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See detailScreening for the metabolic syndrome in subjects with migraine
Streel, Sylvie ULg; Donneau, Anne-Françoise ULg; Dardenne, Nadia ULg et al

in Cephalalgia : An International Journal of Headache (2016)

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See detailUse of finite mixture models in dietary patterns analysis.
Sauvageot, Nicolas ULg; Schritz, Anna; Leite, Sonia et al

Scientific conference (2016, September 29)

Background In recent years, the dietary pattern approach has been used extensively to describe overall eating profiles in populations. In the literature, dietary patterns are often computed by cluster ... [more ▼]

Background In recent years, the dietary pattern approach has been used extensively to describe overall eating profiles in populations. In the literature, dietary patterns are often computed by cluster analysis and principal component analysis (PCA). However, PCA does not create distinct groups of individuals with different dietary habits; moreover the choice of the clustering method and of the number of clusters in cluster analysis remains difficult. On the other hand, finite mixture models (FMM) do not have those limitations and have many other advantages. However, they have been rarely used in dietary pattern analysis. Objective The objective of this study was to use FMM to compute dietary patterns based on data from the NESCaV survey (Nutrition, Environment and Cardiovascular Health), a large population-based study carried out between 2007 and 2011among the Greater Region population (N=2298 subjects). Methods A 134-food frequency questionnaire was used to assess dietary intakes. The most appropriate parameterization of the covariance matrix and number of clusters was chosen on the basis of the Bayesian information criterion (BIC). Results Four dietary patterns were determined. A ”non-prudent” and a “prudent” patterns were characterized respectively by non-healthy and healthy food choices. A “breakfast/low alcohol” pattern was characterized by high intakes of food items usually consumed at breakfast. Finally, a “vegetables/dairy products/low carbohydrate” pattern was characterized by low intakes of carbohydrates but high intakes of vegetables, pulses, fruits, animal protein and fat mostly from dairy products. The “non-prudent” pattern was the most prevalent with 34% of the population assigned to this cluster. The “prudent”, “breakfast/low alcohol” and “vegetables/dairy products/low carbohydrate” patterns accounted respectively for 25%, 29% and 19% of the population, respectively. Women, older people and non-smokers followed the “prudent” and “breakfast/low alcohol”, whereas the “non-prudent” and “vegetables/dairy products/low carbohydrate” were more adopted by men and smokers. In addition, the “non-prudent” pattern was associated with higher cardiovascular risk. Conclusion FMM should be considered more often as they do not have limitations encountered with other methods and are not restrictive on cluster geometry. Moreover, this study highlights the need for targeted health promotion campaigns focussing on the benefits of healthy dietary patterns. [less ▲]

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See detailComparaison de deux méthodes statistiques explorant la relation entre régimes alimentaires et risques cardiovasculaires.
Sauvageot, Nicolas ULg; Leite, Sonia; Donneau, Anne-Françoise ULg et al

Poster (2016, September)

Introduction L’analyse en composantes principales (ACP) et la régression à rangs réduits (RRR) sont deux méthodes de réduction de dimension permettant de construire des variables reflétant des régimes ... [more ▼]

