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dc.contributorFONDECYT 1080589es-ES
dc.creatorAlbala, Cecilia; Medico Cirujano MPHProfesor Titular Jefe Unidad de Nutrición y Salud Publica
dc.creatorSánchez, Hugo; Medico Cirujano MPHProfesor Asistente Unidad de Nutrición y Salud Publica
dc.creatorLera, Lydia; Estadistico PhDProfesor Asistente Unidad de Nutrición y Salud Publica
dc.creatorAngel, Bárbara; Matrona PhDProfesor Asistente Unidad de Nutrición y Salud Publica
dc.creatorCea, Ximena; Matrona MPHUnidad de Nutrición y Salud Publica
dc.date2011-09-22
dc.date.accessioned2019-11-11T18:27:54Z
dc.date.available2019-11-11T18:27:54Z
dc.identifierhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/1333
dc.identifier.urihttps://revistaschilenas.uchile.cl/handle/2250/111350
dc.descriptionSOCIOECONOMIC INEQUALITIES IN ACTIVE LIFE EXPECTANCY AND DISABILITY RELATED TO OBESITY  AMONG OLDER PEOPLE Background: The rapid increase in life expectancy in Chile, with obesity as the main nutritional problem in all age groups, makes it necessary to ask whether the years gained are healthy. Aim: To study the trajectories of disability associated with obesity in Chilean elderly groups from different socio-economic and demographic backgrounds. Material and methods:  Longitudinal study of 3 cohorts of older adults from Santiago: the SABE cohort including 1235 people born before 1940; the Alexandros cohort including 950 people born between 1940 and 1948 from Primary Health Care centers and the ISAPRES cohort of 266 people from private health insurance registries (ISAPRES) born before 1947. An interview yielded socio demographic data and history of diseases. Anthropometric measurements and hand dynamometry were performed. Cognitive status was assessed by the mini mental state examination,  depressive symptoms through the geriatric depression socore-5 and functional limitations through self-reporting of basic (ADL), instrumental (IADL) and advanced daily living (AADL) activities. Results: We report here baseline results from ISAPRES and SABE cohorts. Important social and gender differentials were observed. After adjustment by age and gender,  a significant lower frequency of limitations in ADL (odds ratio (OR)=0.17; 95% confidence intervals (CI): 0.079-0.343), IADL (OR=0.27; 95%CI: 0.159-0.452), and AADL (OR=0.42; 95%CI: 0.298-0.599) persisted  in the ISAPRE cohort, compared to the SABE cohort. Obesity was associated with functional limitations only in AADL (OR=1.65; 95%CI: 1.18-2.31) and hand dynamometry was associated with lower functional limitation in ADL, IADL and AADL. Conclusions: This study demonstrates profound socio-economic and gender inequalities in older people, thus showing that the years of healthy life gained are not the same for the whole society.es-ES
dc.languageen
dc.publisherRevista Médica de Chilees-ES
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/1333/1911
dc.relationhttp://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/downloadSuppFile/1333/1949
dc.sourceRevista Médica de Chile; Vol. 139, núm. 10 (2011): OCTUBRE 2011es-ES
dc.source0034-9887
dc.subjectDisability evaluation; Life expectancyes-ES
dc.titleEfecto sobre la salud de las desigualdades socioeconómicas en el adulto mayor. Resultados basales del estudio expectativa de vida saludable y discapacidad relacionada con la obesidad (Alexandros)es-ES
dc.typeinfo:eu-repo/semantics/article
dc.typeinfo:eu-repo/semantics/publishedVersion
dc.typees-ES


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