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Gagnadoux F, Bequignon E, Prigent A, Micoulaud-Franchi JA, Chambe J, Texereau J, Alami S, Roche F. The PAP-RES algorithm: Defining who, why and how to use positive airway pressure therapy for OSA. Sleep Med Rev 2024; 75:101932. [PMID: 38608395 DOI: 10.1016/j.smrv.2024.101932] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2023] [Revised: 03/20/2024] [Accepted: 03/29/2024] [Indexed: 04/14/2024]
Abstract
Obstructive sleep apnea (OSA) is a common condition that is increasing in prevalence worldwide. Untreated OSA has a negative impact on health-related quality of life and is an independent risk factor for cardiovascular diseases. Despite available data suggesting that cardiovascular risk might differ according to clinical phenotypes and comorbidities, current approaches to OSA treatment usually take a "one size fits all" approach. Identification of cardiovascular vulnerability biomarkers and clinical phenotypes associated with response to positive airway pressure (PAP) therapy could help to redefine the standard treatment paradigm. The new PAP-RES (PAP-RESponsive) algorithm is based on the identification of OSA phenotypes that are likely to impact therapeutic goals and modalities. The paradigm shift is to propose a simplified approach that defines therapeutic goals based on OSA phenotype: from a predominantly "symptomatic phenotype" (individuals with high symptom burden that negatively impacts on daily life and/or accident risk or clinically significant insomnia) to a "vulnerable cardiovascular phenotype" (individuals with comorbidities [serious cardiovascular or respiratory disease or obesity] that have a negative impact on cardiovascular prognosis or a biomarker of hypoxic burden and/or autonomic nervous system dysfunction). Each phenotype requires a different PAP therapy care pathway based on differing health issues and treatment objectives.
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Affiliation(s)
- Frédéric Gagnadoux
- Service de Pneumologie et Allergologie, CHU Angers, Angers, France; MITOVASC UMR Inserm 1083 - UMR CNRS 6015, Angers, France
| | - Emilie Bequignon
- Service d'ORL et chirurgie cervico-faciale, Centre Hospitalier Intercommunal de Créteil, Créteil, France; CNRS EMR 7000, Créteil, France; INSERM, IMRB, and Faculté de Santé, Université Paris Est Créteil, Créteil, France
| | - Arnaud Prigent
- Pulmonology Medical Group, Polyclinique Saint-Laurent, Rennes, France
| | - Jean-Arthur Micoulaud-Franchi
- Université de Bordeaux, CNRS, SANPSY, UMR, 6033, Bordeaux, France; University Sleep Clinic, University Hospital of Bordeaux, Bordeaux, France
| | - Juliette Chambe
- Département de Médecine Générale, Faculté de Médecine, Strasbourg, France; CNRS UPR 3212, Équipe Sommeil, Horloge, Lumière & NeuroPsychiatrie, Strasbourg, France
| | - Joëlle Texereau
- Lung Function & Respiratory Physiology Units, Cochin University Hospital, AP-HP, Paris, France; Air Liquide Healthcare, Bagneux, France
| | | | - Frédéric Roche
- Physical Exercise and Clinical Physiology Department, CHU Nord, Saint-Étienne, France; INSERM U1059 Santé Ingénierie Biologie, Université Jean Monnet, Saint-Étienne, France.
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Ricordeau F, Chouchou F, Pichot V, Roche F, Petitjean T, Gormand F, Bastuji H, Charbonnier E, Le Cam P, Stauffer E, Rheims S, Peter-Derex L. Impaired post-sleep apnea autonomic arousals in patients with drug-resistant epilepsy. Clin Neurophysiol 2024; 160:1-11. [PMID: 38367308 DOI: 10.1016/j.clinph.2024.02.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2023] [Revised: 12/20/2023] [Accepted: 02/04/2024] [Indexed: 02/19/2024]
Abstract
OBJECTIVE Sudden and unexpected deaths in epilepsy (SUDEP) pathophysiology may involve an interaction between respiratory dysfunction and sleep/wake state regulation. We investigated whether patients with epilepsy exhibit impaired sleep apnea-related arousals. METHODS Patients with drug-resistant (N = 20) or drug-sensitive (N = 20) epilepsy and obstructive sleep apnea, as well as patients with sleep apnea but without epilepsy (controls, N = 20) were included. We explored (1) the respiratory arousal threshold based on nadir oxygen saturation, apnea-hypopnea index, and fraction of hypopnea among respiratory events; (2) the cardiac autonomic response to apnea/hypopnea quantified as percentages of changes from the baseline in RR intervals (RRI), high (HF) and low (LF) frequency powers, and LF/HF. RESULTS The respiratory arousal threshold did not differ between groups. At arousal onset, RRI decreased (-9.42%) and LF power (179%) and LF/HF ratio (190%) increased. This was followed by an increase in HF power (118%), p < 0.05. The RRI decrease was lower in drug-resistant (-7.40%) than in drug-sensitive patients (-9.94%) and controls (-10.91%), p < 0.05. LF and HF power increases were higher in drug-resistant (188%/126%) than in drug-sensitive patients (172%/126%) and controls (177%/115%), p < 0.05. CONCLUSIONS Cardiac reactivity following sleep apnea is impaired in drug-resistant epilepsy. SIGNIFICANCE This autonomic dysfunction might contribute to SUDEP pathophysiology.
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Affiliation(s)
- François Ricordeau
- Centre for Sleep Medicine and Respiratory Diseases, Hospices Civils de Lyon, Lyon, France; Department of Functional Neurology and Epileptology, Hospices Civils de Lyon, Lyon, France
| | - Florian Chouchou
- IRISSE Laboratory (EA4075), UFR SHE, University of La Réunion, Le Tampon, France
| | - Vincent Pichot
- SAINBIOSE, INSERM U1059, Saint-Etienne Jean-Monnet University, Mines Saint-Etienne, France; Clinical Physiology and Exercise, Visas Center, Saint Etienne University Hospital, France
| | - Frédéric Roche
- SAINBIOSE, INSERM U1059, Saint-Etienne Jean-Monnet University, Mines Saint-Etienne, France; Clinical Physiology and Exercise, Visas Center, Saint Etienne University Hospital, France
| | - Thierry Petitjean
- Centre for Sleep Medicine and Respiratory Diseases, Hospices Civils de Lyon, Lyon, France
| | - Frédéric Gormand
- Centre for Sleep Medicine and Respiratory Diseases, Hospices Civils de Lyon, Lyon, France
| | - Hélène Bastuji
- Centre for Sleep Medicine and Respiratory Diseases, Hospices Civils de Lyon, Lyon, France; Lyon Neuroscience Research Center, CNRS UMR 5292 / INSERM U1028 and Lyon 1 University, Lyon, France
| | - Eléna Charbonnier
- Centre for Sleep Medicine and Respiratory Diseases, Hospices Civils de Lyon, Lyon, France
| | - Pierre Le Cam
- Centre for Sleep Medicine and Respiratory Diseases, Hospices Civils de Lyon, Lyon, France
| | - Emeric Stauffer
- Centre for Sleep Medicine and Respiratory Diseases, Hospices Civils de Lyon, Lyon, France; Inter-university Laboratoryof Human MovementBiology (LIBM) EA7424, Team « Vascular Biology and Red Blood Cell », Lyon 1 University, Lyon, France; Respiratory Functional Investigation & Physical Activity Department, Hospices Civils de Lyon, Lyon, France
| | - Sylvain Rheims
- Department of Functional Neurology and Epileptology, Hospices Civils de Lyon, Lyon, France; Lyon Neuroscience Research Center, CNRS UMR 5292 / INSERM U1028 and Lyon 1 University, Lyon, France; Lyon 1 University, Lyon, France
| | - Laure Peter-Derex
- Centre for Sleep Medicine and Respiratory Diseases, Hospices Civils de Lyon, Lyon, France; Lyon Neuroscience Research Center, CNRS UMR 5292 / INSERM U1028 and Lyon 1 University, Lyon, France; Lyon 1 University, Lyon, France.
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Pichot V, Corbier C, Chouchou F, Barthélémy JC, Roche F. CVRanalysis: a free software for analyzing cardiac, vascular and respiratory interactions. Front Physiol 2024; 14:1224440. [PMID: 38250656 PMCID: PMC10797906 DOI: 10.3389/fphys.2023.1224440] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Accepted: 12/13/2023] [Indexed: 01/23/2024] Open
Abstract
Introduction: Simultaneous beat-to-beat R-R intervals, blood pressure and respiration signals are routinely analyzed for the evaluation of autonomic cardiovascular and cardiorespiratory regulations for research or clinical purposes. The more recognized analyses are i) heart rate variability and cardiac coherence, which provides an evaluation of autonomic nervous system activity and more particularly parasympathetic and sympathetic autonomic arms; ii) blood pressure variability which is mainly linked to sympathetic modulation and myogenic vascular function; iii) baroreflex sensitivity; iv) time-frequency analyses to identify fast modifications of autonomic activity; and more recently, v) time and frequency domain Granger causality analyses were introduced for assessing bidirectional causal links between each considered signal, thus allowing the scrutiny of many physiological regulatory mechanisms. Methods: These analyses are commonly applied in various populations and conditions, including mortality and morbidity predictions, cardiac and respiratory rehabilitation, training and overtraining, diabetes, autonomic status of newborns, anesthesia, or neurophysiological studies. Results: We developed CVRanalysis, a free software to analyze cardiac, vascular and respiratory interactions, with a friendly graphical interface designed to meet laboratory requirements. The main strength of CVRanalysis resides in its wide scope of applications: recordings can arise from beat-to-beat preprocessed data (R-R, systolic, diastolic and mean blood pressure, respiration) or raw data (ECG, continuous blood pressure and respiratory waveforms). It has several tools for beat detection and correction, as well as setting of specific areas or events. In addition to the wide possibility of analyses cited above, the interface is also designed for easy study of large cohorts, including batch mode signal processing to avoid running repetitive operations. Results are displayed as figures or saved in text files that are easily employable in statistical softwares. Conclusion: CVRanalysis is freely available at this website: anslabtools.univ-st-etienne.fr. It has been developed using MATLAB® and works on Windows 64-bit operating systems. The software is a standalone application avoiding to have programming skills and to install MATLAB. The aims of this paper area are to describe the physiological, research and clinical contexts of CVRanalysis, to introduce the methodological approach of the different techniques used, and to show an overview of the software with the aid of screenshots.
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Affiliation(s)
- Vincent Pichot
- SAINBIOSE U1059, Inserm, Saint-Etienne Jean-Monnet University, Clinical Physiology and Exercise, CHU of Saint-Etienne, Saint-Etienne, France
| | - Christophe Corbier
- LASPI EA3059, Saint-Etienne Jean-Monnet University, Roanne Technology University Institute, Roanne, France
| | - Florian Chouchou
- IRISSE EA4075, UFR SHE, University of La Réunion, Le Tampon, France
| | - Jean-Claude Barthélémy
- SAINBIOSE U1059, Inserm, Saint-Etienne Jean-Monnet University, Clinical Physiology and Exercise, CHU of Saint-Etienne, Saint-Etienne, France
| | - Frédéric Roche
- SAINBIOSE U1059, Inserm, Saint-Etienne Jean-Monnet University, Clinical Physiology and Exercise, CHU of Saint-Etienne, Saint-Etienne, France
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Roche F, Pichot V, Mouhli-Gasmi L, Monier M, Barthélémy JC, Berger M, Celle S, Chouchou F. Anatomy and physiology of the autonomic nervous system: Implication on the choice of diagnostic/monitoring tools in 2023. Rev Neurol (Paris) 2024; 180:42-52. [PMID: 38176987 DOI: 10.1016/j.neurol.2023.12.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2023] [Revised: 12/18/2023] [Accepted: 12/20/2023] [Indexed: 01/06/2024]
Abstract
The autonomic nervous system (ANS) harmoniously regulates all internal organic functions (heart rate, blood pressure, vasomotion, digestive tract motility, endocrinal secretions) and adapts them to the needs. It's the control of so-called vegetative functions, which allows homeostasis but also allostasis of our body. ANS is divided into two systems often understood as antagonistic and complementary: the sympathetic and the parasympathetic systems. However, we currently know of many situations of co-activation of the two systems. Long seen as acting through "reflex" control loops passing through the integration of peripheral information and the efferent response to the peripheral organ, more recent electrophysiological and brain functional imaging knowledge has been able to identify the essential role of the central autonomic network. This element complicates the understanding of the responses of the reflex loops classically used to identify and quantify dysautonomia. Finding the "ANS" tools best suited for the clinician in their daily practice is a challenge that we will attempt to address in this work.
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Affiliation(s)
- F Roche
- Clinical Physiology, Saint-Étienne University Hospital, Saint-Étienne, France; Inserm U1059 Sainbiose, Jean-Monnet University, Saint-Étienne, France.
| | - V Pichot
- Clinical Physiology, Saint-Étienne University Hospital, Saint-Étienne, France; Inserm U1059 Sainbiose, Jean-Monnet University, Saint-Étienne, France
| | - L Mouhli-Gasmi
- Clinical Physiology, Saint-Étienne University Hospital, Saint-Étienne, France
| | - M Monier
- Clinical Physiology, Saint-Étienne University Hospital, Saint-Étienne, France
| | - J-C Barthélémy
- Clinical Physiology, Saint-Étienne University Hospital, Saint-Étienne, France; Inserm U1059 Sainbiose, Jean-Monnet University, Saint-Étienne, France
| | - M Berger
- Clinical Physiology, Saint-Étienne University Hospital, Saint-Étienne, France; Inserm U1059 Sainbiose, Jean-Monnet University, Saint-Étienne, France
| | - S Celle
- Clinical Physiology, Saint-Étienne University Hospital, Saint-Étienne, France; Inserm U1059 Sainbiose, Jean-Monnet University, Saint-Étienne, France
| | - F Chouchou
- IRISSE EA4075, STAPS Department, La Reunion University, Le Tampon, France
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Ceresetti R, Celle S, Roche F, Barthélémy JC, Michael GA, Borg C. Normative Data for a Neuropsychological Test Battery in the French Aging Population: 20-Year Follow-Up From the "PROgnostic OF Cardiovascular and Cerebrovascular Events" Study. Arch Clin Neuropsychol 2023:acad074. [PMID: 37769183 DOI: 10.1093/arclin/acad074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/25/2023] [Indexed: 09/30/2023] Open
Abstract
OBJECTIVE The study aimed to present relevant norms for the evaluation of pathological aging in the French population over a 20-year period, utilizing the "PROgnostic OF cardiovascular and cerebrovascular events" test and questionnaire. METHODS Three neuropsychological evaluations were administered over 20 years with 929 participants at the first cognitive evaluation (62-69 years old), 631 at the second (71-78 years old), and 293 at the third (81-88 years old). The tests and questionnaires were administered in the following order: McNair's Cognitive Complaints Questionnaire, Depression Questionnaire of Pichot, Mini Mental State Examination, Free and Cued Selective Reminding test, Benton Visual Retention Test, Digit-Symbol Substitution Test of the WAIS-III, Trail Making Test, Stroop Test, Verbal Fluency, and the Similarities subtest of the WAIS-III. RESULTS Normative data were presented at three time points of the repeated evaluation over 20 years (62-69 years, 71-78 years, and 81-88 years) and four educational levels (no diploma, primary school certificate, certificate of professional aptitude, and baccalaureate and above). The data showed a significant effect of educational level in all neuropsychological tests regardless of age. Gender primarily affected memory, Stroop scores, and Similarities scores. CONCLUSION This study highlights the importance of educational level and gender in the evaluation of the memory and executive function of elderly persons. Furthermore, the presented norms consider the self-report cognitive complaints and depression symptoms over a long period of life.
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Affiliation(s)
- Romain Ceresetti
- Department of Clinical Physiology, VISAS Center, University Hospital, Saint-Étienne, France
- Neurology/Neuropsychology CMRR Unit, Hospital Nord, Saint Priest-en-Jarez, France
| | - Sébastien Celle
- Department of Clinical Physiology, VISAS Center, University Hospital, Saint-Étienne, France
- INSERM, U 1059 Sainbiose, Univ Jean Monnet, Mines Saint-Étienne, Saint-Étienne, France
| | - Frédéric Roche
- Department of Clinical Physiology, VISAS Center, University Hospital, Saint-Étienne, France
- INSERM, U 1059 Sainbiose, Univ Jean Monnet, Mines Saint-Étienne, Saint-Étienne, France
| | - Jean-Claude Barthélémy
- Department of Clinical Physiology, VISAS Center, University Hospital, Saint-Étienne, France
- INSERM, U 1059 Sainbiose, Univ Jean Monnet, Mines Saint-Étienne, Saint-Étienne, France
| | - George A Michael
- Unité de Recherche Etude des Mécanismes Cognitifs (EMC), University of Lyon, University Lyon 2, Lyon, France
| | - Céline Borg
- Neurology/Neuropsychology CMRR Unit, Hospital Nord, Saint Priest-en-Jarez, France
- Psychology faculty, University of Lyon, Lyon, France
- Laboratoire de Psychologie et Neurocognition (LPNC), University of Grenoble Alpes, University of Savoie Mont Blanc, CNRS UMR 5105, Grenoble, France
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Roche F, Berger M. One excessive daytime sleepiness evaluation does not fit all: time to implement a multidimensional approach. Sleep 2023; 46:zsad021. [PMID: 36738440 DOI: 10.1093/sleep/zsad021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2022] [Indexed: 02/05/2023] Open
Affiliation(s)
- Frédéric Roche
- Clinical Physiology Department, INSERM, SAINBIOSE U1059, Jean Monnet University, Saint-Étienne, University Hospital, Saint-Étienne, France
| | - Mathieu Berger
- Clinical Physiology Department, INSERM, SAINBIOSE U1059, Jean Monnet University, Saint-Étienne, University Hospital, Saint-Étienne, France
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Dupré C, Brégère M, Berger M, Pichot V, Celle S, Garet M, Fundenberger H, Barth N, Guyot J, Bongue B, Barthélémy JC, Roche F, Hupin D. Relationship between moderate-to-vigorous, light intensity physical activity and sedentary behavior in a prospective cohort of older French adults: a 18-year follow-up of mortality and cardiovascular events ─ the PROOF cohort study. Front Public Health 2023; 11:1182552. [PMID: 37351092 PMCID: PMC10284080 DOI: 10.3389/fpubh.2023.1182552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Accepted: 05/08/2023] [Indexed: 06/24/2023] Open
Abstract
Background It is well documented that moderate-to-vigorous intensity physical activity (MVPA) is effective in the prevention of major chronic diseases. Even though the current international physical activity (PA) guidelines still mainly focus on MVPA, the topic of the most recent epidemiological studies has shifted from MVPA to light intensity physical activity (LPA), owing to the necessity of promoting all activities vs. sedentary behavior (SB). However, the evidence remains currently limited. Thus, the clarification of the effects of LPA and the close relationship with SB is crucial to promote public health. Method PA and SB were assessed by a validated self-administered questionnaire (POPAQ) investigating 5 different types of PA during the 7 previous days. PA was measured in metabolic equivalent of task (MET)-h, which refers to the amount of energy (calories) expended per hour of PA. SB was measured in hour/day. Medical histories and examinations were taken during each clinical visit to determine clinical events. All-cause mortality was established using the same procedure and by checking local death registries. The relationships between the intensity of PA (light, moderate to vigorous) and mortality and between the periods of SB and mortality or CV events were analyzed by splines and COX models, adjusted for sex and year of birth. Results From the 1011 65-year-old subjects initially included in 2001 (60% women), the last 18-year follow-up has been currently completed since 2019. A total of 197 deaths (19.2%, including 77 CV deaths) and 195 CV events (19.3%) were reported. Averages (standard deviation) of MVPA, LPA and SB were, respectively, 1.2 h/d (0.3), 5.8 h/d (1.1), and 6.6 h/d (2.3). For all-cause deaths, as well as CV deaths, the splines were significant for LPA (p = 0.04 and p = 0.01), and MVPA (p < 0.001 and p < 0.001), but not for SB (p = 0.24 and p = 0.90). There was a significant reduction in CV events when SB was decreasing from 10.9 to 3.3 h/d. Conclusion The PROOF cohort study shows a clear dose-response between the dose of LPA, MVPA, SB and risk of mortality. These findings provide additional evidence to support the inclusion of LPA in future PA guidelines.
