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Biomedical subjects

M Jeanjean

Publications and source records attributed to M Jeanjean.

18 recordsLinked to original sources

Dietary habits during adolescence--results of the Belgian Adolux Study.

UNLABELLED: OBJECTIVE OF THE PRESENT STUDY: To analyse the usual dietary habits of Belgian adolescents from a high cardiovascular risk population. METHODS: A food frequency questionnaire (57 items) was administered to the whole sample. Complementary questions specified some types of food (eg fat content). A subgroup of 234 adolescents gave detailed information on portion size (picture book and food samples). SETTING: Twenty-four secondary schools in the Belgian province of Luxembourg. SUBJECTS: A total of 1,526 adolescents (12-17y) selected by a multiclustered stage sampling (participation: 83.6%). RESULTS: Respectively 46% and 60% of the adolescents did not eat fruit and vegetables daily. Most of the adolescents (72%) consumed at least one dairy product daily. The frequent consumption of chocolate and French fries indicated the strong cultural influence on dietary habits while imported foods (like hamburgers) had little success. One-third of the adolescents (33%, n = 509) drank alcohol at least once a week and this proportion rose to 57% in the oldest age group. Boys and girls differed significantly in their diet, with girls choosing healthier foods. Dietary habits, in particular drinking habits, differed also significantly between education levels, assessed by the learning option of the participants. The semi-quantitative questionnaire showed that two-thirds of the adolescents had a lipid intake (mainly saturated fatty acids) which exceeded 35% of the total caloric intake. Complex carbohydrates represented less than half of the total carbohydrates intake. CONCLUSION: The study of the diet of Belgian adolescents confirmed the strong influence of tradition, in particular on the consumption of high fat content foods. The promotion of healthy diet in adolescents should consider the cultural influence, even for this young age group.

Adolescent↗

Oral contraception and cardiovascular risk factors during adolescence.

The objective of the present study was to analyze the pattern of oral contraceptive (OC) use in teenagers and to examine the relationship between OC use and other cardiovascular risk factors. The study was conducted in 24 Belgian secondary schools. Most students (1526 adolescents aged 12-17 years) agreed to participate (participation rate: 83.6%). Smoking, physical activity habits, menarche, and OC use were assessed by a self-administered questionnaire. Total cholesterol level, blood pressure and anthropometric measurements were also measured. Fourteen per cent of mature girls (14%, n = 92) were OC users. Two-thirds of them (66.3%, n = 61) were taking OC which contained either gestodene or desogestrel. Blood pressure and BMI were similar for OC users and non-users. Total cholesterol level was significantly higher in OC users than in non-users (191 mg/dL versus 172 mg/dL). Logistic regression model confirmed the significant influence of OC use on total cholesterol level (OR = 3.08). OC users were also often smokers (39% versus 20% for non-users). In conclusion, the present study has found significant relationships between OC use and cardiovascular risk factors i.e., high total cholesterol and smoking. The first implication is a need for further research on lipoprotein profile in young OC users. Secondly, the combined use of OC and smoking in teenagers calls for preventive actions.

Adolescent↗

Blood pressure during adolescence: a study among Belgian adolescents selected from a high cardiovascular risk population.

INTRODUCTION: The Belgian province of Luxembourg has a high incidence of cardiovascular (CV) disease according to the MONICA register. Surveys conducted in adults and children have also found high CV risk factor levels in this province. DESIGN: cross-sectional study. OBJECTIVE OF THE PRESENT STUDY: To collect data about blood pressure (BP) and its determinants in adolescents from this high CV risk population and to analyse their relationship. PARTICIPANTS: 1526 adolescents (12-17 years) in 24 secondary schools of the province. RESULTS: Mean systolic BP levels were 125 mm Hg (sd = 12 mm Hg) and 122 mm Hg (sd = 11 mm Hg) for boys and girls, respectively. Mean diastolic BP was equal to 74 mm Hg (sd = 10 mm Hg) in both genders. Systolic BP increased with age and differed significantly between genders from 15 years onwards. Body fatness indices increased with age except waist-to-hip ratio in girls and triceps skinfold in boys. Regression models including age, anthropometric indices and physical activity explained a small percentage of BP variance (for systolic BP, r2 = 0.21 and 0.12 for boys and girls, respectively). Weight was the first parameter related to BP in correlation and regression analyses. CONCLUSIONS: This study showed high BP and body fatness indices in adolescents from a high CV risk population. The model under study showed a moderate relationship between body fatness and BP. This finding suggests other influences as a genetic component to account for the high levels observed.

