Browsing by Author "Parada, Alejandra"

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    C-Reactive protein levels in patients with chronic obstructive pulmonary disease
    (SOC MEDICA SANTIAGO, 2012) Diaz, Orlando; Parada, Alejandra; Ramos, Cristobal; Klaassen, Julieta; Carlos Diaz, Juan; Andresen, Max; Lisboa, Carmen; Saldias, Fernando
    Background: Patients with chronic obstructive pulmonary disease (COPD) have elevated serum levels of ultrasensitive C reactive protein (CRPus). This raise may be related directly to COPD and its associated systemic inflammation or secondary to other factors such as smoking status, disease severity, acute exacerbations, or associated complications. Aim: To evaluate the potential causes of raised levels of CRPus in stable COPD patients. Patients and Methods: Cohorts of 133 mild-to-very severe COPD patients (41 current smokers), 31 never-smokers, and 33 current smoker controls were compared. Clinical assessments included body mass index (BMA fat (FM) and fat-free mass (FFM) measurement by DEXA, forced expiratory volume in one second (FEV1), arterial oxygen tension (PaO2), six-minute walking test (SMWT), emphysema (EMPH) and right thigh muscle cross-sectional area (TMCSA), both quantified by high resolution computed tomography. Results: Serum CRPus levels were significantly higher in COPD patients than in controls (7 +/- 4.2 and 3.7 +/- 2.7 mg/L, respectively; p < 0.0001). Being smoker did not influence CRPus levels. These levels were significantly correlated with FM (r = 0.30), BMI (r = 0.21), FEV1 (r = -0.21), number of acute exacerbations of the disease in the last year (r = 0.28), and PaO2 (r = -0.27). Using multivariate analysis FM, PaO2, and number of acute exacerbations of the disease in the last year had the strongest association with CRPus levels. Conclusions: CRPus is elevated in COPD patients, independent of smoking status. It is weakly associated with fat mass, arterial oxygen tension and frequency of exacerbations. (Rev Med Chile 2012; 140: 569-578).
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    Excess weight and gastrointestinal symptoms in Chilean celiac patients at the time of diagnosis.
    (2019) Parada, Alejandra; Mendez Vejar, Constanza; Aguirre, Carolina
    Introduction: celiac disease is an immune condition that results in histologic changes in the small bowel and produces both digestive and extra-digestive symptoms. Intestinal damage results in malabsorption and impaired weight or impaired optimal weight gain. However, these patients may be overweight or obese in spite of histologic damage. The aim of this study was to determine the prevalence of excess weight in newly diagnosed (adult) celiac patients.Methodsthis was a retrospective observational study of patients recently diagnosed with celiac disease according to the standard Marsh classification. Nutritional status was assessed based on body mass index (BMI), as categorized by the World Health Organization (WHO). Clinical presentation was classified as typical or atypical. Potential differences in gastrointestinal symptoms according to nutritional status were also assessed.Resultsa total of 135 medical records of adult celiac patients (women = 123; men = 12) were reviewed. The average weight and BMI were 61.1 kg and 23.7 kg/m2, respectively. The proportion of typical clinical presentations was 59.2% and of atypical presentations 40.8%. A total of 71.8% of patients had a BMI indicating low or normal weight and 28.1% had a BMI indicative of being overweight or obese. No differences with regard to the presence of gastrointestinal symptoms were found according to nutritional status.Conclusionsfurther studies are needed to jointly assess energy intake and intestinal absorption in these patients, in order to explain the high rate of excess weight.
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    Factors that limit adherence to diet and quality of life in Chilean celiac patients during COVID-19.