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Affiliation(s)
- Caroline Dupré
- Jean Monnet University Saint-Etienne, Mines Saint-Etienne, University Hospital of Saint-Etienne, INSERM, U1059, DVH Team, SAINBIOSE, Saint-Étienne, France
- Jean Monnet University Saint-Etienne, University Hospital of Saint-Etienne, Presage Institute, Chaire Santé des Ainés, Saint-Étienne, France
| | - Marlène Brégère
- University Hospital of Saint-Etienne, Faculty of Medicine, Jean Monnet University, Saint-Étienne, France
| | - Mathieu Berger
- Jean Monnet University Saint-Etienne, Mines Saint-Etienne, University Hospital of Saint-Etienne, INSERM, U1059, DVH Team, SAINBIOSE, Saint-Étienne, France
- Department of Clinical and Exercise Physiology, University Hospital Center, Saint-Étienne, France
| | - Vincent Pichot
- Jean Monnet University Saint-Etienne, Mines Saint-Etienne, University Hospital of Saint-Etienne, INSERM, U1059, DVH Team, SAINBIOSE, Saint-Étienne, France
- Department of Clinical and Exercise Physiology, University Hospital Center, Saint-Étienne, France
| | - Sébastien Celle
- Jean Monnet University Saint-Etienne, Mines Saint-Etienne, University Hospital of Saint-Etienne, INSERM, U1059, DVH Team, SAINBIOSE, Saint-Étienne, France
- Department of Clinical and Exercise Physiology, University Hospital Center, Saint-Étienne, France
| | - Martin Garet
- Jean Monnet University Saint-Etienne, Mines Saint-Etienne, University Hospital of Saint-Etienne, INSERM, U1059, DVH Team, SAINBIOSE, Saint-Étienne, France
- Department of Clinical and Exercise Physiology, University Hospital Center, Saint-Étienne, France
| | - Hervé Fundenberger
- Jean Monnet University Saint-Etienne, Mines Saint-Etienne, University Hospital of Saint-Etienne, INSERM, U1059, DVH Team, SAINBIOSE, Saint-Étienne, France
- Jean Monnet University Saint-Etienne, University Hospital of Saint-Etienne, Presage Institute, Chaire Santé des Ainés, Saint-Étienne, France
| | - Nathalie Barth
- Jean Monnet University Saint-Etienne, Mines Saint-Etienne, University Hospital of Saint-Etienne, INSERM, U1059, DVH Team, SAINBIOSE, Saint-Étienne, France
- Jean Monnet University Saint-Etienne, University Hospital of Saint-Etienne, Presage Institute, Chaire Santé des Ainés, Saint-Étienne, France
- Gérontopôle Auvergne Rhône-Alpes, Saint-Étienne, France
| | - Jessica Guyot
- Jean Monnet University Saint-Etienne, Mines Saint-Etienne, University Hospital of Saint-Etienne, INSERM, U1059, DVH Team, SAINBIOSE, Saint-Étienne, France
- Jean Monnet University Saint-Etienne, University Hospital of Saint-Etienne, Presage Institute, Chaire Santé des Ainés, Saint-Étienne, France
| | - Bienvenu Bongue
- Jean Monnet University Saint-Etienne, Mines Saint-Etienne, University Hospital of Saint-Etienne, INSERM, U1059, DVH Team, SAINBIOSE, Saint-Étienne, France
- Jean Monnet University Saint-Etienne, University Hospital of Saint-Etienne, Presage Institute, Chaire Santé des Ainés, Saint-Étienne, France
- Centre Technique d’Appui et de Formation des Centres d’Examens de Santé, Saint-Étienne, France
| | - Jean-Claude Barthélémy
- Jean Monnet University Saint-Etienne, Mines Saint-Etienne, University Hospital of Saint-Etienne, INSERM, U1059, DVH Team, SAINBIOSE, Saint-Étienne, France
- Jean Monnet University Saint-Etienne, University Hospital of Saint-Etienne, Presage Institute, Chaire Santé des Ainés, Saint-Étienne, France
- Department of Clinical and Exercise Physiology, University Hospital Center, Saint-Étienne, France
| | - Frédéric Roche
- Jean Monnet University Saint-Etienne, Mines Saint-Etienne, University Hospital of Saint-Etienne, INSERM, U1059, DVH Team, SAINBIOSE, Saint-Étienne, France
- Jean Monnet University Saint-Etienne, University Hospital of Saint-Etienne, Presage Institute, Chaire Santé des Ainés, Saint-Étienne, France
- Department of Clinical and Exercise Physiology, University Hospital Center, Saint-Étienne, France
| | - David Hupin
- Jean Monnet University Saint-Etienne, Mines Saint-Etienne, University Hospital of Saint-Etienne, INSERM, U1059, DVH Team, SAINBIOSE, Saint-Étienne, France
- Jean Monnet University Saint-Etienne, University Hospital of Saint-Etienne, Presage Institute, Chaire Santé des Ainés, Saint-Étienne, France
- Department of Clinical and Exercise Physiology, University Hospital Center, Saint-Étienne, France
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Kassir R, Gimet P, Hupin D, Boutet C, Barthélémy JC, Roche F, Celle S. Brain alterations associated with overweight evaluated by body mass index or body fat index in an elderly population: the PROOF study. Front Endocrinol (Lausanne) 2023; 14:1148068. [PMID: 37334288 PMCID: PMC10273264 DOI: 10.3389/fendo.2023.1148068] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Accepted: 05/10/2023] [Indexed: 06/20/2023] Open
Abstract
Background/objectives Obesity is a complex health issue in which the brain plays a role yet to be determined, especially in the elderly. Indeed, in the ageing population, the balance between fat and lean mass is different; thus, the co-influence between the brain and obesity may differ between the elderly and younger subjects. Our main goal is thus to explore the relationship between the brain and obesity using two different approaches to measure obesity: body mass index (BMI) and an index centred on fat mass, the body fat index (BFI). Subjects/methods Among the 1,011 subjects of the PROOF population, 273 subjects aged 75 years underwent 3D magnetic resonance imaging as well as dual-energy X-ray absorptiometry to assess fat mass. Voxel-based morphometry was used to explore the local differences in brain volume with obesity. Results Higher BMI and BFI were associated with higher grey matter (GM) volume in the left cerebellum. Higher BMI and BFI were mainly associated with higher white matter volume in the left and right cerebellum and near the right medial orbital gyrus. Higher BMI was also associated with higher GM volume in the brainstem, whereas higher BFI was associated with higher GM volume in the left middle temporal gyrus. No decrease in white matter was associated with BMI or BFI. Conclusion In the elderly, the relationship between the brain and obesity does not depend on the marker of obesity. Supra-tentorial brain structures seem to be slightly associated with obesity, whereas the cerebellum seems to be one of the key structures related to obesity.
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Affiliation(s)
- Radwan Kassir
- Department of Digestive Surgery, CHU Félix Guyon, Saint Denis, Saint-Étienne, France
| | - Pierre Gimet
- Physiologie Clinique et de l’Exercice, CHU Saint-Étienne, Saint-Étienne, France
- Université Jean Monnet, INSERM, U 1059 SAINBIOSE, Mines Saint-Étienne, Saint-Étienne, France
| | - David Hupin
- Physiologie Clinique et de l’Exercice, CHU Saint-Étienne, Saint-Étienne, France
- Université Jean Monnet, INSERM, U 1059 SAINBIOSE, Mines Saint-Étienne, Saint-Étienne, France
| | - Claire Boutet
- TAPE Research Unit, EA 7423, Université Jean Monnet, CHU Saint-Étienne, Service de Radiologie, Saint-Étienne, France
| | - Jean-Claude Barthélémy
- Physiologie Clinique et de l’Exercice, CHU Saint-Étienne, Saint-Étienne, France
- Université Jean Monnet, INSERM, U 1059 SAINBIOSE, Mines Saint-Étienne, Saint-Étienne, France
| | - Frédéric Roche
- Physiologie Clinique et de l’Exercice, CHU Saint-Étienne, Saint-Étienne, France
- Université Jean Monnet, INSERM, U 1059 SAINBIOSE, Mines Saint-Étienne, Saint-Étienne, France
| | - Sébastien Celle
- Physiologie Clinique et de l’Exercice, CHU Saint-Étienne, Saint-Étienne, France
- Université Jean Monnet, INSERM, U 1059 SAINBIOSE, Mines Saint-Étienne, Saint-Étienne, France
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9
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Ntougou Assoumou HG, Pichot V, Barthelemy JC, Celle S, Garcin A, Thomas T, Roche F. Obesity related to metabolic syndrome: comparison of obesity indicators in an older french population. Diabetol Metab Syndr 2023; 15:98. [PMID: 37165462 PMCID: PMC10173621 DOI: 10.1186/s13098-023-01078-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Accepted: 05/01/2023] [Indexed: 05/12/2023] Open
Abstract
OBJECTIVES Metabolic syndrome (MS) represents a cluster of metabolic abnormalities. Insulin resistance is a major component of the syndrome. We analyze in this study the relationship between body fat composition and MS in comparison to usual obesity indicators in an older adult population. DESIGN The PROgnostic indicator OF cardiovascular and cerebrovascular events (PROOF) study is a prospective longitudinal community cohort study among the inhabitants of Saint-Etienne, France. METHODS The study is a cohort study of 1011 subjects, mean age 65.6 ± 0.8 years old at inclusion, recruited from the electoral list of the town in 2000. Among them, 806 subjects realized a Dual-energy X-ray absorptiometry (DXA) used to evaluate body fat and lean mass repartition. We evaluate biological metabolic parameters according to usual techniques. The indices of obesity were calculated according to standard formula. MS presence and its components were simultaneously evaluated. RESULTS All obesity parameters were significantly higher (p < 0.0001) in subjects suffering metabolic syndrome as compared to those without. Body fat index (BFI) presented a stronger correlation to total fat mass, trunk fat mass and body adiposity index (BAI). The correlations between body indices and metabolic components showed that body mass index (BMI) and waist circumference were more strongly associated with BFI as compared to BAI and total fat mass. According to logistic regression analysis, only the waist-hip ratio (WHR) demonstrated a significant association with MS severity (p < 0.0001). CONCLUSIONS Among the obesity indices, BFI and BAI represented the best indicators to characterize global obesity while WHR only is highly predictive of metabolic syndrome presence and severity. The BAI indicator is an alternative for measuring obesity. Comparison of long-term impact of such markers on cardiovascular morbidity and mortality is now questioned.
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Affiliation(s)
- Hourfil-Gabin Ntougou Assoumou
- Ecole Normale Supérieure, Libreville, Gabon
- Clinical and Exercise Physiology Laboratory, University Hospital, Saint-Etienne, F-42055, France
| | - Vincent Pichot
- Clinical and Exercise Physiology Laboratory, University Hospital, Saint-Etienne, F-42055, France
- INSERM, U1059 Sainbiose, Jean Monnet University, Mines Saint Etienne Faculté de Médecine, Campus Santé Innovation, Saint-Étienne, F-42023, France
| | - Jean-Claude Barthelemy
- INSERM, U1059 Sainbiose, Jean Monnet University, Mines Saint Etienne Faculté de Médecine, Campus Santé Innovation, Saint-Étienne, F-42023, France
| | - Sébastien Celle
- Clinical and Exercise Physiology Laboratory, University Hospital, Saint-Etienne, F-42055, France
- INSERM, U1059 Sainbiose, Jean Monnet University, Mines Saint Etienne Faculté de Médecine, Campus Santé Innovation, Saint-Étienne, F-42023, France
| | - Arnauld Garcin
- Clinical and Exercise Physiology Laboratory, University Hospital, Saint-Etienne, F-42055, France
| | - Thierry Thomas
- INSERM, U1059 Sainbiose, Jean Monnet University, Mines Saint Etienne Faculté de Médecine, Campus Santé Innovation, Saint-Étienne, F-42023, France
- Rhumatology Dpt, University Hospital, Saint-Etienne, F-42055, France
| | - Frédéric Roche
- Clinical and Exercise Physiology Laboratory, University Hospital, Saint-Etienne, F-42055, France.
- INSERM, U1059 Sainbiose, Jean Monnet University, Mines Saint Etienne Faculté de Médecine, Campus Santé Innovation, Saint-Étienne, F-42023, France.
- Centre VISAS, Bâtiment A, CHU Nord, Saint Etienne Cedex 2, F-42055, France.
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10
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Patural H, Pichot V, Roche F, Giraud A. Why, when and how to assess autonomic nervous system maturation in neonatal care units: A practical overview. Neurophysiol Clin 2023; 53:102855. [PMID: 36965238 DOI: 10.1016/j.neucli.2023.102855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Accepted: 03/05/2023] [Indexed: 03/27/2023] Open
Abstract
The evaluation of the autonomic reactivity of newborns by heart rate variability (HRV) analysis is a simple and essential aid to identifying pathological situations of dysautonomia. Thanks to this relatively simple and reproducible analytic tool, the pediatrician can identify and target children at high risk of life-threatening events, i.e., those with insufficient intrinsic capacity for cardiorespiratory self-regulation, who should benefit from close cardiorespiratory monitoring. Different mathematical algorithms integrate delayed or real-time variations in the length of the RR interval to better understand the state of autonomic maturation of the newborn. HRV analysis, as a non-invasive tool for assessing autonomic balance, is essential to assess the functioning of the autonomic nervous system and, more specifically, parasympathetic/sympathetic balance. Despite many recognized diagnostic and therapeutic implications, its application to neonatal medicine is not yet well understood.
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Affiliation(s)
- Hugues Patural
- Neonatal and Pediatric Intensive Care Unit, Centre Hospitalier Universitaire de Saint-Étienne, F-42023, Saint-Étienne, France; Université Jean Monnet Saint-Étienne, INSERM, SAINBIOSE U1059, F-42023, Saint-Étienne, France.
| | - Vincent Pichot
- Université Jean Monnet Saint-Étienne, INSERM, SAINBIOSE U1059, F-42023, Saint-Étienne, France
| | - Frédéric Roche
- Université Jean Monnet Saint-Étienne, INSERM, SAINBIOSE U1059, F-42023, Saint-Étienne, France
| | - Antoine Giraud
- Neonatal and Pediatric Intensive Care Unit, Centre Hospitalier Universitaire de Saint-Étienne, F-42023, Saint-Étienne, France; Université Jean Monnet Saint-Étienne, INSERM, SAINBIOSE U1059, F-42023, Saint-Étienne, France
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11
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Roche F, Pichot V, Garet M, Berger M. Poor sleep quality, impaired cardiac autonomic control and metabolic syndrome: a tricky relationship? Sleep 2023; 46:7026953. [PMID: 36740837 DOI: 10.1093/sleep/zsad022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Indexed: 02/07/2023] Open
Affiliation(s)
- Frédéric Roche
- INSERM, SAINBIOSE U1059, Jean Monnet University, Saint-Étienne, University Hospital, Saint-Étienne, Clinical Physiology Department, EM Saint-Étienne F- 42023 SAINT-ÉTIENNE, France
| | - Vincent Pichot
- INSERM, SAINBIOSE U1059, Jean Monnet University, Saint-Étienne, University Hospital, Saint-Étienne, Clinical Physiology Department, EM Saint-Étienne F- 42023 SAINT-ÉTIENNE, France
| | - Martin Garet
- INSERM, SAINBIOSE U1059, Jean Monnet University, Saint-Étienne, University Hospital, Saint-Étienne, Clinical Physiology Department, EM Saint-Étienne F- 42023 SAINT-ÉTIENNE, France
| | - Mathieu Berger
- INSERM, SAINBIOSE U1059, Jean Monnet University, Saint-Étienne, University Hospital, Saint-Étienne, Clinical Physiology Department, EM Saint-Étienne F- 42023 SAINT-ÉTIENNE, France
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12
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Guichard JB, Hupin D, Pichot V, Celle S, Da Costa A, Isaaz K, Barthélémy JC, Roche F. Heart rate fragmentation as a marker of altered autonomic nervous system activity: A novel predictor of atrial fibrillation occurrence in the general population. Archives of Cardiovascular Diseases Supplements 2023. [DOI: 10.1016/j.acvdsp.2022.10.194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
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13
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Guichard JB, Pichot V, Hupin D, Celle S, Da Costa A, Barthelemy JC, Roche F. Heart rate fragmentation as a marker of altered global autonomic nervous system activity: a novel predictor of atrial fibrillation occurrence in the general population. Eur Heart J 2022. [DOI: 10.1093/eurheartj/ehac544.511] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
The dysfunction of the autonomic nervous system (ANS) plays an important role in the initiation and maintenance of atrial fibrillation (AF). However, the meaning of high heart rate variability (HRV) in predicting AF is still under debate due to conflicting results in population-based studies. Short-term HRV is conceptually attributed to vagal tone modulation. But recent data suggest that a component of short-term HRV, called heart rate fragmentation, is related to ANS breakdown. On the other hand, parasympathetic activity could be assess by a novel metric, the deceleration capacity (DC).
Objective
To assess predictive capacity of novel HRV-derived metrics, whether fragmentation indices or parameters of vagal tone, regarding the occurrence of AF in general population during long-term follow-up.
