Les determinants d 'une prise de poids excessirve durant la grossesse

Les determinants d 'une prise de poids excessirve durant la grossesse PDF Author: Fanny Delalonde
Publisher:
ISBN:
Category :
Languages : fr
Pages : 93

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Book Description
Introduction : L'Institut Of Medicine (IOM) affirme qu'il existe un risque accru de complications obstétricales et néonatales pour les femmes en surpoids ou obèses. L'objectif de l'étude est d'identifier les déterminants d'une prise de poids excessive durant une grossesse. Méthodologie : Il s'agit d'une étude quantitative, réalisée par le biais d'un questionnaire, à la maternité de l'hôpital Nord Franche-Comté durant 4 mois. Une analyse univariée, puis multivariée ont été réalisées pour mesurer l'impact des différents facteurs décrit par l'IOM. Résultats : L'étude a inclus 506 patientes. L'analyse multivariée révèle qu'il y a 4,9 fois plus de risque d'avoir une prise de poids excessive si l'indice de masse corporelle (IMC) prégestationnel est compris entre 25 et 30, et 3,3 fois plus de risque en cas d' IMC > 30. Le sentiment d'avoir mangé avec excès majore le risque de prise de poids excessive de 2,6 fois, et le sentiment d'avoir commis des erreurs alimentaires majore le risque de 1,7 fois. La multiparité protège d'une prise de poids excessive, ainsi que l'absence d'informations données aux patientes concernant les risques en cas de prise de poids excessive. Conclusion : L'IMC pré-gestationnel ainsi que les habitudes alimentaires ont des rôles prédominants dans la prise de poids gestationnel. II faut donc axer la prévention sur ces facteurs.

Les determinants d 'une prise de poids excessirve durant la grossesse

Les determinants d 'une prise de poids excessirve durant la grossesse PDF Author: Fanny Delalonde
Publisher:
ISBN:
Category :
Languages : fr
Pages : 93

Get Book Here

Book Description
Introduction : L'Institut Of Medicine (IOM) affirme qu'il existe un risque accru de complications obstétricales et néonatales pour les femmes en surpoids ou obèses. L'objectif de l'étude est d'identifier les déterminants d'une prise de poids excessive durant une grossesse. Méthodologie : Il s'agit d'une étude quantitative, réalisée par le biais d'un questionnaire, à la maternité de l'hôpital Nord Franche-Comté durant 4 mois. Une analyse univariée, puis multivariée ont été réalisées pour mesurer l'impact des différents facteurs décrit par l'IOM. Résultats : L'étude a inclus 506 patientes. L'analyse multivariée révèle qu'il y a 4,9 fois plus de risque d'avoir une prise de poids excessive si l'indice de masse corporelle (IMC) prégestationnel est compris entre 25 et 30, et 3,3 fois plus de risque en cas d' IMC > 30. Le sentiment d'avoir mangé avec excès majore le risque de prise de poids excessive de 2,6 fois, et le sentiment d'avoir commis des erreurs alimentaires majore le risque de 1,7 fois. La multiparité protège d'une prise de poids excessive, ainsi que l'absence d'informations données aux patientes concernant les risques en cas de prise de poids excessive. Conclusion : L'IMC pré-gestationnel ainsi que les habitudes alimentaires ont des rôles prédominants dans la prise de poids gestationnel. II faut donc axer la prévention sur ces facteurs.

Peut-on mettre en évidence des facteurs de risque d'une prise de poids excessive pendant la grossesse?

Peut-on mettre en évidence des facteurs de risque d'une prise de poids excessive pendant la grossesse? PDF Author: Mathilde Paul-Petit
Publisher:
ISBN:
Category :
Languages : fr
Pages :

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Book Description


Prise de poids supérieure à 15 kg pendant la grossesse et bilan un an après

Prise de poids supérieure à 15 kg pendant la grossesse et bilan un an après PDF Author: Laetitia Koltchine
Publisher:
ISBN:
Category :
Languages : fr
Pages : 236

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Book Description
Objectif : Déterminer les facteurs en cause dans une prise de poids excessive pendant la grossesse et un an après ; adapter la prise en charge durant ces deux périodes. - Population et méthode : Étude descriptive et rétrospective de 61 primipares ayant pris plus de 15 kg pendant une grossesse normale, et ayant accouché par voie basse entre janvier et août 2000. L'enquête fut réalisée par l'envoi d'un questionnaire en juillet 2001. Critères retenus sur dossiers obstétricaux : taille, poids avant la grossesse, poids à la dernière consultation avant l'accouchement, mode d'accouchement, date d'accouchement. Deux groupes de patientes se distinguent en fonction de leur IMC [indice de masse corporelle] avant la conception. - Résultats : Pendant la grossesse, la majorité des patientes dépasse la prise de poids autorisée par l'Institut of Médecine. Les facteurs hygièno-alimentaires en sont en partie responsables. 12 à 18 mois après, la majorité des patientes a retrouvé son statut pondéral initial (poids normal ou surpoids). 1 patiente sur 7 a un IMC augmenté et supérieur à 25. Les causes sont plurifactorielles. - Conclusion : il est nécessaire d'agir collectivement en début de grossesse, en prévenant, en dépistant et en surveillant régulièrement les femmes à risques de surpoids

