References of "Guillaume, Michèle"
     in
Bookmark and Share    
Peer Reviewed
See detailLes objectifs de la formation des soignants en Education Thérapeutique du Patient : une proposition
Pétré, Benoît ULg; Guillaume, Michèle ULg; LEGRAND, Catherine et al

Conference (2014, September)

Detailed reference viewed: 9 (2 ULg)
See detailLe questionnaire en recherche !
Pétré, Benoît ULg; Guillaume, Michèle ULg

Conference (2014, June 28)

Les pratiques médicales et paramédicales doivent prendre appui aujourd’hui sur les données dites probantes. Autrement dit, les données issues de la recherche guident l’action des professionnels de santé ... [more ▼]

Les pratiques médicales et paramédicales doivent prendre appui aujourd’hui sur les données dites probantes. Autrement dit, les données issues de la recherche guident l’action des professionnels de santé! La qualité des résultats attendus au terme d’un processus de recherche dépend profondément de la qualité de l’outil de collecte des données utilisé. Parmi les outils disponibles, le questionnaire est certainement celui le plus utilisé dans le domaine de la recherche médicale et paramédicale. Si la conception d’un questionnaire parait simple aux premiers abords, une lecture plus fine des principes qui sous-tendent la mesure (fidélité, validité, objectivité) rend compte des difficultés rencontrées pour développer un outil de qualité. Après avoir resitué le questionnaire dans le processus plus général de la recherche, les étapes de construction du questionnaire seront précisées et les qualités de l’outil seront discutées. Cette présentation permettra la mise en lumière des avantages et des limites inhérentes au questionnaire. Il sera démontré que nul questionnaire n’est parfait et que les inférences et les interprétations qui peuvent être tirées des informations recueillies à partir de cet outil, doivent être réalisées avec précaution. [less ▲]

Detailed reference viewed: 9 (1 ULg)
Full Text
Peer Reviewed
See detailScreening for malnutrition in lung cancer patients undergoing therapy
BARTHELEMY, Nicole ULg; Streel, Sylvie ULg; Donneau, Anne-Françoise ULg et al

in Supportive Care in Cancer (2014), 22(6), 15311536

Detailed reference viewed: 20 (11 ULg)
Full Text
Peer Reviewed
See detailÉtude des conditions de vie et d’accessibilité aux soins de santé de qualité des populations en situation de précarité, dans la zone de sante de Bandalungwa à Kinshasa (Congo) grâce à la micro-assurance santé en 2008.
Manzambi Kuwekita, Joseph ULg; Guillaume, Michèle ULg; Balula Semutsari, Marie-Paule et al

in Journal d’Épidémiologie et de Santé Publique (2013), 12

This study investigates the conditions under which populations living in poverty are able to accumulate savings and contribute to a micro-insurance health system to improve their living standards and ... [more ▼]

This study investigates the conditions under which populations living in poverty are able to accumulate savings and contribute to a micro-insurance health system to improve their living standards and access quality health care. We carried out a comprehensive survey in 2008 in the Bandalungwa health zone of Kinshasa. It was based on the Manzambi Model for health financing and the extension of social protection to the poor in developing countries. Each day, the leader of the group hands the members’ contributions to a loan officer. Two micro -entrepreneurs (3%) paid by these funds have disappeared, with the help of a loan officer. The main results of this study show that of all those contributing to the scheme, 78.1% improved their living conditions. 50% were able to start saving while 71.9% of these regularly contributed 1 US$ to the micro-insurance fund. 40.6% regularly contributed 1 US$ to the health micro-insurance fund, 88.5% of these improved their access to health care. When micro-credit promotes significant compulsory savings, the obligatory contribution of one dollar a day to the micro-insurance fund becomes easier and results in improved access to care (p<0.000) for household members. 68% of micro-entrepreneurs who paid their dues improved their purchasing power. If we want to keep people out of poverty, we must find a way to help them with these compulsory savings. The results of this study show that micro-entrepreneurs who have improved their living conditions also saw an improvement in their access to care (86.4%) (p=0.003). The Manzambi model provides a sustainable solution to the problem of health financing and extends social protection to fragile populations in developing countries. It also brings us closer to the objective of "health for all". [less ▲]