Methods
A cohort study was designed to prospectively assess the predictive value of ANS activity level among a healthy retired French population, regarding cardiovascular events and mortality. 1011 subjects aged 65 were enrolled in the study from 2000 to 2002. The enrolled population had no history of AF and a low cardiovascular risk. A median follow-up of 17.8 years (16.0–18.5) was managed. HRV data were acquired by 24-h Holter electrocardiogram (ECG) monitoring at baseline and assessed by frequency domain and time domain methods. Heart rate fragmentation using the percentage of inflection points (PIP), and assessment of specific parasympathetic activity using DC were then calculated. The study outcome was the onset of AF during follow-up, defined as a standard 12-lead ECG or Holter recording with ≥30 s of AF.
Results
AF was diagnosed in 123 patients along the 18-year follow-up, representing a cumulative incidence of 13.4%. Using univariate analysis (Figure 1A), a higher percentage of NN intervals that differ by more than 50 ms from the previous interval (pnn50) and root mean square differences of successive NN intervals (RMSSD) were associated with AF onset (p<0.01). A lower ratio of low-frequency and high-frequency component (LF/HF) was the only frequency-domain parameter found to predict the AF occurrence (p<0.01). The occurrence of AF was predicted by a higher PIP (p<0.01) and lower DC (p<0.01). Through multivariate analysis using clinical parameters that reached statistical significance in univariate analysis (Figure 1B), higher PIP was found as an independent predictor of AF occurrence (HR=2.1, 95% CI: 1.1–3.9, p=0.02), as well as male gender (HR=2.1, 95% CI: 1.1–3.9, p=0.02), and non-sustained supraventricular tachycardia (HR=2.1, 95% CI: 1.1–3.9, p=0.02).
Conclusion
(see Figure 2) Elevated PIP, a marker of heart rate fragmentation secondary to impaired ANS activity, is an independent predictor of the onset of AF in the healthy general population. Therefore, high HRV associated to AF occurrence could be the consequence of general ANS impairment rather than increased parasympathetic activity.
Funding Acknowledgement
Type of funding sources: None.
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Affiliation(s)
- J B Guichard
- University Hospital of Saint-Etienne , Saint-Etienne , France
| | - V Pichot
- University Hospital of Saint-Etienne , Saint-Etienne , France
| | - D Hupin
- University Hospital of Saint-Etienne , Saint-Etienne , France
| | - S Celle
- University Hospital of Saint-Etienne , Saint-Etienne , France
| | - A Da Costa
- University Hospital of Saint-Etienne, Cardiology , Saint-Etienne , France
| | - J C Barthelemy
- University Hospital of Saint-Etienne , Saint-Etienne , France
| | - F Roche
- University Hospital of Saint-Etienne , Saint-Etienne , France
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14
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Zolotoff C, Puech C, Roche F, Perek N. Effects of intermittent hypoxia with thrombin in an in vitro model of human brain endothelial cells and their impact on PAR-1/PAR-3 cleavage. Sci Rep 2022; 12:12305. [PMID: 35853902 PMCID: PMC9296553 DOI: 10.1038/s41598-022-15592-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Accepted: 06/27/2022] [Indexed: 11/09/2022] Open
Abstract
Patients with obstructive sleep apnea/hypopnea (OSA) are at high risk of cerebrovascular diseases leading to cognitive impairment. The oxidative stress generated by intermittent hypoxia (IH) could lead to an increase in blood-brain barrier (BBB) permeability, an essential interface for the protection of the brain. Moreover, in patients with OSA, blood coagulation could be increased leading to cardiovascular complications. Thrombin is a factor found increased in these populations that exerts various cellular effects through activation of protease activated receptors (PARs). Thus, we have evaluated in an in vitro BBB model the association of IH with thrombin at two concentrations. We measured the apparent BBB permeability, expression of tight junctions, ROS production, HIF-1α expression, and cleavage of PAR-1/PAR-3. Pre-treatment with dabigatran was performed. IH and higher thrombin concentrations altered BBB permeability: high levels of HIF-1α expression, ROS and PAR-1 activation compared to PAR-3 in such conditions. Conversely, lower concentration of thrombin associated with IH appear to have a protective effect on BBB with a significant cleavage of PAR-3. Dabigatran reversed the deleterious effect of thrombin at high concentrations but also suppressed the beneficial effect of low dose thrombin. Therefore, thrombin and PARs represent novel attractive targets to prevent BBB opening in OSA.
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Affiliation(s)
- Cindy Zolotoff
- INSERM, U1059, Sainbiose, Dysfonction Vasculaire et Hémostase, Université Jean Monnet Saint-Etienne, Saint-Priest-en-Jarez, France. .,Faculté de Médecine - Campus Santé Innovations, 10 Rue de la Marandière, 42270, Saint-Priest-en-Jarez, France.
| | - Clémentine Puech
- INSERM, U1059, Sainbiose, Dysfonction Vasculaire et Hémostase, Université Jean Monnet Saint-Etienne, Saint-Priest-en-Jarez, France
| | - Frédéric Roche
- INSERM, U1059, Sainbiose, Dysfonction Vasculaire et Hémostase, Université Jean Monnet Saint-Etienne, Saint-Priest-en-Jarez, France.,Service de Physiologie Clinique Et de L'Exercice, Centre VISAS, CHU Saint Etienne, Saint-Priest-en-Jarez, France
| | - Nathalie Perek
- INSERM, U1059, Sainbiose, Dysfonction Vasculaire et Hémostase, Université Jean Monnet Saint-Etienne, Saint-Priest-en-Jarez, France
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15
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Colas C, Bayle M, Labeix P, Botelho-Nevers E, Gagneux-Brunon A, Cazorla C, Schein F, Breugnon E, Garcin A, Feasson L, Roche F, Hupin D. Management of Long COVID—The CoviMouv' Pilot Study: Importance of Adapted Physical Activity for Prolonged Symptoms Following SARS-CoV2 Infection. Front Sports Act Living 2022; 4:877188. [PMID: 35847457 PMCID: PMC9283867 DOI: 10.3389/fspor.2022.877188] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/16/2022] [Accepted: 06/01/2022] [Indexed: 12/03/2022] Open
Abstract
Context After a COVID-19 infection, some patients have persistent symptoms, the most common is fatigue. To prevent it from becoming chronic (post-COVID-19 syndrome), early management before 3 months could be useful. Exercise and education are recommended. Objective To assess fatigue in patients with prolonged symptoms after COVID-19 infection and who received a mixed program of remote adapted physical activity and therapeutic education. The secondary objective was to evaluate the efficacy and safety of this training method thanks to aerobic and anaerobic parameters. Methods “CoviMouv': From Coaching in Visual to Mouv in real” is a nonrandomized controlled pilot study. Patients in telerehabilitation followed 12 remote exercise sessions and 3 therapeutic education workshops. Patients on traditional rehabilitation followed their program with a community-based physiotherapist. Results Fatigue was reduced after the one-month intervention in both groups (p = 0.010). The majority of aerobic parameters were significantly improved, e.g., maximal oxygen uptake (p = 0.005), walking distance (p = 0.019) or hyperventilation values (p = 0.035). The anaerobic parameter was not improved (p = 0.400). No adverse event was declared. Discussion Telerehabilitation is a good alternative when a face-to-face program is not possible. This care at an early stage of the disease could help prevent the chronicity of post-COVID-19 symptoms and the installation of vicious circles of physical deconditioning. A larger study would be necessary.
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Affiliation(s)
- Claire Colas
- INSERM, U1059, SAINBIOSE, DVH, Lyon University, Jean Monnet University, Saint-Étienne, France
- Department of Clinical and Exercise Physiology, University Hospital Center, Saint-Étienne, France
- Chaire Santé des Ainés, Presage Institute, Jean Monnet University, Lyon University, Saint-Étienne, France
- Chaire ActiFS, Presage Institute, Jean Monnet University, Lyon University, Saint-Étienne, France
- *Correspondence: Claire Colas
| | - Manon Bayle
- Department of Clinical and Exercise Physiology, University Hospital Center, Saint-Étienne, France
| | - Pierre Labeix
- INSERM, U1059, SAINBIOSE, DVH, Lyon University, Jean Monnet University, Saint-Étienne, France
- Department of Clinical and Exercise Physiology, University Hospital Center, Saint-Étienne, France
| | - Elisabeth Botelho-Nevers
- Department of Infectious Diseases, University Hospital Center, Saint-Étienne, France
- Chaire PreVacCI, Presage Institute, Lyon University, Jean Monnet University, Saint-Étienne, France
- CIRI, Team GIMAP, Univ Lyon, Université Jean Monnet, INSERM, U1111, CNRS, UMR530, Saint-Étienne, France
| | - Amandine Gagneux-Brunon
- Department of Infectious Diseases, University Hospital Center, Saint-Étienne, France
- Chaire PreVacCI, Presage Institute, Lyon University, Jean Monnet University, Saint-Étienne, France
- CIRI, Team GIMAP, Univ Lyon, Université Jean Monnet, INSERM, U1111, CNRS, UMR530, Saint-Étienne, France
| | - Céline Cazorla
- Department of Infectious Diseases, University Hospital Center, Saint-Étienne, France
| | - Flora Schein
- Department of Infectious Diseases, University Hospital Center, Saint-Étienne, France
| | - Emma Breugnon
- Department of Infectious Diseases, University Hospital Center, Saint-Étienne, France
| | - Arnauld Garcin
- INSERM, U1059, SAINBIOSE, DVH, Lyon University, Jean Monnet University, Saint-Étienne, France
- Innovation and Pharmacology Clinical Research Unit, University Hospital of Saint-Etienne, Saint-Étienne, France
| | - Léonard Feasson
- Department of Clinical and Exercise Physiology, University Hospital Center, Saint-Étienne, France
- Chaire ActiFS, Presage Institute, Jean Monnet University, Lyon University, Saint-Étienne, France
- Interuniversity Laboratory of Human Movement Biology, EA 7424, Lyon University, Jean Monnet University, Saint-Étienne, France
| | - Frédéric Roche
- INSERM, U1059, SAINBIOSE, DVH, Lyon University, Jean Monnet University, Saint-Étienne, France
- Department of Clinical and Exercise Physiology, University Hospital Center, Saint-Étienne, France
- Chaire Santé des Ainés, Presage Institute, Jean Monnet University, Lyon University, Saint-Étienne, France
| | - David Hupin
- INSERM, U1059, SAINBIOSE, DVH, Lyon University, Jean Monnet University, Saint-Étienne, France
- Department of Clinical and Exercise Physiology, University Hospital Center, Saint-Étienne, France
- Chaire Santé des Ainés, Presage Institute, Jean Monnet University, Lyon University, Saint-Étienne, France
- Department of Medicine, Solna, Karolinska Institute, Stockholm, Sweden
- David Hupin
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Rouch I, Edjolo A, Celle S, Pichot V, Laurent B, Borg C, Dorey JM, Roche F. Association between depressive symptoms and long-term heart rate variability in older women: Findings from a population-based cohort. J Affect Disord 2022; 305:151-158. [PMID: 35219741 DOI: 10.1016/j.jad.2022.02.053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 02/17/2022] [Accepted: 02/19/2022] [Indexed: 11/26/2022]
Abstract
INTRODUCTION Cross-sectional studies highlighted changes in autonomic nervous system (ANS) activity in geriatric depression. However, few longitudinal studies assessed this link which remains still debated. We examined the longitudinal association between lifetime depression history, current depressive disorders, and the evolution of ANS activity in older community women. METHODS The present data stemmed from the PROOF study, a population-based cohort of 1011 community-dwellers followed-up at 2-year intervals for 10 years. Only data from female participants was analyzed (n = 508, mean age 68.5 ± 0.88 years), as very few men had depression in our population. Depressive symptoms and depression history were collected at baseline. Participants were classified in four groups according to presence or absence of history of depression (HD) or current depressive symptomatology (CD): HD+/CD+, HD-/CD+, HD+/CD- and HD-/CD-. ANS activity was assessed during the follow-up through 24-h heart rate variability (HRV). Longitudinal associations between depressive status and HRV indices during the follow-up were investigated using multivariate linear mixed models. RESULTS Compared to HD-/CD- group, women belonging to HD-/CD+ group had greater baseline parasympathetic tone, as measured by lower LF index and LF/HF balance. The longitudinal analysis exhibited a significant enhancement of LF/HF balance with time, measuring an increase of sympathetic tone in HD-/CD+ group. CONCLUSION Our findings suggest that late-onset depressive symptoms may be associated with subsequent autonomic dysregulation in older women. These results highlight the importance of detecting and managing depressive symptoms to limit their consequences on ANS functioning, and the risk of cardiovascular events.
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Affiliation(s)
- Isabelle Rouch
- Memory Clinical and Research Center of Saint Etienne (CMRR), Neurology Unit, University Hospital of Saint Etienne, Saint Etienne, France.; INSERM, U1219, Bordeaux Population Health Center, University of Bordeaux, Bordeaux, France.
| | - Arlette Edjolo
- Memory Clinical and Research Center of Saint Etienne (CMRR), Neurology Unit, University Hospital of Saint Etienne, Saint Etienne, France.; INSERM, U1219, Bordeaux Population Health Center, University of Bordeaux, Bordeaux, France
| | - Sébastien Celle
- Clinical Physiology, Visas Center, University Hospital, Saint-Etienne, France.; INSERM SAINBIOSE U1059, DVH, Jean Monnet University, Saint Etienne, France
| | - Vincent Pichot
- Clinical Physiology, Visas Center, University Hospital, Saint-Etienne, France.; INSERM SAINBIOSE U1059, DVH, Jean Monnet University, Saint Etienne, France
| | - Bernard Laurent
- Memory Clinical and Research Center of Saint Etienne (CMRR), Neurology Unit, University Hospital of Saint Etienne, Saint Etienne, France.; INSERM, U1028; CNRS, UMR5292; Neuropain Team, Lyon Neuroscience Research Center, Lyon, F-69000, France
| | - Céline Borg
- Memory Clinical and Research Center of Saint Etienne (CMRR), Neurology Unit, University Hospital of Saint Etienne, Saint Etienne, France
| | | | - Frédéric Roche
- Clinical Physiology, Visas Center, University Hospital, Saint-Etienne, France.; INSERM SAINBIOSE U1059, DVH, Jean Monnet University, Saint Etienne, France
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Hupin D, Oriol M, Roche F. Optimising screening of intermediate to high-risk asymptomatic sportsmen with exercise electrocardiogram. The SEEPRED study. Eur J Prev Cardiol 2022. [DOI: 10.1093/eurjpc/zwac056.205] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: None.
Background
The importance of exercise electrocardiogram (ECG) is still controversial in the prevention of cardiovascular events among sportsmen. The aim of this study was to assess the relevance of exercise ECG as a significant prognostic marker for cardiovascular events when any CVD risk factors are present.
Methods
The SEEPRED cohort study included leisure time asymptomatic sportsmen over 35 years old, referred from 2011 to 2016 in the Sports Medicine Unit of our university hospital. Major adverse cardiovascular events (MACE) and atrial fibrillation were collected 5 years after exercise ECG using a phone questionnaire.
Multivariate logistic regression models were performed to predict positive exercise ECG, suspected and confirmed silent myocardial ischemia (SMI) and cardiovascular events.
Results
Of the cohort of 2457 sportsmen (1898 men; mean age 50.2 ± 9.4 years; physical activity level 29.4 ± 25.1 MET-h/week), 1482 (60%) had at least one cardiovascular disease (CVD) risk factor and 52 (2%) had a SCORE>5%. A total of 256 exercise ECGs (10%) were defined as positive, most of them due to SMI (n = 196; 8%). SMI was an indication for coronary angiography in 43 cases, leading to 33 documented SMIs (1%), including 23 significant stenoses requiring revascularization. In multivariate logistic regression analysis, having at least 2 CVD risk factors was independently associated with (1) positive exercise ECG [OR=1.80 (CI 95%: 1.29-2.52), p=0.0006], with (2) suspected SMI [OR=2.57 (CI 95%: 1.10-6.02), p=0.0304], with (3) confirmed SMI [OR=8.20 (CI 95%: 3.46-19.46), p<0.0001] and with (4) cardiovascular events (MACE or atrial fibrillation) [OR=6.95 (CI 95%: 3.49-13.81), p<0.0001].
Conclusions
The study supports the European recommendations for the use of exercise ECG in evaluation of asymptomatic leisure time sportsmen over 35 years. Having at least 2 CVD risk factors was the best predictors for presence of coronary lesions at risk for events.
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Affiliation(s)
- D Hupin
- University Hospital of Saint-Etienne, Saint-Etienne, France
| | - M Oriol
- Support and Education Technic Centre of Health Examination Centres, CETAF, Public Health, Saint-Etienne, France
| | - F Roche
- University Hospital of Saint-Etienne, Saint-Etienne, France
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18
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Fanget M, Morin JB, Labeix P, Bayle M, Koral J, Peyrot N, Samozino P, Rossi J, Testa R, Busso T, Laukkanen JA, Roche F, Hupin D. An innovative cardiac rehabilitation based on the power-force-velocity profile to further improve cardiorespiratory capacities in coronary artery disease patients. Eur J Prev Cardiol 2022. [DOI: 10.1093/eurjpc/zwac056.245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Abstract
Funding Acknowledgements
Type of funding sources: Other. Main funding source(s): Doctoral contract 2018-2022
Background
Several studies have shown the importance of the relationship between the power-force-velocity profile (PFVP) and sport performance in elite athletes through optimised exercise training.[1] Optimising the training programme is constantly sought in rehabilitation among patients always younger with coronary artery disease. Nowadays, it is well established that intermittent training should be offered to coronary patients during the rehabilitation cycle.[2] In this continuity, the assessment of the PFVP at the beginning of the cardiac rehabilitation (CR) would allow to better adapt the CR training programme for each patient.
Purpose
The aim of this study was to compare the effects of two exercise training programmes: a traditional CR versus a new CR relied on patient’s PFVP on cardiorespiratory, functional and autonomic systems in coronary patients.
Methods
This prospective randomized controlled trial was conducted from May 2020 to July 2021 in an university hospital. A total of 89 patients were randomly assigned (1:1) to test or control group. Before starting CR, participants performed two sprints of 8 s on a cycle ergometer to define the PFVP. The PFVP was analysed to determine whether the participant had a force or velocity deficit. Patients included in test group followed a specific cycling training programme based on their weak point (i.e., specific force training with high resistance and low pedalling frequency on the cycle if the PFVP was oriented in velocity and reversely). While control patients attended a conventional CR programme.
The 3-week training intervention consisted of 40 min of cycling, 30 min of walking on treadmill and 20 min of strength training (4/week).
Cardiopulmonary exercise test (VO2 at the first ventilatory threshold, SV1 and VO2 peak in ml/min/kg), functional assessments (distance of 6-min walk test, handgrip strength, 10 sit-to-stand repetitions, cholesterol levels, LDL-C and quality of life) and autonomic nervous system (heart rate variability and sensitivity baroreflex) were performed at the baseline and after CR.
