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3. Alzheimer and the Mediterranean report 2016 – Overview – Challenges – Perspectives

Author

Nicaise, Salome, Palermiti, Federico, Abdul-Rahman, Miriam, Alouane, Leila, Alouane, Sandrine, Ankri, Joel, Bartorelli, Luisa, Castel Tallet, Marie Antoinette, Ceccaldi, Mathieu, Desana, Marie-Odile, Do Rosario Zincke, Maria, Gelonch, Antoni, Georges, Jean, Guetin, Stephane, Gzil, Fabrice, Hirsch, Emmanuel, Kissani, Najib, Kocaman, Fusun, Kusan Jukic, Marija, Lefeuvre, Karine, Louchart de la Chapelle, Sandrine, Mimica, Ninoslav, Mneimneh, Mira, Naja, Nabil, Ngatcha-Ribert, Laetitia, Pesce, Alain, Scerri, Charles, Seleari, Maria, Touchan, Jacques, Tsolaki, Magda, Vellas, Bruno, Wortmann, Marc, Zlobec, Stefania, Monegasque Association for Research on Alzheimer’s disease (AMPA), and Monegasque Association for Research on Alzheimer’s disease (AMPA)

Subjects
education, Alzheimer's disease -- Mediterranean Region, Health surveys -- Mediterranean Region, Alzheimer's disease -- Patients -- Care, Alzheimer's disease, dementia, Mediterranean, report
Abstract

This report is the first paper to discuss the issues concerning Alzheimer’s disease and related disorders in the Mediterranean region. It aims to assess needs related to the illness and to analyse the emerging medical and social challenges in the region. The report also makes recommendations on a regional and international level in order to be able to anticipate solutions and provide better support and care for people with Alzheimer’s disease and related disorders. This report presents the results of the ALZMED (Alzheimer and the Mediterranean) study, which was carried out by the Monegasque Association for research on Alzheimer’s disease between June 2013 and July 2014. This study was composed of: • A review of national and international literature on issues related to Alzheimer’s disease in the Mediterranean region. • A survey in the form of a declarative questionnaire, conducted in member countries of the Mediterranean Alzheimer Alliance: Algeria, Croatia, Cyprus, Egypt, Spain, France, Greece, Italy, Lebanon, Libya, Malta, Morocco, Monaco, Portugal, Slovenia, Tunisia and Turkey, via their respective national Alzheimer associations The survey, composed of 78 questions, addressed 11 themes: 1. Prevalence, 2. Public health priorities, 3. Legal and ethical issues, 4. Socio-economic cost, 5. Diagnosis, 6. Care and support, 7. Healthcare professionals, 8. Medical treatments and psychosocial interventions, 9. Research and prevention, 10. Family carers, 11. Public perceptions. Each theme of the report was analysed through 3 different angles: an overview, a summary of the challenges and perspectives, and developing recommendations. The report also includes several interviews with Mediterranean and international experts, supporting the results of the ALZMED survey and highlighting innovative initiatives in the Mediterranean area. This report was drafted during three workshops, which brought together the members of the Mediterranean Alzheimer Alliance in Malta, Thessaloniki and Ljubljana. It has also had been proofread by Fabrice Gzil (Doctor of Philosophy, Head of the Study and Research Centre of the Médéric Alzheimer Foundation, France) and Sandrine Andrieu (Professor of Epidemiology and public health at the University of Toulouse, Director of the INSERM–University of Toulouse Research Unit UMR1027 and Director of the French Society of Geriatrics and Gerontology, France)., peer-reviewed

Published
2016

4. Clinical Practice Guidelines. Management of Hypertension in Tunisian Adults.

Author

Abid L, Zakhama L, Trabelsi R, Abdesslem S, Alouane L, Bezdah L, Drissa M, Essaies O, Goucha R, Joulak A, Triki F, Zellama D, Abdelkafi M, Aidli S, Belhaj Amor H, Ben Kaab B, Bessaadi L, Bouallegue S, Boukhris I, Ghazeli H, Guezmir K, Hammami R, Hasni N, Hssine J, Koubaa A, Mansouri R, Mghaieth F, Milouchi S, Ouali Hammami S, Said F, Sdiri W, Skhiri A, Toumi S, Yazidi M, Ouertatani H, Ben Hamouda M, Ben Brahem A, Jlassi K, Ayari C, Chaabene R, and Hamouda C

