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1.
J Dairy Sci ; 107(8): 5913-5923, 2024 Aug.
Article de Anglais | MEDLINE | ID: mdl-38608953

RÉSUMÉ

The performance of an adult dairy cow may be influenced by events that occur before her birth. The present study investigated the potential effects of 2 prenatal groups of factors, assisted reproductive technologies and maternal characteristics (e.g., dam parity), on offspring performance during their first lactation in populations of 2 dairy cow breeds: French Holstein and Montbéliarde. The different assisted reproductive technologies studied included the type of semen (conventional or X-sorted) used for AI and the technology of conception used (AI, embryo transfer, or in vitro fertilization). Three maternal characteristics were considered: (1) the dam age at first calving, (2) dam parity number, and (3) indicators of dam udder health during gestation (SCS and events of clinical mastitis). First, we investigated whether heifer survival from 3 d to 18 mo old was associated with any of the prenatal factors considered. We then estimated the associations of these prenatal factors with 8 traits of commercial interest: (1) stature, (2-4) milk, fat, and protein yields, (5) SCS, (6) clinical mastitis, and (7-8) heifer and cow conception rate, all measured on genotyped cows. Linear models were used for this study with the prenatal factors as covariates in the model, and for the 8 traits, phenotypes were adjusted for their corresponding genomic EBV. The results indicated that the survival rate of heifers born from embryo transfer was significantly higher than that of heifers born from AI (probably due to preferential management practices), and the other prenatal factors did not explain large differences in heifer survival. Among the Montbéliarde cows born from AI, those born from X-sorted semen showed a lightly but significantly lower milk yield than those born without X-sorting of the semen (-52 kg of milk in the first lactation). Among the Holstein cows, those born from embryo transfer presented significantly lower milk performance than cows born from AI. Regarding the maternal characteristics, none or very weak associations were found between the dam age at first calving and the offspring performance in both breeds. Dam parity, on the other hand, was associated with offspring performance for milk, fat, and protein yield in both breeds, but not in the same direction. In the Holstein breed, an increase in dam parity was favorable for offspring performance for milk, fat, and protein yield, whereas in the Montbéliarde breed, an increase in dam parity was associated with lower milk and protein yield and no association was found for fat yield. The udder health of the dam during gestation was not or only weakly associated with the traits studied in the offspring. Although some significant associations were identified due to the large sample size, the effects were modest, typically less than 1% of the phenotypic mean, and were not consistently observed across the 2 breeds.


Sujet(s)
Lactation , Lait , Animaux , Bovins , Femelle , Lait/métabolisme , Grossesse , Sélection
2.
J Dairy Sci ; 104(3): 3240-3249, 2021 Mar.
Article de Anglais | MEDLINE | ID: mdl-33455791

RÉSUMÉ

Colostrum samples from 366 Charolais primiparous cows, as well as serum from their calves at 24 to 48 h of age, were collected to gain an overview of the situation regarding passive immune transfer in beef cattle, from both the phenotypic and genetic points of view. All samples were analyzed to quantify their G1 immunoglobulins by radial immunodiffusion (RID) and their IgG, IgA, and IgM using ELISA. The average concentrations obtained in colostrum were 84 mg/mL for RID-IgG1, and 158 mg/mL, 4.5 mg/mL and 10.8 mg/mL for ELISA-IgG, -IgA, and -IgM, respectively. The corresponding values in calf serum were 19.9, 30.6, 1.0, and 1.9 mg/mL. Apart from the general environmental effect (farm-year combination and laboratory conditions), the characteristics of the dams tested did not reveal any influence on colostrum immunoglobulin concentrations. Calving difficulty, as well as the birth weight and sex of calves, were found to be associated with serum concentrations in some cases. Heritability estimates were low to moderate, with the highest being for RID-IgG1 in colostrum (h2 = 0.28, standard error = 0.14) and serum (h2 = 0.36, standard error = 0.18). Phenotypic correlations among the different immunoglobulins were generally positive or null, and none of the genetic correlations were significant due to large standard errors. The phenotypic correlation between dam colostrum and calf serum values was 0.2 for RID-IgG1 and null for the 3 ELISA measurements. The correlation between RID-IgG1 and ELISA-IgG was, unexpectedly, null for colostrum and 0.4 for serum. Increased RID-IgG1 levels in calf serum were associated with improved survival, as well as better early growth and fewer health problems. These results thus showed that despite generally higher concentrations in beef than in dairy cattle, passive transfer was unsuccessful in a considerable number of calves. This should be brought to the attention of breeders to avoid negative effects on survival and subsequent performance. The heritability estimates were encouraging; however, obtaining phenotypes on a large scale constitutes a real limitation regarding these traits.