Introduction L’analyse en composantes principales (ACP) et la régression à rangs réduits (RRR) sont deux méthodes de réduction de dimension permettant de construire des variables reflétant des régimes alimentaires. Les régimes alimentaires obtenus par ACP sont associés aux habitudes alimentaires de la population étudiée tandis que ceux obtenus par RRR sont associés à des indicateurs d’intérêt. L’objectif de cette étude est de comparer les deux approches quant aux régimes alimentaires obtenus et à leurs associations avec les facteurs de risques cardiovasculaires (FRCV). Méthodologie Les données proviennent de l’étude interrégionale et transversale nutrition, environnement et santé cardiovasculaire (NESCAV) ayant pour but de décrire la santé cardiovasculaire de la grande région (Luxembourg, Lorraine et Wallonie). Les apports alimentaires ont été mesurés à l’aide d’un questionnaire de fréquence alimentaire et 2298 individus ont été retenus pour cette analyse. Les indicateurs d’intérêt retenus pour l’approche RRR sont les FRCV usuels (obésité, hypertension, diabète, dyslipidémie). Résultats Nous avons trouvé que les régimes alimentaires consommés par la population et ceux associés au FRCV étaient similaires. Les régimes riches en fruits, fruits secs et oléagineux, légumes, huile d’olive, graisse riche en oméga 6, thé, et ceux pauvres en aliments frits, viandes, charcuteries, soda, plats préparés, bières étaient associés à une diminution des FRCV. Les autres régimes caractérisés par des apports élevés en aliments frits, viandes, abats, bières, vins, apéritifs et liqueurs et de faibles apports en céréales, sucres et soda étaient associés à une augmentation des FRCV. Conclusions L’utilisation des deux méthodes est utile pour obtenir des informations permettant d’élaborer de nouvelles recommandations alimentaires. Les régimes alimentaires identifiés dans cette étude sont à la fois associés aux habitudes alimentaires de la population et aux FRCV. [less ▲]

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See detailMultimodal evoked potentials for functional quantification and prognosis in multiple sclerosis
GIFFROY, Xavier ULg; MAES, Nathalie ULg; Albert, Adelin ULg et al

in BMC Neurology (2016)

Functional biomarkers able to identify multiple sclerosis (MS) patients at high risk of fast disability progression are lacking. The aim of this study was to evaluate the ability of multimodal (upper and ... [more ▼]

Functional biomarkers able to identify multiple sclerosis (MS) patients at high risk of fast disability progression are lacking. The aim of this study was to evaluate the ability of multimodal (upper and lower limbs motor, visual, lower limbs somatosensory) evoked potentials (EP) to monitor disease course and identify patients exposed to unfavourable evolution. One hundred MS patients were assessed with visual, somatosensory and motor EP and rated on the Expanded Disability Status Scale (EDSS) at baseline (T0) and about 6 years later (T1). The Spearman correlation (rS) was used to evaluate the relationship between conventional EP scores and clinical findings. Multiple (logistic) regression analysis estimated the predictive value of baseline electrophysiological data for three clinical outcomes: EDSS, annual EDSS progression, and the risk of EDSS worsening. In contrast to longitudinal correlations, cross-sectional correlations between the different EP scores and EDSS were all significant (0.33 ≤ rS < 0.67, p < 0.001). Baseline global EP score and EDSS were highly significant predictors (p < 0.0001) of EDSS progression 6 years later. The aseline global EP score was found to be an independent predictor of the EDSS annual progression rate (p < 0.001), and of the risk of disability progression over time (p < 0.005). Based on a ROC curve determination, we defined a Global EP Score cut off point (17/30) to identify patients at high risk of disability progression illustrated by a positive predictive value of 70 %. This study provides a proof of the concept that electrophysiology could be added to MRI and used as another complementary prognostic tool in MS patients. [less ▲]

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See detailDo evoked potentials contribute to the functional follow-up and clinical prognosis of multiple sclerosis?
GIFFROY, Xavier ULg; MAES, Nathalie ULg; Albert, Adelin ULg et al

in Acta Neurologica Belgica (2016)

The clinical variability and complexity of multiple sclerosis (MS) challenges the individual clinical course prognostication. This study aimed to find out whether multimodal evoked potentials (EP ... [more ▼]

