The effects of cognitive behavioral therapy on selected physical, physiological parameters, exercise and nutritional behaviors in diabetic persons

OBJECTIVE Due to the high prevalence of diabetes in the world, it seems that one of the most important strategies to prevent and treat this disease are lifestyle changes. The present study aimed to investigate the effects of cognitive behavioral therapy on selected physical and psychological parameters, exercise, and nutritional behaviors in diabetic patients. PATIENTS AND METHODS This was a cross-sectional study of volunteers with type 2 diabetes. Patients were randomized into two groups: an intervention (n=32) and a control group (n=31). The Beck Physical Activity Questionnaire was used to assess physical activity in combination with the Beck Depression Inventory and the Pittsburgh Sleep Quality Index to assess the levels of depression and the quality of sleep. Cognitive behavior therapy (CBT) training consisted of six sessions of cognitive behavioral therapy interventions. The intervention consisted of a face-to-face individual counseling session. The patients received a special diet according to their basal metabolic rate (BMR). At all sessions, dietary advice was reviewed, and during the treatment period, they were asked to record their diet and physical activity. Body composition and blood samples were measured before and after three months of the experiment for both groups. RESULTS Blood glucose, blood lipid profiles (except high-density lipoprotein), lifestyle, behavior patterns and body composition were significantly improved following CBT intervention (p≤0.05). CONCLUSIONS CBT can play a key role in improving physiological and psychological parameters in diabetic patients

Impact of cardiac rehabilitation exercise frequency on exercise capacity in patients with coronary artery disease: a retrospective study

[Abstract]: Cardiac rehabilitation (CR) significantly improves cardiovascular outcomes in patients with coronary artery disease (CAD). International guidelines vary in the minimum recommended frequency of supervised exercise from 1 to 3 sessions per week. This is the first study in the Middle East and North African regions assessing the impact of 2 versus 3 days/week of supervised exercise on peak exercise capacity in patients with CAD. Single-center retrospective cohort study involving 362 patients enrolled in the only CR center in the State of Qatar. Only high- quality data was included by strict evaluation of compliance to the exercise intervention. Fifty patients who underwent a symptom-limited exercise test before and after CR were included (31 patients on 2 days/week, 19 on 3 days/week). No significant differences were observed in baseline characteristics between groups. Exercise intervention differed significantly between groups in exercise training frequency (2 days/week: 1.97 ± 0.2 vs. 3 days/week: 2.7 ± 0.3; p < 0.00). Peak exercise capacity as peak metabolic equivalents of task (MET) significantly increased in both groups (2 days/week: Pre 8.3 ± 2.4 vs. Post 9.4 ± 2.9, p-value 0.00; 3 days/week: Pre 7.4 ± 1.6 vs. Post 8.4 ± 2.0, p-value 0.00). No significant difference was observed between groups for change in Peak Exercise Capacity (2 days/week 1.1 ± 1.1 vs. 3 days/week 1.0 ± 0.9, p = 0.87). When the total number of exercise sessions is equal, supervised exercise frequencies of 2 and 3 days/week may significantly and equally improve peak exercise capacity in patients with CAD.Open Access funding provided by Qatar National Library.Qatar. National Librar

Enquête séroépidémiologique de la rhinopneumonie des équidés en Tunisie

Une enquête séroépidémiologique, réalisée sur 789 équidés (400 élevés au Nord-Est de la Tunisie, 389 dans la région du Sahel et du Centre), a permis de détecter, par le test de fixation du complément, des anticorps spécifiques contre le virus de la rhinopneumonie équine. Les résultats ont montré que 15 équidés (1,9 %) étaient séropositifs, avec des taux variables d'anticorps fixant le complément. Ces résultats sont discutés en relation avec ceux obtenus par d'autres auteurs en Tunisie et dans les pays voisins

How physical activity behavior affected well-being, anxiety and sleep quality during COVID-19 restrictions in Iran

