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Le Goff D, Aerts N, Odorico M, Guillou-Landreat M, Perraud G, Bastiaens H, Musinguzi G, Le Reste JY, Barais M. Practical dietary interventions to prevent cardiovascular disease suitable for implementation in primary care: an ADAPTE-guided systematic review of international clinical guidelines. Int J Behav Nutr Phys Act 2023; 20:93. [PMID: 37507692 PMCID: PMC10385931 DOI: 10.1186/s12966-023-01463-9] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2022] [Accepted: 05/03/2023] [Indexed: 07/30/2023] Open
Abstract
PURPOSE Cardiovascular diseases (CVD) are the leading cause of death globally. The current model of care for high-income countries involves preventive medication and highly trained healthcare professionals, which is expensive and not transposable to low-income countries. An innovative, effective approach adapted to limited human, technical, and financial resources is required. Measures to reduce CVD risk factors, including diet, are proven to be effective. The survey "Scaling-up Packages of Interventions for Cardiovascular disease prevention in selected sites in Europe and Sub-Saharan Africa" aims to develop non-pharmacological cardiovascular prevention and control programs in primary care and community settings in high, middle, and low-income countries. This review aims to identify the existing, validated dietary interventions for primary CVD prevention from national and international clinical guidelines that can be implemented in primary care and communities. METHODS A systematic review of CVD prevention guidelines was conducted between September 2017 and March 2023 using the Turning Research Into Practice medical database, the Guidelines International Network, and a purposive search. The ADAPTE procedure was followed. Two researchers independently conducted the searches and appraisals. Guidelines published after 01/01/2012 addressing non-pharmacological, dietary interventions for primary CVD prevention or CVD risk factor management, in the adult general population in primary care or in community settings were included and appraised using the Appraisal of Guidelines Research and Evaluation II score. Individual dietary recommendations and the studies supporting them were extracted. Then supporting data about each specific dietary intervention were extracted into a matrix. RESULTS In total, 1375 guidelines were identified, of which 39 were included. From these, 383 recommendations, covering 10 CVD prevention themes were identified. From these recommendations, 165 studies for effective dietary interventions for CVD prevention were found. Among these, the DASH diet was the most effective on multiple CVD risk factors. Combining diet with other interventions such as exercise and smoking cessation increased efficacy. No guidelines provided detailed implementation strategies. CONCLUSION The DASH diet combined with other interventions was the most effective on an individual basis. However, expansion in the wider population seems difficult, without government support to implement regulations such as reducing salt content in processed food. TRIAL REGISTRATION Clinical Trials NCT03886064.
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Affiliation(s)
- Delphine Le Goff
- Department of General Practice, University of Western Brittany, 22, Av. Camille Desmoulins, Brest, 29238, France.
- ER 7479 SPURBO, University of Western Brittany, 22, Av. Camille Desmoulins, Brest, 29238, France.
| | - Naomi Aerts
- Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, 2610, Belgium
| | - Michele Odorico
- Department of General Practice, University of Western Brittany, 22, Av. Camille Desmoulins, Brest, 29238, France
- ER 7479 SPURBO, University of Western Brittany, 22, Av. Camille Desmoulins, Brest, 29238, France
| | - Morgane Guillou-Landreat
- ER 7479 SPURBO, University of Western Brittany, 22, Av. Camille Desmoulins, Brest, 29238, France
| | - Gabriel Perraud
- Department of General Practice, University of Western Brittany, 22, Av. Camille Desmoulins, Brest, 29238, France
- ER 7479 SPURBO, University of Western Brittany, 22, Av. Camille Desmoulins, Brest, 29238, France
| | - Hilde Bastiaens
- Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, 2610, Belgium
- Global Health Institute, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, 2610, Belgium
| | - Geofrey Musinguzi
- Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, 2610, Belgium
- Department of Disease Control and Environmental Health, School of Public Health, Makerere University, Kampala, Uganda
| | - Jean-Yves Le Reste
- Department of General Practice, University of Western Brittany, 22, Av. Camille Desmoulins, Brest, 29238, France
- ER 7479 SPURBO, University of Western Brittany, 22, Av. Camille Desmoulins, Brest, 29238, France
| | - Marie Barais
- Department of General Practice, University of Western Brittany, 22, Av. Camille Desmoulins, Brest, 29238, France
- ER 7479 SPURBO, University of Western Brittany, 22, Av. Camille Desmoulins, Brest, 29238, France
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Aerts N, Le Goff D, Odorico M, Le Reste JY, Van Bogaert P, Peremans L, Musinguzi G, Van Royen P, Bastiaens H. Systematic review of international clinical guidelines for the promotion of physical activity for the primary prevention of cardiovascular diseases. BMC Fam Pract 2021; 22:97. [PMID: 34011279 PMCID: PMC8136198 DOI: 10.1186/s12875-021-01409-9] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [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] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Accepted: 03/09/2021] [Indexed: 12/03/2022]
Abstract
