Auto-reporte de la velocidad de marcha y su asociación con marcadores de adiposidad y riesgo cardiovascular en Chile

Resumen

Background: Walking speed is a strong predictor of non-communicable diseases and mortality. Aim: To investigate the association of self-reported walking pace with adiposity, metabolic and cardiovascular markers in the Chilean population. Material and methods: Analysis of data from 5,077 participants of the 2009-2010 National Health Survey (ENS 2009-2010). Walking speed was self-reported as average or slow pace. Body mass index (BMI), waist circumference (WC]), blood pressure, blood glucose, glycosylated hemoglobin and lipid profile were the outcome. Results: In Chile, 11% (95% confidence intervals (CI):10.0; 12.7) of the population reported a slow walking pace. As compared with average walking people, those reporting a slow pace had a higher body weight (difference (?) 5.65 kg [95% CI:3.22; 8.09], p<0.01), BMI (? 2.48 kg/m2 [95% CI:1.53; 3.44], p<0.01), WC (? 6.23 cm [95% CI:4.12; 8.34], p<0.01), serum triglycerides (? 30,9 mmol/l [95% CI: 5,31; 57,5], p=0.018), and lower HDL cholesterol (? -2.32 mg/dl [95% CI:-4,24; -0,34], p=0.022). Those reporting a slow pace had also a higher odd of being obese (odds ratio (OR): 2.46 [95% CI:1.82; 3.33], p<0.01), being diabetic (OR: 1.54 [95% CI:1.02; 2.40], p=0.018) and having metabolic syndrome (OR: 2.03 [95% CI:1.30; 3.18], p=0.002). Conclusions: In Chilean adults, slow walking pace is associated with and unfavorable adiposity and lipid profile, including a higher probability of being obese, diabetic and having metabolic syndrome.