Browsing by Author "Pettinelli, Paulina"

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    Esteatohepatitis no-alcohólica: Desarrollo silencioso de una emergencia en salud pública
    (Soc. Chilena Nutrición, Bromatología & Toxicología, 2023) Pettinelli, Paulina; Fernandez-Verdejo, Rodrigo; Aguirre Polanco, Carolina
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    Relative fat mass as an estimator of body fat percentage in Chilean adults
    (2024) Aguirre Polanco, Carolina; Tumani Karmy, María Fernanda; Carrasco, Fernando; Inostroza, Jorge; Obregón, Ana Maria; Reyes, Álvaro; Pettinelli, Paulina
    Background/Objective: The Relative Fat Mass (RFM) is an alternative index to body mass index (BMI) for estimating whole body fat percentage (BF%). Our aims were to determine the accuracy of the RFM for 1) identifying individuals with elevated BF% and, 2) estimating the BF% compared to Dual-energy X-ray absorptiometry (DXA) in a Chilean adult population. Subjects/Methods: Body composition was assessed by DXA in 270 healthy participants (125 women/145 men). Anthropometric measurements were assessed to calculate RFM and BMI. Receiver operating characteristic (ROC) curves were obtained to assess the sensitivity and specificity of both, RFM and BMI. Bland–Altman analysis between BF% measured by DXA vs. predicted BF% derived from RFM was performed to assess validity. Pearson´s correlation coefficients to analyze the association between BMI, RFM and DXA were also calculated. Results: For RFM, the cut-off for elevated BF% was ≥22.7% for men and ≥32.4% for women and for BMI was ≥24.4 kg/m2 for men and ≥24.1 kg/m2 for women. The area under the ROC curve between RFM and BMI was not significantly different in men (0.970 vs. 0.959; p = 0.420) and women (0.946 vs. 0.942, p = 0.750). The Bland–Altman analysis showed that the estimation bias is more pronounced in men than in women. Conclusion: RFM is an accurate tool for identifying individuals with elevated BF%, although it was not as accurate as DXA for estimating the BF%. RFM may be an alternative method useful in primary care to select individuals for lifestyle counseling and in research to select patients for epidemiological studies.
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    Rol de la microbiota intestinal en el desarrollo del hígado graso no alcohólico
    (Sociedad Médica de Santiago, 2021) Tumani Karmy, María Fernanda; Tapia, Gladys; Aguirre, Carolina; Obregón, Ana María; Pettinelli, Paulina
    Non-alcoholic fatty liver disease (NAFLD) encompasses a wide spectrum of hepatic pathologies ranging from simple steatosis (SS) to hepatocellular carcinoma. Intestinal microbiota (IM) is composed of trillions of microorganisms existing in the gut. It has 150 times more genes than the host. Changes in the composition and function of the IM are associated with different diseases, including NAFLD. In this condition, IM could have a pathogenic role through different mechanisms such as energy salvaging from food, an inflammatory stimulus, a modulation of the innate immune system, regulation of bile acid turnover, alteration of choline metabolism and increasing endogenous ethanol levels. This review is an update on the role of the intestinal microbiota in NAFLD and the possible mechanisms involved.