A two-way ANOVA with one repeated measure (pre vs. post) and one independent factor (test vs. control) was realized.
Results
The mean age was 61.0 ± 9.6 years, 18% were women. A significant difference was observed in VO2 peak (test: +22.0 ± 19.1% vs. control: +10.2 ± 15.8%, p=0.003) and VO2 SV1 (test: +35.9 ± 33.9% vs. control: +11.9 ± 34.4%, p<0.001), LDL-C (p=0.016) and quality of life (p<0.001). No significant change between groups in other functional tests and autonomic activity occurred after CR programme.
Conclusion
Cardiopulmonary activity, cholesterol and quality of life were improved after 3-week exercise programme. The novel CR depending on initial PFVP showed greater cardiorespiratory benefits than a conventional CR. Therefore, the PFVP can be used in CR to adapt specifically the content of training sessions.
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Affiliation(s)
- M Fanget
- University of Saint-Etienne, Saint-Etienne, France
| | - JB Morin
- University of Saint-Etienne, Saint-Etienne, France
| | - P Labeix
- University Hospital of Saint-Etienne, Saint-Etienne, France
| | - M Bayle
- University Hospital of Saint-Etienne, Saint-Etienne, France
| | | | - N Peyrot
- Le Mans University, Le Mans, France
| | - P Samozino
- Savoie Mont Blanc University, Chambery, France
| | - J Rossi
- University of Saint-Etienne, Saint-Etienne, France
| | - R Testa
- University of Saint-Etienne, Saint-Etienne, France
| | - T Busso
- University of Saint-Etienne, Saint-Etienne, France
| | | | - F Roche
- University Hospital of Saint-Etienne, Saint-Etienne, France
| | - D Hupin
- University Hospital of Saint-Etienne, Saint-Etienne, France
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Fanget M, Bayle M, Labeix P, Roche F, Hupin D. Effects of Cardiac Telerehabilitation During COVID-19 on Cardiorespiratory Capacities in Patients With Coronary Artery Disease. Front Physiol 2022; 13:837482. [PMID: 35370786 PMCID: PMC8969221 DOI: 10.3389/fphys.2022.837482] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2021] [Accepted: 02/07/2022] [Indexed: 12/27/2022] Open
Abstract
Background The COVID-19 pandemic led to the closure of most cardiac therapy centers. One of the solutions was to adapt the existing cardiac rehabilitation (CR) program in an institute to a remote approach offered by home-based telerehabilitation. The aim of this study was to measure the cardiorespiratory effects of telerehabilitation compared to conventional center-based CR. Methods Patients were assigned to two 3-week CR programs: telerehabilitation and conventional center-based CR. The telerehabilitation group wore a connected watch to monitor heart rate (HR) and gave their perception of effort according to a modified Borg scale. The exercise training (four sessions/week) consisted of 1-h aerobic endurance and strength training session at the target HR zone determined by results based on cardiopulmonary exercise test (CPET) and perception of effort, respectively. The exercise protocol was the same for conventional CR participants except the duration of session that lasted 2 h instead of one. The week before and after the training program, peak oxygen uptake (VO2 peak), oxygen uptake at first ventilatory threshold (VO2 at VT1), peak workload, percent of predicted maximum HR, and the absolute differences in HR and systolic blood pressure between maximum and recovery at 1 and 3 min were measured using a CPET. A two-way ANOVA with one repeated measure and one independent factor was performed. Results Fifty-four patients (mean age: 61.5 ± 8.6 years, 10 women) equally split in the two groups were included in this experiment. A significant increase was observed in both groups on VO2 peak (telerehabilitation: 8.1 ± 7.8% vs. conventional: 10.1 ± 9.7%, p < 0.001), VO2 at VT1 (telerehabilitation: 8.8 ± 4.4% vs. conventional: 7.3 ± 19.0%, p = 0.02) and peak workload (telerehabilitation: 16.6 ± 18.9% vs. conventional: 17.2 ± 7.0%, p < 0.001) after the 3-week telerehabilitation and conventional CR, respectively. No significant difference was noticed between both groups. Conclusion A 3-week exercise program improved patients’ cardiorespiratory fitness. Telerehabilitation was as effective and represents a safe alternative CR program during the COVID-19 period. In the future, this approach could facilitate the continuity of care for patients unable to participate in center-based CR.
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Affiliation(s)
- Marie Fanget
- INSERM, U1059, SAINBIOSE, DVH, University of Lyon, Jean Monnet University, Saint-Etienne, France
- *Correspondence: Marie Fanget,
| | - Manon Bayle
- Department of Clinical and Exercise Physiology, University Hospital Center of Saint-Etienne, Saint-Etienne, France
| | - Pierre Labeix
- INSERM, U1059, SAINBIOSE, DVH, University of Lyon, Jean Monnet University, Saint-Etienne, France
- Department of Clinical and Exercise Physiology, University Hospital Center of Saint-Etienne, Saint-Etienne, France
| | - Frédéric Roche
- INSERM, U1059, SAINBIOSE, DVH, University of Lyon, Jean Monnet University, Saint-Etienne, France
- Department of Clinical and Exercise Physiology, University Hospital Center of Saint-Etienne, Saint-Etienne, France
| | - David Hupin
- INSERM, U1059, SAINBIOSE, DVH, University of Lyon, Jean Monnet University, Saint-Etienne, France
- Department of Clinical and Exercise Physiology, University Hospital Center of Saint-Etienne, Saint-Etienne, France
- Department of Medicine, K2, Solna, Karolinska Institutet, Stockholm, Sweden
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Pichot V, Chouchou F, Corbier C, Hupin D, Celle S, Maudoux D, Barthélémy J, Roche F. HP06: Baroreflex sensitivity is predictor of mortality in general elderly population. Clin Neurophysiol 2022. [DOI: 10.1016/j.clinph.2021.11.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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21
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Chouchou F, Créach C, Pichot V, Celle S, Hupin D, Barthélémy J, Peyron R, Roche F. HP04: Absence of cardiac parasympathetic dysfunctions in elderly migraine? Clin Neurophysiol 2022. [DOI: 10.1016/j.clinph.2021.11.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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22
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Baudot A, Barth N, Colas C, Garros M, Garcin A, Oriol M, Roche F, Chauvin F, Mottet N, Hupin D. The physical activity experience of prostate cancer patients: a multicentre peer motivation monitoring feasibility study. The Acti-Pair study. Pilot Feasibility Stud 2022; 8:12. [PMID: 35063040 PMCID: PMC8781045 DOI: 10.1186/s40814-022-00966-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2020] [Accepted: 01/05/2022] [Indexed: 12/04/2022] Open
Abstract
BACKGROUND Although the benefits of physical activity (PA) on health are recognised, prostate cancer patients do not follow PA recommendations. The barriers to PA, whether physical, environmental or organisational, are known. Furthermore, even when such barriers are overcome, this achievement is not systematically accompanied by a change in lifestyle habits. The proposal of a programme enabling the integration of PA in the patient's everyday life represents a new challenge in the personalized management of cancer patients. Peer-mentoring interventions have demonstrated their effectiveness in increasing adherence to PA by patients. This study aimed (1) to assess the feasibility of a peer-mentoring intervention: the Acti-Pair program in a local context and (2) to assess the effectiveness of the intervention in this context. METHODS AND ANALYSIS A pre-post design pilot study will be used to evaluate feasibility, potential effectiveness and implementation outcomes overs in prostate cancer patients. We performed a mixed quantitative and qualitative prospective study to assess means and process indicators and the implementation of the Acti-Pair program. This study will be performed in cancer centres of Loire district and will be comprised of three successive stages (1) diagnosis of the target population, (2) recruitment and training of peers, and (3) implementation of this intervention in the Loire department. DISCUSSION This study will allow us to extend the peer-mentoring intervention to other contexts and assess the effectiveness of this intervention and its generalisability.
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Affiliation(s)
- A Baudot
- INSERM, U1059, SAINBIOSE, Université de Lyon, Université Jean-Monnet, Saint-Etienne, France
- Department of Clinical Investigation Centre, CIC 1408-INSERMClinical Investigation Centre, CIC 1408-INSERM, University Hospital of Saint-Etienne, Saint-Etienne, France
- Clinical Research Unit Innovation and Pharmacology, University Hospital of Saint-Etienne, Saint-Etienne, France
- Presage Institute - Hygee Centre, Université de Lyon, Université Jean Monnet, Saint-Etienne, France
| | - N Barth
- INSERM, U1059, SAINBIOSE, Université de Lyon, Université Jean-Monnet, Saint-Etienne, France
- Chaire Santé des Ainés - Ingénierie de la prévention, Université de Lyon, Université Jean Monnet, Saint-Etienne, France
- Auvergne Rhône-Alpes (AURA) Gerontopole, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - C Colas
- INSERM, U1059, SAINBIOSE, Université de Lyon, Université Jean-Monnet, Saint-Etienne, France
- Department of Clinical and Exercise Physiology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - M Garros
- Sport-Health House, Departmental Olympic and Sports Committee of the Loire (42), Saint-Etienne, France
| | - A Garcin
- INSERM, U1059, SAINBIOSE, Université de Lyon, Université Jean-Monnet, Saint-Etienne, France
- Clinical Research Unit Innovation and Pharmacology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - M Oriol
- National Centre for Health Examination Prevention (CETAF), Saint Etienne, France
| | - F Roche
- INSERM, U1059, SAINBIOSE, Université de Lyon, Université Jean-Monnet, Saint-Etienne, France
- Chaire Santé des Ainés - Ingénierie de la prévention, Université de Lyon, Université Jean Monnet, Saint-Etienne, France
- Department of Clinical and Exercise Physiology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - F Chauvin
- Department of Clinical Investigation Centre, CIC 1408-INSERMClinical Investigation Centre, CIC 1408-INSERM, University Hospital of Saint-Etienne, Saint-Etienne, France
- Presage Institute - Hygee Centre, Université de Lyon, Université Jean Monnet, Saint-Etienne, France
| | - N Mottet
- Department of Urology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - D Hupin
- INSERM, U1059, SAINBIOSE, Université de Lyon, Université Jean-Monnet, Saint-Etienne, France.
- Chaire Santé des Ainés - Ingénierie de la prévention, Université de Lyon, Université Jean Monnet, Saint-Etienne, France.
- Department of Clinical and Exercise Physiology, University Hospital of Saint-Etienne, Saint-Etienne, France.
- Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden.
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23
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Celle S, Boutet C, Annweiler C, Ceresetti R, Pichot V, Barthélémy JC, Roche F. Leukoaraiosis and Gray Matter Volume Alteration in Older Adults: The PROOF Study. Front Neurosci 2022; 15:747569. [PMID: 35095388 PMCID: PMC8793339 DOI: 10.3389/fnins.2021.747569] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Accepted: 11/22/2021] [Indexed: 11/23/2022] Open
Abstract
Background and Purpose: Leukoaraiosis, also called white matter hyperintensities (WMH), is frequently encountered in the brain of older adults. During aging, gray matter structure is also highly affected. WMH or gray matter defects are commonly associated with a higher prevalence of mild cognitive impairment. However, little is known about the relationship between WMH and gray matter. Our aim was thus to explore the relationship between leukoaraiosis severity and gray matter volume in a cohort of healthy older adults. Methods: Leukoaraiosis was rated in participants from the PROOF cohort using the Fazekas scale. Voxel-based morphometry was performed on brain scans to examine the potential link between WMH and changes of local brain volume. A neuropsychological evaluation including attentional, executive, and memory tests was also performed to explore cognition. Results: Out of 315 75-year-old subjects, 228 had punctuate foci of leukoaraiosis and 62 had begun the confluence of foci. Leukoaraiosis was associated with a decrease of gray matter in the middle temporal gyrus, in the right medial frontal gyrus, and in the left parahippocampal gyrus. It was also associated with decreased performances in memory recall, executive functioning, and depression. Conclusion: In a population of healthy older adults, leukoaraiosis was associated with gray matter defects and reduced cognitive performance. Controlling vascular risk factors and detecting early cerebrovascular disease may prevent, at least in part, dementia onset and progression.
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Affiliation(s)
- Sébastien Celle
- Clinical Physiology, Visas Center, University Hospital, Saint-Etienne, France
- INSERM, U1059, SAINBIOSE, DVH, Saint-Étienne, France
- *Correspondence: Sébastien Celle,
| | - Claire Boutet
- Department of Radiology, University Hospital, Saint Etienne, France
- EA7423 TAPE, UJM, Saint-Étienne, France
| | - Cédric Annweiler
- Department of Geriatric Medicine and Memory Clinic, Research Center on Autonomy and Longevity, University Hospital, Angers, France
- UPRES EA4638, University of Angers, Angers, France
| | - Romain Ceresetti
- Clinical Physiology, Visas Center, University Hospital, Saint-Etienne, France
- INSERM, U1059, SAINBIOSE, DVH, Saint-Étienne, France
| | - Vincent Pichot
- Clinical Physiology, Visas Center, University Hospital, Saint-Etienne, France
- INSERM, U1059, SAINBIOSE, DVH, Saint-Étienne, France
| | - Jean-Claude Barthélémy
- Clinical Physiology, Visas Center, University Hospital, Saint-Etienne, France
- INSERM, U1059, SAINBIOSE, DVH, Saint-Étienne, France
| | - Frédéric Roche
- Clinical Physiology, Visas Center, University Hospital, Saint-Etienne, France
- INSERM, U1059, SAINBIOSE, DVH, Saint-Étienne, France
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Guichard JB, Anselme F, Defaye P, Mansourati J, Pavin D, Pasquié JL, Saludas Y, Barthélémy JC, Roche F, Laporte S, Chapelle C, Garcin A, Romeyer C, Isaaz K, Da Costa A. Prevention of Atrial Fibrillation After Atrial Flutter Ablation With Ramipril (from the PREFACE Study). Am J Cardiol 2022; 162:73-79. [PMID: 34728062 DOI: 10.1016/j.amjcard.2021.09.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Revised: 09/12/2021] [Accepted: 09/14/2021] [Indexed: 11/01/2022]
Abstract
The clinical efficacy of the inhibitors of the renin-angiotensin-aldosterone system (RAAS) as an upstream therapy for atrial fibrillation (AF) prevention is controversial. No study has itemized so far the role of RAAS inhibitors in AF prevention after atrial flutter (AFL) ablation. This trial aims to investigate the effect of ramipril compared with placebo on AF occurrence in patients hospitalized for AFL ablation without structural heart disease. The Prevention of Atrial Fibrillation by Inhibition Conversion Enzyme (ICE) After Radiofrequency Ablation of Atrial Flutter (PREFACE) trial was a prospective, multicenter, randomized, double-blind, double-dummy trial depicting the AF occurrence during a 12-month follow-up as the primary end point. A total of 198 patients hospitalized for AFL ablation were enrolled in the trial and randomized to placebo or ramipril 5 mg/day. Patients were followed up during 1 year after AFL ablation using 1-week Holter electrocardiogram at 3, 6, 9, and 12 months. The intention-to-treat population encompassed 97 patients in the ramipril group and 101 patients in the placebo group. The primary end point, such as AF occurrence during the 1-year follow-up, was not different between the 2 groups (p = 0.96). Secondary end points, including the occurrence of supraventricular arrhythmia (p = 0.50), heart failure, stroke, and death, were not different between the 2 groups. Safety outcome parameters, including serious adverse events leading to treatment disruption (p = 0.10), hypotension, impairment of renal function, and elevated serum potassium level, also were not different between the 2 groups. In conclusion, RAAS inhibition using ramipril does not reduce AF occurrence in patients facing AFL ablation during the 1-year follow-up.
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25
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Berger M, Pichot V, Solelhac G, Marques-Vidal P, Haba-Rubio J, Vollenweider P, Waeber G, Preisig M, Barthélémy JC, Roche F, Heinzer R. Association between nocturnal heart rate variability and incident cardiovascular disease events: The HypnoLaus population-based study. Heart Rhythm 2021; 19:632-639. [PMID: 34864166 DOI: 10.1016/j.hrthm.2021.11.033] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Revised: 11/10/2021] [Accepted: 11/29/2021] [Indexed: 11/04/2022]
Abstract
BACKGROUND Although heart rate variability (HRV) is widely used to assess cardiac autonomic function, few studies have specifically investigated nocturnal HRV. OBJECTIVE The purpose of this study was to assess the association between nocturnal HRV and cardiovascular disease (CVD) incidence over 4 years in a population-based sample. METHODS A total of 1784 participants (48.2% men; 58 ± 11 years) from the HypnoLaus population-based cohort free of CVD at baseline were included. Polysomnography-based electrocardiograms were exported to analyze time- and frequency-domain HRV, Poincaré plots indices, detrended fluctuation analysis, acceleration capacity (AC) and deceleration capacity (DC), entropy, heart rate fragmentation (HRF), and heart rate turbulence. Multivariable-adjusted Cox regression analysis was used to assess the association between HRV indices and incident CVD events. RESULTS Sixty-seven participants (3.8%) developed CVD over mean follow-up of 4.1 ± 1.1 years. In a fully adjusted model, AC (hazard ratio per 1-SD increase; 95% confidence interval: 1.59; 1.17-2.16; P = .004), DC (0.63; 0.47-0.84; P = .002), and HRF (1.41; 1.11-1.78; P = .005) were the only HRV metrics significantly associated with incident CVD events after controlling for false discovery rate. CONCLUSION Nocturnal novel HRV parameters such as AC, DC, and HRF are better predictors of CVD events than time and frequency traditional HRV parameters. These findings suggest a form of dysautonomia and fragmented rhythms, but further experimental studies are needed to delineate the underlying physiological mechanisms of these novel HRV parameters.
