scholarly journals One-Year Results of theBeweegKuurLifestyle Intervention Implemented in Dutch Primary Healthcare Settings

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Bianca A. M. Schutte ◽  
Annemien Haveman-Nies ◽  
Liesbeth Preller
Keyword(s):  
Physical Activity ◽  
Waist Circumference ◽  
Primary Healthcare ◽  
Real Life ◽  
Sociodemographic Factors ◽  
Lifestyle Interventions ◽  
Healthcare Settings ◽  
Diet And Physical Activity ◽  
One Year ◽  
The One

Background. Lifestyle interventions focusing on healthy diet and physical activity (PA) are effective in reducing health risks in controlled research settings. The aim of this study was to investigate the one-year results of theBeweegKuurlifestyle intervention implemented nationwide in Netherlands for people with a weight-related health risk.Materials and Methods. Data were requested from all 160 locations participating in theBeweegKuur. In a one group pretest/posttest study, one-year changes in health outcome variables and time spent on physical activity were tested with dependentt-tests. Associations between one-year changes in weight and waist circumference and sociodemographic factors and uptake of the program were analysed with ANOVA.Results. Data for 517 participants from 47 locations were available for analysis. One year after the intervention, weight reduced by 2.9 kg (95% CI −3.3;, −2.5), waist circumference by 4.3 cm (−4.9; −3.7), and blood glucose by 0.5 mmol/L (−0.8; −0.3). Physical activity increased significantly. Higher uptake of the program was associated with a larger decrease in waist circumference.Conclusion. The results of the study suggest that lifestyle interventions implemented in real-life primary healthcare settings with tailor-made supervision can contribute meaningfully to primary prevention.

Study of some parameters of electrocardiography of skiers-riders

2021 ◽  
pp. 68-75
Author(s):  
Sergey V. Saykin ◽  
Valery N. Yakovlev
Keyword(s):  
Physical Activity ◽  
Cardiovascular System ◽  
Motor Skills ◽  
The Body ◽  
Young Athletes ◽  
Functional Diagnosis ◽  
Electrocardiographic Examination ◽  
One Year ◽  
The One ◽  
Very High

Very high results, the achievement of which is possible only with long systematic train-ing with the use of large and sometimes excessive physical activity characterizes modern sports. The preparation process from beginner to master of sports takes an average of 5–10 years. During this time, the athlete must develop and improve special physical and mental qualities, as well as master certain motor skills specific to this sport. Therefore, children's and youth's organisms of athletes are subject to increased loads, especially in classes that develop endurance. But not always physical activity contributes to the strengthening of the body, sometimes excessive loads, especially with the wrong approach, lead to complications from the cardiovascular system, in particular, to changes in heart rate. Therefore, the issue of adapting the functions of the heart of young athletes to muscle loads becomes increasingly important. The purpose of the work was to study the activities of the cardiovascular system of skiers-riders in the preparatory period of the one-year cycle. Currently, various methods of functional diagnosis of the cardiovascular system are used. We considered the results obtained during electrocardiographic examination of skiers-riders. We investigated electrical activity of the heart and presented model characteristics according to the considered indicators.

scholarly journals Visual food diary - peer support and better diet quality

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
T Puranen ◽  
P Salokekkila ◽  
N Ahlblad-Makinen ◽  
A Haggman-Laitila
Keyword(s):  
Weight Loss ◽  
Waist Circumference ◽  
Weight Management ◽  
Peer Support ◽  
Diet Quality ◽  
Food Diary ◽  
Healthy Life ◽  
One Year ◽  
The One

Abstract Background Healthy Life -groups are targeted to patients with symptoms of metabolic syndrome, problems with coping or overweight at public health centers in Helsinki. The aim of one-year Healthy Life -group is to give support for self-care and empowerment. The groups are generic, and each participant sets her own goal such as smoking cessation, alcohol or weight management. Methods To create opportunities for positive and empowering diet intervention for working aged population, we have started a pilot study with visual food diary (MealLogger). The nutritionist are coaching the three-month-intervention aiming at improving the diet quality. Participants share photos of their meals with each other and receive peer support. Results During years 2016 - 2018, 445 completed the one-year intervention in Healthy Life -groups. The mean decrease of weight loss was 4 kg (n = 222) and decrease of waist circumference 5 cm (n = 57). Conclusions Since the goal for most participants was weight loss, we decided to offer a modern intervention with MealLogger-application. During year 2019 we will complete six groups (about 100 participants) and we will measure participants food quality, weight, waist circumference, quality of life. The results we report in the autumn. Key messages To manage overweight epidemic, new prevention strategies are needed in the primary health care. Visual food diary enables positive and empowering approach to improve died quality and weight management.

scholarly journals Real-Life Incidence of Cancer Following a First Unprovoked Venous Thrombosis: Results from the Epigetbo Study

Blood ◽  
2016 ◽  
Vol 128 (22) ◽  
pp. 415-415
Author(s):  
Aurelien Delluc ◽  
Karine Lacut ◽  
Jean Christophe Ianotto ◽  
Cecile Tromeur ◽  
Francis Couturaud ◽  
...  
Keyword(s):  
Cancer Diagnosis ◽  
Real Life ◽  
Current Smoking ◽  
Occult Cancer ◽  
Incidence Of Cancer ◽  
Increased Risk ◽  
Occult Malignancy ◽  
One Year ◽  
The One