Sujet(s)
Colostrum , Immunoglobuline G , Animaux , Animaux nouveau-nés , Bovins , Test ELISA/médecine vétérinaire , Femelle , Immunodiffusion/médecine vétérinaire , Grossesse
3.
Microvasc Res ; 131: 104034, 2020 09.
Article de Anglais | MEDLINE | ID: mdl-32589891

RÉSUMÉ

Recording oscillations in cutaneous blood perfusion using laser Doppler flowmetry (LDF) is of common use in clinical research, due, mainly, to its non-invasive nature. Detailed information about the vascular tone in different frequency bands and the related physiologic compartment can be inferred from wavelet analysis (WA) of an LDF signal. However, little is known about the minimal recording duration required to generate a proper representation of the frequency content of such signals. To address this question, the three lowest frequency bands (i.e. myogenic, neurogenic and endothelial) of the LDF wavelet power spectrum were studied to define the shortest recording duration needed to perform a quality WA. Sixty-five healthy participants were included for 20 min of basal LDF recording on forearm and dorsum of the foot. Recordings were short cut every minute and compared to the 20-min reference recording that is generally used in the literature. Our results indicate that minimum 10 min recordings are required for analysis of myogenic events, whatever the anatomical site. On the forearm, LDF recordings lengths should be at least 15 min and 10 min for the neurogenic and endothelial bands, respectively. On the foot, 13 min of LDF recording is required to assess neurogenic and endothelial bands. Depending on the aim of any given study involving healthy subjects, LDF recordings need to last at least 15 min on forearm and 13 min on the foot to maintain a quality WA on low-frequency bands.


Sujet(s)
Fluxmétrie laser Doppler , Microcirculation , Peau/vascularisation , Analyse en ondelettes , Adulte , Vitesse du flux sanguin , Pied , Avant-bras , Volontaires sains , Humains , Adulte d'âge moyen , Valeur prédictive des tests , Facteurs temps , Jeune adulte
4.
J Anim Sci ; 96(4): 1246-1258, 2018 Apr 14.
Article de Anglais | MEDLINE | ID: mdl-29471383

RÉSUMÉ

The objective of this study was to investigate the factors that influence calf health and survival in Charolais cattle. Data from 2,740 calves, originating from 16 French farms and observed from birth until 30 d of age, were analyzed using models that took account of direct genetic, maternal genetic, and common environmental effects. Both direct and maternal genetic parameters were estimated for birth weight (BW), calving ease (CE), neonatal vitality (NV), survival at 30 d (Surv), and umbilical infection and diarrhea at different ages (0 to 5 d: Umb1 and Diar1; 6 to 20 d: Umb2 and Diar2; and 21 to 30 d: Umb3 and Diar3). The heritability values for direct and maternal genetic effects were, 0.026 (SE = 0.027) and 0.096 (SE = 0.042) for Surv, 0.280 (SE = 0.063) and 0.063 (SE = 0.038) for BW, 0.129 (SE = 0.041) and 0 for CE, 0.073 (SE = 0.035) and 0 for NV, 0.071 (SE = 0.038) and 0.017 (SE = 0.026) for Umb1, 0 and 0.082 (SE = 0.029) for Umb2, 0 and 0.044 (SE = 0.030) for Diar1, 0.016 (SE = 0.022) and 0.012 (SE = 0.026) for Diar2, and 0.016 (SE = 0.028) and 0 for Diar3, respectively. Significant genetic variability in beef cattle was thus revealed for five calf health traits: NV, Surv, Diar1, Umb1, and Umb2. In addition, for three traits (Surv, Diar1, and Umb2), maternal genetic effects clearly contributed more to health performance than direct genetic effects. Estimates of genetic correlation between traits varied markedly (from 0 to 1 in absolute values) depending on the traits in question, the age for a given trait, and the type (direct or maternal) of the genetic effects considered. These results suggest that not all health traits in Charolais cattle can be improved simultaneously, and breeders will therefore have to prioritize certain traits of interest in their breeding objectives. Overall, our results demonstrate the potential utility of collecting and integrating data on calf diseases, NV and survival in future beef cattle breeding programs. To ensure appropriate biological and genetic evaluations of calf health performance, it is important to accurately describe the phenotypes for diarrhea and umbilical infections (in terms of age ranges) and account for maternal genetic and common environmental effects that explain calf health performance traits. Further investigation and improved data collection are now necessary to maximize the efficiency of breeding schemes designed to simultaneously improve production and health traits.


Sujet(s)
Maladies des bovins/génétique , Diarrhée/médecine vétérinaire , Résistance à la maladie/génétique , État de santé , Animaux , Poids de naissance/génétique , Sélection , Bovins , Maladies des bovins/mortalité , Diarrhée/génétique , Diarrhée/mortalité , Femelle , Dépistage génétique , Mâle , Parturition/génétique , Phénotype , Grossesse
5.
Obes Rev ; 17(7): 573-86, 2016 07.
Article de Anglais | MEDLINE | ID: mdl-27079631