Detailed reference viewed: 208 (12 ULg)
Full Text
Peer Reviewed
See detailPrevalence of cardiovascular risk factors in Wallonia (Belgium): results from the NESCaV study
Streel, Sylvie ULg; Donneau, Anne-Françoise ULg; Hoge, Axelle ULg et al

in European Journal of Public Health (2013, November)

Detailed reference viewed: 47 (28 ULg)
Full Text
Peer Reviewed
See detailVitamin D coverage among adults in Wallonia (Belgium): findings from the NESCaV study
Hoge, Axelle ULg; Donneau, Anne-Françoise ULg; Streel, Sylvie ULg et al

in European Journal of Public Health (2013, November), 23

Detailed reference viewed: 52 (26 ULg)
Peer Reviewed
See detailON THE RELATIONSHIP BETWEEN DIETARY PATTERNS AND CARDIOVASCULAR RISK FACTORS IN THE GREATER REGION POPULATION
Sauvageot, Nicolas ULg; Alkerwi, Alaa; Zannad, Faiez et al

Conference (2013, October 25)

Abstract Background: The prevalence of chronic pathologies such as cardio-vascular diseases is increasing, in part due to dietary habits. Some dietary patterns may influence health more than individual ... [more ▼]

Abstract Background: The prevalence of chronic pathologies such as cardio-vascular diseases is increasing, in part due to dietary habits. Some dietary patterns may influence health more than individual foods, nutrients or food groups. The objective of this research was to identify dietary patterns associated with common cardiovascular risk factors (CVRF) in a sample of adult individuals living in the Greater Region. Methods: Data were taken from the cross-sectional NESCAV (Nutrition, Environment and Cardiovascular Health) study, aiming to describe the cardiovascular health of the Greater Region’s population (1). Dietary intake was assessed using a 132-item food frequency questionnaire (FFQ), from which 44 food groups were formed. Food group consumptions were adjusted for energy intake using the residuals method of Willet and Stampfer (2). Participants under a special diet to manage their CVRF were excluded. Likewise, those who had a history of cardiovascular disease or with confirmed diabetes, hypertension, and/or dyslipidemia were also discarded as they may have changed their diet. Thus, a total of 1691 individuals were included in the study (865 from Luxembourg, 527 from Wallonia and 299 from Lorraine). We applied the reduced rank regression method to identify specific dietary patterns strongly associated with common CVRF (3). The CVRF-specific dietary patterns were constructed by choosing intake data as predictors and CVRF as outcomes. Nine CVRF (BMI, waist to hip ratio, total cholesterol, triglycerides, HDL cholesterol, LDL cholesterol, blood glucose, diastolic and systolic blood pressure) were used in the statistical analysis. Associations between dietary patterns and CVRF were adjusted according to gender, age, smoking status and level of physical activity. Results: Two main dietary patterns were identified. A pattern characterized by high intakes of alcohol, potatoes and high-fat food such as pastries, fried foods, offal, processed and smoked meat, margarine, but low intakes of cereals, soups, soft drink and olive oil, was significantly associated with an increase of all CVRF. On the other hand, a healthy pattern characterized by high consumption of brown bread, nuts, soups, vegetables, smoked and canned fish, olive oil and oil rich in omega 6 and 3, high-fat dairy products, butter and margarine, but a low consumption of fried foods, rice/pasta, meat, ready meal, soft drink and beer, was associated with a decrease of all CVRF except LDL. Conclusions: Our results suggest that dietary patterns of the Greater Region population are related to CVRF. Diet rich in alcohol and high-fat food is associated with a higher cardiovascular risk whereas a healthy diet is associated with a lower cardiovascular risk. These results emphasize the need for cross-border preventive nutritional strategies. [less ▲]

Detailed reference viewed: 14 (2 ULg)
Full Text
Peer Reviewed
See detailMicro-crédit, Augmentation du pouvoir d’achat et Amélioration des conditions de vie des populations précaires en milieu urbain africain : Résultats d’une expérience menée dans la zone de santé de Bandalungwa à Kinshasa, Congo.
Manzambi Kuwekita, Joseph ULg; Gosset, Christiane ULg; Guillaume, Michèle ULg et al

in Psychologie et Société Nouvelle (2013), XII(3), 3-14

Purchasing power increase, improvement of living conditions and health funding of vulnerable people in African urban areas: the case of the health zone of Bandalungwa, Kinshasa (Congo) Through a survey ... [more ▼]