Your Mindful Compass

Your Mindful Compass PDF Author: Andrea Maloney Schara
Publisher:
ISBN: 9780615928791
Category : Families
Languages : en
Pages : 318

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Book Description
"Your Mindful Compass" takes us behind the emotional curtain to see the mechanisms regulating individuals in social systems. There is great comfort and wisdom in knowing we can increase our awareness to manage the swift and ancient mechanisms of social control. We can gain greater flexibility by seeing how social controls work in systems from ants to humans. To be less controlled by others, we learn how emotional systems influence our relationship-oriented brain. People want to know what goes on in families that give rise to amazing leaders and/or terrorists. For the first time in history we can understand the systems in which we live. The social sciences have been accumulating knowledge since the early fifties as to how we are regulated by others. S. Milgram, S. Ashe, P. Zimbardo and J. Calhoun, detail the vulnerability to being duped and deceived and the difficulty of cooperating when values differ. Murray Bowen, M.D., the first researcher to observe several live-in families, for up to three years, at the National Institute of Mental Health. Describing how family members overly influence one another and distribute stress unevenly, Bowen described both how symptoms and family leaders emerge in highly stressed families. Our brain is not organized to automatically perceive that each family has an emotional system, fine-tuned by evolution and "valuing" its survival as a whole, as much as the survival of any individual. It is easier to see this emotional system function in ants or mice but not in humans. The emotional system is organized to snooker us humans: encouraging us to take sides, run away from others, to pressure others, to get sick, to blame others, and to have great difficulty in seeing our part in problems. It is hard to see that we become anxious, stressed out and even that we are difficult to deal with. But "thinking systems" can open the doors of perception, allowing us to experience the world in a different way. This book offers both coaching ideas and stories from leaders as to strategies to break out from social control by de-triangling, using paradoxes, reversals and other types of interruptions of highly linked emotional processes. Time is needed to think clearly about the automatic nature of the two against one triangle. Time and experience is required as we learn strategies to put two people together and get self outside the control of the system. In addition, it takes time to clarify and define one's principles, to know what "I" will or will not do and to be able to take a stand with others with whom we are very involved. The good news is that systems' thinking is possible for anyone. It is always possible for an individual to understand feelings and to integrate them with their more rational brains. In so doing, an individual increases his or her ability to communicate despite misunderstandings or even rejection from important others. The effort involved in creating your Mindful Compass enables us to perceive the relationship system without experiencing it's threats. The four points on the Mindful Compass are: 1) Action for Self, 2) Resistance to Forward Progress, 3) Knowledge of Social Systems and the 4) The Ability to Stand Alone. Each gives us a view of the process one enters when making an effort to define a self and build an emotional backbone. It is not easy to find our way through the social jungle. The ability to know emotional systems well enough to take a position for self and to become more differentiated is part of the natural way humans cope with pressure. Now people can use available knowledge to build an emotional backbone, by thoughtfully altering their part in the relationship system. No one knows how far one can go by making an effort to be more of a self-defined individual in relationships to others. Through increasing emotional maturity, we can find greater individual freedom at the same time that we increase our ability to cooperate and to be close to others.

Computers and Games for Mental Health and Well-Being

Computers and Games for Mental Health and Well-Being PDF Author: Yasser Khazaal
Publisher: Frontiers Media SA
ISBN: 2889454967
Category : Video games in education
Languages : en
Pages : 311

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Book Description
Recent years have seen important developments in the computer and game industry, including the emergence of the concept of serious games. It is hypothesized that tools such as games, virtual reality, or applications for smartphones may foster learning, enhance motivation, promote behavioral change, support psychotherapy, favor empowerment, and improve some cognitive functions. Computers and games may create supports for training or help people with cognitive, emotional, or behavioral change. Games take various formats, from board games to informatics to games with interactive rules of play. Similarly, computer tools may vary widely in format, from self-help or assisted computerized training to virtual reality or applications for smartphones. Some tools that may be helpful for mental health were specifically designed for that goal, whereas others were not. Gamification of computer-related products and games with a numeric format tend to reduce the gap between games and computers tools and increase the conceptual synergy in such fields. Games and computer design share an opportunity for creativity and innovation to help create, specifically design, and assess preventive or therapeutic tools. Computers and games share a design conception that allows innovative approaches to overcome barriers of the real world by creating their own rules. Yet, despite the potential interest in such tools to improve treatment of mental disorders and to help prevent them, the field remains understudied and information is under-disseminated in clinical practice. Some studies have shown, however, that there is potential interest and acceptability of tools that support various vehicles, rationales, objectives, and formats. These tools include traditional games (e.g., chess games), popular electronic games, board games, computer-based interventions specifically designed for psychotherapy or cognitive training, virtual reality, apps for smartphones, and so forth. Computers and games may offer a true opportunity to develop, assess, and disseminate new prevention and treatment tools for mental health and well-being. Currently, there is a strong need for state-of-the-art information to answer questions such as the following: Why develop such tools for mental health and well-being? What are the potential additions to traditional treatments? What are the best strategies or formats to improve the possible impact of these tools? Are such tools useful as a first treatment step? What is the potential of a hybrid model of care that combines traditional approaches with games and/or computers as tools? What games and applications have already been designed and studied? What is the evidence from previous studies? How can such tools be successfully designed for mental health and well-being? What is rewarding or attractive for patients in using such treatments? What are the worldwide developments in the field? Are some protocols under development? What are the barriers and challenges related to such developments? How can these tools be assessed, and how can the way that they work, and for whom, be measured? Are the potential benefits of such products specific, or can these additions be attributed to nonspecific factors? What are the users’ views on such tools? What are the possible links between such tools and social networks? Is there a gap between evidence-based results and market development? Are there any quality challenges? What future developments and studies are needed in the field?