Adolescent↗

Type A behaviour pattern: specific coronary risk factor or general disease-prone condition?

While the association between Type A behaviour pattern and coronary heart disease (CHD) has been abundantly investigated, the question of the specificity of this association remains virtually unexplored. The present study addressed this question by examining, in a sample of 1949 male and female adults, the relationship between JAS Type A measurement and self-reported diseases (i.e. CHD, scarlatina, rheumatoid arthritis, asthma, diseases of the liver, diseases of the gall-bladder, thyroid troubles, tuberculosis, peptic ulcer, renal disease, hypertension and diabetes). Type A subjects were found to report not only more CHD, but also more peptic ulcers, thyroid problems, asthma and rheumatoid arthritis. Globally, more Type A than Type B subjects reported having been ill, and the average number of reported diseases per person was higher among Type As than among Type Bs. These results were obtained in spite of the fact that Type A subjects in this study were markedly younger than Type Bs, and in spite of the empirically based reputation of the former to be symptom deniers rather than symptom reporters. Overall, the data supported the view that Type A behaviour pattern is a general disease-prone condition rather than merely a specific coronary risk factor.

Adult↗

Effect of aging on the morphology of epididymal adipose tissue in the rat.

Quantitative morphometrical parameters were compared in epididymal adipose tissue of adult (6 months old) and old (24 months old) Wistar rats, using light and electron microscopy of embedded material and freeze-etch replicas, and taking into account the functional unit of adipose tissue: the capillary-adipocyte. Despite an insignificant reduction of the adipocyte number and size in old rats when the whole population was sampled, the confounding factor of size of adipocytes could be excluded from morphometric computations in adult and old rats. Morphometric measures were performed on the whole transit from capillaries to adipocytes. They revealed that the plasma membranes, as seen in freeze etching, and the thicknesses of endothelial and adipocyte cytoplasms, as seen in ultra-thin sections, remained unaltered with aging. By contrast, the basement membranes were changed but differently around capillaries and adipocytes. The capillary-adipocyte distances were shorter and the vascularization density was higher in old rats.

Adipose Tissue↗

[The effect of age on the in vitro insulin response in the rat. II. Glucose metabolism in epididymal adipose tissue (author's transl)].

A decrease of the basal glucose metabolism with sensescence in the isolated rat adipose tissue has been demonstrated. In the presence of insulin, the oxidation of (U14C)-D-glucose and its incorporation into triglycerides are significantly increased at all ages studied. No significant difference between groups of animals was noted when the insulin-stimulating effect was related to basal metabolism. The synthesis of fatty acids from glucose is highly enhanced by insulin at 6 weeks, poorly at 6 months and no more at 24 months. It is concluded that the insulin sensitivity of the rat adipose tissue is not affected by ageing. Nevertheless, as far as fatty acid synthesis is concerned, a different metabolic pathway could be involved.

Adipose Tissue↗

[The effect of age on the in vitro response to insulin in the rat. I. Glucose metabolism on the diaphragm (author's transl)].

No modification in basal radioglucose metabolism by isolated rat diaphragm could be seen with senescence. Insulin increased the production of 14CO2 only in growing animals. On the opposite, incorporation of radioglucose into glycogen is enhanced in the different age groups; nevertheless, the response in 3-month-old animals was lower than in 6-week-old ones. No significant difference has been detected between the adult and the old rats. Therefore, it is concluded that a diminution of insulin sensitivity appeared during the period of transition between growing up and maturity without any further modification during old age.

Aging↗