Purchasing power increase, improvement of living conditions and health funding of vulnerable people in African urban areas: the case of the health zone of Bandalungwa, Kinshasa (Congo) Through a survey, the study analyses the living improvement possibilities for microentrepreneurs, by the improvement of their purchasing power through microcredits provided by the Programme National d’Appui à la Protection Sociale (PNPS), in the health zone of Bandalungwa (Kinshasa). The credits were affected to wheat flour, starches, fresh food, fruits and vegetables, small restoration, smoked fish, clothing, electronic devices. Main results suggest that 68% of the microentrepreneurs financed by the program have declared improved living conditions. This improvement was associated to access to health care, children schooling, household’s access to food, loan reimbursement, and rent payment. The bivariate analysis has shown that those who had invested the whole credit in the funded activity experienced living improvement. To help vulnerable people in increasing their purchasing power, the loans should be linked to projects that are helpful to the households, and avoid that households use the credit in unsuitable ways, which could maintain them in a high level of debt. [less ▲]

Detailed reference viewed: 147 (17 ULg)
Full Text
Peer Reviewed
See detailValidation of the Food Frequency Questionnaire Used to Assess the Association between Dietary Habits and Cardiovascular Risk Factors in the NESCAV Study
Sauvageot, Nicolas ULg; Guillaume, Michèle ULg; Albert, Adelin ULg et al

in Journal of Food Science (2013), 3(3),

Abstract Background: In epidemiological studies, the validation of dietary assessment instruments is important to avoid biased associations with outcome measures. Objective: Our objective was to assess ... [more ▼]

Abstract Background: In epidemiological studies, the validation of dietary assessment instruments is important to avoid biased associations with outcome measures. Objective: Our objective was to assess the validity of the 134-item food frequency questionnaire (FFQ) used in the Nutrition Environment and Cardiovascular Health (NESCAV) study. Methods: The FFQ was validated against a 3-day dietary record (DR) on a sample of 29 women. The intra- class correlation coefficient (ICC) and Bland and Altman plots were used to assess absolute agreement, whereas relative agreement was appraised by Spearman’s correlation coefficient and Cohen kappa coefficient based on cross classification of 3-category nutrient intake. Results: The two methods differed significantly for the majority of micronutrients with FFQ yielding higher intakes than the DR. The bias between the two methods was nonetheless acceptable with an average overestimation by the FFQ of 11% for macronutrients and 29% for micronutrients. Regarding precision, results differed by 48% for micronutrients and 50% for macronutrients. Correlations on energy-adjusted data by the two methods were satisfactory with an average correlation of 0.47 and 16/25 coefficients above 0.40. Only vitamin A and cholesterol showed poor correlations of 0.02 and 0.05, respectively. On average, the correct classification rate in 3 categories was 50.3% and 19/25 kappa coefficients were above 0.20. Poor agreement was found for protein, cholesterol, starch, vitamins A, B12 and E with weighted kappa coefficient less than 0.20. Conclusion: Although absolute values of dietary intakes were not always accurate, the relationship and agreement between FFQ and DR may be considered as satisfactory. In particular, the FFQ was able to categorize subjects into 3 broad categories of intakes for most nutrients. Results for proteins, cholesterol, starch, vitamins A, E and B12 however ought to be interpreted with caution [less ▲]

Detailed reference viewed: 13 (1 ULg)
Full Text
Peer Reviewed
See detailUse of food frequency questionnaire to assess relationships between dietary habits and cardiovascular risk factors in NESCAV study: validation with biomarkers
Sauvageot, Nicolas ULg; alkerwi, alaa; Albert, Adelin ULg et al

in Nutrition Journal (2013), 12(143),

Abstract Background: Validation of Food frequency questionnaire (FFQ) is particularly important element, as incorrect information may lead to false associations between dietary factors and diseases. The ... [more ▼]

