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Gusto G.,Institute Interregional Pour la Sante | Vol S.,Institute Interregional Pour la Sante | Lasfargues G.,Agence nationale de securite sanitaire et de lalimentation | Lasfargues G.,University of Tours | And 7 more authors.
Presse Medicale | Year: 2015

Aim: Shift work, especially including a night shift, is associated with degradation of physical, social and psychosocial health as well as poor well-being. Food imbalance and low physical activity contributed to the negative effects on health. Our objective was to promote a healthier nutritional behaviour according to the French national nutrition and health program recommendations (PNNS). Methods: A one-year nutritional intervention with personalised dietetic counselling was proposed to 235 shift workers with night shift who came for a health prevention exam in one of the centres of the Institut Inter-Régional pour la Santé between 2009 and 2011. The intervention was three dietary interviews: at baseline with definition of goal setting, at 3. months for advice and support and at one-year for the evaluation. At 6. months, a personalised reminder letter was send. Compliance with the PNNS recommendations and level of physical activity were evaluated at baseline and at one-year by a self-administered questionnaire. Changes between baseline and follow-up were compared by paired t-tests or McNemar-tests. Results: The rate of follow-up was 57.4%. At the end of the study, subjects improved their compliance with PNNS guidelines concerning sweetened products (P< 0.001), water (P= 0.02) and salt (P=0.05), increased their leisure physical activity (P=0.001) and decreased their daily energy intakes (P< 0.001). Conclusion: A structured intervention can improve nutritional behaviours of shift workers. This intervention enabled to inform and alert on the risk related to this work schedule and promote better nutritional behaviours. © 2015 Elsevier Masson SAS. Source

Balkau B.,French Institute of Health and Medical Research | Balkau B.,University Paris - Sud | Soulimane S.,French Institute of Health and Medical Research | Soulimane S.,University Paris - Sud | And 33 more authors.
Diabetes Care | Year: 2011

OBJECTIVE - To compare incidences and risk factors for diabetes using seven definitions, with combinations of pharmacological treatment, fasting plasma glucose (FPG) ≥7.0 mmol/L, and HbA1c ≥6.5%. RESEARCH DESIGN AND METHODS - Participants aged 30-65 years from the Data from an Epidemiological Study on the Insulin Resistance Syndrome (DESIR) cohort were followed for 9 years. RESULTS - More men had incident diabetes as defined by FPG ≥7.0mmol/L and/or treatment than by HbA1c ≥6.5% and/or treatment: 7.5% (140/1,867) and 5.3% (99/1,874), respectively (P < 0.009); for women incidences were similar: 3.2% (63/1,958) and 3.4% (66/1,954). Known risk factors predicted diabetes for almost all definitions. Among those with incident diabetes by FPG alone versus HbA1c alone, there were more men (78 vs. 35%), case patients were 8 years younger, and fewer were alcohol abstainers (12 vs. 35%) (all P < 0.005). A diabetes risk score discriminated well between those with and without incident diabetes for all definitions. CONCLUSIONS - In men, FPG definitions yielded more incident cases of diabetes than HbA 1c definitions, in contrast with women. An FPG-derived risk score remained relevant for HbA1c-defined diabetes. © 2011 by the American Diabetes Association. Source

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