The clinical variability and complexity of multiple sclerosis (MS) challenges the individual clinical course prognostication. This study aimed to find out whether multimodal evoked potentials (EP) correlate with the motor components of multiple sclerosis functional composite (MSFCm) and predict clinically relevant motor functional deterioration. One hundred MS patients were assessed at baseline (T0) and about 7.5 years later (T1), with visual, somatosensory and motor EP and rated on the Expanded Disability Status Scale (EDSS) and the MSFCm, including the 9 Hole Peg Test and the Timed 25 Foot Walk (T25FW). The Spearman correlation coefficient (rS) was used to evaluate the cross-sectional and longitudinal relationship between EP Z scores and clinical findings. The predictive value of baseline electrophysiological data for clinical worsening (EDSS, 9-HPT, T25FW, MSFCm) during follow-up was assessed by logistic regression analysis. Unlike longitudinal correlations, cross-sectional correlations between EP Z scores and clinical outcomes were all significant and ranged between 0.22 and 0.67 (p\0.05). The global EP Z score was systematically predictive of EDSS and MSFCm worsening over time (all p\0.05). EP latency was a better predictor than amplitude, although weaker than latency and amplitude aggregation in the global EP Z score. The study demonstrates that EP numerical scores can be used for motor function monitoring and outcome prediction in patients with MS. [less ▲]

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See detailQuality of documentation on antibiotic therapy in medical records: evaluation of combined interventions in a teaching hospital by repeated point prevalence survey.
VERCHEVAL, Christelle ULg; GILLET, Manon ULg; MAES, Nathalie ULg et al

in European Journal of Clinical Microbiology & Infectious Diseases : Official Publication of the European Society of Clinical Microbiology (2016), 35(9), 14951500

This study aimed to improve the quality of documentation on antibiotic therapy in the computerized medical records of inpatients. A prospective, uncontrolled, interrupted time series (ITS) study was ... [more ▼]

This study aimed to improve the quality of documentation on antibiotic therapy in the computerized medical records of inpatients. A prospective, uncontrolled, interrupted time series (ITS) study was conducted by repeated point prevalence survey (PPS) to audit the quality of documentation on antibiotic therapy in the medical records before and after a combined intervention strategy (implementation of guidelines, distribution of educational materials, educational outreach visits, group educational interactive sessions) from the antimicrobial stewardship team (AST) in the academic teaching hospital (CHU) of Liege, Belgium. The primary outcome measure was the documentation rate on three quality indicators in the computerized medical records: (1) indication for treatment, (2) antibiotics prescribed, and (3) duration or review date. Segmented regression analysis was used to analyze the ITS. The medical records of 2306 patients receiving antibiotics for an infection (1177 in the pre-intervention period and 1129 in the post-intervention period) were analyzed. A significant increase in mean percentages in the post-intervention period was observed as compared with the pre-intervention period for the three quality indicators (indication documented 83.4 +/- 10.4 % vs. 90.3 +/- 6.6 %, p = 0.0013; antibiotics documented 87.9 +/- 9.0 % vs. 95.6 +/- 5.1 %, p < 0.0001; and duration or review date documented 31.9 +/- 15.4 % vs. 67.7 +/- 15.2 %, p < 0.0001). The study demonstrated the successful implementation of a combined intervention strategy from the AST. This strategy was associated with significant changes in the documentation rate in the computerized medical records for the three quality indicators. [less ▲]

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See detailBody image discrepancy and subjective norm as mediators and moderators of the relationship between body mass index and quality of life
Pétré, Benoît ULg; Scheen, André ULg; ziegler, olivier et al

in Patient Preference and Adherence (2016), 10

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See detailExtending abdominal aortic aneurysm detection to older age groups: preliminary results from the Liege screening programme.
MAKRYGIANNIS, Georgios ULg; Labalue, Philippe; Erpicum, Marie ULg et al

in Annals of Vascular Surgery (2016)

BACKGROUND: There is evident benefit in terms of reduced aneurysm related mortality from screening programmes of abdominal aortic aneurysm (AAA) in men aged 65 and more. Recent studies in UK and Sweden ... [more ▼]