Abstract Background: Validation of Food frequency questionnaire (FFQ) is particularly important element, as incorrect information may lead to false associations between dietary factors and diseases. The aim of the study was to evaluate the validity of the FFQ used in NESCAV (Nutrition, Environment and Cardiovascular Health) study, by comparing the estimated intakes of fruits and vegetables and of several micro-nutrients with corresponding nutritional biomarkers. Methods: Relative validity was assessed in a sample of 922 subjects (452 men and 470 women). Comparisons between FFQ-estimates and their corresponding biomarkers were performed through correlation and cross classification into quintiles by using both crude and energy-adjusted FFQ-estimates. Correlations adjusted for confounders were also computed. All analyses were performed separately for men and women. Results: Concerning micro-nutrients, significant correlations were found for vitamin B9, D, E, B12 β -carotene and iodine in both men and women. Energy-adjustment led to an increase of all correlations cited previously. However, after excluding supplement users, correlations for vitamin D were not significant anymore. Concerning fruits and vegetables, all correlations were significant. Vegetables alone and fruits and vegetables correlated better in men (r around 0.2) than in women (r around 0.1). In men, correlation was also better for vegetables alone and fruits and vegetables than fruits alone. Conclusion: These data demonstrate that this FFQ is a reasonable tool to assess intakes of fruits and vegetables and of several micro-nutrients. We conclude that our FFQ is suitable to be used in NESCAV study, although protein and vitamin D estimates should be interpreted with caution [less ▲]

Detailed reference viewed: 12 (3 ULg)
Peer Reviewed
See detailValidation par biomarqueurs d’un FFQ permettant d’étudier le lien entre alimentation et risques cardiovasculaires
Sauvageot, Nicolas ULg; Alkerwi, Alaa; Donneau, Anne-Françoise ULg et al

Poster (2012, September)

Introduction La recherche sur l'alimentation et son lien avec les maladies nécessite une collecte rigoureuse des données nutritionnelles permettant d'estimer avec précision l'apport nutritionnel. Le « ... [more ▼]

Introduction La recherche sur l'alimentation et son lien avec les maladies nécessite une collecte rigoureuse des données nutritionnelles permettant d'estimer avec précision l'apport nutritionnel. Le « Food Frequency Questionnaire (FFQ) » a été choisie pour étudier le lien entre alimentation et risques cardiovasculaires dans un échantillon représentatif de la Grande région recruté pour l’étude NESCAV (Nutrition, environnement et santé cardio-vasculaire). Objectif Valider le FFQ utilisé à l’aide de biomarqueurs afin d’évaluer son habilité à estimer correctement les habitudes alimentaires. Méthodes Afin de prendre en compte les spécificités de la Grande région et le volet cardio-vasculaire, la liste d’items d’un FFQ existant a été modifiée et élargie. Tous les nutriments calculés à partir du FFQ ont été ajustés par rapport à l’énergie par la méthode des résidus. La comparaison des nutriments calculés par le FFQ et les bio-marqueurs correspondants a été faite par le calcul des coefficients de corrélation avec ajustement sur plusieurs facteurs confondants. L’accord entre les deux méthodes a été estimé par le calcul des pourcentages de concordance et du coefficient Kappa. Résultats La validation s’est effectuée sur un échantillon de 466 sujets (236 hommes et 241 femmes). Des corrélations significatives ont été observées pour les folates, le β-carotène dans les deux sexes et pour la vitamine B12 et l’iode chez les femmes. Discussion Ces résultats sont comparables à ceux d’études précédentes. Les corrélations sont souvent expliquées par le fait que les nutriments du FFQ représentent la quantité ingérée alors que les biomarqueurs représentent la quantité absorbée par le corps. [less ▲]

Detailed reference viewed: 15 (0 ULg)
Full Text
Peer Reviewed
See detailContribution of violaxanthin, neoxanthin, phytoene and phytofluene to total carotenoid intake: Assessment in Luxembourg
Biehler, E; Hoffmann, L; Krause, E et al

in Journal of Food Composition and Analysis (2012), 25

Detailed reference viewed: 33 (15 ULg)