Subjects
Adult, Humans, Medical History Taking, Hypertension diagnosis, Hypertension epidemiology, Hypertension therapy
Published
2021

5. [Evaluation of nutritional Status in lung cancer using bio electrical impedance analysis and mini nutritional assessment].

Author

Daghfous H, El Ayeb W, Alouane L, and Tritar F

Subjects
Adult, Aged, Aged, 80 and over, Cachexia etiology, Disease Progression, Electric Impedance, Female, Humans, Lung Neoplasms physiopathology, Male, Malnutrition etiology, Middle Aged, Prognosis, Body Composition, Cachexia diagnosis, Lung Neoplasms complications, Malnutrition diagnosis, Nutrition Assessment, Nutritional Status
Abstract

Background: Malnutrition and cachexia were a frequent problem in lung cancer and increases the risks of morbidity and mortality in these patients. Bioelectrical impedance analysis (BIA) is easy, non-invasive and reproducible method that can be performed., Aim: Evaluate nutritional status in patients with primary lung cancer by Mini Nutritional Assessment (MNA), BIA and anthropometric values (weight, arm and calf circumferences) and correlate the nutritional parameters to severity of cancer and histopathology., Methods: The nutritional status of 73 cases of primary lung cancer was evaluated by anthropometric parameters, MNA test and impedencemetrie Results: According to body mass index (BMI), malnutrition, overweight and obesity were noted in 34,2%, 13,7% and 5,5%. According to BMI, free-fat mass index (FFMI) and fat mass index (FMI), the investigations occurred malnutrition and depletion of muscle in respectively 19,2% and 23,3% of cases. Fat depletion was noted in 21,9%. Overweight and obesity were detected in 6,8% and 5,5% of cases. Assessment by MNA, revealed that 28,7% of patients were already malnourished and 49,3% of patients were at risk of malnutrition. A significant correlation existed between the score of MNA and arm and calf circumferences, FFMI and FMI. FMI was significantly lower in group of patients with small lung carcinoma., Conclusion: Only FFMI allows early detection of malnutrition in cancer patients overestimated by measuring BMI and arm circumference was the better indicator of depletion of muscle.

Published
2014

6. [Bio-impedance analysis: screening of malnutrition in a group of Tunisian with cancer patients].

Author

Trabelsi Alouane L, Bedioui A, and Rahal K

Subjects
Adult, Aged, Body Composition, Body Mass Index, Female, Humans, Male, Middle Aged, Sex Factors, Weight Loss, Electric Impedance, Malnutrition diagnosis, Neoplasms complications
Abstract

Malnutrition increases the risks of morbidity and mortality in cancer patients. It is characterized by changes in cellular membrane integrity and alterations in fluid balance, both of which can be detected by bioelectrical impedance analysis (BIA). We investigated whether BIA-mesured variables could detect malnutrition, as defined by body mass index (BMI) and anthropometric indices, in 83 Tunisian cancer patients (18 men and 65 women) hospitalized in surgery. The investigations occurred within the first 24 hours following hospital admission. Analysis revealed that 4.8 % of the patients were at risk for malnutrition according to body mass index. By impedancemetry, 26.5 % of all patients had free-fat mass index (FFMI) below the normal range and 15.6 % had a low fat mass index (FMI) despite a normal or relatively high BMI. While males lose their fatty reserves early, females tend to lose free-fat, muscular mass regardless of their BMI. The BMI can be misleading in an overweight or obese patient and conceal losses in muscular mass in patients exposed to latent malnutrition. The FFMI and FMI appear to be better indicators of the nutritional status than the BMI.

Published
2006

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