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Affiliation(s)
- Mathieu Berger
- Center for Investigation and Research in Sleep (CIRS), Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland; SNA-EPIS Laboratory, University Hospital of Saint-Etienne, Saint-Etienne, France.
| | - Vincent Pichot
- SNA-EPIS Laboratory, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - Geoffroy Solelhac
- Center for Investigation and Research in Sleep (CIRS), Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland
| | - Pedro Marques-Vidal
- Department of Medicine, Internal Medicine, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland
| | - José Haba-Rubio
- Center for Investigation and Research in Sleep (CIRS), Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland
| | - Peter Vollenweider
- Department of Medicine, Internal Medicine, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland
| | - Gérard Waeber
- Department of Medicine, Internal Medicine, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland
| | - Martin Preisig
- Department of Psychiatry, Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland
| | | | - Frédéric Roche
- SNA-EPIS Laboratory, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - Raphael Heinzer
- Center for Investigation and Research in Sleep (CIRS), Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland
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Affiliation(s)
- Mathieu Berger
- Center for Investigation and Research in Sleep (CIRS), Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland
| | - Geoffroy Solelhac
- Center for Investigation and Research in Sleep (CIRS), Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland
| | - Frédéric Roche
- Sainbiose, DVH, Inserm U1059, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - Raphael Heinzer
- Center for Investigation and Research in Sleep (CIRS), Lausanne University Hospital (CHUV) and University of Lausanne, Lausanne, Switzerland
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Hammond M, Roche F, Harris J, Luna B, Mary J, Berger M, Vincent F, Zabbatino S, Heinichen L, Scheyer R, Holland S. IMAGING. Neuromuscul Disord 2021. [DOI: 10.1016/j.nmd.2021.07.360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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28
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Varesco G, Coudy-Gandilhon C, Lapole T, Decourt A, Gueugneau M, Barthélémy JC, Roche F, Bechet D, Féasson L, Rozand V. Association between physical activity, quadriceps muscle performance and biological characteristics of very old men and women. J Gerontol A Biol Sci Med Sci 2021; 77:47-54. [PMID: 34406381 DOI: 10.1093/gerona/glab239] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Indexed: 01/23/2023] Open
Abstract
The present study aimed to evaluate the association between physical activity, knee extensors (KE) performance (i.e. isometric strength and fatigability) and biological parameters (i.e. muscle structural, microvascular and metabolic properties) in healthy very old men and women. Thirty very old adults (82±1 yr, 15 women) performed an isometric quadriceps intermittent fatigue (QIF) test for the assessment of KE maximal force, total work (index of absolute performance) and fatigability. Muscle biopsies from the vastus lateralis muscle were collected to assess muscle fibers type and morphology, microvasculature and enzymes activity. Correlation analyses were used to investigate the relationships between physical activity (steps.day -1, actimetry), KE performance, and biological data for each sex separately.Men, compared to women, showed greater total work at the QIF test (44497±8629 N.s vs. 26946±4707 N.s; P<0.001). Steps.day -1 were correlated with total work only for women (r=0.73, P=0.011). In men, steps.day -1 were correlated with the percentage (r=0.57, P=0.033), shape factor (r=0.75, P = 0.002) and capillary tortuosity of type IIX fibers (r=0.59, P=0.035). No other relevant correlations were observed for men or women between steps.day -1 and biological parameters. Physical activity level was positively associated with the capacity of very old women to perform a fatiguing test, but not maximal force production capacity of the KE. Physical activity of very old men was not correlated with muscle performance. We suggest that very old women could be at higher risk of autonomy loss and increasing the steps.day -1 count could provide a sufficient stimulus for adaptations in less active women.
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Affiliation(s)
- Giorgio Varesco
- Université de Lyon, UJM-Saint-Etienne, Laboratoire Interuniversitaire de Biologie de la Motricité, Saint-Etienne, France
| | - Cécile Coudy-Gandilhon
- Université Clermont Auvergne, INRAE, Unité de Nutrition Humaine, CRNH Auvergne, Clermont-Ferrand, France
| | - Thomas Lapole
- Université de Lyon, UJM-Saint-Etienne, Laboratoire Interuniversitaire de Biologie de la Motricité, Saint-Etienne, France
| | - Alice Decourt
- Université Clermont Auvergne, INRAE, Unité de Nutrition Humaine, CRNH Auvergne, Clermont-Ferrand, France
| | - Marine Gueugneau
- Université Clermont Auvergne, INRAE, Unité de Nutrition Humaine, CRNH Auvergne, Clermont-Ferrand, France
| | | | - Frédéric Roche
- Université de Lyon, UJM-Saint-Etienne, Laboratoire SNA-EPIS, Saint-Etienne, France
| | - Daniel Bechet
- Université Clermont Auvergne, INRAE, Unité de Nutrition Humaine, CRNH Auvergne, Clermont-Ferrand, France
| | - Léonard Féasson
- Université de Lyon, UJM-Saint-Etienne, Laboratoire Interuniversitaire de Biologie de la Motricité, Saint-Etienne, France.,Unité de Myologie, Service de Physiologie Clinique et de l'Exercice, Centre Référent Maladies Neuromusculaires Euro-NmD, CHU de Saint-Etienne, France
| | - Vianney Rozand
- Université de Lyon, UJM-Saint-Etienne, Laboratoire Interuniversitaire de Biologie de la Motricité, Saint-Etienne, France
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Roche F, Mouhli L, Pichot V, Celle S. Obstructive sleep apnea/hypopnea syndrome phenotypes after night sleep recordings: how to get to precision medicine in 2021. Sleep 2021; 44:6304415. [PMID: 34143218 DOI: 10.1093/sleep/zsab154] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Affiliation(s)
- Frédéric Roche
- Department of Clinical Physiology, VISAS Center, University Hospital, Saint-Etienne, France.,Inserm SAINBIOSE U1059, DVH, Jean Monnet University, Saint Etienne, France
| | - Lytissia Mouhli
- Department of Clinical Physiology, VISAS Center, University Hospital, Saint-Etienne, France
| | - Vincent Pichot
- Department of Clinical Physiology, VISAS Center, University Hospital, Saint-Etienne, France.,Inserm SAINBIOSE U1059, DVH, Jean Monnet University, Saint Etienne, France
| | - Sébastien Celle
- Department of Clinical Physiology, VISAS Center, University Hospital, Saint-Etienne, France.,Inserm SAINBIOSE U1059, DVH, Jean Monnet University, Saint Etienne, France
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Vacelet L, Hupin D, Pichot V, Celle S, Court-Fortune I, Thomas T, Garcin A, Barthélémy JC, Gozal D, Roche F. Insulin Resistance and Type 2 Diabetes in Asymptomatic Obstructive Sleep Apnea: Results of the PROOF Cohort Study After 7 Years of Follow-Up. Front Physiol 2021; 12:650758. [PMID: 34393806 PMCID: PMC8355896 DOI: 10.3389/fphys.2021.650758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2021] [Accepted: 07/05/2021] [Indexed: 11/25/2022] Open
Abstract
The aim of the study was to assess potential associations between obstructive sleep apnea (OSA) and the occurrence of diabetes mellitus and insulin resistance in the elderly. Nondiabetic volunteers (n = 549) with undiagnosed or untreated asymptomatic OSA (66.2+/−1 years at the inclusion) were evaluated as an ancillary study of the PROOF cohort study (n = 1,011). After 7 years follow-up, 494 subjects underwent assessment of fasting insulin and glucose levels. OSA was defined by an apnea-hypopnea index (AHI) of ≥15/h using polygraphy. Diabetes mellitus was defined by a fasting glucose ≥ 1.26 g/L and/or when requiring pharmacological treatment, while insulin resistance corresponded to HOMA-IR ≥ 2. Asymptomatic OSA subjects (men or women) did not display increased risk of incident diabetes (2.8 vs. 3.9%, p = 0.51). However, there was a greater frequency of insulin resistance in subjects with severe OSA (AHI > 30) [OR 2.21; 95% CI (1.22–4.02); p = 0.009]. Furthermore, multiple logistic regression showed that triglycerides levels [OR 1.61; 95% CI (1.10–2.36); p = 0.01] and fasting glycaemia [OR 4.69; 95% CI (1.12–192.78); p = 0.04], but not AHI or oxyhemoglobin desaturation index were independently associated with higher rate of insulin resistance. The deleterious metabolic effect of asymptomatic OSA in the population may be indirectly mediated via perturbations in lipids, and is particularly likely to become manifest in severe apneic subjects with higher glycemic levels.
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Affiliation(s)
- Laurine Vacelet
- Service de Physiologie Clinique et de l'Exercice, CHU Saint Etienne, Saint Etienne Cedex, France.,Sainbiose DVH U1059 Inserm, Faculté de Médecine J Lisfranc, Université Jean Monnet, Saint Etienne Cedex, France
| | - David Hupin
- Service de Physiologie Clinique et de l'Exercice, CHU Saint Etienne, Saint Etienne Cedex, France.,Service de Pneumologie, CHU Saint Etienne, Saint Etienne Cedex, France
| | - Vincent Pichot
- Service de Physiologie Clinique et de l'Exercice, CHU Saint Etienne, Saint Etienne Cedex, France.,Service de Pneumologie, CHU Saint Etienne, Saint Etienne Cedex, France
| | - Sébastien Celle
- Service de Physiologie Clinique et de l'Exercice, CHU Saint Etienne, Saint Etienne Cedex, France.,Service de Pneumologie, CHU Saint Etienne, Saint Etienne Cedex, France
| | - Isabelle Court-Fortune
- Sainbiose DVH U1059 Inserm, Faculté de Médecine J Lisfranc, Université Jean Monnet, Saint Etienne Cedex, France
| | - Thierry Thomas
- Service de Pneumologie, CHU Saint Etienne, Saint Etienne Cedex, France.,Service de Rhumatologie, CHU Saint Etienne, Saint Etienne Cedex, France
| | - Arnauld Garcin
- Service de Pneumologie, CHU Saint Etienne, Saint Etienne Cedex, France.,URCIP, CHU Saint Etienne, Saint Etienne Cedex, France
| | - Jean-Claude Barthélémy
- Service de Physiologie Clinique et de l'Exercice, CHU Saint Etienne, Saint Etienne Cedex, France.,Service de Pneumologie, CHU Saint Etienne, Saint Etienne Cedex, France
| | - David Gozal
- Department of Child Health, MU Women's and Children's Hospital, Columbia, MO, United States
| | - Frédéric Roche
- Service de Physiologie Clinique et de l'Exercice, CHU Saint Etienne, Saint Etienne Cedex, France.,Service de Pneumologie, CHU Saint Etienne, Saint Etienne Cedex, France
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Zolotoff C, Bertoletti L, Gozal D, Mismetti V, Flandrin P, Roche F, Perek N. Obstructive Sleep Apnea, Hypercoagulability, and the Blood-Brain Barrier. J Clin Med 2021; 10:jcm10143099. [PMID: 34300265 PMCID: PMC8304023 DOI: 10.3390/jcm10143099] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2021] [Revised: 07/05/2021] [Accepted: 07/08/2021] [Indexed: 02/07/2023] Open
Abstract
Obstructive sleep apnea (OSA) is characterized by repeated episodes of intermittent hypoxia (IH) and is recognized as an independent risk factor for vascular diseases that are mediated by a multitude of mechanistic pathophysiological cascades including procoagulant factors. The pro-coagulant state contributes to the development of blood clots and to the increase in the permeability of the blood-brain barrier (BBB). Such alteration of BBB may alter brain function and increase the risk of neurodegenerative diseases. We aim to provide a narrative review of the relationship between the hypercoagulable state, observed in OSA and characterized by increased coagulation factor activity, as well as platelet activation, and the underlying neural dysfunction, as related to disruption of the BBB. We aim to provide a critical overview of the existing evidence about the effect of OSA on the coagulation balance (characterized by increased coagulation factor activity and platelet activation) as on the BBB. Then, we will present the emerging data on the effect of BBB disruption on the risk of underlying neural dysfunction. Finally, we will discuss the potential of OSA therapy on the coagulation balance and the improvement of BBB.
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Affiliation(s)
- Cindy Zolotoff
- U1059, Sainbiose, Dysfonction Vasculaire et Hémostase, Université de Lyon, Université Jean Monnet Saint-Étienne, F-42270 Saint-Priest-en-Jarez, France; (L.B.); (F.R.); (N.P.)
- Correspondence: ; Tel.: +33-477-421-452
| | - Laurent Bertoletti
- U1059, Sainbiose, Dysfonction Vasculaire et Hémostase, Université de Lyon, Université Jean Monnet Saint-Étienne, F-42270 Saint-Priest-en-Jarez, France; (L.B.); (F.R.); (N.P.)
- Service de Médecine Vasculaire et Thérapeutique, CHU Saint-Étienne, F-42270 Saint-Priest-en-Jarez, France
| | - David Gozal
- Department of Child Health and the Child Health Research Institute, MU Women’s and Children’s Hospital, University of Missouri, Columbia, MO 65201, USA;
| | - Valentine Mismetti
- Service de Pneumologie et d’Oncologie Thoracique, CHU Saint-Étienne, F-42270 Saint-Priest-en-Jarez, France;
| | - Pascale Flandrin
- Laboratoire d’Hématologie, Hôpital Nord, CHU Saint-Étienne, F-42270 Saint-Priest-en-Jarez, France;
| | - Frédéric Roche
- U1059, Sainbiose, Dysfonction Vasculaire et Hémostase, Université de Lyon, Université Jean Monnet Saint-Étienne, F-42270 Saint-Priest-en-Jarez, France; (L.B.); (F.R.); (N.P.)
- Service de Physiologie Clinique et de l’Exercice, Centre VISAS, CHU Saint Etienne, F-42270 Saint-Priest-en-Jarez, France
| | - Nathalie Perek
- U1059, Sainbiose, Dysfonction Vasculaire et Hémostase, Université de Lyon, Université Jean Monnet Saint-Étienne, F-42270 Saint-Priest-en-Jarez, France; (L.B.); (F.R.); (N.P.)
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Dupré C, Helmer C, Bongue B, Dartigues JF, Roche F, Berr C, Carrière I. Associations between physical activity types and multi-domain cognitive decline in older adults from the Three-city cohort. PLoS One 2021; 16:e0252500. [PMID: 34061901 PMCID: PMC8168837 DOI: 10.1371/journal.pone.0252500] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2021] [Accepted: 05/18/2021] [Indexed: 11/18/2022] Open
Abstract
Several studies suggest that physical activity improves cognitive functions and reduces cognitive decline, whereas others did not find any evidence of a neuroprotective effect. Furthermore, few cohort studies have analyzed the different physical activity types and particularly household activities. Our objective was to assess the association of two physical activity types with the decline in different cognitive domains in a large prospective cohort of community-dwelling older adults from the Three-city study. Physical activity (domestic/transportation activities and leisure/sport activities) was assessed with the Voorrips questionnaire, specific for older adults. Baseline sociodemographic and health history variables as well as cognitive performance data at baseline and during the 8-year follow-up (Mini-Mental State Examination, Benton Visual Retention Test, Trail Making Tests A and B, Isaac's Set Test and Free and Cued Selective Reminding Test) were also available. Associations between physical activity scores and cognitive decline in different domains were tested using minimally- and multi-adjusted linear mixed models. The analysis included 1697 participants without dementia at baseline and with at least one follow-up visit. At baseline, participants with higher sub-scores for the two physical activity types had better cognitive performances. Interaction with time showed that decline in some cognitive scores (Trail Making Test B and Isaac's Set Test) was significantly less pronounced in participants with higher household/transportation activity sub-scores. No significant effect over time was found for leisure/sport activities. This study shows that during an 8-year follow-up, executive functions and verbal fluency were better preserved in older adults who performed household/transportation activities at moderate to high level. Participation in domestic activities and using adapted transport means could allow older adults to maintain specific cognitive abilities.
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Affiliation(s)
- Caroline Dupré
- CETAF, Saint-Etienne, France
- Laboratoire SNA-EPIS, University Jean Monnet, Saint-Etienne, France
| | - Catherine Helmer
- Inserm, Bordeaux Population Health Research Center, Univ. Bordeaux, Bordeaux, France
| | - Bienvenu Bongue
- CETAF, Saint-Etienne, France
- Laboratoire SNA-EPIS, University Jean Monnet, Saint-Etienne, France
| | | | - Frédéric Roche
- Laboratoire SNA-EPIS, University Jean Monnet, Saint-Etienne, France
| | - Claudine Berr
- Institute for Neurosciences of Montpellier, Inserm, Univ. Montpellier, Montpellier, France
| | - Isabelle Carrière
- Institute for Neurosciences of Montpellier, Inserm, Univ. Montpellier, Montpellier, France
- * E-mail:
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Zolotoff C, Voirin AC, Puech C, Roche F, Perek N. Intermittent Hypoxia and Its Impact on Nrf2/HIF-1α Expression and ABC Transporters: An in Vitro Human Blood-Brain Barrier Model Study. Cell Physiol Biochem 2021; 54:1231-1248. [PMID: 33326735 DOI: 10.33594/000000311] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/08/2020] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND/AIMS Obstructive sleep apnea (OSA) is characterized by repeated episodes of complete or partial obstruction of the upper airways, leading to chronic intermittent hypoxia (IH). OSA patients are considered at high cerebrovascular risk and may also present cognitive impairment. One hypothesis explored is that disturbances may be linked to blood-brain barrier (BBB) dysfunction. The BBB is a protective barrier separating the brain from blood flow. The BBB limits the paracellular pathway through tight and adherens junctions, and the transcellular passage by efflux pumps (ABC transporters). The aims of this study were to evaluate the impact of IH and sustained hypoxia (SH) on a validated in vitro BBB model and to investigate the factors expressed under both conditions. METHODS Exposure of endothelial cells (HBEC-5i) in our in vitro model of BBB to hypoxia was performed using IH cycles: 1% O2-35 min/18% O2-25 min for 6 cycles or 6 h of SH at 1% O2. After exposure, we studied the cytotoxicity and the level of ROS in our cells. We measured the apparent BBB permeability using sodium fluorescein, FITC-dextran and TEER measurement. Whole cell ELISA were performed to evaluate the expression of tight junctions, ABC transporters, HIF-1α and Nrf2. The functionality of ABC transporters was evaluated with accumulation studies. Immunofluorescence assays were also conducted to illustrate the whole cell ELISAs. RESULTS Our study showed that 6 h of IH or SH induced a BBB disruption marked by a significant decrease in junction protein expressions (claudin-5, VE-cadherin, ZO-1) and an increase in permeability. We also observed an upregulation in P-gp protein expression and functionality and a downregulation in BCRP. Hypoxia induced production of ROS, Nrf2 and HIF-1α. They were expressed in both sustained and intermittent conditions, but the expression and the activity of P-gp and BCRP were different. CONCLUSION Understanding these mechanisms seems essential in order to propose new therapeutic strategies for patients with OSA.