RÉSUMÉ

Dietary polyphenols constitute a large family of bioactive substances potential beneficial effect on metabolic syndrome (MetS). This review summarizes the results of clinical studies on patients with MetS involving the chronic supplementation of a polyphenol-rich diet, foods, extracts or with single phenolics on the features of MetS (obesity, dyslipidemia, blood pressure and glycaemia) and associated complications (oxidative stress and inflammation). Polyphenols were shown to be efficient, especially at higher doses, and there were no specific foods or extracts able to alleviate all the features of MetS. Green tea, however, significantly reduced body mass index and waist circumference and improved lipid metabolism. Cocoa supplementation reduced blood pressure and blood glucose. Soy isoflavones, citrus products, hesperidin and quercetin improved lipid metabolism, whereas cinnamon reduced blood glucose. In numerous clinical studies, antioxidative and anti-inflammatory effects were not significant after polyphenol supplementation in patients with MetS. However, some trials pointed towards an improvement of endothelial function in patients supplemented with cocoa, anthocyanin-rich berries, hesperidin or resveratrol. Therefore, diets rich in polyphenols, such as the Mediterranean diet, which promote the consumption of diverse polyphenol-rich products could be an effective nutritional strategy to improve the health of patients with MetS. © 2016 The Authors. Obesity Reviews published by John Wiley & Sons Ltd on behalf of World Obesity.


Sujet(s)
Antioxydants/administration et posologie , Régime alimentaire , Syndrome métabolique X/traitement médicamenteux , Polyphénols/administration et posologie , Glycémie/métabolisme , Pression sanguine/effets des médicaments et des substances chimiques , Compléments alimentaires , Humains , Insuline/sang , Insulinorésistance , Essais contrôlés randomisés comme sujet
6.
J Electrocardiol ; 47(2): 228-35, 2014.
Article de Anglais | MEDLINE | ID: mdl-24360343

RÉSUMÉ

BACKGROUND AND PURPOSE: Measurement of QT intervals during atrial flutter (AFL) is relevant to monitor the safety of drug delivery. Our aim is to compare QT and QTc intervals in AFL patients before and after catheter ablation in order to validate QT measurement during AFL. METHODS: 25 patients suffering from AFL underwent catheter ablation; 9 were in sinus rhythm and 16 were in AFL at the time of the procedure. Holter ECGs were continuously recorded before, during and after the procedure. In AFL signals, flutter waves were subtracted using a previously-validated deconvolution-based method. Fridericia's QTc was computed before and after ablation after hysteresis reduction. RESULTS: Comparing QTc values obtained before and after ablation showed that (1) the intervention did not significantly affect QTc, and (2) the QTc during AFL was concordant with the QTc value in sinus rhythm. CONCLUSION: QTc can be reliably measured in patients with AFL using flutter wave subtraction and hysteresis reduction.


Sujet(s)
Flutter auriculaire/physiopathologie , Flutter auriculaire/chirurgie , Ablation par cathéter/méthodes , Système de conduction du coeur/physiopathologie , Sujet âgé , Électrocardiographie , Électrocardiographie ambulatoire , Femelle , Humains , Mâle , Adulte d'âge moyen , Projets pilotes , Technique de soustraction
7.
Obes Rev ; 15(2): 107-16, 2014 Feb.
Article de Anglais | MEDLINE | ID: mdl-24118784

RÉSUMÉ

Controversy exists among trials assessing whether prolonged antioxidant vitamin supplementation improves endothelial function in type 2 diabetes mellitus (T2DM) subjects. The aim of this study was to systematically review and quantify the effect of antioxidant vitamin supplementation on endothelial function in T2DM subjects. MEDLINE, Cochrane, Scopus and Web of Science were searched up to February 2013 for randomized controlled trials assessing the effect of antioxidant vitamin E and/or C supplementation on endothelial function in T2DM subjects. Ten randomized controlled trials comparing antioxidant vitamin-supplemented and control groups (overall n = 296) met the inclusion criteria. Post-intervention standardized mean difference (SMD) in endothelial function did not reach statistical significance between groups (0.35; 95% confidence interval = -0.17, 0.88; P = 0.18). In subgroup analysis, post-intervention endothelial function was significantly improved by antioxidant vitamin supplementation in T2DM subgroups with body mass index (BMI) ≤ 29.45 kg m(-2) (SMD = 1.02; P < 0.05), but not in T2DM subgroups with BMI > 29.45 kg m(-2) (SMD = -0.07; P = 0.70). In meta-regression, an inverse association was found between BMI and post-intervention SMD in endothelial function (B = -0.024, P = 0.02). Prolonged antioxidant vitamin E and/or C supplementation could be effective to improve endothelial function in non-obese T2DM subjects.


Sujet(s)
Antioxydants/administration et posologie , Diabète de type 2/physiopathologie , Endothélium vasculaire/physiopathologie , Stress oxydatif/effets des médicaments et des substances chimiques , Vitamines/usage thérapeutique , Antioxydants/usage thérapeutique , Glycémie/effets des médicaments et des substances chimiques , Diabète de type 2/diétothérapie , Diabète de type 2/métabolisme , Compléments alimentaires , Endothélium vasculaire/effets des médicaments et des substances chimiques , Humains , Essais contrôlés randomisés comme sujet
8.
Obes Rev ; 13(5): 441-55, 2012 May.
Article de Anglais | MEDLINE | ID: mdl-22133012