BACKGROUND: There is evident benefit in terms of reduced aneurysm related mortality from screening programmes of abdominal aortic aneurysm (AAA) in men aged 65 and more. Recent studies in UK and Sweden have shown a decline of the prevalence of AAA in the general population. Current screening policies (e.g. men aged 65-74 years) however do not account for ageing and increased life expectancy of western populations. This study investigated AAA detection by extending the target population to older age groups (75-85 years). METHODS: AAA screening was conducted in the County of Chaudfontaine (Liege, Belgium) on the population of elderly (N=3,054). The participation rate was 36%. The 1,101 participants (722 men aged 65-85 and 379 women aged 74-85 years) were examined by ultrasound (US) scan. AAA was defined as an infrarenal aortic outer-outer diameter of at least 3 cm. Demographics, clinical parameters and risk factors were also recorded. AAA prevalence was estimated and patients with and without AAA were compared by logistic regression. RESULTS: The overall AAA prevalence was 3.6% (n=40). In female participants, AAA prevalence was low (1.3%). In men, it amounted 2.7% in the 65-74 age group but rose to 7.3% in the age-extended group (75-85 years). Further in addition to age, height, current smoking, history of coronary artery disease, hypercholesterolemia, peripheral artery disease of the lower limbs and varicose veins were significantly associated with the presence of AAA. CONCLUSION: These preliminary findings, based on a representative sample of the elderly population of the Liege region, support the idea that current AAA screening policies should be updated to cover an increasingly ageing population. The presence of varicose veins as a potential risk factor for AAA should also be considered during screening. [less ▲]

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See detail18F-FDG PET/CT imaging in rectal cancer: relationship with the RAS mutational status.
LOVINFOSSE, Pierre ULg; KOOPMANSCH, Benjamin ULg; LAMBERT, Frédéric ULg et al

in British Journal of Radiology (2016)

OBJECTIVE: Treating metastatic colorectal cancer with anti-EGFR monoclonal antibodies is recommended only for patients whose tumour does not harbour mutations of KRAS or NRAS. The aim of this study was to ... [more ▼]

OBJECTIVE: Treating metastatic colorectal cancer with anti-EGFR monoclonal antibodies is recommended only for patients whose tumour does not harbour mutations of KRAS or NRAS. The aim of this study was to investigate the biology of rectal cancers and specifically to evaluate the relationship between fluorine-18 fludeoxyglucose (18F-FDG) positron emission tomography (PET) intensity and heterogeneity parameters and their mutational status. METHODS: 151 patients with newly diagnosed rectal cancer were included in this retrospective study. All patients underwent a baseline 18F-FDG PET/CT within a median time interval of 27 days of tumour tissue sampling, which was performed before any treatment. Standardized uptake values (SUVs), volume-based parameters and texture analysis were studied. We retrospectively performed KRAS genotyping on codons 12, 13, 61, 117 and 146, NRAS genotyping on codons 12, 13 and 61 and BRAF on codon 600. Associations between PET/CT parameters and the mutational status were assessed using univariate and multivariate analysis. RESULTS: 83 (55%) patients had an RAS mutation: 74 KRAS and 9 NRAS, while 68 patients had no mutation (wild-type tumours). No patient had BRAF mutation. First-order features based on intensity histogram analysis were significantly associated with RAS mutations: maximum SUV (SUVmax) (p-value = 0.002), mean SUV (p-value = 0.006), skewness (p-value = 0.049), SUV standard deviation (p-value = 0.001) and SUV coefficient of variation (SUVcov) (p-value = 0.001). Both SUVcov and SUVmax showed an area under the curve of 0.65 with sensitivity of 56% and 69%, respectively, and specificity of 64% and 52%, respectively. None of the volume-based (metabolic tumour volume and total lesion glycolysis), nor local or regional textural features were associated with the presence of RAS mutations. CONCLUSION: Although rectal cancers with KRAS or NRAS mutations display a significantly higher glucose metabolism than wild-type cancers, the accuracy of the currently proposed quantitative metrics extracted from 18F-FDG PET/CT is not sufficiently high for playing a meaningful clinical role. ADVANCES IN KNOWLEDGE: RAS-mutated rectal cancers have a significantly higher glucose metabolism. However, the accuracy of 18F-FDG PET/CT quantitative metrics is not as such as the technique could play a clinical role. [less ▲]