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Affiliation(s)
- Cindy Zolotoff
- INSERM, U1059, Sainbiose, Dysfonction Vasculaire et Hémostase, Université de Lyon, Université Jean Monnet, Saint-Etienne, France, .,EA 4607 Système Nerveux Autonome - Epidémiologie Physiologie Ingénierie Santé, Université de Lyon, Université Jean Monnet, Saint-Priest-en-Jarez, France
| | - Anne-Cloé Voirin
- INSERM, U1059, Sainbiose, Dysfonction Vasculaire et Hémostase, Université de Lyon, Université Jean Monnet, Saint-Etienne, France.,EA 4607 Système Nerveux Autonome - Epidémiologie Physiologie Ingénierie Santé, Université de Lyon, Université Jean Monnet, Saint-Priest-en-Jarez, France
| | - Clémentine Puech
- EA 4607 Système Nerveux Autonome - Epidémiologie Physiologie Ingénierie Santé, Université de Lyon, Université Jean Monnet, Saint-Priest-en-Jarez, France
| | - Frédéric Roche
- EA 4607 Système Nerveux Autonome - Epidémiologie Physiologie Ingénierie Santé, Université de Lyon, Université Jean Monnet, Saint-Priest-en-Jarez, France.,Service de Physiologie Clinique et de l'Exercice, Centre VISAS, CHU, Saint Etienne, France
| | - Nathalie Perek
- INSERM, U1059, Sainbiose, Dysfonction Vasculaire et Hémostase, Université de Lyon, Université Jean Monnet, Saint-Etienne, France
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Colas C, Goutte J, Creac'h C, Fontana L, Vericel MP, Manzanares J, Peuriere M, Akrour M, Martin C, Presles E, Barth N, Guyot J, Garros M, Trombert B, Massoubre C, Roche F, Féasson L, Marotte H, Cathebras P, Hupin D. Efficiency of an Optimized Care Organization in Fibromyalgia Patients: The From Intent to Move (FIMOUV) Study Protocol of a Randomized Controlled Trial. Front Public Health 2021; 9:554291. [PMID: 34113593 PMCID: PMC8185292 DOI: 10.3389/fpubh.2021.554291] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2020] [Accepted: 03/29/2021] [Indexed: 12/12/2022] Open
Abstract
Introduction: Fibromyalgia (FM) is characterized by multiple symptoms including pain, fatigue, and sleep disorders, altering patient's quality of life. In the absence of effective pharmacological therapy, the last European guidelines recommend a multidisciplinary management based on exercise and education. Thus, our main objective was to measure the effectiveness of a healthcare organization offering a specific program of adapted physical activity combined with a therapeutic education program for FM patients. Methods and Analysis: The From Intent To Move (FIMOUV) study will recruit 330 FM patients randomized into two groups: test and control. The test group will benefit from a 1-month mixed exercise training program supervised at the hospital, followed by 2 months in a community-based relay in a health-sport structure. In addition, each of the two groups will benefit from therapeutic patient education sessions. The main endpoint is the measurement of the level of physical activity by accelerometry at 1 year. The secondary endpoints concern adherence to the practice of physical activity, impact on lifestyle, state of health, and physical capacity, as well as an estimate of the budgetary impact of this management strategy. Discussion: This interventional research will allow us to assess the evolution of behaviors in physical activity after an FM syndrome management based solely on patient education or based on a supervised and adapted practice of physical activity associated with this same therapeutic education program. It seems to be the first study evaluating the impact of its intervention on objective data for measuring physical activity and sedentary behavior via accelerometry among FM patients. Trial registration:ClinicalTrials.gov NCT04107948.
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Affiliation(s)
- Claire Colas
- University Lyon, UJM-Saint-Etienne Sainbiose Laboratory, INSERM U1059, Saint-Étienne, France.,Department of Clinical and Exercise Physiology, University Hospital Center, Saint-Étienne, France
| | - Julie Goutte
- Department of Internal Medicine, University Hospital Center, Saint-Étienne, France
| | - Christelle Creac'h
- Pain Center, University Hospital Center, Saint-Étienne, France.,University Claude Bernard, Central Integration of Pain (NeuroPain) Lab-Lyon Neuroscience Research Center, INSERM U1028, CNRS, Bron, France
| | - Luc Fontana
- Department of Occupational and Environmental Medicine, University Hospital Center, Saint-Étienne, France.,University Lyon, University Lyon 1, University St Etienne, University Gustave Eiffel, IFSTTAR, UMRESTTE, UMR_T9405, Saint-Étienne, France
| | - Marie-Pierre Vericel
- Department of Clinical and Exercise Physiology, University Hospital Center, Saint-Étienne, France
| | | | - Marie Peuriere
- Clinical Research, Innovation and Pharmacology Unit, University Hospital Center, Saint-Étienne, France
| | - Madjid Akrour
- Clinical Research, Innovation and Pharmacology Unit, University Hospital Center, Saint-Étienne, France
| | - Charly Martin
- Clinical Research, Innovation and Pharmacology Unit, University Hospital Center, Saint-Étienne, France
| | - Emilie Presles
- University Lyon, UJM-Saint-Etienne Sainbiose Laboratory, INSERM U1059, Saint-Étienne, France.,Clinical Research, Innovation and Pharmacology Unit, University Hospital Center, Saint-Étienne, France.,Department of Clinical Investigation Center, CIC 1408-INSERM, University Hospital Center, Saint-Étienne, France
| | - Nathalie Barth
- University Lyon, UJM-Saint-Etienne Sainbiose Laboratory, INSERM U1059, Saint-Étienne, France.,University Lyon, UJM-Saint-Etienne Chaire Santé des Ainés, Saint-Étienne, France.,Gerontopole Auvergne-Rhone-Alpes, Saint-Étienne, France
| | - Jessica Guyot
- University Lyon, UJM-Saint-Etienne Sainbiose Laboratory, INSERM U1059, Saint-Étienne, France.,University Lyon, UJM-Saint-Etienne Chaire Santé des Ainés, Saint-Étienne, France
| | - Maël Garros
- Sport Health House, CDOS 42, Saint-Étienne, France
| | - Béatrice Trombert
- University Lyon, UJM-Saint-Etienne Sainbiose Laboratory, INSERM U1059, Saint-Étienne, France.,Department of Public Health, University Hospital Center, Saint-Étienne, France
| | | | - Frédéric Roche
- University Lyon, UJM-Saint-Etienne Sainbiose Laboratory, INSERM U1059, Saint-Étienne, France.,Department of Clinical and Exercise Physiology, University Hospital Center, Saint-Étienne, France
| | - Léonard Féasson
- Department of Clinical and Exercise Physiology, University Hospital Center, Saint-Étienne, France.,University Lyon, UJM-Saint-Etienne Interuniversity Laboratory of Human Movement Biology, EA 7424, Saint-Étienne, France
| | - Hubert Marotte
- University Lyon, UJM-Saint-Etienne Sainbiose Laboratory, INSERM U1059, Saint-Étienne, France.,Department of Rheumatology, University Hospital Center, Saint-Étienne, France
| | - Pascal Cathebras
- Department of Internal Medicine, University Hospital Center, Saint-Étienne, France
| | - David Hupin
- University Lyon, UJM-Saint-Etienne Sainbiose Laboratory, INSERM U1059, Saint-Étienne, France.,Department of Clinical and Exercise Physiology, University Hospital Center, Saint-Étienne, France.,Department of Medicine, K2, Solna Karolinska Institutet, Stockholm, Sweden
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Berger M, Barthélémy JC, Garet M, Raffin J, Labeix P, Roche F, Hupin D. Longer-term effects of supervised physical activity on obstructive sleep apnea and subsequent health consequences. Scand J Med Sci Sports 2021; 31:1534-1544. [PMID: 33772900 DOI: 10.1111/sms.13961] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2020] [Revised: 03/12/2021] [Accepted: 03/23/2021] [Indexed: 11/29/2022]
Abstract
Although recent trials have shown promising benefits of exercise on obstructive sleep apnea (OSA) severity, the long-term effect of these interventions remains unknown. The aim of this study was to assess the effect of a 9-month community physical activity program on OSA severity one year later in free-living conditions. OSA patients, previously included in a 9-month randomized controlled trial (EXESAS study) evaluating the effects of supervised community physical activity on OSA severity, were invited to participate in an extra one-year observational study. Twenty-eight patients completed the study. Although OSA severity did not significantly worsen over the real-life period (9 to 21 months of follow-up), reductions in apnea-hypopnea index (AHI) and oxygen desaturation index were no longer significant after 21 months of follow-up compared to baseline (baseline AHI: 22.2 ± 6.3 /h; 9 months: 16.3 ± 6.4 /h; 21 months: 18.7 ± 8.9 /h). Benefits observed at 9 months on daytime sleepiness and mental health were preserved at 21 months, whereas cardiorespiratory fitness slightly decreased. Per-protocol analysis revealed that patients who stopped exercise at 9 months had worsened OSA severity compared to those who continued exercise during the real-life period (AHI: +9.0 ± 8.8 vs. -1.3 ± 5.3 /h; p < .01). In conclusion, our study suggested that improvements in OSA severity remain transient and is dependent on long-term adherence to regular physical activity practice.
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Affiliation(s)
- Mathieu Berger
- SNA-EPIS Laboratory, University of Lyon, Saint-Etienne, France.,Department of Clinical and Exercise Physiology, University Hospital of Saint-Etienne, Saint-Etienne, France.,IRAPS, French Federation for Physical Education and Voluntary Gymnastics (FFEPGV), Montreuil, France
| | - Jean-Claude Barthélémy
- SNA-EPIS Laboratory, University of Lyon, Saint-Etienne, France.,Department of Clinical and Exercise Physiology, University Hospital of Saint-Etienne, Saint-Etienne, France.,INSERM SAINBIOSE, U1059, Dysfonction Vasculaire et Hémostase, Université Jean-Monnet, Saint-Etienne, France
| | - Martin Garet
- SNA-EPIS Laboratory, University of Lyon, Saint-Etienne, France.,Department of Clinical and Exercise Physiology, University Hospital of Saint-Etienne, Saint-Etienne, France.,INSERM SAINBIOSE, U1059, Dysfonction Vasculaire et Hémostase, Université Jean-Monnet, Saint-Etienne, France
| | - Jérémy Raffin
- SNA-EPIS Laboratory, University of Lyon, Saint-Etienne, France.,Department of Clinical and Exercise Physiology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - Pierre Labeix
- SNA-EPIS Laboratory, University of Lyon, Saint-Etienne, France.,Department of Clinical and Exercise Physiology, University Hospital of Saint-Etienne, Saint-Etienne, France.,INSERM SAINBIOSE, U1059, Dysfonction Vasculaire et Hémostase, Université Jean-Monnet, Saint-Etienne, France
| | - Frédéric Roche
- SNA-EPIS Laboratory, University of Lyon, Saint-Etienne, France.,Department of Clinical and Exercise Physiology, University Hospital of Saint-Etienne, Saint-Etienne, France.,INSERM SAINBIOSE, U1059, Dysfonction Vasculaire et Hémostase, Université Jean-Monnet, Saint-Etienne, France
| | - David Hupin
- SNA-EPIS Laboratory, University of Lyon, Saint-Etienne, France.,Department of Clinical and Exercise Physiology, University Hospital of Saint-Etienne, Saint-Etienne, France.,INSERM SAINBIOSE, U1059, Dysfonction Vasculaire et Hémostase, Université Jean-Monnet, Saint-Etienne, France
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Gueugneau M, Coudy-Gandilhon C, Chambon C, Verney J, Taillandier D, Combaret L, Polge C, Walrand S, Roche F, Barthélémy JC, Féasson L, Béchet D. Muscle Proteomic and Transcriptomic Profiling of Healthy Aging and Metabolic Syndrome in Men. Int J Mol Sci 2021; 22:4205. [PMID: 33921590 PMCID: PMC8074053 DOI: 10.3390/ijms22084205] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2021] [Revised: 04/08/2021] [Accepted: 04/15/2021] [Indexed: 12/12/2022] Open
Abstract
(1) Background: Aging is associated with a progressive decline in muscle mass and function. Aging is also a primary risk factor for metabolic syndrome, which further alters muscle metabolism. However, the molecular mechanisms involved remain to be clarified. Herein we performed omic profiling to decipher in muscle which dominating processes are associated with healthy aging and metabolic syndrome in old men. (2) Methods: This study included 15 healthy young, 15 healthy old, and 9 old men with metabolic syndrome. Old men were selected from a well-characterized cohort, and each vastus lateralis biopsy was used to combine global transcriptomic and proteomic analyses. (3) Results: Over-representation analysis of differentially expressed genes (ORA) and functional class scoring of pathways (FCS) indicated that healthy aging was mainly associated with upregulations of apoptosis and immune function and downregulations of glycolysis and protein catabolism. ORA and FCS indicated that with metabolic syndrome the dominating biological processes were upregulation of proteolysis and downregulation of oxidative phosphorylation. Proteomic profiling matched 586 muscle proteins between individuals. The proteome of healthy aging revealed modifications consistent with a fast-to-slow transition and downregulation of glycolysis. These transitions were reduced with metabolic syndrome, which was more associated with alterations in NADH/NAD+ shuttle and β-oxidation. Proteomic profiling further showed that all old muscles overexpressed protein chaperones to preserve proteostasis and myofiber integrity. There was also evidence of aging-related increases in reactive oxygen species but better detoxifications of cytotoxic aldehydes and membrane protection in healthy than in metabolic syndrome muscles. (4) Conclusions: Most candidate proteins and mRNAs identified herein constitute putative muscle biomarkers of healthy aging and metabolic syndrome in old men.
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Affiliation(s)
- Marine Gueugneau
- Université Clermont Auvergne, INRAE, UNH, Unité de Nutrition Humaine, CRNH Auvergne, 63000 Clermont-Ferrand, France; (M.G.); (C.C.-G.); (D.T.); (L.C.); (C.P.); (S.W.)
| | - Cécile Coudy-Gandilhon
- Université Clermont Auvergne, INRAE, UNH, Unité de Nutrition Humaine, CRNH Auvergne, 63000 Clermont-Ferrand, France; (M.G.); (C.C.-G.); (D.T.); (L.C.); (C.P.); (S.W.)
| | - Christophe Chambon
- Metabolomic and Proteomic Exploration Facility, Université Clermont Auvergne, INRAE, 63000 Clermont-Ferrand, France;
| | - Julien Verney
- Laboratoire AME2P, Université Clermont Auvergne, 3533 Clermont-Ferrand, France;
| | - Daniel Taillandier
- Université Clermont Auvergne, INRAE, UNH, Unité de Nutrition Humaine, CRNH Auvergne, 63000 Clermont-Ferrand, France; (M.G.); (C.C.-G.); (D.T.); (L.C.); (C.P.); (S.W.)
| | - Lydie Combaret
- Université Clermont Auvergne, INRAE, UNH, Unité de Nutrition Humaine, CRNH Auvergne, 63000 Clermont-Ferrand, France; (M.G.); (C.C.-G.); (D.T.); (L.C.); (C.P.); (S.W.)
| | - Cécile Polge
- Université Clermont Auvergne, INRAE, UNH, Unité de Nutrition Humaine, CRNH Auvergne, 63000 Clermont-Ferrand, France; (M.G.); (C.C.-G.); (D.T.); (L.C.); (C.P.); (S.W.)
| | - Stéphane Walrand
- Université Clermont Auvergne, INRAE, UNH, Unité de Nutrition Humaine, CRNH Auvergne, 63000 Clermont-Ferrand, France; (M.G.); (C.C.-G.); (D.T.); (L.C.); (C.P.); (S.W.)
| | - Frédéric Roche
- Service de Physiologie Clinique et de l’Exercice, CHU Saint Etienne, 42055 Saint Etienne, France; (F.R.); (J.-C.B.)
- INSERM, SAINBIOSE, U1059, Dysfonction Vasculaire et Hémostase, Université Jean-Monnet, 42055 Saint-Etienne, France
| | - Jean-Claude Barthélémy
- Service de Physiologie Clinique et de l’Exercice, CHU Saint Etienne, 42055 Saint Etienne, France; (F.R.); (J.-C.B.)
- INSERM, SAINBIOSE, U1059, Dysfonction Vasculaire et Hémostase, Université Jean-Monnet, 42055 Saint-Etienne, France
| | - Léonard Féasson
- Unité de Myologie, Service de Physiologie Clinique et de l’Exercice, Centre Référent Maladies Neuromusculaires Euro-NmD, 42000 CHU de Saint-Etienne, France;
- Laboratoire Interuniversitaire de Biologie de la Motricité, Université de Lyon, Université Jean Monnet Saint-Etienne, 69000 Lyon, France
| | - Daniel Béchet
- Université Clermont Auvergne, INRAE, UNH, Unité de Nutrition Humaine, CRNH Auvergne, 63000 Clermont-Ferrand, France; (M.G.); (C.C.-G.); (D.T.); (L.C.); (C.P.); (S.W.)
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Savall A, Marcoux P, Charles R, Trombert B, Roche F, Berger M. Sleep quality and sleep disturbances among volunteer and professional French firefighters: FIRESLEEP study. Sleep Med 2021; 80:228-235. [PMID: 33610069 DOI: 10.1016/j.sleep.2021.01.041] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/22/2020] [Revised: 10/22/2020] [Accepted: 01/26/2021] [Indexed: 12/19/2022]
Abstract
BACKGROUND Although insufficient sleep among firefighters reduces work efficiency and increases the risk of injury, little is known about the sleep quality of French firefighters in the Loire department. The aim of the FIRESLEEP study was to evaluate sleep quality and sleep disturbances among professional and voluntary French firefighters. METHODS A cross-sectional observational study was conducted between November 2018 and May 2019. Firefighters were invited to complete a questionnaire on a secure platform including clinical questions and validated questionnaires (Pittsburgh Sleep Quality Index [PSQI], Epworth sleepiness scale [ESS], Insomnia Severity Index [ISI] and the STOP-Bang score) during their periodic medical examination. RESULTS 193 firefighters were included in this study, of which 29% were of professional status and 71% were volunteer firefighters. Among them, 26.9% had poor sleep quality, 27.7% showed excessive daytime sleepiness (EDS), 18.8% reported moderate-to-severe symptoms of insomnia, and 1.6% had moderate-to-high risk of obstructive sleep apnea. Subgroup analysis revealed that professional firefighters had poorer sleep quality and higher sleep disturbances than volunteer firefighters. The independent risk factors associated with poor sleep quality were known sleep disorder, treated anxiety/depression, night calls, and insomnia symptoms. Moreover, the independent risk factors associated with EDS were short sleep duration, taking a nap, and insomnia symptoms; while older age was a protective factor for EDS. CONCLUSIONS Poor sleep quality and sleep disturbances are highly frequent in French firefighters and underdiagnosed. Prevention through education and systematic screening could limit the impact of sleep disturbances on firefighters' global health.
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Affiliation(s)
- Angélique Savall
- Department of Education and Research in General Practice, Saint-Etienne Jean Monnet University, Pôle Santé Nord, 42270 Saint Priest en Jarez, France; Clinical and Exercise Physiology, EA 4607 SNA EPIS, University Hospital and Jean Monnet University, PRES Lyon, 42023 Saint-Etienne, France.
| | - Pierre Marcoux
- Department of Education and Research in General Practice, Saint-Etienne Jean Monnet University, Pôle Santé Nord, 42270 Saint Priest en Jarez, France
| | - Rodolphe Charles
- Department of Education and Research in General Practice, Saint-Etienne Jean Monnet University, Pôle Santé Nord, 42270 Saint Priest en Jarez, France; Loire Departmental Fire and Emergency Service (DFES 42), 42007 Saint Etienne, France
| | - Béatrice Trombert
- Public Health, University Hospital, 42277 Saint-Priest-en-Jarez Cedex, France; Clinical and Exercise Physiology, EA 4607 SNA EPIS, University Hospital and Jean Monnet University, PRES Lyon, 42023 Saint-Etienne, France
| | - Frédéric Roche
- Clinical and Exercise Physiology, EA 4607 SNA EPIS, University Hospital and Jean Monnet University, PRES Lyon, 42023 Saint-Etienne, France
| | - Mathieu Berger
- Clinical and Exercise Physiology, EA 4607 SNA EPIS, University Hospital and Jean Monnet University, PRES Lyon, 42023 Saint-Etienne, France.