RÉSUMÉ

With an increasing prevalence, pediatric obesity is often a prelude to adulthood obesity, and represents a major public health issue. Comorbidities are very common and severe in obese adults, justifying the search for earlier markers or risk factors for cardiovascular diseases in obese children. Endothelial dysfunction has been found to be present in the early stages of atherosclerosis, and can be non-invasively assessed with widely accepted and well-standardized techniques at the macrocirculation level. Endothelial dysfunction at the microcirculation level is less documented in obese children. Obesity in children has been repeatedly and independently correlated to endothelial dysfunction, inflammation and oxidative stress markers, although the relationship between these factors remains to be investigated. However, this would not only allow substantial improvements in risk stratification, but also provide essential data regarding the evolution of endothelial dysfunction in childhood obesity, especially during puberty when pro-inflammatory and pro-oxidative changes, with relative insulin resistance, occur. Therapeutic strategies such as lifestyle interventions in early childhood obesity appear all the more necessary, optimally including both exercise and diet because of their known effects on inflammatory and oxidative stress markers, potentially reversing endothelial dysfunction.


Sujet(s)
Inflammation/métabolisme , Obésité/métabolisme , Stress oxydatif , Adolescent , Marqueurs biologiques , Enfant , Régime amaigrissant , Endothélium vasculaire/anatomopathologie , Exercice physique/physiologie , Humains , Mode de vie , Obésité/physiopathologie , Obésité/thérapie , Puberté/métabolisme , Appréciation des risques , Facteurs de risque
9.
Int J Obes (Lond) ; 35(6): 820-8, 2011 Jun.
Article de Anglais | MEDLINE | ID: mdl-20877288

RÉSUMÉ

OBJECTIVE: Although increased blood flow (BF) in exercising muscles is thought to be impaired in obese subjects and may contribute to physical inactivity, data are scarce in this regard and the involvement of endothelium dysfunction remains partly hypothetical. METHODS: A total of 16 middle-aged obese men (body mass index, BMI ≥ 30 kg m(-2)) and 16 normal-weight men (BMI<25 kg m(-2)), matched for age, were recruited. We used ultrasonography to compare intima-media thickness (IMT) and distensibility of the carotid artery, flow-mediated dilation (FMD), nitrate-dependent dilation (NDD) and peak BF during post-ischemic hyperemia in the brachial artery (a conduit artery), and leg BF during knee-extensor exercise (indicative of resistance vessel function) in obese and in normal-weight men. In addition, 10 obese men participated in an 8 week individualized low-intensity training program. RESULTS: Compared with normal-weight men, obese men had higher carotid IMT (0.50 ± 0.01 vs 0.62 ± 0.04 mm, P < 0.05) but lower carotid distensibility (0.26 ± 0.03 vs 0.11 ± 0.03 mm Hg(-1) 10(-2), P < 0.05), FMD (5.7 ± 0.4 vs 3.3 ± 0.5%, P < 0.05) and peak BF during post-ischemic hyperemia (398 ± 52 vs 229 ± 24%, P < 0.05), despite similar maximal shear rate, without NDD differences. Lower limb BF (ml min(-1) 100 g(-1)) increased significantly from rest to maximal exercise in both groups with lower values in obese men (at peak power, 36.9 ± 1.6 vs 31.5+2.2 ml min(-1) 100 g(-1), P < 0.05). Exercise training normalized carotid distensibility (0.14 ± 0.04 before vs 0.23 ± 0.03 mm Hg(-1) 10(-2) after training, P = 0.09) and FMD (2.7 ± 0.4 before vs 4.8 ± 0.5% after training, P < 0.05), but did not improve brachial post-ischemic peak BF or exercising leg BF. CONCLUSIONS: In obese men, conduit and resistance vessel reactivity is depressed, but a short-term low-intensity exercise training improves distensibility and endothelium dependent vasodilation in the large conduit artery, but not post ischemic or exercise muscle BF.


Sujet(s)
Endothélium vasculaire/physiopathologie , Exercice physique/physiologie , Obésité/physiopathologie , Endurance physique/physiologie , Résistance vasculaire/physiologie , Indice de masse corporelle , Artère brachiale/imagerie diagnostique , Artère brachiale/physiopathologie , Artères carotides/anatomopathologie , Artères carotides/physiopathologie , Tissu élastique/physiopathologie , Endothélium vasculaire/imagerie diagnostique , Artère fémorale/physiopathologie , Humains , Jambe/vascularisation , Mâle , Adulte d'âge moyen , Obésité/imagerie diagnostique , Obésité/thérapie , Débit sanguin régional/physiologie , Résultat thérapeutique , Tunique intime/anatomopathologie , Tunique intime/physiopathologie , Tunique moyenne/anatomopathologie , Tunique moyenne/physiopathologie , Échographie
10.
Physiol Meas ; 30(12): 1303-25, 2009 Dec.
Article de Anglais | MEDLINE | ID: mdl-19843981