Low Glycemic Index Diet

Low Glycemic Index Diet PDF Author: Janette Brand Miller
Publisher:
ISBN: 9780733623561
Category : Diet therapy
Languages : en
Pages : 296

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Book Description
The Low GI Diet is the only science-based diet that is proven to help you lose weight and develop a lifetime of healthy eating habits that can help you achieve optimum health and wellbeing and protect against illness and disease. This guide features: an effective 12-week action plan based on low GI eating, exercise, and activity goals for each week which will enable you to lose up to ten per cent of your current body weight; plus an ongoing maintenance program tips to help you maintain weight loss for life delicious recipes and meal plans the GI tables with the GI values of all your favourite foods. The result: A slimmer, fitter, healthier you for the rest of your life! Brought to you by the authors of the worldwide bestselling The New Glucose Revolution series on the glycemic index, The Low GI Diet explains how choosing low GI carbohydrates can help you feel fuller for longer and increase your energy levels making weight loss achievable and sustainable. A companion volume to the newly revised and updated The Low GI Handbook. Start losing weight and improving your overall health today.

Carbohydrate Metabolism in Pregnancy and the Newborn

Carbohydrate Metabolism in Pregnancy and the Newborn PDF Author: Hamish W. Sutherland
Publisher:
ISBN:
Category : Health & Fitness
Languages : en
Pages : 272

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Book Description
Abstract: The effects of pregnancy-related physiological changes on carbohydrate metabolism, pre-diabetic states, and influences on fetal growth were the themes of an international Colloquium in 1973. The papers presented dealt with not only the physiological aspects of pregnancy and diabetes, such as maternal-fetal metabolic interrelationships and renal handling of glucose, but the advances in understanding the endocrine system, the histology of the fetal pancreas, and clinical care and diagnosis of diabetic pregnancies. Scientific methods of investigating pregnancy and the newborn infant have evolved into an interdisciplinary approach, which contributes to early diagnosis, understanding the influence of the fetus on pregnancy outcome, the importance of genetics, and many other aspects of diabetes and pregnancy.

Health and Modernity

Health and Modernity PDF Author: David V. McQueen
Publisher: Springer Science & Business Media
ISBN: 0387377573
Category : Health & Fitness
Languages : en
Pages : 180

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Book Description
Pandemics, substance abuse, natural disasters, obesity, and warfare: these are not only health crises but social crises as well. Now a panel of leaders in global health explores the vital but understudied social theories behind the practice of health promotion, including cultural capital, risk and causality, systems theory, and the dynamic between individual and community.

The African Charter on the Rights and Welfare of the Child

The African Charter on the Rights and Welfare of the Child PDF Author: Thoko Kaime
Publisher: PULP
ISBN: 0981442048
Category : African Charter on the Rights and Welfare of the Child
Languages : en
Pages : 260

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Book Description
The African Charter on the Rights and Welfare of the Child: A socio-legal perspectiveby Thoko Kaime2009ISBN: 978-0-9814420-4-4Pages: xii 247Print version: AvailableElectronic version: Free PDF available.

Strategies to Reduce Sodium Intake in the United States

Strategies to Reduce Sodium Intake in the United States PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309148057
Category : Medical
Languages : en
Pages : 506

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Book Description
Reducing the intake of sodium is an important public health goal for Americans. Since the 1970s, an array of public health interventions and national dietary guidelines has sought to reduce sodium intake. However, the U.S. population still consumes more sodium than is recommended, placing individuals at risk for diseases related to elevated blood pressure. Strategies to Reduce Sodium Intake in the United States evaluates and makes recommendations about strategies that could be implemented to reduce dietary sodium intake to levels recommended by the Dietary Guidelines for Americans. The book reviews past and ongoing efforts to reduce the sodium content of the food supply and to motivate consumers to change behavior. Based on past lessons learned, the book makes recommendations for future initiatives. It is an excellent resource for federal and state public health officials, the processed food and food service industries, health care professionals, consumer advocacy groups, and academic researchers.