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Ngan WB, Belinga LEE, Nlo'o SE, Mbozo'o EA, Otsomoti E, Ndongo JM, Lele EB, Hupin D, Mandengue SH, Roche F, Bongue B. Oral health status and cardiovascular risk profile in Cameroonian military population. AIMS Public Health 2021; 8:100-109. [PMID: 33575410 PMCID: PMC7870389 DOI: 10.3934/publichealth.2021008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2020] [Accepted: 01/05/2021] [Indexed: 11/18/2022] Open
Abstract
Background Periodontal diseases (PD) seem to appear today as predictors of some cardiovascular diseases (CVD). There is a lack of data on the oral health among Cameroonian military population, and its relationship with CVD. Purpose Investigate on the link between oral health of Cameroonian military from the Ngaoundéré garrison and their cardiovascular risk profile. Participants and methods A cross-sectional study at the Fifth Military Sector Health Center in Ngaoundéré was conducted. General health parameters assessment was done according to the World Health Organization STEPS manual for surveillance of risk factors for non-communicable chronic diseases and the Alcohol Use Disorders Identification Test. The periodontal status was assessed using Dutch Periodontal Screening Index. Results Two hundred and five participants who were officers and non-commissioned officers (aged 47 ± 08 and 32 ± 08 years respectively), with 86.4% of men were included. Smoking was associated to periodontitis (OR = 4.44 [1.73–11.43], p = 0.0031). Quality of oral hygiene was associated to high cardiovascular risk profile, poor/good (OR = 3.96 [1.07–14.57], p = 0.0386) and medium/good (OR = 3.44 [1.11–10.66], p = 0.0322). Conclusion Lifestyle as tobacco consumption and poor oral hygiene were associated to CVD among military, and this call for change.
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Affiliation(s)
- W Bell Ngan
- Department of Military Health, Yaoundé, Cameroon.,Physical Activities and Sport Physiology and Medicine Unit, Faculty of Science, University of Douala, Cameroon.,INSERM, U1059, Sainbiose, Dysfonction Vasculaire et Hémostase, Université de Lyon, Université Jean Monnet, Saint-Etienne, France.,Fifth Military Sector Health Center, Ngaoundéré, Cameroon
| | - L Essama Eno Belinga
- Douala General Hospital, Cameroon.,Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Cameroon
| | | | - E Abeng Mbozo'o
- Department of Military Health, Yaoundé, Cameroon.,Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Cameroon
| | - E Otsomoti
- Fifth Military Sector Health Center, Ngaoundéré, Cameroon
| | - J Mekoulou Ndongo
- Physical Activities and Sport Physiology and Medicine Unit, Faculty of Science, University of Douala, Cameroon.,Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Cameroon
| | - Ec Bika Lele
- Physical Activities and Sport Physiology and Medicine Unit, Faculty of Science, University of Douala, Cameroon.,Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Cameroon
| | - D Hupin
- INSERM, U1059, Sainbiose, Dysfonction Vasculaire et Hémostase, Université de Lyon, Université Jean Monnet, Saint-Etienne, France.,Cetaf, St-Etienne, France
| | - S H Mandengue
- Physical Activities and Sport Physiology and Medicine Unit, Faculty of Science, University of Douala, Cameroon.,Faculty of Medicine and Pharmaceutical Sciences, University of Douala, Cameroon
| | - F Roche
- INSERM, U1059, Sainbiose, Dysfonction Vasculaire et Hémostase, Université de Lyon, Université Jean Monnet, Saint-Etienne, France
| | - B Bongue
- INSERM, U1059, Sainbiose, Dysfonction Vasculaire et Hémostase, Université de Lyon, Université Jean Monnet, Saint-Etienne, France.,Cetaf, St-Etienne, France
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Dupré C, Hupin D, Goethals L, Béland F, Roche F, Célarier T, Carrière I, Barth N, Bongue B. Domestic Activities Associated With a Decreased Risk of Cognitive Disorders: Results of the "Fréle" Cohort. Front Public Health 2021; 8:602238. [PMID: 33425840 PMCID: PMC7793943 DOI: 10.3389/fpubh.2020.602238] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/02/2020] [Accepted: 11/16/2020] [Indexed: 11/13/2022] Open
Abstract
Background: Previous cohorts studied the association of various types of physical activities with the incidence of cognitive disorders. The objective of this work was to analyze the association of leisure, domestic and professional physical activities with mild and moderate cognitive disorders in older people living in the community. Methods: We used retrospective data from the "FRéLE" (FRagilité: étude Longitudinale de ses Expressions) a longitudinal and observational study. Data collected included socio-demographic variables, lifestyle and health status. Cognitive disorders were assessed using the Montreal Cognitive Assessment (MoCA). Two cut-offs of MoCA were used to analyze mild and moderate cognitive disorders. Physical activity was assessed by the Physical Activity Scale for the Elderly (PASE) structured in three sections: leisure, household, and professional activities. Spline and logistic regression models were used to estimate the risk of cognitive disorders. Results: At baseline, 428 participants (for study of mild disorders) and 1,271 participants (for study of moderate disorders) without cognitive disorders were included in the analysis. The mean ages were 74 and 78 years, respectively. After a 2-year follow-up, we found mild cognitive disorders in 154 participants (36%) and 71 cases of moderate cognitive disorders (5.6%). In multi-adjusted logistic models, domestic activities were associated with cognitive disorders, but not leisure and professional activities. Conclusion: We found an inverse relation between domestic sub-score and cognitive disorders defined by MoCA < 18. With a specific questionnaire and quantitative information on the type of activities, this study contributed to the debate on the beneficial effects of physical activity on cognition.
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Affiliation(s)
- Caroline Dupré
- Centre technique d'appui et de formation (CETAF), Saint-Etienne, France.,Laboratory SNA-EPIS EA 4607, University Jean Monnet, Saint-Etienne, France.,Chaire Santé des ainés et ingénierie de prévention, Saint-Etienne, France
| | - David Hupin
- Laboratory SNA-EPIS EA 4607, University Jean Monnet, Saint-Etienne, France
| | - Luc Goethals
- Laboratory SNA-EPIS EA 4607, University Jean Monnet, Saint-Etienne, France.,Chaire Santé des ainés et ingénierie de prévention, Saint-Etienne, France
| | - François Béland
- Département de Gestion, d'évaluation et de politique de santé, École de santé publique, Université de Montréal, Montreal, QC, Canada.,Institute Lady Davis, Jewish General Hospital, Montréal, QC, Canada
| | - Frédéric Roche
- Laboratory SNA-EPIS EA 4607, University Jean Monnet, Saint-Etienne, France
| | - Thomas Célarier
- Service de gérontologie, Hôpital Nord, Centre Hospitalier Universitaire, Saint-Etienne, France
| | | | - Nathalie Barth
- Laboratory SNA-EPIS EA 4607, University Jean Monnet, Saint-Etienne, France.,Gérontopôle Auvergne Rhône-Alpes, Saint-Etienne, France
| | - Bienvenu Bongue
- Centre technique d'appui et de formation (CETAF), Saint-Etienne, France.,Laboratory SNA-EPIS EA 4607, University Jean Monnet, Saint-Etienne, France.,Chaire Santé des ainés et ingénierie de prévention, Saint-Etienne, France
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Pélissier C, Cavelier C, Vercherin P, Roche F, Patural H, Fontana L. Vigilance and sleepiness in nurses working 12-hr shifts and their coping strategies. J Nurs Manag 2020; 29:962-970. [PMID: 33305408 DOI: 10.1111/jonm.13233] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/10/2020] [Revised: 12/03/2020] [Accepted: 12/05/2020] [Indexed: 02/05/2023]
Abstract
AIM To describe the progression of vigilance and sleepiness over the shift and the coping strategies of nurses working 12-hr day or night shifts. BACKGROUND The spread of 12-hr shift work in nursing raises the question of whether sufficient vigilance can be maintained to ensure quality of care. METHOD 18 nurses working 12-hr shifts filled out a Karolinska Sleepiness Scale questionnaire and a Brief Psychomotor Vigilance Test, at the beginning of the shift and then every 3 hr. Coping strategies and quality of care were assessed on self-administered questionnaires, filled out at 3 hr, 6 hr, 9 hr and 12 hr after the start of the shift. RESULTS The present investigation did not show significantly excessive sleepiness or vigilance impairment or poor self-perception of quality of work during 12-hr nursing work shifts, although Psychomotor Vigilance Test results gradually deteriorated slightly over duty time (from start to end of shift). Certain coping strategies were preferred such as 'having a nap' later in the night shift. CONCLUSION Attention needs to be paid to the health status of nurses working 12-hr shifts, with regular medical monitoring by the occupational health service. IMPLICATIONS FOR NURSING MANAGEMENT Coping strategies to maintain sufficient vigilance to ensure quality of care should be facilitated.
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Affiliation(s)
- Carole Pélissier
- Univ Lyon, Univ Lyon 1, Univ St Etienne, IFSTTAR, UMRESTTE, UMR_T9405, Saint Etienne, France.,Service de Santé au travail Centre Hospitalier, Universitaire de Saint-Etienne, Saint Etienne, France
| | - Clémentine Cavelier
- Service de Santé au travail Centre Hospitalier, Universitaire de Saint-Etienne, Saint Etienne, France
| | - Paul Vercherin
- Département de Santé Publique et d'informations médicales Centre Hospitalier Universitaire de Saint-Etienne, Saint Etienne, France
| | - Frédéric Roche
- Department of Clinical and Exercise Physiology, University Hospital of Saint-Etienne, PRES Lyon, Jean Monnet University, Saint-Etienne, France.,EA SNA EPIS 4607, Autonomic Nervous System, University of Lyon, Saint-Etienne, France
| | - Hugues Patural
- Department of Pediatrics, SNA_EPIS, CHU Saint-Etienne, University of Lyon/Saint-Etienne, Saint Etienne, France
| | - Luc Fontana
- Univ Lyon, Univ Lyon 1, Univ St Etienne, IFSTTAR, UMRESTTE, UMR_T9405, Saint Etienne, France.,Service de Santé au travail Centre Hospitalier, Universitaire de Saint-Etienne, Saint Etienne, France
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Savall A, Charles R, Bujon T, Roche F, Barthélémy JC, Rabeharisoa V. Care through cohort studies: sociological survey of the PROOF cohort study on vascular and cognitive aging. J Public Health (Oxf) 2020; 42:740-747. [PMID: 31915824 DOI: 10.1093/pubmed/fdz187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2019] [Revised: 08/16/2019] [Accepted: 08/21/2019] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND The success of health research depends on the involvement of participants. Few studies have examined the participation of subjects in cohorts. Drawing on a sociological survey on a French cohort around aging, this study proposes to question the nature of interactions between researchers and subjects that would help to understand the motivations of subjects to participate and remain in health research studies. METHODS Qualitative study combining participant observation within the research laboratory that conducted the cohort and semi-structured interviews with subjects included in the cohort and with members of the research team. RESULTS This study highlights the existence of two-way care: from the laboratory to the subjects and from the cohort to researchers. Health research seems to correspond to a complex association between subjects concerned with aging and the expected benefits of exceptional monitoring. Research is incorporated into subjects' daily lives, allowing a shift in the purpose of research from overmedicalization to medical safety that subjects experienced as a form of care. CONCLUSIONS In cohort studies, care is understood as a form of attention to the person through high-quality medical follow-up. Aging is turned into a matter of concern that subjects, in collaboration with researchers, strive to control.
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Affiliation(s)
- A Savall
- Department of Education and Research in General Practice, Saint-Etienne Jean Monnet University, 42270 Saint Priest en Jarez, France.,Clinical and Exercise Physiology, EA 4607 SNA EPIS, University Hospital and Jean Monnet University, 42023 Saint-Etienne, France
| | - R Charles
- Department of Education and Research in General Practice, Saint-Etienne Jean Monnet University, 42270 Saint Priest en Jarez, France
| | - T Bujon
- Triangle UMR 5206, 42023 Saint-Etienne Cedex 2
| | - F Roche
- Clinical and Exercise Physiology, EA 4607 SNA EPIS, University Hospital and Jean Monnet University, 42023 Saint-Etienne, France
| | - J C Barthélémy
- Clinical and Exercise Physiology, EA 4607 SNA EPIS, University Hospital and Jean Monnet University, 42023 Saint-Etienne, France
| | - V Rabeharisoa
- Centre of Sociology of Innovation, UMR CNRS 9217 i3, PSL MINES Paris, 75006 Paris, France
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Dupré C, Barth N, El Moutawakkil A, Béland F, Roche F, Bongue B. Relation between cognitive disorders and type of physical activity: Results of the FréLE cohort. Eur J Public Health 2020. [DOI: 10.1093/eurpub/ckaa165.883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Few previous cohorts have studied the different type of physical activities and the degree of cognitive decline. The objective of this work was to analyze the leisure, domestic and professional activities with mild and moderate cognitive disorders in older people living in community.
Methods
The study used data from the longitudinal and observational study, FrèLE (FRagility: Longitudinal Study of Expressions). The collected data included: socio-demographic variables, lifestyle, and health status (frailty, comorbidities, cognitive status, depression). Cognitive decline was assessed by using: MMSE (Mini-Mental State Examination) and MoCA (Montreal Cognitive Assessment). MoCA was used with two cut-offs (26 and 17) so as to define mild and moderate cognitive disorders Physical activity was assessed by the PASE (Physical Activity Scale for the Elderly), structured in three sections: leisure, domestic and professional activities. Spline and proportional hazards regression models (Cox) were used to estimate the risk of cognitive disorders.
Results
At baseline, 1623 participants were included and the prevalence of cognitive disorders was 6.9% (MMSE) and 7.2% (MoCA), mild cognitive disorders was 71.3%. The mean age was 77 years, and 52% of the participants were women. After a 2 years long follow-up, we found 6.9% (MMSE) and 6% (MoCA) cognitive disorders on participants. Analyses showed that domestic activities were associated to cognitive decline (HR = 0.52 [0.28-0.94] for MMSE and HR = 0.48 [0.28-0.80] for MoCA). No association were found with leisure and professional activities, and no spline were significant with mild cognitive disorders.
Conclusions
Analysis showed a relationship between cognitive disorders and type of physical activity, thanks to the use of specific questionnaire of elderly and two global test of cognition. These findings will contribute to the debate on the beneficial effects of physical activity on cognition.
Key messages
This work allowed to compare two test of cognition and their link with physical activity. It contributes to the debate on the beneficial effects of physical activity on cognition. The work allowed us to see the effect of the different types of physical activity and the impact of the statistical method on the results.
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Affiliation(s)
- C Dupré
- CETAF, Saint-Etienne, France
- Laboratoire SNA-EPIS EA4607, Université Jean-Monnet, Saint-Etienne, France
- Chaire Santé des aînés, Université Jean-Monnet, Saint-Etienne, France
| | - N Barth
- Gérontopôle AURA, Saint-Etienne, France
- Laboratoire SNA-EPIS EA4607, Université Jean-Monnet, Saint-Etienne, France
- Chaire Santé des aînés, Université Jean-Monnet, Saint-Etienne, France
| | | | - F Béland
- Département de médecine gériatrique, Université Mc Gill, Montréal, Canada
| | - F Roche
- Laboratoire SNA-EPIS EA4607, Université Jean-Monnet, Saint-Etienne, France
| | - B Bongue
- CETAF, Saint-Etienne, France
- Laboratoire SNA-EPIS EA4607, Université Jean-Monnet, Saint-Etienne, France
- Chaire Santé des aînés, Université Jean-Monnet, Saint-Etienne, France
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Pelaez A, Dinic M, Roche F, Barthélémy J, Alamartine E, Cavalier E, Delanaye P, Maillard N, Mariat C. Cystatine C, inflammation et dysfonction autonomique : un « ménage à trois » caché ? Nephrol Ther 2020. [DOI: 10.1016/j.nephro.2020.07.167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Giraud A, Chaux R, Allard MJ, Celle M, Teyssier G, Roche F, Chapelle C, Chabrier S, Sébire G, Patural H. Perinatal inflammation is associated with social and motor impairments in preterm children without severe neonatal brain injury. Eur J Paediatr Neurol 2020; 28:126-132. [PMID: 32758415 DOI: 10.1016/j.ejpn.2020.06.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/06/2020] [Revised: 05/30/2020] [Accepted: 06/19/2020] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To test the association between exposure to perinatal inflammation - i.e. clinical chorioamnionitis or early-onset neonatal infection - in preterm children without severe neonatal brain injury and neurodevelopmental outcome at 30 months of corrected age (CA). DESIGN Cross-sectional study from a French regional cohort of clinical follow-up (SEVE Network). PATIENTS One hundred sixty-four surviving neonates without severe brain injury - namely, grade III and IV cerebral hemorrhage and cystic periventricular leukomalacia - and without late-onset neonatal inflammation exposure - namely, late-onset neonatal infection and necrotizing enterocolitis -, born at less than 33 weeks of gestational age from November 2011 to June 2015 and enrolled in the SEVE Network. MAIN OUTCOME MEASURE Global developmental quotient (DQ) score of the revised Brunet-Lézine scale and its four indices measured by the same neuropsychologist at 30 months of CA. RESULTS After multivariate analysis, exposure to perinatal inflammation was not found significantly associated with a modification of the global DQ score (coefficient -1.7, 95% CI -4.8 to 1.3; p = 0.26). Exposure to perinatal inflammation was associated with a decrease of the gross motor function DQ score (coefficient -6.0, 95% CI -9.9 to -2.1; p < 0.01) and a decrease of the sociability DQ score (coefficient -5.1, 95% CI -9.2 to -0.9; p = 0.02). Language and visuospatial coordination DQ scores were not affected by exposure to perinatal inflammation. CONCLUSION Exposure to perinatal inflammation in preterm children without severe neonatal brain injury is independently associated with decreased motor and social abilities at 30 months of CA.