RÉSUMÉ

This paper describes an unsupervised signal processing method applied to three-channel unipolar electrograms recorded from human atria. These were obtained by epicardial wires sutured on the right and left atria after coronary artery bypass surgery. Atrial (A) and ventricular (V) activations had to be detected and identified on each channel, and gathered across the channels when belonging to the same global event. The algorithm was developed and optimized on a training set of 19 recordings of 5 min. It was assessed on twenty-seven 2 h recordings taken just before the onset of a prolonged atrial fibrillation for a total of 1593697 activations that were validated and classified as normal atrial or ventricular activations (A, V) and premature atrial or ventricular activations (PAA, PVA). 99.93% of the activations were detected, and amongst these, 99.89% of the A and 99.75% of the V activations were correctly labelled. In the subset of the 39705 PAA, 99.83% were detected and 99.3% were correctly classified as A. The false positive rate was 0.37%. In conclusion, a reliable fully automatic detection and classification algorithm was developed that can detect and discriminate A and V activations from atrial recordings. It can provide the time series needed to develop a monitoring system aiming to identify dynamic predictors of forthcoming cardiac events such as postoperative atrial fibrillation.


Sujet(s)
Fibrillation auriculaire/diagnostic , Fibrillation auriculaire/physiopathologie , Fonction auriculaire/physiologie , Automatisation/méthodes , Électrocardiographie/méthodes , Traitement du signal assisté par ordinateur , Algorithmes , Fonction auriculaire gauche/physiologie , Fonction auriculaire droite/physiologie , Pontage aortocoronarien/méthodes , Électrodes implantées , Faux positifs , Humains , Reproductibilité des résultats , Facteurs temps , Fonction ventriculaire/physiologie
11.
Eur J Clin Invest ; 39(2): 94-102, 2009 Feb.
Article de Anglais | MEDLINE | ID: mdl-19200162

RÉSUMÉ

BACKGROUND: Obese children exhibit vascular disorders at rest depending on their pubertal status, degree of obesity, and level of insulin resistance. However, data regarding their vascular function during exercise remain scarce. The aims of the present study were to evaluate vascular morphology and function at rest, and lower limb blood flow during exercise, in prepubertal boys with mild-to-moderate obesity and in lean controls. MATERIALS AND METHODS: Twelve moderately obese prepubertal boys [Body Mass Index (BMI: 23.9+/-2.6 kg m(-2))] and thirteen controls (BMI:17.4+/-1.8 kg m(-2)), matched for age (mean age: 11.6+/-0.6 years) were recruited. We measured carotid intima-media thickness (IMT) and wall compliance and incremental elastic modulus, resting brachial flow-mediated dilation (FMD) and nitrate-dependent dilation (NDD), lower limb blood flow during local knee-extensor incremental and maximal exercise, body fat content (DEXA), blood pressure, blood lipids, insulin and glucose. RESULTS: Compared to lean controls, obese boys had greater IMT (0.47+/-0.06 vs. 0.42+/-0.03 mm, P<0.05) but lower FMD (4.6+/-2.8 vs. 8.8+/-3.2%, P<0.01) in spite of similar maximal shear rate, without NDD differences. Lower limb blood flow (mL min(-1).100 g(-1)) increased significantly from rest to maximal exercise in both groups, although obese children reached lower values than lean counterparts whatever the exercise intensity. CONCLUSIONS: Mild-to-moderate obesity in prepubertal boys without insulin resistance is associated with impaired endothelial function and blunted muscle perfusion response to local dynamic exercise without alteration of vascular smooth muscle reactivity.


Sujet(s)
Artère brachiale/physiopathologie , Artères carotides/physiopathologie , Jambe/vascularisation , Muscles lisses vasculaires/physiopathologie , Obésité/physiopathologie , Tissu adipeux , Glycémie/analyse , Pression sanguine , Indice de masse corporelle , Études cas-témoins , Enfant , Dilatation pathologique , Exercice physique , Humains , Insuline/sang , Lipides/sang , Mâle , Débit sanguin régional , Repos
12.
Chaos ; 17(2): 023125, 2007 Jun.
Article de Anglais | MEDLINE | ID: mdl-17614679

RÉSUMÉ

Electrical pacing is a common procedure in both experimental and clinical settings to study and/or annihilate anatomical reentry. A previous study [Comtois and Vinet, Chaos 12, 903 (2002)] has described new ways to terminate reentry in a one-dimensional loop model by a protocol consisting of only two stimulations. Annihilation of the reentrant activity was much more likely with these new scenarios than through a unidirectional block. This paper investigates the sensitivity of these scenarios of annihilation to the length of the pathway. It shows that double-pulse stimulation can stop the reentry if the circuit is shorter than a limiting length. Beyond this upper limit, stimulation rather yields sustained double-wave reentry. The same dynamical mechanism, labeled alternans amplification, is found to be responsible for these two types of post-stimulus dynamics.


