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9. Prise en charge nutritionnelle d’une patiente âgée obèse atteinte de sclérose latérale primitive

Author

Cuvilliez, Emeline, primary, Desport, Jean Claude, additional, Meyer, Stéphane, additional, Lautrette, Géraldine, additional, Villemonteix, Carole, additional, Guérin, Sandra, additional, Varrier, Corentin, additional, Lavaud, Aurélie, additional, Fayemendy, Philippe, additional, Jésus, Pierre, additional, and Fraysse, Jean Louis, additional

Published
2023
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13. Diagnosing undernutrition children and adults: new French criteria. Why, for what and for whom? A joint statement of the French National Authority for Health and French Federation of Nutrition – Corrigendum

Author

Delarue, Jacques, Desport, Jean-Claude, Dubern, Béatrice, Joly, Francisca, Mas, Emmanuel, Pitard, Alexandre, Fontaine, Eric, Département de Nutrition (Dep Nutrition - BREST), Centre Hospitalier Régional Universitaire de Brest (CHRU Brest), Epidémiologie des Maladies Chroniques en zone tropicale (EpiMaCT), CHU Limoges-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-Institut National de la Santé et de la Recherche Médicale (INSERM)-OmégaHealth (ΩHealth), Université de Limoges (UNILIM)-Université de Limoges (UNILIM), Faculté de Médecine [Limoges], Université de Limoges (UNILIM), Department of Nutrition, Pitie-Salpetrière hospital (AP-HP), Sorbonne University, CRNH-Ile de France, Service de Gastroentérologie et d’Assistance nutritive [AP-HP Hôpital Beaujon], Université Paris Diderot - Paris 7 (UPD7)-Hôpital Beaujon [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP), Unité de Gastroentérologie, Hépatologie, Nutrition, Diabétologie et Maladies Héréditaires du Métabolisme, Hôpital des Enfants, CHU de Toulouse, and Université Grenoble Alpes (UGA)

Subjects
[SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, ComputingMilieux_MISCELLANEOUS
Abstract

International audience

Published
2022

14. Impact sur l'état fonctionnel d'une complémentation nutritionnelle orale (CNO) précoce des patients atteints de SLA : étude NUTRALS

Author

Jésus, Pierre, Fayemendy, Philippe, Desport, Jean-Claude, Marin, Benoît, Lautrette, Géraldine, Labrunie, Anaïs, Preux, Pierre-Marie, Luna, Jaime, Couratier, Philippe, Neuroépidémiologie Tropicale (NET), CHU Limoges-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), Université de Limoges (UNILIM)-Université de Limoges (UNILIM), Service d'Hépato-Gastro-Entérologie et Nutrition [CHU Limoges], CHU Limoges, Service de l'Information Médicale et de l'Évaluation [CHU Limoges] (SIME), Laboratoire de Biostatistique et d'Informatique Médicale, Université de Limoges (UNILIM), Centre référent Sclérose Latérale Amyotrophique et autres maladies du motoneurone [CHU Limoges] (SLA CHU Limoges), Plate forme de bioinformatique et biostatistique (CEBIMER), Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), Service de Neurologie [CHU Limoges], FILSLAN (Filière de Santé Maladies Rares Sclérose Latérale Amyotrophique et Maladies du Neurone Moteur) & ARSLA (Association pour la Recherche sur la Sclérose Latérale Amyotrophique et autres Maladies du Motoneurone), and Grelier, Elisabeth

Subjects
[SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, Evolution, ALSFRS-R, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, Complément nutritionnel oral
Abstract

