawes, P., & Gopinath, B. (2023). A Narrative Review of Lifestyle Risk Factors and the Role of Oxidative Stress in Age-Related Hearing Loss. Antioxidants, 12(4), 878. [PubMed]
  • Tsao, C. W., Aday, A. W., Almarzooq, Z. I., Anderson, C. A. M., Arora, P., Avery, C. L., et al. (2023). Heart Disease and Stroke Statistics—2023 Update: A Report From the American Heart Association. Circulation, 147(8), e93-e621. [PubMed]
  • West, J. S. (2017). Hearing impairment, social support, and depressive symptoms among US adults: A test of the stress process paradigm. Social Science & Medicine, 192, 94-101. [PubMed]
  • Whelton, P. K., Carey, R. M., Aronow, W. S., Casey, D. E., Collins, K. J., Himmelfarb, C. D., et al. (2018). 2017
  • ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults: Executive Summary: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension, 71(6), 1269-1324. [PubMed]
  • WHO. (2000). Obesity: preventing and managing the global epidemic. 894:i–xii, 891–253. [PubMed]
  • WHO. (2021a). World Report on Hearing. Retrieved from [PubMed]
  • WHO. (2021b). World report on hearing. Geneva: World Health Organization; 2021. Licence: CC BY-NC-SA 3.0 IGO. Retrieved from Downloads/9789240020481-eng.pdf
Toplam 36 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Halk Sağlığı (Diğer)
Bölüm Original Article
Yazarlar

Crıstıan Alvarez 0000-0003-4783-9981

David Toloza-ramírez 0000-0003-3404-9999

Lorena Martínez-ulloa Bu kişi benim 0000-0002-8788-4376

Carolina Flores-bustos Bu kişi benim 0000-0001-7555-4129

Arturo Flores-riquelme 0000-0002-9852-9601

Erken Görünüm Tarihi 25 Aralık 2023
Yayımlanma Tarihi 25 Ocak 2024
Yayımlandığı Sayı Yıl 2024 Cilt: 7 Sayı: 1

Kaynak Göster

APA Alvarez, C., Toloza-ramírez, D., Martínez-ulloa, L., Flores-bustos, C., vd. (2024). 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. International Journal of Disabilities Sports and Health Sciences, 7(1), 197-209. https://doi.org/10.33438/ijdshs.1369243
AMA Alvarez C, Toloza-ramírez D, Martínez-ulloa L, Flores-bustos C, Flores-riquelme A. 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. International Journal of Disabilities Sports and Health Sciences. Ocak 2024;7(1):197-209. doi:10.33438/ijdshs.1369243
Chicago Alvarez, Crıstıan, David Toloza-ramírez, Lorena Martínez-ulloa, Carolina Flores-bustos, ve Arturo Flores-riquelme. “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”. International Journal of Disabilities Sports and Health Sciences 7, sy. 1 (Ocak 2024): 197-209. https://doi.org/10.33438/ijdshs.1369243.
EndNote Alvarez C, Toloza-ramírez D, Martínez-ulloa L, Flores-bustos C, Flores-riquelme A (01 Ocak 2024) 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. International Journal of Disabilities Sports and Health Sciences 7 1 197–209.
IEEE C. Alvarez, D. Toloza-ramírez, L. Martínez-ulloa, C. Flores-bustos, ve A. Flores-riquelme, “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”, International Journal of Disabilities Sports and Health Sciences, c. 7, sy. 1, ss. 197–209, 2024, doi: 10.33438/ijdshs.1369243.
ISNAD Alvarez, Crıstıan vd. “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”. International Journal of Disabilities Sports and Health Sciences 7/1 (Ocak 2024), 197-209. https://doi.org/10.33438/ijdshs.1369243.
JAMA Alvarez C, Toloza-ramírez D, Martínez-ulloa L, Flores-bustos C, Flores-riquelme A. 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. International Journal of Disabilities Sports and Health Sciences. 2024;7:197–209.
MLA Alvarez, Crıstıan vd. “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”. International Journal of Disabilities Sports and Health Sciences, c. 7, sy. 1, 2024, ss. 197-09, doi:10.33438/ijdshs.1369243.
Vancouver Alvarez C, Toloza-ramírez D, Martínez-ulloa L, Flores-bustos C, Flores-riquelme A. 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. International Journal of Disabilities Sports and Health Sciences. 2024;7(1):197-209.


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