Sujet(s)
Entraînement électrosystolique/méthodes , Modèles cardiovasculaires , Animaux , Troubles du rythme cardiaque/physiopathologie , Troubles du rythme cardiaque/thérapie , Entraînement électrosystolique/statistiques et données numériques , Simulation numérique , Électrophysiologie , Coeur/physiologie , Humains , Ions/métabolisme , Myocarde/métabolisme
13.
Clin Exp Rheumatol ; 25(2): 329-35, 2007.
Article de Anglais | MEDLINE | ID: mdl-17543164

RÉSUMÉ

OBJECTIVE: To identify factors that contribute to a decreased Z score of volumetric spine bone mineral density (ZvSBMD) and the development of vertebral fractures (VF) in children receiving chronic systemic corticosteroid therapy (SCT); to describe their outcome after 2 years, and to define predictive threshold values for ZvSBMD for VF. METHODS: Fifty-five children on SCT for >or= 6 months were prospectively followed for 2 years. In children with a ZvSBMD > -1.5, we prescribed preventive measures for osteoporosis and densitometry annually. In children with ZvSBMD

Sujet(s)
Hormones corticosurrénaliennes/effets indésirables , Vertèbres lombales/traumatismes , Ostéoporose/induit chimiquement , Ostéoporose/complications , Fractures du rachis/étiologie , Adolescent , Alendronate/usage thérapeutique , Densité osseuse/physiologie , Agents de maintien de la densité osseuse/usage thérapeutique , Enfant , Enfant d'âge préscolaire , Femelle , Études de suivi , Humains , Modèles logistiques , Vertèbres lombales/physiopathologie , Mâle , Ostéoporose/prévention et contrôle , Valeur prédictive des tests , Études prospectives , Analyse de régression , Facteurs de risque , Fractures du rachis/physiopathologie , Résultat thérapeutique
14.
Arch Mal Coeur Vaiss ; 99(6): 564-8, 2006 Jun.
Article de Anglais | MEDLINE | ID: mdl-16878715

RÉSUMÉ

Pulse wave velocity measurement is used as an index of arterial stiffness. The purpose was to evaluate the reproducibility of pulse wave velocity measurement at rest, during exercise and recovery from exercise, using an automated device. Twelve healthy young adults (mean age 22.0 +/- 3.1 yrs) underwent an upright submaximal cycle test on two separate occasions, one week apart. Pulse wave velocity, systolic and diastolic blood pressures and heart rate were assessed at rest, during the last 2 min of exercise and 10 min later. Pulse wave velocity was measured on the upper limb and the forearm by the cross-correlation function of photoplethysmography and Doppler signals. Brachial artery pulse wave velocity was calculated from upper limb and forearm pulse wave velocities. No significant difference was found on duplicate measurements of heart rate, systolic and diastolic blood pressures at rest, during exercise and recovery, showing that pulse wave velocity was measured under similar conditions. Coefficient of variation for upper limb and forearm pulse wave velocities ranged from 2.9 to 5.9% at rest and during recovery, and were respectively 2.9% and 8.3% during exercise. However, coefficient of variation for brachial pulse wave velocity was 7.7 and 10.3% at rest, 15.7% during exercise, and 5.8% during recovery. During exercise, pulse wave velocity measurements were satisfying, but indirect assessment of brachial artery pulse wave velocity showed poor reproducibility. Thus, upper limb and forearm pulse wave velocities may be used during exercise to assess the effect of training or drugs on arterial wall mechanical properties.


Sujet(s)
Pression sanguine/physiologie , Artère brachiale/physiologie , Épreuve d'effort , Adulte , Vitesse du flux sanguin , Femelle , Rythme cardiaque/physiologie , Humains , Mâle , Reproductibilité des résultats , Repos/physiologie
15.
Occup Environ Med ; 63(5): 326-34, 2006 May.
Article de Anglais | MEDLINE | ID: mdl-16621853

RÉSUMÉ

OBJECTIVES: To describe the development and implementation phases of a participative intervention aimed at reducing four theory grounded and empirically supported adverse psychosocial work factors (high psychological demands, low decision latitude, low social support, and low reward), and their mental health effects. METHODS: The intervention was realised among 500 care providers in an acute care hospital. A prior risk evaluation was performed, using a quantitative approach, to determine the prevalence of adverse psychosocial work factors and of psychological distress in the hospital compared to an appropriate reference population. In addition, a qualitative approach included observation in the care units, interviews with key informants, and collaborative work with an intervention team (IT) including all stakeholders. RESULTS: The prior risk evaluation showed a high prevalence of adverse psychosocial factors and psychological distress among care providers compared to a representative sample of workers from the general population. Psychosocial variables at work associated with psychological distress in the prior risk evaluation were high psychological demands (prevalence ratio (PR) = 2.27), low social support from supervisors and co-workers (PR = 1.35), low reward (PR = 2.92), and effort-reward imbalance (PR = 2.65). These results showed the empirical relevance of an intervention on the four selected adverse psychosocial factors among care providers. Qualitative methods permitted the identification of 56 adverse conditions and of their solutions. Targets of intervention were related to team work and team spirit, staffing processes, work organisation, training, communication, and ergonomy. CONCLUSION: This study adds to the scarce literature describing the development and implementation of preventive intervention aimed at reducing psychosocial factors at work and their health effects. Even if adverse conditions in the psychosocial environment and solutions identified in this study may be specific to the healthcare sector, the intervention process used (participative problem solving) appears highly exportable to other work organisations.