International audience; Introduction : Dans la SLA, le statut nutritionnel est associé à l’évolution de la maladie. L’objectif était d’évaluer l’impact d’une prise précoce de CNO sur l'évolution fonctionnelle, nutritionnelle et respiratoire à 6 mois, chez des patients SLA nouvellement diagnostiqués. Méthodes : Le groupe intervention bénéficiait de CNO à l’inclusion versus groupe contrôle avec CNO en cas de perte de poids. L’étude était randomisée en double aveugle et multicentrique sur 18 centres SLA français. Les variables neurologiques (forme de début, ALSFRS-R), nutritionnelles (perte de poids, IMC, composition corporelle) et respiratoire (capacité vitale forcée [CVF]) étaient relevées. L'analyse statistique a été réalisée par pattern mixture model (PMM). Résultats : 113 patients ont été inclus dans les deux groupes. L’âge moyen était de 63,2 ± 10,7 ans avec un sex-ratio H/F de 1,17 et une forme bulbaire dans 26,5% des cas. A l’inclusion, l’ALSFRS-R était de 38,6 ± 5,1 points et sa pente de -1,1 ± 0,8 points/mois. La perte de poids était de -4,9 ± 7,5% et 9,9% des patients étaient dénutris. Il n’existait pas de différence significative entre les deux groupes. Les apports énergétiques et protéiques à l’inclusion étaient de 33,5 ± 10,5 kcal/kg/j et de 1,4 ± 0,4 g/kg/j, respectivement et étaient similaires entre les deux groupes et au cours du suivi. Le PMM ne retrouvait pas de différence significative entre les deux groupes concernant l’évolution de l’ALSFRS-R. Il existait une évolution plus favorable à 6 mois de l’IMC et de la masse grasse dans le groupe intervention. En revanche, l’évolution de la CVF était similaire. Conclusion : Bien que l’IMC et la composition corporelle évoluaient plus favorablement dans le groupe intervention, cette première étude interventionnelle, contrôlée, randomisée française n’a pas permis de montrer un impact sur l’évolution fonctionnelle d’une prise précoce de CNO au cours de la SLA

Published
2021

15. Associations between dental problems and underweight status among rural women in Burkina Faso: Results from the first WHO STEPS survey

Author

Diendéré, Jeoffray, Zéba, Augustin Nawidimbasba, Kiemtoré, Sibraogo, Sombié, Olivier Ouahamin, Fayemendy, Philippe, Jésus, Pierre, Millogo, Athanase, Savadogo, Aly, Tinto, Halidou, Desport, Jean-Claude, Institut Supérieur des Sciences de la Santé [Bobo-Dioulasso, Burkina Faso], Université Nazi Boni [Bobo-Dioulasso, Burkina Faso], Paediatric Department [Ouagadougou, Burkina Faso], Centre Hospitalier Universitaire Yalgado Ouédraogo (CHUYO), IRSS ‐ Clinical Research Unit of Nanoro (IRSS‐CRUN), Neuroépidémiologie Tropicale (NET), CHU Limoges-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), Université de Limoges (UNILIM)-Université de Limoges (UNILIM), Service d'Hépato-Gastro-Entérologie et Nutrition [CHU Limoges], CHU Limoges, University Hospital Souro Sanou [Bobo-Dioulasso, Burkina Faso], LABIA/CRSBAN/Department of Biochemistry and Microbiology, UFR-SVT, Université Joseph Ki-Zerbo [Ouagadougou] (UJZK), Institut National de la Santé et de la Recherche Médicale (INSERM)-Institut d'Epidémiologie Neurologique et de Neurologie Tropicale-CHU Limoges-Institut Génomique, Environnement, Immunité, Santé, Thérapeutique (GEIST), and Grelier, Elisabeth

Subjects
stomatognathic diseases, Risk factors, [SDV.SPEE] Life Sciences [q-bio]/Santé publique et épidémiologie, Burkina Faso, Prevalence, Dental problems, [SDV.SPEE]Life Sciences [q-bio]/Santé publique et épidémiologie, Underweight, Rural women
Abstract