Abstract Background: Venous thromboembolism (VTE) can be the first manifestation of cancer. Whether screening for an occult malignancy should be systematically performed in patients with unprovoked VTE is a daily challenge for clinicians. Recently, two randomized trials demonstrated that limited cancer screening in patients with a first unprovoked VTE could be the standard of care. However, the one-year incidence of occult malignancy found in these trials was unexpectedly low (4.5%) raising the hypothesis of an inclusion bias. We aimed at estimating the real-life one-year incidence of cancer following a first unprovoked VTE to inform physicians and policy makers in establishing recommendations for cancer screening in VTE patients. Methods: The EPIGETBO study is an epidemiologic study that aimed to measure the incidence of VTE in the Brest District, France1. All symptomatic VTE cases (deep vein thrombosis of the lower limb and pulmonary embolism) diagnosed between March 1st, 2013 and February 28th, 2014 among the 367,911 inhabitants of the district were recorded and validated by an adjudication committee. A systematic follow-up was planned in order to study patients' outcome. Unprovoked VTE was defined as the absence of surgical procedure, pregnancy, delivery, immobilization, admission to hospital for an acute medical illness in the 3 months preceding VTE or known active cancer. The 1-year cumulative incidence of cancer was estimated using the Kaplan-Meier method. Then, the hazard for occult cancer diagnosis associated with age>60, male sex, and current smoking was assessed by Cox regression. Results: During the study period, 576 symptomatic validated VTE events were diagnosed in 562 inhabitants of the Brest District. Five patients did not undergo follow-up (4 refusals, 1 aged<18). The VTE event at study entry was unprovoked in 310 patients (55.6%) and this was a first unprovoked VTE event in 257. Patients' mean age was 67.9 ± 2.2 years, 114 (44.3%) were men, 38 (14.8%) had a prior unprovoked VTE event. In the year following VTE, 9 of the 257 patients with a first unprovoked VTE event were diagnosed with cancer, corresponding to an overall 1-year cumulative incidence of occult cancer of 3.68% (95% CI 1.93-6.96). This incidence was 3.78% (95% CI 1.91-7.43) in the 219 patients with a first unprovoked VTE event and no prior history of provoked VTE (8 cancers). In non-smokers, the 1-year incidence rate of occult cancer was 0.81% (95% CI 0.11-5.59) as compared with 8.05% (95% CI 3.92-16.14) in smokers (p=0.004 by log-rank test). In multivariate analysis, age>60 and male sex were associated with a non significant increased risk for occult cancer diagnosis (HR 4.92; 95% CI 0.60-40.30 and 1.42; 95% CI 0.25-8.13 respectively). Conversely, current smoking was independently associated with a significant 11.8-fold increased risk for occult cancer diagnosis (HR 11.80; 95% CI 1.19-116.52). No cancer was diagnosed in patients aged≤50 years. Conclusion: In this comprehensive real-life epidemiological study, we confirmed that the one-year incidence of occult malignancy following a first episode of unprovoked VTE is low, especially in non-smokers. Current smoking was associated with a higher risk for occult cancer diagnosis; however, even in this patient subgroup, the absolute frequency was no higher than 8%. 1 Thromb Haemost 2016; Epub ahead of print DOI: 10.1160/TH16-03-0205 Disclosures No relevant conflicts of interest to declare.

scholarly journals One-year efficacy and safety of the Trufill DCS Orbit and Orbit Galaxy detachable coils in the endovascular treatment of intracranial aneurysms: Results from the TRULINE study

2017 ◽  
Vol 23 (5) ◽  
pp. 485-491 ◽  
Author(s):  
Benjamin Gory ◽  
Laure Huot ◽  
Roberto Riva ◽  
Paul E Labeyrie ◽  
Olivier Levrier ◽  
...  
Keyword(s):  
Confidence Interval ◽  
Real Life ◽  
Data Safety Monitoring Board ◽  
Endovascular Coiling ◽  
Independent Evaluation ◽  
Detachable Coils ◽  
One Year ◽  
Intent To Treat ◽  
The One

Background and purpose No series reported the mid-term results of Trufill DCS Orbit and Orbit Galaxy detachable coils with independent evaluation. We present the one-year safety and efficacy of these coils in real-life routine clinical practice. Methods A total of 167 patients with 167 aneurysms (39.1% ruptured) were enrolled in the prospective TRULINE study. The primary endpoint was the safety, assessed by the combined morbidity-mortality rate observed since the time of the procedure and up to one-year follow-up. For safety, primary analyses were performed on intent-to-treat population (attempted coils procedure) and all adverse events have been reviewed by an independent Data Safety Monitoring Board. For efficacy, primary analyses were performed on the per-protocol population (patients treated with more than 70% of Trufill coils and not retreated during the follow-up period) and an independent core laboratory evaluated angiographic results. Results At one-year post-procedure, neurologic impairment was observed in 6.5% (95% confidence interval: 3.5–11.8) of the patients, and 2.6% (95% confidence interval: 1.0–6.8) had a permanent neurological deterioration. Three deaths were observed, unrelated to the procedure or coils. At one year, complete occlusion was seen in 52 aneurysms (54.2%), neck remnant in 28 aneurysms (29.2%), and aneurysm remnant in 16 aneurysms (16.7%). During the one-year follow-up, the overall incidence of recurrence was 30.2% with a mean interval of 13.8 ± 4.5 months and the retreatment for major recanalization was needed in nine patients (6.3%). Conclusions The TRULINE study confirms that endovascular coiling with Trufill DCS Orbit and Orbit Galaxy detachable coils is safe and effective.

