Nutrition, environment and cardiovascular health (NESCAV): protocol of an inter-regional cross-sectional study.
; Guillaume, Michèle ; et al
in BMC Public Health (2010), 10(1), 698
BACKGROUND: Despite the remarkable technological progress in health care and treatment, cardiovascular disease remains the leading cause of premature death, prolonged hospitalization and disability in ... [more ▼]
BACKGROUND: Despite the remarkable technological progress in health care and treatment, cardiovascular disease remains the leading cause of premature death, prolonged hospitalization and disability in most European countries. In the population of the Greater Region (Grand-Duchy of Luxembourg, Wallonia in Belgium, and Lorraine in France), the prevalence of cardiovascular risk factors and disease is among the highest in Europe, warranting the need for a better understanding of factors contributing to this pattern. In this context, the cross-border "Nutrition, Environment and Cardiovascular Health-NESCAV" project is initiated by an inter-regional multi-disciplinary consortium and supported by the INTERREG IV A program "Greater Region", 2007-2013, to fight synergically and harmoniously against this major public health problem. METHODS/DESIGN: The objectives of the three-year planned project are to assess, in a representative sample of 3000 randomly selected individuals living at the Greater Region, 1) the cardiovascular health and risk profile, 2) the association between the dietary habits and the cardiovascular risk, 3) the association of occupational and environmental pollution markers with the cardiovascular risk, 4) the knowledge, awareness and level of control of cardiovascular risk factors, 5) the potential gaps in the current primary prevention, and finally, to address evidence-based recommendations enabling the development of inter-regional guidance to help policy-makers and health care workers for the prevention of cardiovascular disease. DISCUSSION: The findings will provide tools that may enable the Greater Region's decision-makers and health professionals to implement targeted and cost-effective prevention strategies. [less ▲]Detailed reference viewed: 50 (21 ULg)
First nationwide survey on cardiovascular risk factors in Grand-Duchy of Luxembourg (ORISCAV-LUX).
; ; Donneau, Anne-Françoise et al
in BMC Public Health (2010), 10
BACKGROUND: The ORISCAV-LUX study is the first baseline survey of an on-going cardiovascular health monitoring programme in Grand-Duchy of Luxembourg. The main objectives of the present manuscript were 1 ... [more ▼]
BACKGROUND: The ORISCAV-LUX study is the first baseline survey of an on-going cardiovascular health monitoring programme in Grand-Duchy of Luxembourg. The main objectives of the present manuscript were 1) to describe the study design and conduct, and 2) to present the salient outcomes of the study, in particular the prevalence of the potentially modifiable and treatable cardiovascular disease risk factors in the adult population residing in Luxembourg. METHOD: ORISCAV-LUX is a cross-sectional study based on a random sample of 4496 subjects, stratified by gender, age categories and district, drawn from the national insurance registry of 18-69 years aged Luxembourg residents, assuming a response rate of 30% and a proportion of 5% of institutionalized subjects in each stratum. The cardiovascular health status was assessed by means of a self-administered questionnaire, clinical and anthropometric measures, as well as by blood, urine and hair examinations. The potentially modifiable and treatable risk factors studied included smoking, hypertension, dyslipidemia, diabetes mellitus, and obesity. Both univariate and multivariate statistical analyses used weighted methods to account for the stratified sampling scheme. RESULTS: A total of 1432 subjects took part in the survey, yielding a participation rate of 32.2%. This figure is higher than the minimal sample size of 1285 subjects as estimated by power calculation. The most predominant cardiovascular risk factors were dyslipidemia (69.9%), hypertension (34.5%), smoking (22.3%), and obesity (20.9%), while diabetes amounted 4.4%. All prevalence rates increased with age (except smoking) with marked gender differences (except diabetes). There was a significant difference in the prevalence of hypertension and of lipid disorders by geographic region of birth. The proportion of subjects cumulating two or more cardiovascular risk factors increased remarkably with age and was more predominant in men than in women (P<0.0001). Only 14.7% of men and 23.1% of women were free of any cardiovascular risk factor. High prevalence of non-treated CVRF, notably for hypertension and dyslipidemia, were observed in the study population. CONCLUSION: The population-based ORISCAV-LUX survey revealed a high prevalence of potentially modifiable and treatable cardiovascular risk factors among apparently healthy subjects; significant gender and age-specific differences were seen not only for single but also for combined risk factors. From a public health perspective, these preliminary findings stress the urgent need for early routine health examinations, preventive interventions and lifestyle behavioural changes, even in young asymptomatic adults, to decrease cardiovascular morbidity and mortality in Luxembourg. [less ▲]Detailed reference viewed: 42 (10 ULg)
Comparison of participants and non-participants to the ORISCAV-LUX population-based study on cardiovascular risk factors in Luxembourg.