    (2021) Parada, Alejandra; Espino E, Alberto; Reyes, Alvaro; Santibanez, Helga
    Background. Coronavirus disease (COVID-19) is highly contagious and dynamic confinement measures have shown to significantly reduce the number of infections, however, they can alter the availability of food, affecting adherence to a gluten-free diet (GFD) and quality of life (QoL) in celiac disease (CD). The objective of this study was to evaluate the limiting factors, adherence to a gluten-free diet and quality of life in people with celiac disease in a COVID-19 pandemic period. Methods. On-line surveys were applied regarding adherence to the GFD, CV, and factors that have generated difficulty in carrying out a GFD in this setting. Results. 216 surveys of celiac patients over 15 years of age were analyzed, of which 91% were women with an average age of 36 + 10.7 years and with 5.8 + 6.0 years of the disease. 56.48% had excellent adherence to the GFD and 43.52% had a good QoL. The high cost of gluten-free foods was the question with the highest response percentage, associated with regular and poor adherence to the GFD (p-value = 0.001) and with poor QoL (p-value = 0.023). Conclusion. In a COVID-19 pandemic period, the cost of food is associated with regular and poor adherence to the GFD and with poor QoL. Arch Latinoam Nutr 2021; 71(1): 54-60.
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    Predicting academic success in undergraduate students from the Nutrition and Dietetics degree program from the Pontificia Universidad Católica de Chile
    (2024) Pettinelli, Paulina; Fernandez-Verdejo, Rodrigo; Fredes, Carolina; Parada, Alejandra; Aguirre, Carolina
    Introduction: Identifying the factors that determine academic success can help design strategies focused on increasing academic success. We aimed to identify predictors associated with academic success in undergraduate students of the Nutrition and Dietetics Program of the Pontificia Universidad Cat & oacute;lica de Chile (PUC). Methods: Retrospective study using the institutional database. Academic success was the main outcome, including two indexes: i) final grade point average (GPA-f) and; ii) timely graduation, defined as graduating in <= 10 semesters. Candidate predictors were: age, sex, region of origin, school attended, score at the university selection test (PSU-score), admission route, and preference for the program. Stepwise linear regression was used to identify predictors of GPA-f. Binary logistic regression was used to identify variables associated with timely graduation. Results: PSU-score was the only predictor of GPA, explaining 24% of its variance. The odds (OR [95%CI]) for a timely graduation were influenced by PSU-score (1.017 [1.003- 1.031]) and admission route (PSU 1.00 [Reference], Inclusive 0.30 [0.10- 0.96], Special 0.46 [0.13- 1.57]). Conclusions and implications: PSU-score partially predicts the academic success of Nutrition and Dietetics students. In addition, students who accessed the program by the equity admission had lower odds of a timely graduation. As educational inequalities may affect academic success, the teaching and learning process needs to be addressed with specific strategies for these students to ensure academic success.
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    We Only Collect What We Need: Women's Experiences on Collecting Cauchao (Amomyrtus luma Molina) in Food Systems of Extreme South Forests in Chile
    (2024) Fredes, Carolina; Parada, Alejandra; Aguirre, Carolina; Rojas, Loreto; Robert, Paz; Bernales, Margarita
    The collection of the ancestral fruit cauchao (Amomyrtus luma) is part of the routines of women gatherers from the extreme south (44 degrees South Latitude) in Chile. The traditional food knowledge of cauchao has not been documented, and there is no data on the nutritional composition. Women's experiences collecting cauchao can help understand the relationship between traditional food, herbal medicine, and local gatherers' communities. Thus, this research explores the traditional knowledge of food and the nutritional composition of cauchao. Mixed methods research was performed. A case study included in-depth interviews with 12 women gatherers and thematic analysis. The composition of macronutrients in cauchao was obtained by proximate chemical analyses and dietary fiber using the enzymatic-gravimetric method. Results showed that gathering for these women was more than just extracting natural resources; it was associated with family, food security, participation in different stages of the food system, and practices that could contribute towards sustainable food systems. Furthermore, cauchao fruit showed a high dietary fiber content, and women gatherers did not connect cauchao with dietary fiber. Since access to knowledge by small-scale food producers, especially women, is part of the Sustainable Development Goals (SDG#2.3), the approach of this research may help guide knowledge transfer among women gatherers.