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See detailA cross-sectional study to evaluate factors related to condom use with commercial sexual partners in workers from Ecuadorian companies
Cabezas, Maria C.; Fornasini, Marco; Dardenne, Nadia ULg et al

in BMC Public Health (2015), 15(1),

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See detailA web-based support system of the Belgian Register for Assisted Procreation
Gillain, Nicolas ULg; Bogaerts, Kris; Albert, Adelin ULg et al

Poster (2015, June)

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See detailGene expression of cytokines, growth factors and apoptosis regulators in a neonatal model of pulmonary stenosis.
Liersch, Peter N.; Schwarz, Andreas; Sachweh, Joerg et al

in Future cardiology (2015), 11(3), 297-307

ABSTRACT Background: Right ventricular remodeling due to pulmonary stenosis increases morbidity in children. Its pathophysiology needs to be clarified. METHODS: Six newborn lambs underwent pulmonary ... [more ▼]

ABSTRACT Background: Right ventricular remodeling due to pulmonary stenosis increases morbidity in children. Its pathophysiology needs to be clarified. METHODS: Six newborn lambs underwent pulmonary arterial banding, seven sham operation. mRNA encoding for cytokines, growth factors and regulators of apoptosis was sequentially measured in myocardium and blood before and up to 12 weeks postoperatively. RESULTS: Experimental animals showed hypertrophy and fibrosis of the right ventricular myocardium, myocardial over-expression of CT-1-mRNA and higher blood concentrations of mRNA encoding for VEGF, TGF-beta, Bak and BcL-xL than controls, respectively. CONCLUSION: Neonatal pulmonary stenosis leads to myocardial hypertrophy that is associated with CT-1 gene expression and with activation of growth- and apoptosis pathways in blood cells. [less ▲]

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See detailOne-year Prevalence of Migraine Using a Validated Extended French Version of the ID MigraineTM: a Belgian Population-Based Study
Schoenen, Jean ULg; Streel, Sylvie ULg; Donneau, Anne-Françoise ULg et al

in Cephalalgia : An International Journal of Headache (2015, May), 35(6), 155-156

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See detailAdherence to physical activity recommendations and its associated factors: an interregional population-based study
Alkerwi, Ala'a; Schuh, Barbara; Sauvageot, Nicolas et al

in Journal of Public Health Research (2015), 4(1),

Background. Though the influence of physical activity in preventing cardiovascular diseases is well documented, only a few comparative studies have determined the degree of adherence to physical activity ... [more ▼]

Background. Though the influence of physical activity in preventing cardiovascular diseases is well documented, only a few comparative studies have determined the degree of adherence to physical activity recommendations among populations and identified the demographic, socioeconomic, behavioural and health-related factors associated with good compliance. Design and methods. Cross-sectional interregional NESCaV survey of 3133 subjects compared three populations, Luxembourg, Lorraine (France) and Wallonia (Belgium), by using the International Physical Activity Questionnaire. Age and gender prevalence rates of physical activity were standardized to the European population. Results. The likelihood to meet the recommendations was higher in Luxembourg, after adjustment for age, gender, education, employment, weight status, morbidity score, health perception and level of importance attributed to the practice of physical activity (P<0.0001). The odds for meeting the recommendations were significantly higher among those with secondary than tertiary education. Compared to good self-health perception, subjects with poor or fair self-perceived health were less likely to meet the recommendations; this also applied to those attributing little or enough importance to physical activity compared with great importance. Conclusions. Region, education, self-perceived health and perception of importance of physical activity were emerged as independent determinants of meeting the recommendations. Awareness of the positive health effects of physical activity might thus be crucial for motivating the people to become more active. Further research is needed to explore potential region-specific factors which might explain the difference in population behaviours with respect to physical activity. [less ▲]

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