OBJECTIVE: The Islamic Republic of Iran has displayed one of the highest rates of COVID-19 infection in the world and the highest rate of mortality in the Middle East. Iran has used a stringent package of preventive health measures to mitigate the spread of infection, which however has negatively affected individuals' physical and psychological health. This study aimed at examining whether physical- activity (PA) behavior, anxiety, well-being, and sleep-quality changed in response to the COVID-19-related public health restrictions enforced in Iran. PATIENTS AND METHODS: An online questionnaire was disseminated to adults residing in Iran from November 17, 2020, to February 13, 2021 (∼88 days), during Iran's strictest public health restrictions. Main outcome measures included Godin-Shephard Leisure-Time Exercise Questionnaire, General Anxiety Disorder-7, Mental Health Continuum-Short Form, and Pittsburgh Sleep Quality Index. RESULTS: A total of 3,323 adults (mean age 30±11 years, 54.3% female) participated in the survey. Firstly, the restrictions generally reduced PA behavior: (a) among inactive participants (IPs), 60.6% became less active vs. 5.1% who became more active; and (b) among active participants (APs), 49.9% became less active vs. 22.8% who became more active. Secondly, PA behavior was associated with higher well-being and sleep quality during the restrictions: (a) APs reported higher (or lower) levels of well-being and sleep quality (or anxiety) than did IPs; and (b) among IPs as well as among APs, the more active the participants, the greater (or lower) the levels of well-being and sleep quality (or anxiety). CONCLUSIONS: This study showed the beneficial role of PA behavior for well-being, anxiety, and sleep quality during the COVID-19 restrictions, whereas such restrictions appeared to decrease PA participation. Active lifestyle should be then encouraged during the COVID-19 outbreak while taking precautions

Les mutations virales et leur impact sur la vaccination contre la bursite infectieuse (maladie de Gumboro)

International audienceInfectious bursal disease (also known as Gumboro disease) is an immunosuppressive viral disease specific to chickens. In spite of all the information amassed on the antigenic and immunological characteristics of the virus, the disease has not yet been brought fully under control. It is still prevalent in properly vaccinated flocks carrying specific antibodies at levels normally high enough to prevent the disease. Common causes apart, failure of vaccination against infectious bursal disease is associated mainly with early vaccination in flocks of unknown immune status and with the evolution of viruses circulating in the field, leading to antigenic drift and a sharp rise in pathogenicity. Various highly sensitive molecular techniques have clarified the viral determinants of antigenicity and pathogenicity of the infectious bursal disease virus. However, these markers are not universally recognised and tend to be considered as evolutionary markers. Antigenic variants of the infectious bursal disease virus possess modified neutralising epitopes that allow them to evade the action of maternally-derived or vaccine-induced antibodies. Autogenous or multivalent vaccines are required to control antigenic variants in areas where classical and variant virus strains coexist. Pathotypic variants (very virulent viruses) remain antigenically related to classical viruses. The difficulty in controlling pathotypic variants is linked to the difficulty of eliciting an early immune response, because of the risk of the vaccine virus being neutralised by maternal antibodies. Mathematical calculation of the optimal vaccination time and the use of vaccines resistant to maternally-derived antibodies have improved the control of very virulent viruses.La bursite infectieuse (maladie de Gumboro) est une pathologie virale immunodépressive spécifique du poulet. En dépit des informations accumulées sur les caractères antigéniques et immunologiques du virus, la maladie reste imparfaitement contrôlée. Elle sévit aujourd’hui dans des cheptels correctement vaccinés et porteurs d’anticorps spécifiques à des niveaux habituellement suffisants pour prévenir la maladie. Au-delà des causes triviales, les échecs de la vaccination contre la maladie de Gumboro sont essentiellement liés aux vaccinations précoces de cheptels au statut immunitaire inconnu et à l’évolution des virus qui circulent sur le terrain, se traduisant par une dérive antigénique et une hausse sensible de la pathogénicité. Diverses techniques moléculaires hautement sensibles ont permis d’identifier les déterminants viraux d’antigénicité et de pathogénicité du virus. Ces marqueurs ne sont cependant pas unanimement reconnus et sont pour la plupart considérés comme des marqueurs évolutionnaires. Les virus variants antigéniques possèdent des épitopes neutralisants modifiés qui leur permettent de se soustraire à l’action des anticorps résiduels ou vaccinaux. Leur contrôle passe par l’utilisation d’autovaccins ou de vaccins multivalents dans les régions où coexistent virus classiques et variants. Les variants pathotypiques (virus hypervirulents) restent antigéniquement apparentés aux virus classiques. La difficulté de contrôler ce type de variant est liée à celle d’obtenir une réponse immune précoce, en raison du risque de neutralisation du virus vaccinal par les anticorps d’origine maternelle. Le calcul mathématique de la date optimale de vaccination et l’utilisation de vaccins insensibles aux anticorps résiduels ont permis un meilleur contrôle des virus hypervirulents