BACKGROUND Cardiovascular diseases are the world's leading cause of morbidity and mortality. An active lifestyle is one of the cornerstones in the primary prevention of cardiovascular disease. An initial step in guiding primary prevention programs is to refer to clinical guidelines. We aimed to systematically review clinical practice guidelines on primary prevention of cardiovascular disease and their recommendations regarding physical activity. METHODS We systematically searched Trip Medical Database, PubMed and Guidelines International Network from January 2012 up to December 2020 using the following search strings: 'cardiovascular disease', 'prevention', combined with specific cardiovascular disease risk factors. The identified records were screened for relevance and content. We methodologically assessed the selected guidelines using the AGREE II tool. Recommendations were summarized using a consensus-developed extraction form. RESULTS After screening, 27 clinical practice guidelines were included, all of which were developed in Western countries and showed consistent rigor of development. Guidelines were consistent about the benefit of regular, moderate-intensity, aerobic physical activity. However, recommendations on strategies to achieve and sustain behavior change varied. Multicomponent interventions, comprising education, counseling and self-management support, are recommended to be delivered by various providers in primary health care or community settings. Guidelines advise to embed patient-centered care and behavioral change techniques in prevention programs. CONCLUSIONS Current clinical practice guidelines recommend similar PA lifestyle advice and propose various delivery models to be considered in the design of such interventions. Guidelines identify a gap in evidence on the implementation of these recommendations into practice.
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Affiliation(s)
- N. Aerts
- Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - D. Le Goff
- Department of General Medicine, SPURBO, Université de Bretagne Occidentale, University of West Brittany, 7479 Brest, EA France
| | - M. Odorico
- Department of General Medicine, SPURBO, Université de Bretagne Occidentale, University of West Brittany, 7479 Brest, EA France
| | - J. Y. Le Reste
- Department of General Medicine, SPURBO, Université de Bretagne Occidentale, University of West Brittany, 7479 Brest, EA France
| | - P. Van Bogaert
- Department of Nursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerpen, Belgium
| | - L. Peremans
- Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
- Department of Nursing and Midwifery, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerpen, Belgium
| | - G. Musinguzi
- Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
- Department of Disease Control and Environmental Health, School of Public Health, College of Health Sciences, Makerere University, Kampala, Uganda
| | - P. Van Royen
- Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
| | - H. Bastiaens
- Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
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Odorico M, Le Goff D, Aerts N, Bastiaens H, Le Reste JY. How To Support Smoking Cessation In Primary Care And The Community: A Systematic Review Of Interventions For The Prevention Of Cardiovascular Diseases. Vasc Health Risk Manag 2019; 15:485-502. [PMID: 31802882 PMCID: PMC6827500 DOI: 10.2147/vhrm.s221744] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [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: 07/03/2019] [Accepted: 09/14/2019] [Indexed: 01/18/2023] Open
Abstract
Introduction Smoking is a major risk factor for cardiovascular diseases (CVDs) and for many types of cancers. Despite recent policies, 1.1 billion people are active smokers and tobacco is the leading cause of mortality and illness throughout the world. The aim of this work was to identify smoking cessation interventions which could be implemented in primary care and/or at a community level. Methods A systematic review of CVDs prevention guidelines was realized using the ADAPTE Process. These were identified on G-I-N and TRIP databases. Additionally, a purposive search for national guidelines was successfully undertaken. Guidelines focusing on non-pharmacological lifestyle interventions, published or updated after 2011, were included. Exclusion criteria were specific populations, management of acute disease and exclusive focus on pharmacological or surgical interventions. After appraisal with the AGREE II tool, high-quality guidelines were included for analysis. High-grade recommendations and the supporting bibliographic references were extracted. References had to be checked in detail where sufficient information was not available in the guidelines. Results Nine hundred and ten guidelines were identified, 47 evaluated with AGREE II and 26 included. Guidelines recommended that patients quit smoking and that health care professionals provided advice to smokers but failed to propose precise implementation strategies for such recommendations. Only two guidelines provided specific recommendations. In the guideline bibliographic references, brief advice (BA) and multiple session strategies were identified as effective interventions. These interventions used Prochaska theory, motivational interviewing or cognitive-behavioral therapies. Self-help documentation alone was less effective than face-to-face counseling. Community-based or workplace public interventions alone did not seem effective. Discussion Behavioral change strategies were effective in helping patients to give up smoking. BA alone was less effective than multiple session strategies although it required fewer resources. Evidence for community-based interventions effectiveness was weak, mainly due to the lack of robust studies.