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Affiliation(s)
- Antoine Giraud
- Neonatal Intensive Care Unit, Department of Pediatrics, Centre Hospitalier Universitaire de Saint-Étienne, Saint-Étienne, France; EA 4607 SNA EPIS, Université de Lyon, Université Jean Monnet, Saint-Étienne, France.
| | - Robin Chaux
- Department of Clinical Research and Pharmacology, Centre Hospitalier Universitaire de Saint-Étienne, Saint-Étienne, France
| | - Marie-Julie Allard
- Child Neurology Division, Department of Pediatrics, McGill University, Montréal, QC, Canada
| | - Magali Celle
- Coordination du Réseau SEVE, Centre Hospitalier Universitaire de Saint-Étienne, Saint-Étienne, France
| | - Georges Teyssier
- Coordination du Réseau SEVE, Centre Hospitalier Universitaire de Saint-Étienne, Saint-Étienne, France
| | - Frédéric Roche
- EA 4607 SNA EPIS, Université de Lyon, Université Jean Monnet, Saint-Étienne, France
| | - Céline Chapelle
- Department of Clinical Research and Pharmacology, Centre Hospitalier Universitaire de Saint-Étienne, Saint-Étienne, France
| | - Stéphane Chabrier
- Child Neurology Division, Department of Pediatrics, McGill University, Montréal, QC, Canada; INSERM, UMR 1059 Sainbiose, Université de Lyon, Université Jean Monnet, Saint-Étienne, France
| | - Guillaume Sébire
- Child Neurology Division, Department of Pediatrics, McGill University, Montréal, QC, Canada
| | - Hugues Patural
- Neonatal Intensive Care Unit, Department of Pediatrics, Centre Hospitalier Universitaire de Saint-Étienne, Saint-Étienne, France; EA 4607 SNA EPIS, Université de Lyon, Université Jean Monnet, Saint-Étienne, France
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Savall A, Charles R, Trombert B, Fontana L, Roche F, Pelissier C. Prevalence of cardiovascular risk factors in a population of French firefighters. Arch Environ Occup Health 2020; 76:45-51. [PMID: 32544004 DOI: 10.1080/19338244.2020.1779017] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
Firefighters' activities increase the risk of sudden cardiac events. The main objective of this study was to describe the Loire firefighters' cardiovascular risk factors according to their cardiovascular risk and to their professional status. A retrospective study of the entire population of firefighters of the Loire department was conducted. Risk factors derived from the data collected during the occupational health follow-up medical examinations were described and the cardiovascular risk was assessed for 417 firefighters. The most frequent cardiovascular risk factors were: overweight and obesity (62.1%), high blood pressure (27.8%) and active smoking (16,1%). There were no significant differences between career firefighters and volunteers. The prevalence of risk factors for cardiovascular diseases is less than in the general population. Obesity remains the most common risk factor, especially among firefighters with high cardiovascular risk.
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Affiliation(s)
- Angélique Savall
- Department of Education and Research in General Practice, Saint-Etienne Jean Monnet University, Saint Priest en Jarez, France
- Clinical and Exercise Physiology, EA 4607 SNA EPIS, University Hospital and Jean Monnet University, Saint-Etienne, France
| | - Rodolphe Charles
- Department of Education and Research in General Practice, Saint-Etienne Jean Monnet University, Saint Priest en Jarez, France
- SDIS 42, Fire and Rescue Department of Saint Etienne, Saint Etienne cedex, France
| | - Béatrice Trombert
- Clinical and Exercise Physiology, EA 4607 SNA EPIS, University Hospital and Jean Monnet University, Saint-Etienne, France
- Public Health, University Hospital, Saint-Priest-en-Jarez cedex, France
| | - Luc Fontana
- Department of Occupational Health, University Hospital, Saint-Priest-en-Jarez cedex, France
| | - Frédéric Roche
- Clinical and Exercise Physiology, EA 4607 SNA EPIS, University Hospital and Jean Monnet University, Saint-Etienne, France
| | - Carole Pelissier
- Department of Occupational Health, University Hospital, Saint-Priest-en-Jarez cedex, France
- University Lyon 1, University of St Etienne, IFSTTAR, UMRESTTE, UMR-T9405, Saint Etienne, France
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Corbier C, Chouchou F, Roche F, Barthélémy JC, Pichot V. Causal analyses to study autonomic regulation during acute head-out water immersion, head-down tilt and supine position. Exp Physiol 2020; 105:1216-1222. [PMID: 32436624 DOI: 10.1113/ep088640] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2020] [Accepted: 05/18/2020] [Indexed: 11/08/2022]
Abstract
NEW FINDINGS What is the central question of this study? Can Granger causality analysis of R-R intervals, systolic blood pressure and respiration provide evidence for the different physiological mechanisms induced during thermoneutral water immersion, 6 deg head-down tilt and supine position tests that are not accessible using traditional heart rate variability and baroreflex methods? What is the main finding and its importance? The Granger analysis demonstrated a significant difference in the causal link from R-R intervals to respiration between water immersion and head-down tilt. The underlying physiological mechanism explaining this difference could be the variation in peripheral resistances. ABSTRACT Thermoneutral head-out water immersion (WI) and 6 deg head-down tilt (HDT) are used to simulate SCUBA diving, swimming and microgravity, because these models induce an increase in central blood volume. Standard methods to analyse autonomic regulation have demonstrated an increase in parasympathetic activity and baroreflex sensitivity during these experimental conditions. However, such methods are not adapted to quantify all closed-loop interactions involved in respiratory and cardiovascular regulation. To overcome this limitation, we used Granger causality analysis between R-R intervals (RR), systolic blood pressure (SBP) and respiration (RE) in eight young, healthy subjects, recorded during 30 min periods in the supine position, WI and HDT. For all experimental conditions, we found a bidirectional causal relationship between RE and RR and between RR and SBP, with a dominant direction from RR to SBP, and a unidirectional causality from RE to SBP. These causal relationships remained unchanged for the three experimental tests. Interestingly, there was a lower causal relationship from RR to RE during WI compared with HDT. This causal link from RR to RE could be modulated by peripheral resistances. These results highlight differences in cardiovascular regulation during WI and HDT and confirm that Granger causality might reveal physiological mechanisms not accessible with standard methods.
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Affiliation(s)
- Christophe Corbier
- Saint-Etienne Jean Monnet University, Roanne Technology University Institute, University of Lyon, LASPI (EA3059), Roanne, F-42334, France
| | - Florian Chouchou
- University of La Réunion, UFRSHE, IRISSE Laboratory (EA4075), Le Tampon, F-97430, France
| | - Frédéric Roche
- Saint-Etienne Jean Monnet University, CHU de Saint-Etienne, Department of Clinical and Exercise Physiology, University of Lyon, SNA-EPIS (EA4607), Saint-Etienne, F-42055, France
| | - Jean-Claude Barthélémy
- Saint-Etienne Jean Monnet University, CHU de Saint-Etienne, Department of Clinical and Exercise Physiology, University of Lyon, SNA-EPIS (EA4607), Saint-Etienne, F-42055, France
| | - Vincent Pichot
- Saint-Etienne Jean Monnet University, CHU de Saint-Etienne, Department of Clinical and Exercise Physiology, University of Lyon, SNA-EPIS (EA4607), Saint-Etienne, F-42055, France
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Dupré C, Bongue B, Helmer C, Dartigues JF, Hupin D, Roche F, Berr C, Carrière I. Physical activity types and risk of dementia in community-dwelling older people: the Three-City cohort. BMC Geriatr 2020; 20:132. [PMID: 32276604 PMCID: PMC7146952 DOI: 10.1186/s12877-020-01538-3] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/29/2019] [Accepted: 03/27/2020] [Indexed: 12/28/2022] Open
Abstract
BACKGROUND Physical activity may decrease the risk of dementia; however, previous cohort studies seldom investigated the different types of physical activity and household activities. Our objective was to analyze the links between two physical activity types and dementia in older people. METHODS The study used data from the prospective observational Three-city cohort and included 1550 community-dwelling individuals aged 72 to 87 without dementia at baseline. Physical activity was assessed with the Voorrips questionnaire. Two sub-scores were calculated to assess household/transportation activities and leisure/sport activities. Restricted cubic spline and proportional hazard Cox models were used to estimate the non-linear exposure-response curve for the dementia risk and the appropriate activity level thresholds. Models were adjusted for possible confounders, including socio-demographic variables, comorbidities, depressive symptoms and APOE genotype. RESULTS The median age was 80 years, and 63.6% of participants were women. After a median follow-up of 4.6 years, dementia was diagnosed in 117 participants (7.6%). An inverse J-shaped association was found between household/transportation physical activity sub-score and dementia risk, which means that the risk is lowest for the moderately high values and then re-increases slightly for the highest values. The results remained significant when this sub-score was categorized in three classes (low, moderate, and high), with hazard ratios (95% confidence interval) of 0.55 (0.35-0.87) and 0.62 (0.38-1.01) for moderate and high activity levels, respectively. No significant effect was found for leisure/sport activities. CONCLUSIONS The 5-year risk of dementia was significantly and negatively associated with the household/transportation activity level, but not with the leisure and sport activity sub-score. This highlights the importance of considering all physical activity types in 72 years or older people.
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Affiliation(s)
- Caroline Dupré
- CETAF, Saint-Etienne, France.,Laboratoire SNA-EPIS, University Jean Monnet, Saint-Etienne, France
| | - Bienvenu Bongue
- CETAF, Saint-Etienne, France.,Laboratoire SNA-EPIS, University Jean Monnet, Saint-Etienne, France
| | - Catherine Helmer
- Univ. Bordeaux, Inserm, Bordeaux Population Health Research Center, UMR 1219, CIC 1401-EC, F-33000, Bordeaux, France
| | - Jean François Dartigues
- Univ. Bordeaux, Inserm, Bordeaux Population Health Research Center, UMR 1219, CIC 1401-EC, F-33000, Bordeaux, France
| | - David Hupin
- Laboratoire SNA-EPIS, University Jean Monnet, Saint-Etienne, France
| | - Frédéric Roche
- Laboratoire SNA-EPIS, University Jean Monnet, Saint-Etienne, France
| | - Claudine Berr
- Univ. Montpellier, Inserm U1061, Neuropsychiatry: epidemiological and clinical research, PSNREC, 39 avenue Charles Flahault, BP 34493, 34093, Montpellier cedex 05, France
| | - Isabelle Carrière
- Univ. Montpellier, Inserm U1061, Neuropsychiatry: epidemiological and clinical research, PSNREC, 39 avenue Charles Flahault, BP 34493, 34093, Montpellier cedex 05, France.
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Bironneau V, Tamisier R, Trzepizur W, Andriantsitohaina R, Berger M, Goupil F, Joyeux-Faure M, Jullian-Desayes I, Launois S, Le Vaillant M, Martinez MC, Roche F, Pépin JL, Gagnadoux F. Sleep apnoea and endothelial dysfunction: An individual patient data meta-analysis. Sleep Med Rev 2020; 52:101309. [PMID: 32234658 DOI: 10.1016/j.smrv.2020.101309] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2019] [Revised: 12/17/2019] [Accepted: 02/05/2020] [Indexed: 12/23/2022]
Abstract
We performed an individual patient data meta-analysis to investigate the association between obstructive sleep apnoea (OSA) severity and the reactive hyperaemia index (RHI) measured by peripheral arterial tonometry (PAT), a validated measurement of endothelial function, and a strong predictor of late cardiovascular (CV) events. Patients from 12 studies underwent PAT and overnight polysomnography or respiratory polygraphy for suspected OSA. Endothelial dysfunction was defined by a log-transformed RHI<0.51. Subgroup analyses were performed to investigate this relationship in specific populations. Among 730 patients without overt CV disease, 387 (53.0%) had severe OSA (apnoea-hypopnea index ≥30) and 164 (22.5%) exhibited endothelial dysfunction. After adjustment for age, gender, diastolic blood pressure, obesity, diabetes and chronic obstructive pulmonary disease, endothelial dysfunction was associated with severe OSA (odds ratio, OR [95% confidence interval]: 2.27 [1.12-4.60]; p = 0.02), and nocturnal hypoxemia defined by >20 min with oxygen saturation <90% (OR: 1.83 [1.22-2.92]; p = 0.004) or mean oxygen saturation <92% (OR: 1.52 [1.17-1.96]; p = 0.002). On subgroup analyses, the association between severe OSA and endothelial dysfunction was not significant in patients with hypertension, obesity and/or diabetes. Among adults without overt CV disease, severe OSA is independently associated with an increased risk of endothelial dysfunction that may predispose to late CV events.
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Affiliation(s)
| | - Renaud Tamisier
- HP2 Laboratory, INSERM U1042, Grenoble Alpes University, Grenoble, France; EFCR Laboratory, Pole Thorax et Vaisseaux, Grenoble Alpes University Hospital, Grenoble, France
| | - Wojciech Trzepizur
- INSERM U1063, SOPAM, Angers University, F-49045, Angers, France; Department of Respiratory and Sleep Medicine, Angers University Hospital, Angers, France
| | | | - Mathieu Berger
- SNA-EPIS Laboratory, EA 4607, University of Lyon, Saint-Etienne, France; Department of Clinical and Exercise Physiology, Saint-Etienne University Hospital, Saint-Etienne, France
| | - François Goupil
- Department of Respiratory Diseases, General Hospital, Le Mans, France
| | - Marie Joyeux-Faure
- HP2 Laboratory, INSERM U1042, Grenoble Alpes University, Grenoble, France; EFCR Laboratory, Pole Thorax et Vaisseaux, Grenoble Alpes University Hospital, Grenoble, France
| | - Ingrid Jullian-Desayes
- HP2 Laboratory, INSERM U1042, Grenoble Alpes University, Grenoble, France; EFCR Laboratory, Pole Thorax et Vaisseaux, Grenoble Alpes University Hospital, Grenoble, France
| | | | - Marc Le Vaillant
- Institut de Recherche en Santé Respiratoire des Pays de le Loire, Beaucouzé, France
| | | | - Frédéric Roche
- SNA-EPIS Laboratory, EA 4607, University of Lyon, Saint-Etienne, France; Department of Clinical and Exercise Physiology, Saint-Etienne University Hospital, Saint-Etienne, France
| | - Jean-Louis Pépin
- HP2 Laboratory, INSERM U1042, Grenoble Alpes University, Grenoble, France; EFCR Laboratory, Pole Thorax et Vaisseaux, Grenoble Alpes University Hospital, Grenoble, France
| | - Frédéric Gagnadoux
- INSERM U1063, SOPAM, Angers University, F-49045, Angers, France; Department of Respiratory and Sleep Medicine, Angers University Hospital, Angers, France.
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Voirin AC, Perek N, Roche F. Inflammatory stress induced by a combination of cytokines (IL-6, IL-17, TNF-α) leads to a loss of integrity on bEnd.3 endothelial cells in vitro BBB model. Brain Res 2020; 1730:146647. [DOI: 10.1016/j.brainres.2020.146647] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2019] [Revised: 12/10/2019] [Accepted: 01/02/2020] [Indexed: 01/05/2023]
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Dalle C, Ostermann AI, Konrad T, Coudy-Gandilhon C, Decourt A, Barthélémy JC, Roche F, Féasson L, Mazur A, Béchet D, Schebb NH, Gladine C. Muscle Loss Associated Changes of Oxylipin Signatures During Biological Aging: An Exploratory Study From the PROOF Cohort. J Gerontol A Biol Sci Med Sci 2020; 74:608-615. [PMID: 30137216 DOI: 10.1093/gerona/gly187] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2018] [Indexed: 12/26/2022] Open
Abstract
Characterizations of the multiple mechanisms determining biological aging are required to better understand the etiology and identify early biomarkers of sarcopenia. Oxylipins refer to a large family of signaling lipids involved in the regulation of various biological processes that become dysregulated during aging. To investigate whether comprehensive oxylipin profiling could provide an integrated and fine characterization of the early phases of sarcopenia, we performed a quantitative targeted metabolomics of oxylipins in plasma of 81-year-old subjects from the PROOF cohort with decreased (n = 12), stable (n = 16), or increased appendicular muscle mass (n = 14). Multivariate and univariate analyses identified significant and concordant changes of oxylipin profiles according to the muscle status. Of note, 90% of the most discriminant oxylipins were derived from EPA and DHA and were increased in the sarcopenic subjects. The oxylipins signatures of sarcopenic subjects revealed subtle activation of inflammatory resolution pathways, coagulation processes, and oxidative stress as well as the inhibition of angiogenesis. Heat maps highlighted relationships between oxylipins and the cardiometabolic health parameters which were mainly lost in sarcopenic subjects. This exploratory study supports that targeted metabolomics of oxylipins could provide relevant and subtle characterization of early disturbances associated with muscle loss during aging.
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Affiliation(s)
- Céline Dalle
- Université Clermont Auvergne, INRA, UNH, Unité de Nutrition Humaine, CRNH Auvergne, Clermont-Ferrand, France
| | - Annika Irmgard Ostermann
- Institute for Food Toxicology, University of Veterinary Medicine Hannover, Hannover, Germany.,Chair of Food Chemistry, Faculty of Mathematics and Natural Sciences, University of Wuppertal, Wuppertal, Germany
| | - Thade Konrad
- Chair of Food Chemistry, Faculty of Mathematics and Natural Sciences, University of Wuppertal, Wuppertal, Germany
| | - Cécile Coudy-Gandilhon
- Université Clermont Auvergne, INRA, UNH, Unité de Nutrition Humaine, CRNH Auvergne, Clermont-Ferrand, France
| | - Alice Decourt
- Université Clermont Auvergne, INRA, UNH, Unité de Nutrition Humaine, CRNH Auvergne, Clermont-Ferrand, France.,Laboratoire Interuniversitaire de Biologie de la Motricité-EA 7424, Univ Lyon, UJM-Saint-Etienne, France
| | - Jean-Claude Barthélémy
- Service de Physiologie Clinique et de l'Exercice, CHU de St Etienne, Saint-Etienne, France.,Laboratoire SNA-EPIS-EA 4607, Univ Lyon, UJM-Saint-Etienne, France
| | - Frédéric Roche
- Service de Physiologie Clinique et de l'Exercice, CHU de St Etienne, Saint-Etienne, France.,Laboratoire SNA-EPIS-EA 4607, Univ Lyon, UJM-Saint-Etienne, France
| | - Léonard Féasson
- Laboratoire Interuniversitaire de Biologie de la Motricité-EA 7424, Univ Lyon, UJM-Saint-Etienne, France.,Service de Physiologie Clinique et de l'Exercice, CHU de St Etienne, Saint-Etienne, France.,Centre Référent Maladies Neuromusculaires Rares - Euro-NmD, CHU Saint-Etienne, Saint-Etienne, France
| | - André Mazur
- Université Clermont Auvergne, INRA, UNH, Unité de Nutrition Humaine, CRNH Auvergne, Clermont-Ferrand, France
| | - Daniel Béchet
- Université Clermont Auvergne, INRA, UNH, Unité de Nutrition Humaine, CRNH Auvergne, Clermont-Ferrand, France
| | - Nils Helge Schebb
- Institute for Food Toxicology, University of Veterinary Medicine Hannover, Hannover, Germany.,Chair of Food Chemistry, Faculty of Mathematics and Natural Sciences, University of Wuppertal, Wuppertal, Germany
| | - Cécile Gladine
- Université Clermont Auvergne, INRA, UNH, Unité de Nutrition Humaine, CRNH Auvergne, Clermont-Ferrand, France
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