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Composición corporal y relación con la densidad mamográfica en mujeres colombianas que asisten a tamizaje en la Clínica Universitaria Colombia

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dc.contributor.advisorPerdomo Charry, Oscar Julián
dc.contributor.advisorPedraza Flechas, Ana María
dc.creatorVenegas Torres, Mónica Natalia
dc.creatorUrrego Torres, Diana Andrea
dc.creatorMezamell Macías, Farid
dc.creator.degreeMagíster en Epidemiología
dc.creator.degreeLevelMaestría
dc.creator.degreetypeFull time
dc.date.accessioned2023-07-17T13:13:59Z
dc.date.available2023-07-17T13:13:59Z
dc.date.created2023-07-06
dc.descriptionIntroducción: El objetivo primario de este estudio es determinar la composición corporal de las mujeres colombianas y su relación con la densidad mamográfica. Métodos: Estudio descriptivo transversal con componente analítico. Mediante muestreo no probabilístico se seleccionaron 670 pacientes que cumplían los criterios de inclusión y exclusión. Las variables cualitativas se representan mediante distribución de frecuencias absolutas y proporciones, y las variables cuantitativas con estadísticos de tendencia central y dispersión. Se ajusta un modelo de regresión lineal simple para determinar la relación entre valores autorreportados y medidos de peso y talla, así como la relación entre indicadores de adiposidad con edad, consumo de anticonceptivos y estado menopaúsico. También mediante modelo de regresión lineal simple y múltiple se relaciona la densidad mamográfica con variables clínicas y antropométricas, tomado un valor significativo de p<0,05. Finalmente, se construyó un árbol de decisión para identificar aquellas variables explicativas para ser incluidas en un modelo final de regresión para poder estimar la densidad mamográfica, al que finalmente se calculó la potencia estadística del modelo para valorar posible utilidad en la práctica clínica. Resultados: El promedio de edad fue 57,9 años (DE 6,3). Según el IMC el 43,4% presentaba sobrepeso, seguido de peso normal, obesidad grado I, grado II, grado III y bajo peso, con porcentajes de 29,1%, 16,6%, 6,3%, 1,2% y 0,3%, respectivamente. Las mujeres de mayor edad presentaron mayor porcentaje de masa grasa (p 0,02) y razón cintura/cadera (p 0,01). El 53,4% de las mujeres tenían una densidad mamográfica menor del 25%. Las mujeres premenopáusicas presentaron 14,2% de mayor densidad mamográfica que en las postmenopáusicas. El IMC y la edad presentaron relación lineal inversa con la densidad mamográfica (B= -4.0, valor p 0,000; B=-0,7, valor p 0,000, respectivamente). La edad mantiene una relación lineal inversa con el porcentaje de densidad mamográfica mientras que los anticonceptivos orales mostraron relación lineal directa, ambas estadísticamente significativas. La edad, el IMC, perímetro de cintura y talla del brasier se identificaron como variables susceptibles de ser incluidas en un modelo de predicción de porcentaje de densidad mamográfica. Conclusiones: La mayor proporción de mujeres en este estudio se encontraron en rango de sobrepeso, al igual que con patrones de densidad mamográfica bajos (<50%). Se pudo proponer la inclusión de variables como la edad, el IMC, la talla del brasier y el perímetro de cintura en un modelo final de estimación de densidad mamográfica, estimando una potencia estadística del modelo de 1,00.
dc.description.abstractIntroduction: The primary objective of this study is to determine the body composition of Colombian women and its relationship with mammographic density. Methods: Cross-sectional descriptive study with an analytical component. Using non-probabilistic sampling, 670 patients who met the inclusion and exclusion criteria were selected. Qualitative variables are represented by absolute frequency distribution and proportions, and quantitative variables by central tendency and dispersion statistics. A simple linear regression model was fitted to determine the relationship between self-reported and measured values of weight and height, as well as the relationship between indicators of adiposity with age, contraceptive use, and menopausal status. Also using a simple and multiple linear regression model, mammographic density is related to clinical and anthropometric variables, taking a significant value of p<0.05. Finally, a decision tree was built to identify those explanatory variables to be included in a final regression model to be able to estimate mammographic density, to which the statistical power of the model was finally calculated to assess its possible utility in clinical practice. Results: The mean age was 57.9 years (SD 6.3). According to the BMI, 43.4% were overweight, followed by normal weight, obesity grade I, grade II, grade III and underweight, with percentages of 29.1%, 16.6%, 6.3%, 1.2 % and 0.3%, respectively. Older women had a higher percentage of fat mass (p 0.02) and waist/hip ratio (p 0.01). 53.4% of the women had a mammographic density of less than 25%. Premenopausal women presented 14.2% higher mammographic density than postmenopausal women. BMI and age presented an inverse linear relationship with mammographic density (B= -4.0, p value 0.000; B= -0.7, p value 0.000, respectively). Age maintains an inverse linear relationship with the percentage of mammographic density, while oral contraceptives showed a direct linear relationship, both statistically significant. Age, BMI, waist circumference, and bra size were identified as variables likely to be included in a mammographic density percentage prediction model. Conclusions: The highest proportion of women in this study were in the overweight range, as well as with low mammographic density patterns (<50%). It was possible to propose the inclusion of variables such as age, BMI, bra size, and waist circumference in a final mammographic density estimation model, estimating a statistical power of 1.00 for the model.
dc.format.extent52
dc.format.mimetypeapplication/pdf
dc.identifier.doihttps://doi.org/10.48713/10336_40169
dc.identifier.urihttps://repository.urosario.edu.co/handle/10336/40169
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisherUniversidad CES. Facultad de Medicina
dc.publisher.departmentEscuela de Medicina y Ciencias de la Saludspa
dc.publisher.programMaestría en Epidemiologíaspa
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
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dc.source.instnameinstname:Universidad del Rosario
dc.source.reponamereponame:Repositorio Institucional EdocUR
dc.subjectComposición Corporal, Adiposidad, Densidad de la Mama.
dc.subject.keywordBody Composition, Adiposity, Breast Density.
dc.titleComposición corporal y relación con la densidad mamográfica en mujeres colombianas que asisten a tamizaje en la Clínica Universitaria Colombia
dc.title.TranslatedTitleBody composition and relationship with mammographic density in Colombian women attending screening at the Clínica Universitaria Colombia
dc.typemasterThesis
dc.type.documentTesis
dc.type.hasVersioninfo:eu-repo/semantics/acceptedVersion
dc.type.spaTesis de maestría
local.department.reportEscuela de Medicina y Ciencias de la Salud
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