scholarly journals Avoiding Weight Gain in Cardiometabolic Disease: A Systematic Review

2014 ◽  
Vol 2014 ◽  
pp. 1-18 ◽  
Author(s):  
Nisa M. Maruthur ◽  
Kimberly Gudzune ◽  
Susan Hutfless ◽  
Oluwakemi A. Fawole ◽  
Renee F. Wilson ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Weight Loss ◽  
Waist Circumference ◽  
Weight Maintenance ◽  
Self Management ◽  
Cardiometabolic Disease ◽  
Cochrane Central Register ◽  
Lifestyle Interventions ◽  
Central Register

Patients with cardiometabolic disease are at higher risk for obesity-related adverse effects. Even without weight loss, weight maintenance may be beneficial. We performed a systematic review to identify the effect of nonweight loss-focused lifestyle interventions in adults with cardiometabolic disease. We searched MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials to identify comparative studies of lifestyle interventions (self-management, diet, exercise, or their combination) without a weight loss focus in adults with or at risk for diabetes and cardiovascular disease. Weight, BMI, and waist circumference at ≥12 months were the primary outcomes. Of 24,870 citations, we included 12 trials (self-management,n=2; diet,n=2; exercise,n=2; combination,n=6) studying 4,206 participants. Self-management plus physical activity ± diet versus minimal/no intervention avoided meaningful weight (−0.65 to −1.3 kg) and BMI (−0.4 to −0.7 kg/m2) increases. Self-management and/or physical activity prevented meaningful waist circumference increases versus control (−2 to −4 cm). In patients with cardiometabolic disease, self-management plus exercise may prevent weight and BMI increases and self-management and/or exercise may prevent waist circumference increases versus minimal/no intervention. Future studies should confirm these findings and evaluate additional risk factors and clinical outcomes.

scholarly journals Methods to Apply a 3-Parameter Logistic Model to Wind Turbine Data

2020 ◽  
Vol 10 (9) ◽  
pp. 3317 ◽  
Author(s):  
Daniel Villanueva ◽  
Adrián Sixto ◽  
Andrés Feijóo ◽  
Antonio Fernández ◽  
Edelmiro Miguez
Keyword(s):  
Wind Turbine ◽  
Real Life ◽  
Mathematical Expression ◽  
Wind Farms ◽  
Real Data ◽  
Logistic Function ◽  
Mean Values ◽  
One Year ◽  
The One ◽  
Power Curves

Power curves provided by wind turbine manufacturers are obtained under certain conditions that are different from those of real life operation and, therefore, they actually do not describe the behavior of these machines in wind farms. In those cases where one year of data is available, a logistic function may be fitted and used as an accurate model for such curves, with the advantage that it describes the power curve by means of a very simple mathematical expression. Building such a curve from data can be achieved by different methods, such as using mean values or, alternatively, all the possible values for given intervals. However, when using the mean values, some information is missing and when using all the values the model obtained can be wrong. In this paper, some methods are proposed and applied to real data for comparison purposes. Among them, the one that combines data clustering and simulation is recommended in order to avoid some errors made by the other methods. Besides, a data filtering recommendation and two different assessment procedures for the error provided by the model are proposed.

scholarly journals Optimizing lifestyle interventions in adult patients with comorbid asthma and obesity

2020 ◽  
Vol 14 ◽  
pp. 175346662090632
Author(s):  
Margaret M. Kuder ◽  
Sharmilee M. Nyenhuis
Keyword(s):  
Physical Activity ◽  
Asthma Severity ◽  
Lifestyle Interventions ◽  
Asthma Care ◽  
Diet And Physical Activity ◽  
Prevalence Of Obesity ◽  
Asthma Outcomes ◽  
Future Direction ◽  
New Onset

The prevalence of obesity and asthma are both increasing at alarming rates. The link between obesity and asthma suggests that obesity contributes to both risk of new onset asthma and increased asthma severity. The emerging evidence demonstrating the role of obesity and other lifestyle factors, such as diet and physical activity, on asthma outcomes warrants lifestyle interventions that can address these components of asthma care. This review examines the current literature on the pathophysiology of obesity’s role in asthma, as well as the role of diet and physical activity in weight loss and in asthma outcomes. We discuss recent studies that employ lifestyle interventions to target improved asthma outcomes. Finally, we discuss the future direction of research in this area. The reviews of this paper are available via the supplemental material section.

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