Revista médica de Chile
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Revista médica de Chile · Jan 2021
[Water intake in the Chilean population: Findings from the 2016-17 National Health Survey].
Water is an essential nutrient for cellular homeostasis and life. Drinking ≥ 6 glasses (1.5 L/day) is the recommendation of daily water intake (RIAD). ⋯ The likelihood of meeting the RIAD varied according to different sociodemographic, anthropometric, and lifestyle variables. Therefore, public policies for promoting water consumption should be focused on all age groups, but especially in those groups with the highest risk of underconsumption.
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Revista médica de Chile · Jan 2021
[Physical inactivity versus sedentariness: analysis of the chilean national health survey 2016-2017].
Physical inactivity and sedentariness are independent risk factors for mortality. Physical inactivity is defined as engaging in insufficient moderate/vigorous physical activity (i.e. not meeting the WHO's recommendations). Sedentariness is defined according to sedentary behavior; evidence suggests that > 8 h/d could serve to consider a person as sedentary. The Chilean National Health Survey 2016-2017 (NHS), using a single question (Question-NHS), considered as "sedentary" those who did not engage in sports or physical activity for ≥ 30 min, ≥ 3 times/wk. Thus, it attempted to estimate sedentariness without considering sedentary behavior. ⋯ One third of adults are inactive, one out of ten is sedentary, and one out of twenty is inactive and sedentary. The Question-NHS overestimates the population at risk.
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Revista médica de Chile · Jan 2021
Concordance between estimated glomerular filtration rate using equations and that measured using an imaging method.
Guidelines recommend estimating glomerular filtration rate (GFR) using creatinine-based equations (CBE). ⋯ GFR measured by 99mTc-DTPA radionuclide imaging has a low correlation and poor concordance with estimations using CBE.
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Revista médica de Chile · Jan 2021
[Phospholipase A2 receptor antigen antibodies in serum and renal biopsies of patients with membranous nephropathy].
The discovery of the phospholipase A2 receptor antigen and its highly specific autoantibody (anti-PLA2R Ab) was useful for the diagnosis and follow-up of patients with membranous nephropathy (MN). Thus, some international guidelines recommend not performing renal biopsy in patients with positive serum anti-PLA2R Ab. ⋯ Serum anti-PLA2R Ab is potentially useful in the diagnosis of patients with suspected primary MN in Chilean population.
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A health system is successful when it maintains a healthy population and provides health services that are effective, equitable and safe. ⋯ The design of a multidimensional monitoring system for health access allows us to complement measures usually focused on a specific concept of access (such as utilization, coverage, etc.) with other dimensions. It includes those barriers that are relevant for the Chilean population. It also allows comparisons with other health systems and the generation of evidence to improve public policies.