International audience; Abstract Objective: To explore the relationships between dental problems and underweight status among rural women in Burkina Faso by using nationally representative data. Design: This was a cross-sectional secondary study of primary data obtained by the 2013 World Health Organization Stepwise Approach to Surveillance survey conducted in Burkina Faso. Descriptive and analytical analyses were performed using Student’s t test, ANOVA, the chi-square test, Fisher’s exact test and logistic regression. Setting: All 13 Burkinabè regions were categorized using quartiles of urbanization rates. Participants: The participants were 1730 rural women aged 25-64 years. Results: The prevalence of underweight was 16.0%, and 24.1% of participants experienced dental problems during the 12-month period. The women with dental problems were more frequently underweight (19.9% and 14.7%; p49 years old) and smokeless tobacco users. Age >49 years, professions with inconsistent income, a lack of education, smokeless tobacco use and low BMI were factors that were significantly associated with dental problems, while residency in a low-urbanization area was a protective factor. Conclusion: The prevalence of underweight in rural Burkinabè women is among the highest in sub-Saharan Africa, and women with dental problems are more frequently affected than those without dental problems. Public health measures for the prevention of these disorders should specifically target women aged over 49 years and smokeless tobacco users.

Published
2021

16. Associations between dental problems and underweight status among rural women in Burkina Faso: results from the first WHO Stepwise Approach to Surveillance (STEPS) survey

Author

Diendéré, Jeoffray, primary, Zeba, Augustin Nawidimbasba, additional, Kiemtoré, Sibraogo, additional, Sombié, Olivier Ouahamin, additional, Fayemendy, Philippe, additional, Jésus, Pierre, additional, Millogo, Athanase, additional, Savadogo, Aly, additional, Tinto, Halidou, additional, and Desport, Jean-Claude, additional

Published
2021
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17. Associations between dental problems and underweight status among rural women in Burkina Faso: results from the first WHO Stepwise Approach to Surveillance (STEPS) survey.

Author

Diendéré, Jeoffray, Zeba, Augustin Nawidimbasba, Kiemtoré, Sibraogo, Sombié, Olivier Ouahamin, Fayemendy, Philippe, Jésus, Pierre, Millogo, Athanase, Savadogo, Aly, Tinto, Halidou, and Desport, Jean-Claude

Subjects
FISHER exact test, RURAL women, MALNUTRITION, SMOKELESS tobacco, OLDER people, TOBACCO use
Abstract

Objective: To explore the relationships between dental problems and underweight status among rural women in Burkina Faso by using nationally representative data. Design: This was a cross-sectional secondary study of primary data obtained by the 2013 WHO Stepwise Approach to Surveillance survey conducted in Burkina Faso. Descriptive and analytical analyses were performed using Student's t test, ANOVA, the χ2 test, Fisher's exact test and logistic regression. Setting: All thirteen Burkinabè regions were categorised using quartiles of urbanisation rates. Participants: The participants were 1730 rural women aged 25–64 years. Results: The prevalence of underweight was 16·0 %, and 24·1 % of participants experienced dental problems during the 12-month period. The women with dental problems were more frequently underweight (19·9 % and 14·7 %; P < 0·05) and had a lower mean BMI (21·1 ± 3·2 and 21·6 ± 3·7 kg/m2, P < 0·01) than those without dental problems. More risk factors for underweight were observed in less urbanised regions among elderly individuals (> 49 years old) and smokeless tobacco users. Age > 49 years, professions with inconsistent income, a lack of education, smokeless tobacco use and low BMI were factors that were significantly associated with dental problems, while residency in a low-urbanisation area was a protective factor. Conclusion: The prevalence of underweight in rural Burkinabè women is among the highest in sub-Saharan Africa, and women with dental problems are more frequently affected than those without dental problems. Public health measures for the prevention of these disorders should specifically target women aged over 49 years and smokeless tobacco users. [ABSTRACT FROM AUTHOR]

Published
2022
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18. Undernutrition, overweight and obesity prevalences among community-dwelling elderly in Africa-a systematic review

Author

Mabiama, Gustave, Millimono, Thierno, Adiogo, Dieudonné, Boumediene, Farid, Preux, Pierre-Marie, Desport, Jean-Claude, Fayemendy, Philippe, and Jésus, Pierre

Abstract

Undernutrition, overweight and obesity are noted among elderly people, but African data were scattered, and no structured synthesis has yet been performed to review studies on nutritional status (NS) of this population. The aim of this study was to assess NS using Body Mass Index (BMI), among elderly living in communities in Africa.

Published
2022
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