; ; et al
in BMC Medical Research Methodology (2010), 10
BACKGROUND: Poor response is a major concern in public health surveys. In a population-based ORISCAV-LUX study carried out in Grand-Duchy of Luxembourg to assess the cardiovascular risk factors, the non ... [more ▼]
BACKGROUND: Poor response is a major concern in public health surveys. In a population-based ORISCAV-LUX study carried out in Grand-Duchy of Luxembourg to assess the cardiovascular risk factors, the non-response rate was not negligible. The aims of the present work were: 1) to investigate the representativeness of study sample to the general population, and 2) to compare the known demographic and cardiovascular health-related profiles of participants and non-participants. METHODS: For sample representativeness, the participants were compared to the source population according to stratification criteria (age, sex and district of residence). Based on complementary information from the "medical administrative database", further analysis was carried out to assess whether the health status affected the response rate. Several demographic and morbidity indicators were used in the univariate comparison between participants and non-participants. RESULTS: Among the 4452 potentially eligible subjects contacted for the study, there were finally 1432 (32.2%) participants. Compared to the source population, no differences were found for gender and district distribution. By contrast, the youngest age group was under-represented while adults and elderly were over-represented in the sample, for both genders. Globally, the investigated clinical profile of the non-participants was similar to that of participants. Hospital admission and cardiovascular health-related medical measures were comparable in both groups even after controlling for age. The participation rate was lower in Portuguese residents as compared to Luxembourgish (OR = 0.58, 95% CI: 0.48-0.69). It was also significantly associated with the professional status (P < 0.0001). Subjects from the working class were less receptive to the study than those from other professional categories. CONCLUSION: The 32.2% participation rate obtained in the ORISCAV-LUX survey represents the realistic achievable rate for this type of multiple-stage, nationwide, population-based surveys. It corresponds to the expected rate upon which the sample size was calculated. Given the absence of discriminating health profiles between participants and non-participants, it can be concluded that the response rate does not invalidate the results and allows generalizing the findings for the population. [less ▲]Detailed reference viewed: 33 (10 ULg)
Education thérapeutique et préventive face au diabète et à l’obésité à risque chez l’adulte et l’adolescent : le projet Interreg IV EDUDORA2.
Scheen, André ; Bourguignon, Jean-Pierre ; et al
in Diabetes and Metabolism (2010)Detailed reference viewed: 123 (24 ULg)
L'éducation thérapeutique: une solution pour vaincre l'inertie clinique et le défaut d'observance.
Scheen, André ; Bourguignon, Jean-Pierre ; Guillaume, Michèle
in Revue Médicale de Liège (2010), 65(5-6), 250-5
Therapeutic education (TPE) aims to enable the patient suffering from a chronic diseases to manage his/ her illness and treatment, and prevent avoidable complications, while keeping or improving his/her ... [more ▼]
Therapeutic education (TPE) aims to enable the patient suffering from a chronic diseases to manage his/ her illness and treatment, and prevent avoidable complications, while keeping or improving his/her quality of life. It comprises a set de practical tools aiming the patient to acquire skills to manage himself/herself the disease, its care and supervision, in partnership with healthcare providers. TPE may contribute to improve therapeutic compliance and to reduce clinical inertia, two drawbacks frequently encountered in the management of patients with chronic diseases. As an illustration, we briefly present EDUDORA ("Education therapeutique et preventive face au diabete et a l'obesite a risque chez l'adulte et l'adolescent" = "Preventive and therapeutic education for diabetes and at risk obesity in adults and adolescents"), an ongoing original project in three frontier regions (Wallonia - Grand-Duchy of Luxembourg - Lorraine). [less ▲]Detailed reference viewed: 2519 (38 ULg)
Comparison of participants and non-participants to the ORISCAV-LUX population-based study on cardiovascular risk factors in Luxembourg
; ; et al
in Atherosclerosis. Supplements (2009), 204(2), 624-635Detailed reference viewed: 17 (2 ULg)
Alcohol consumption and the prevalence of metabolic syndrome : a meta-analysis of observational studies
; ; et al
Poster (2009)Detailed reference viewed: 14 (1 ULg)
L'excès pondéral et l'obésité chez l'enfant, un défi pour la santé publique
Guillaume, Michèle ; Counet, Laurence
in Enfant et nutrition. Guide à l'usage des professionnels. (2009)Detailed reference viewed: 35 (9 ULg)
Glance on preliminary nutritional data ORISCAV-LUX Survey
; Guillaume, Michèle
Conference (2009)Detailed reference viewed: 7 (1 ULg)
Etude épidémiologique des comportements alimentaires au service de la promotion de la santé
; ; et al
Conference (2009)Detailed reference viewed: 12 (5 ULg)
Alcohol consumption and the prevalence of metabolic syndrome: a meta-analysis of observational studies.