Sujet(s)
Hôpitaux , Personnel médical hospitalier , Maladies professionnelles/prévention et contrôle , Santé au travail , Stress psychologique/prévention et contrôle , Adaptation psychologique , Adolescent , Adulte , Études de cohortes , Femelle , Humains , Satisfaction professionnelle , Mâle , Santé mentale , Adulte d'âge moyen , Appréciation des risques/méthodes , Soutien social , Tolérance à l'horaire de travail , Charge de travail
16.
Occup Environ Med ; 63(5): 335-42, 2006 May.
Article de Anglais | MEDLINE | ID: mdl-16621854

RÉSUMÉ

OBJECTIVES: To assess the effectiveness of a workplace intervention aimed at reducing adverse psychosocial work factors (psychological demands, decision latitude, social support, and effort-reward imbalance) and mental health problems among care providers. METHODS: A quasi-experimental design with a control group was used. Pre-intervention (71% response rate), and one-year post-intervention measures (69% response rate) were collected by telephone interviews. RESULTS: One year after the intervention, there was a reduction of several adverse psychosocial factors in the experimental group, whereas no such reduction was found in the control group. However, there was a significant deterioration of decision latitude and social support from supervisors in both experimental and control groups. There was also a significant reduction in sleeping problems and work related burnout in the experimental hospital, whereas only sleeping problems decreased in the control group while both client related and personal burnout increased in this hospital. The comparison between the experimental and control groups, after adjusting for pre-intervention measures, showed a significant difference in the means of all psychosocial factors except decision latitude. All other factors were better in the experimental group. CONCLUSION: Results suggest positive effects of the intervention, even though only 12 months have passed since the beginning of the intervention. Follow up at 36 months is necessary to evaluate whether observed effects are maintained over time. In light of these results, we believe that continuing the participative process in the experimental hospital will foster the achievement of a more important reduction of adverse psychosocial factors at work. It is expected that the intensity of the intervention will be directly related to its beneficial effects. Long term effects will however depend on the willingness of management and of staff to appropriate the process of identifying what contributes to adverse psychosocial factors at work and to adopt means to reduce them.


Sujet(s)
Personnel médical hospitalier , Maladies professionnelles/prévention et contrôle , Santé au travail , Stress psychologique/prévention et contrôle , Adolescent , Adulte , Analyse de variance , Études cas-témoins , Femelle , Études de suivi , Humains , Satisfaction professionnelle , Mâle , Santé mentale , Adulte d'âge moyen , Troubles de la veille et du sommeil/prévention et contrôle , Soutien social , Tolérance à l'horaire de travail
17.
Eur J Clin Invest ; 35(10): 610-4, 2005 Oct.
Article de Anglais | MEDLINE | ID: mdl-16178879

RÉSUMÉ

BACKGROUND: In children, there is very limited evidence focusing on the beneficial effect of exercise training on heart rate variability (HRV) during childhood. Despite the fact that more and more children are engaged in intensive training programs, the question arises if such intensive training involves deleterious effects on the cardiac autonomic nervous system during childhood. Thus the aim of the present study was to compare HRV parameters in highly trained swimmer boys and untrained counterparts. METHODS: Twenty prepubertal boys, aged 11-12 years old, took part in the study. The children were divided into 11 highly trained prepubertal swimmers (training sessions of 8-10 h weekly for at least 4 years) and 9 age-matched active boys. HRV analysis was performed on diurnal recordings in the frequency (short-term recordings 6 min the most 'vagal') and time (long-term recordings 4 h centred on the 6 min most 'vagal') domains. RESULTS: No significant differences were obtained between groups for all frequency variables whatever the mode of expression (absolute in ms2, relative in Ln or %). All time-domain components were not significantly different in swimmers and untrained boys. CONCLUSIONS: The results of the present study demonstrate that participating intensively in swimming training does not induce in children changes in HRV indices. Neither time nor domain HRV variables were significantly different between untrained and highly trained prepubertal boys. Thus, intensive training in healthy children does not involve deleterious effects on HRV.


Sujet(s)
Rythme cardiaque/physiologie , Éducation physique et entraînement physique , Natation/physiologie , Enfant , Électrocardiographie , Épreuve d'effort , Humains , Mâle
18.
Int J Sports Med ; 26(2): 122-7, 2005 Mar.
Article de Anglais | MEDLINE | ID: mdl-15726487

RÉSUMÉ

Little attention has been paid to children with respect to factors controlling maximal oxygen uptake (V.O (2max)). This study was therefore specifically designed to examine the potential relationships between cardiac size, diastolic function and O (2) carrying capacity with maximal aerobic capacity. Specifically, body size indices (body surface area, lean body mass), resting left ventricular dimensions and filling characteristics, blood haemoglobin concentration as well as V.O (2max) established during a maximal cycle exercise test were assessed in a large cohort (n = 142) of healthy 10 - 11 year old boys and girls. Results were compared between groups of low (< 50, L), moderate (50 - 60, M) and high (> 60, H) V.O (2max) (ml . min (-1) . kg (-1) of lean body mass). Moreover, potential contributors to V.O (2max) variance were investigated using univariate and multivariate regression analyses over the overall population. The major results show no differences between the 3 groups for all diastolic and systolic function indices as well as blood haemoglobin and systemic vascular resistances (used as an index of afterload). None of these variables emerged from regression analyses as potential predictors of V.O (2max.) After accounting for body size variation, heart dimensions, and especially left ventricular internal dimensions, differed between H and M and L and were associated with higher cardiac filling and subsequently stroke volume. Strong relationships between V.O (2max) and heart dimensions were noticed, due primarily but not exclusively to the influence of body size. After adjusting for lean body mass, end-diastolic diameter contributed modestly (8 %) but significantly to V.O (2max) variance, which is biologically meaningful.