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Affiliation(s)
- Michele Odorico
- Department of General Practice, EA 7479 SPURBO, Université de Bretagne Occidentale (UBO - University of West Brittany), Brest, France
| | - Delphine Le Goff
- Department of General Practice, EA 7479 SPURBO, Université de Bretagne Occidentale (UBO - University of West Brittany), Brest, France
| | - Naomi Aerts
- Department of Primary and Interdisciplinary Care, University of Antwerp, Antwerp, Belgium
| | - Hilde Bastiaens
- Department of Primary and Interdisciplinary Care, University of Antwerp, Antwerp, Belgium
| | - Jean Yves Le Reste
- Department of General Practice, EA 7479 SPURBO, Université de Bretagne Occidentale (UBO - University of West Brittany), Brest, France
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Shehayeb S, Deschanels X, Lautru J, Ghannam L, Odorico M, Karamé I, Toquer G. Thin polymeric CuO film from EPD designed for low temperature photothermal absorbers. Electrochim Acta 2019. [DOI: 10.1016/j.electacta.2019.03.078] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Pisani C, Gaillard J, Odorico M, Nyalosaso J, Charnay C, Guari Y, Chopineau J, Devoisselle J, Armengaud J, Prat O. Corona interactome: A key for deciphering protein adsorption kinetics on silica nanocarriers surface. Toxicol Lett 2016. [DOI: 10.1016/j.toxlet.2016.06.1980] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Le Reste JY, Nabbe P, Lingner H, Kasuba Lazic D, Assenova R, Munoz M, Sowinska A, Lygidakis C, Doerr C, Czachowski S, Argyriadou S, Valderas J, Le Floch B, Deriennic J, Jan T, Melot E, Barraine P, Odorico M, Lietard C, Van Royen P, Van Marwijk H. What research agenda could be generated from the European General Practice Research Network concept of Multimorbidity in Family Practice? BMC Fam Pract 2015; 16:125. [PMID: 26381383 PMCID: PMC4574005 DOI: 10.1186/s12875-015-0337-3] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 05/09/2015] [Accepted: 09/07/2015] [Indexed: 01/08/2023]
Abstract
Background Multimorbidity is an intuitively appealing, yet challenging, concept for Family Medicine (FM). An EGPRN working group has published a comprehensive definition of the concept based on a systematic review of the literature which is closely linked to patient complexity and to the biopsychosocial model. This concept was identified by European Family Physicians (FPs) throughout Europe using 13 qualitative surveys. To further our understanding of the issues around multimorbidity, we needed to do innovative research to clarify this concept. The research question for this survey was: what research agenda could be generated for Family Medicine from the EGPRN concept of Multimorbidity? Methods Nominal group design with a purposive panel of experts in the field of multimorbidity. The nominal group worked through four phases: ideas generation phase, ideas recording phase, evaluation and analysis phase and a prioritization phase. Results Fifteen international experts participated. A research agenda was established, featuring 6 topics and 11 themes with their corresponding study designs. The highest priorities were given to the following topics: measuring multimorbidity and the impact of multimorbidity. In addition the experts stressed that the concept should be simplified. This would be best achieved by working in reverse: starting with the outcomes and working back to find the useful variables within the concept. Conclusion The highest priority for future research on multimorbidity should be given to measuring multimorbidity and to simplifying the EGPRN model, using a pragmatic approach to determine the useful variables within the concept from its outcomes.