; ; et al
in Atherosclerosis (2009), 204(2), 624-35
BACKGROUND: In the past two decades, the metabolic syndrome has given rise to much clinical and research interest. The broad overlap of alcohol consumption with different components of metabolic syndrome ... [more ▼]
BACKGROUND: In the past two decades, the metabolic syndrome has given rise to much clinical and research interest. The broad overlap of alcohol consumption with different components of metabolic syndrome makes alcohol-metabolic syndrome relationship a controversial topic. OBJECTIVES: To support the evidence available about the relationship between alcohol consumption and metabolic syndrome as a comprehensive clinical entity, as well as to identify the gender-specific dose-response, by performing a meta-analysis based on information from published data. METHODS: Manual and computer searches in different bibliographic databases were performed to identify the relevant scientific publications, on the relation between alcohol consumption and metabolic syndrome. Alcohol intake was converted into a same unit (g/day) and then categorized using standard classification in order to provide relevant comparisons. Fixed and random effects models were used to aggregate individual odds ratios and to derive pooled estimates and 95% confidence intervals. RESULTS: Fourteen relevant publications were identified on the relation between alcohol consumption and the prevalence of metabolic syndrome. 7 studies were included in the meta-analysis. The results showed that alcohol consumption of less than 40 g/day in men and 20 g/day in women significantly reduced the prevalence of metabolic syndrome. CONCLUSION: "Responsible alcohol intake" appears to be associated with a reduced prevalence of metabolic syndrome. Favorable metabolic effect seemed to be restricted to alcohol consumption of less than 20 g/day among women, and of less than 40 g/day among men. These findings support the actual recommendations regarding alcohol consumption among apparently healthy people. [less ▲]Detailed reference viewed: 46 (14 ULg)
Etude préparatoire à la mise en place d’un système d’information sanitaire en Communauté française et en Région wallonne, Rapport de recherche 2008
; Gosset, Christiane ; Guillaume, Michèle et al
Report (2008)Detailed reference viewed: 39 (7 ULg)
Etude exploratoire en vue de la création d’un Observatoire de la santé et du social en Région wallonne
Albert, Adelin ; Gosset, Christiane ; Guillaume, Michèle et al
Report (2008)Detailed reference viewed: 67 (32 ULg)
Evaluation du programme organisé de dépistage du cancer du sein chez les femmes âgées de 50 à 69 ans de la province de Luxembourg. Données 2002 à 2006
Guillaume, Michèle ; Duquesne, Patricia ; Gillain, Nicolas et al
Report (2007)Detailed reference viewed: 40 (31 ULg)
L'Obésité et le surpoids chez les enfants et adolescents.
Counet, Laurence ; Guillaume, Michèle ; Gosset, Christiane
Poster (2006, March)Detailed reference viewed: 40 (8 ULg)
Formation de base en nutrition pour les PME - Phase pilote - Projet Cluster Nutrition
Guillaume, Michèle ; Gosset, Christiane ; Haterte, Stéphanie
Report (2005)Detailed reference viewed: 40 (16 ULg)
Mortalité, morbidité et facteurs de risque cardiovasculaire en Wallonie-Lorraine-Luxembourg. Recensement des données existantes, comparaison et premières conclusions
; ; et al
Report (2005)Detailed reference viewed: 33 (2 ULg)
A web-based support system for the Belgian breast cancer screening program.
Husson, Eddy ; Albert, Adelin ; Guillaume, Michèle
Poster (2004)Detailed reference viewed: 10 (3 ULg)
Conception d'un support télématique à la mise en place du programme de dépistage du cancer du sein.
Husson, Eddy ; Guillaume, Michèle ; Duquesne, Patricia et al
Poster (2003)Detailed reference viewed: 27 (11 ULg)