Sujet(s)
Exercice physique/physiologie , Ventricules cardiaques/anatomie et histologie , Consommation d'oxygène , Débit systolique , Anthropométrie , Mensurations corporelles , Enfant , Diastole , Femelle , Humains , Mâle , Endurance physique
19.
J Anim Sci ; 82(12): 3465-73, 2004 Dec.
Article de Anglais | MEDLINE | ID: mdl-15537765

RÉSUMÉ

Growth curve analysis is an important issue for many agricultural and laboratory species, for both phenotypic and genetic studies. The aim of this paper is to present the use of a novel statistical approach, namely the structured antedependence (SAD) models, to deal with this issue. The basic idea of these models is that an observation at time t can be explained by the previous observations. These models are especially appropriate to deal with cumulative traits such as growth, as BW at age t clearly depends on BW measures at ages (t -1), (t -2), etc. These models were applied on an INRA experimental Charolais herd data set. The data comprised BW records for 560 cows born over an 11-yr period (from 1988 to 1998) from 60 sires and 369 dams. The proposed SAD models were compared with the well-known random regression (RR) models that are already widely used in various areas of longitudinal data analysis. It was found that the SAD models fit the growth process better with far fewer parameters than the RR models (9 instead of 16 covariance parameters for the phenotypic analysis, and 14 instead of 21 for the genetic analysis). Despite this smaller number of covariance parameters, the likelihood value was found to be much higher with the SAD vs. the RR models, with a difference of 262.9 for the phenotypic analysis with a quartic polynomial for the RR and 751.5 for the genetic analysis with a cubic polynomial for both the genetic and environmental parts of the RR model. The SAD models also proved to be better able to interpolate missing values. Heritability, genetic, and environmental correlation coefficients were estimated for weights from birth to adulthood. The structured antedependence models proved, in this study, to be very appropriate to model growth data in a parsimonious and flexible way.


Sujet(s)
Bovins/croissance et développement , Bovins/génétique , Modèles génétiques , Prise de poids/génétique , Vieillissement , Animaux , Femelle , Mâle , Phénotype , Analyse de régression
20.
Eur J Clin Invest ; 33(3): 199-208, 2003 Mar.
Article de Anglais | MEDLINE | ID: mdl-12641537

RÉSUMÉ

BACKGROUND: The aim of the present study was to determine in healthy children the effect of a well-controlled endurance training programme on cardiac function at maximal exercise and to define whether gender affects the training-induced cardiovascular response. The contribution of factors potentially involved in those adaptations such as cardiac dimensions and diastolic and systolic function was also investigated. METHODS: Thirty-five l0-11-year-old children took part in this study: 19 children (10 girls and nine boys) were assigned to participate in a 13-week endurance training programme (3 x 1 h week-1, intensity: > 80% HR max), and 16 (seven girls and nine boys) served as a control group. A resting echocardiographic evaluation and a maximal upright cycle test, including measurement of stroke volume (SV), cardiac output (Q) and blood pressure, were performed in all children before and after the study period. RESULTS: The training programme led to a rise in maximal O2 uptake (VO2max), brought about however, only by an increase in SVmax in both genders. Moreover, the boys increased their VO2max to a greater extent than the girls (boys: +15%; girls: +8%) only because of a higher SVmax improvement (boys: +15%; girls: +11%). No alterations were noticed in the SV pattern from rest to maximal exercise, indicating that the increase in SVrest was a key factor in the improvement of SVmax and thus VO2max. Regarding resting echocardiographic data, an increase in the left ventricular end-diastolic diameter, concomitant with an improvement in diastolic function, was observed after training and constituted an essential element in the rise in VO2max after training in these children. Moreover, during maximal exercise, a decrease in systemic vascular resistances, probably indicating peripheral cardiovascular adaptive changes, might also play an important role in the increase in VO2max. CONCLUSION: Whatever gender, aerobic training increases VO2max in children, mediated by an improvement in SVmax only. Similar mechanisms, including loading conditions and cardiac morphology, seem to be involved in both genders in order to explain such an improvement.


Sujet(s)
Phénomènes physiologiques cardiovasculaires , Exercice physique/physiologie , Endurance physique/physiologie , Sexe , Pression sanguine/physiologie , Enfant , Échocardiographie-doppler/méthodes , Épreuve d'effort/méthodes , Femelle , Humains , Mâle , Consommation d'oxygène/physiologie , Débit systolique/physiologie
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