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Affiliation(s)
- J Y Le Reste
- ERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Brest, France.
| | - P Nabbe
- ERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Brest, France.
| | - H Lingner
- Centre for Public Health and Healthcare, Hannover Medical School, Hannover, Germany.
| | - D Kasuba Lazic
- Department of General Practice, University of Zagreb, Zagreb, Croatia.
| | - R Assenova
- Department of General Practice, University of Plovdiv, Plovdiv, Bulgaria.
| | - M Munoz
- IDIAP Jordi GOL Unitat de Support a la Recerca, Barcelona, Spain.
| | - A Sowinska
- Department of English, Nicolaus Copernicus University, Torun, Poland.
| | - C Lygidakis
- Associazione Italiana Medici di Famiglia (AIMEF), Bologna, Italy.
| | - C Doerr
- Allgemein Medizin Hochschule Göttingen, Göttingen, Germany.
| | - S Czachowski
- Department of Family Doctor, University Nicolaus Copernicus, Torun, Poland.
| | - S Argyriadou
- The Greek Association of General Practitioners (ELEGEIA), Thessaloniki, Greece.
| | - J Valderas
- Patient Centred Care Lead, University of Exeter Collaboration for Academic Primary Care (APEx), University of Exeter Medical School, Exeter, UK.
| | - B Le Floch
- ERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Brest, France.
| | - J Deriennic
- ERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Brest, France.
| | - T Jan
- ERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Brest, France.
| | - E Melot
- ERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Brest, France.
| | - P Barraine
- ERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Brest, France.
| | - M Odorico
- ERCR SPURBO, Department of General Practice, Université de Bretagne Occidentale, Brest, France.
| | - C Lietard
- Department of Public Health, Université de Bretagne Occidentale, Brest, France.
| | - P Van Royen
- Department of Primary and Interdisciplinary Care, Faculty of Medicine and Health Sciences, Universiteit Antwerpen, Antwerpen, Belgium.
| | - H Van Marwijk
- Primary Care Research Center, Williamson Building, Oxford Road, Manchester, UK.
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Bertoli R, Bissig M, Caronzolo D, Odorico M, Pons M, Bernasconi E. Assessment of potential drug-drug interactions at hospital discharge. Swiss Med Wkly 2010; 140:w13043. [PMID: 20373176 DOI: 10.4414/smw.2010.13043] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE The evaluation of the prevalence of potential drug-drug interactions and assessment of their clinical relevance in patients' discharge medication in the medical ward of a community teaching hospital. The relevant clinical information was reported to the treating physicians. METHODS 200 patients at discharge from a medical ward were included. Prescribed drugs were analysed for interactions using commercially available software (Pharmavista). Clinical pharmacists and a physician assessed the clinical relevance of detected interactions, eliminated those which were not considered clinically relevant and formulated recommendations for those considered clinically relevant. A written recommendation was given to the physician to provide rapid feedback before discharge. RESULTS The median age of the 200 patients studied was 69 years. At discharge, patients took an average of 7 different drugs. 62.5% of patients had at least one potential drug-drug interaction. In total, 373 potential drug-drug interactions were identified: 223 (60%) of minor severity, 143 (38%) of moderate severity and 7 (2%) of major severity. CONCLUSIONS A computerised drug-drug interaction program (detection) together with clinical pharmacological experience (interpretation/evaluation) can be useful for decreasing the number of potentially harmful drug combinations. This approach may lead to an improvement in the quality of prescription, reducing possible risks and thus contributing to patient safety.
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Affiliation(s)
- Raffaela Bertoli
- Servizio di consulenza sui farmaci e Centro Regionale di Farmacovigilanza, Ospedale Regionale di Lugano, Lugano, Lugano, Switzerland.
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Odorico M, Teulon JM, Berthoumieu O, Chen SWW, Parot P, Pellequer JL. An integrated methodology for data processing in dynamic force spectroscopy of ligand–receptor binding. Ultramicroscopy 2007; 107:887-94. [PMID: 17644254 DOI: 10.1016/j.ultramic.2007.04.019] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Dynamic force spectroscopy (DFS), using atomic force microscopy (AFM), is a powerful tool to study ligand-receptor binding. The interaction mode of two binding partners is investigated by exploring stochastic behaviors of bond rupture events. However, to define a rupture event from force-distance measurements is not conclusive or unique in literature. To reveal the influence of event identification methods, we have developed an efficient protocol to manage tremendous amount of data by implementing different choices of peak selection from the force-distance curve. This data processing software simplifies routinely experimental procedures such as cantilever spring constant and force-distance curve calibrations, statistical treatments of data, and analysis distributions of rupture events. In the present work, we took available experimental data from a complex between a chelate metal compound and a monoclonal antibody as a study system.
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Affiliation(s)
- M Odorico
- CEA-Valrho, DSV-DIEP-SBTN, BP 17171, Bagnols sur Cèze 30207, France
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