Search results for "Santé publique et épidémiologie"
showing 10 items of 258 documents
Quels sont les freins à la consommation des fruits et des légumes chez les enfants ? Quelles stratégies basées sur la science peuvent-elles aider à l…
2022
Follow-up of patients after revascularisation for peripheral arterial diseases: a consensus document from the European Society of Cardiology Working …
2019
International audience; Peripheral arterial diseases comprise different clinical presentations, from cerebrovascular disease down to lower extremity artery disease, from subclinical to disabling symptoms and events. According to clinical presentation, the patient's general condition, anatomical location and extension of lesions, revascularisation may be needed in addition to best medical treatment. The 2017 European Society of Cardiology guidelines in collaboration with the European Society for Vascular Surgery have addressed the indications for revascularisation. While most cases are amenable to either endovascular or surgical revascularisation, maintaining long-term patency is often chall…
Ethique professionnelle et régulation économique du marché des soins ambulatoires : de la théorie des contrats à l'économie des conventions
1992
What is the part played by professionnal ethics in the economic regulation of the market for ambulatory care (heterogeneity, uncertainty, information asymmetry...) and extrinsic rigidities (imposed by medical corporation and public authorities) ? Is it the internal control variable from "interested" self-regulation that implicitly relies on teological conception of ethics ? Or, the essential being of conventions for "quality" and "activity" that, through the cycle of gift economics, set upspontaneous order, with respect to professional ethics ? What usecan we do with such theoritical approach for the understanding andthe trend of politics in ambulatory care ?
A Critical Review of Statistical Methods for Twin Studies Relating Exposure to Early Life Health Conditions
2021
International audience; When investigating disease etiology, twin data provide a unique opportunity to control for confounding and disentangling the role of the human genome and exposome. However, using appropriate statistical methods is fundamental for exploiting such potential. We aimed to critically review the statistical approaches used in twin studies relating exposure to early life health conditions. We searched PubMed, Scopus, Web of Science, and Embase (2011–2021). We identified 32 studies and nine classes of methods. Five were conditional approaches (within-pair analyses): additive-common-erratic (ACE) models (11 studies), generalized linear mixed models (GLMMs, five studies), gene…
Will women soon outperform men in open-water ultra-distance swimming in the ‘Maratona del Golfo Capri-Napoli’?
2014
Abstract This study investigated the change in sex differences across years in ultra-distance swimming performances at the 36-km ‘Maratona del Golfo Capri-Napoli’ race held from 1954 to 2013. Changes in swimming performance of 662 men and 228 women over the 59-year period were investigated using linear, non-linear and hierarchical regression analyses. Race times of the annual fastest swimmers decreased linearly for women from 731 min to 391 min (r 2 = 0.60, p < 0.0001) and for men from 600 min to 373 min (r 2 = 0.30, p < 0.0001). Race times of the annual top three swimmers decreased linearly between 1963 and 2013 for women from 736.8 ± 78.4 min to 396.6 ± 4.5 min (r 2 = 0.58, p <…
Global, regional, and national disability-adjusted life years (DALYs) for 306 diseases and injuries and healthy life expectancy (HALE) for 188 countr…
2015
Summary Background The Global Burden of Disease Study 2013 (GBD 2013) aims to bring together all available epidemiological data using a coherent measurement framework, standardised estimation methods, and transparent data sources to enable comparisons of health loss over time and across causes, age–sex groups, and countries. The GBD can be used to generate summary measures such as disability-adjusted life-years (DALYs) and healthy life expectancy (HALE) that make possible comparative assessments of broad epidemiological patterns across countries and time. These summary measures can also be used to quantify the component of variation in epidemiology that is related to sociodemographic develo…
Investigation of antihypertensive class, dementia, and cognitive decline: a meta-analysis
2020
ObjectiveHigh blood pressure is one of the main modifiable risk factors for dementia. However, there is conflicting evidence regarding the best antihypertensive class for optimizing cognition. Our objective was to determine whether any particular antihypertensive class was associated with a reduced risk of cognitive decline or dementia using comprehensive meta-analysis including reanalysis of original participant data.MethodsTo identify suitable studies, MEDLINE, Embase, and PsycINFO and preexisting study consortia were searched from inception to December 2017. Authors of prospective longitudinal human studies or trials of antihypertensives were contacted for data sharing and collaboration.…
The annual costs of cardiovascular diseases and mental disorders attributable to job strain in France.
2013
International audience; BACKGROUND: Work stress has become a major occupational risk factor in industrialized countries and an important economic issue. The objective was to estimate the annual costs of coronary heart diseases (CHD) and mental disorders (MD) attributable to job strain exposure according to Karasek's model in France for the year 2003 from a societal perspective. METHODS: We produced attributable fraction estimates which were applied to the number of cases (morbidity and mortality) and the costs of CHD and MD. Relative risk estimates came from a systematic literature review of prospective studies. We conducted meta-analyses based on this selection of studies. Prevalence of ex…
Even a low-dose of moderate-to-vigorous physical activity reduces mortality by 22% in adults aged ≥60 years: a systematic review and meta-analysis
2015
Type de document : revue de littérature; International audience; Background The health benefits of 150 min a week of moderate-to-vigorous-intensity physical activity (MVPA) in older adults, as currently recommended, are well established, but the suggested dose in older adults is often not reached.Objectives We aimed to determine whether a lower dose of MVPA was effective in reducing mortality, in participants older than 60 years.Methods The PubMed and Embase databases were searched from inception to February 2015. Only prospective cohorts were included. Risk ratios of death were established into four doses based on weekly Metabolic Equivalent of Task (MET)-minutes, defined as inactive (refe…
Does sports club participation contribute to physical activity among children and adolescents? : A comparison across six European countries
2018
Aims: Insufficient physical activity (PA) is one of the largest public health challenges of our time and requires a multisectoral public-health response. PA recommendations state that all children and adolescents should accumulate at least 60 minutes of moderate-to-vigorous PA (MVPA) daily and carry out vigorous PA (VPA) three times weekly. While participation in sports club activities is known to enhance the probability of reaching the recommended overall PA level, less is known about the contribution of sports club participation to VPA and few cross-national comparisons have been carried out. The purpose of this paper is to study whether participation in sports club activities is associat…