Is there a beneficial effect difference between age, gender, and different cardiac pathology groups of exercise training at ventilatory threshold in cardiac patients?

Background: Research on cardiac rehabilitation has raised interesting methods and effects without however establishing the share of the profits according to age, sex and cardiac pathology. Yet today, this disease with various pathologies strikes people of all ages and both sexes, and the recommended rehabilitation exercise intensity is often the ventilatory threshold. The aim of this study was to compare benefits of a training program at ventilatory threshold according to age, gender and cardiac pathology. Methods: One hundred and eighty eight cardiac patients, of whom 62 had coronary artery bypass surgery, 22 artery angioplasty, 54 myocardial infarction and 50 valve replacements, aged 31–82 years, performed spirometric and cardiopulmonary exercise tests before and after a training program. This program consisted of exercise on a cycloergometer for three sessions of 45 min per week for eight weeks at heart rates attenuated at ventilatory threshold (VTh) obtained during a cardiopulmonary exercise test conducted before the training period. Results: Peak heart rate, peak aerobic power, and peak oxygen uptake determined at VTh increased during the training period in all groups of subjects. Men and adult groups had higher absolute values compared to women and elderly groups. No difference was observed in cardiac pathology groups. Similar improvements of aerobic capacities were observed in age, gender and cardiac pathology groups. Conclusions: A training program conducted at personalised VTh significantly improves the aerobic physical capacities of all cardiac patients, and inducessimilar benefits whatever the age, gender or cardiac pathology. (Cardiol J 2011; 18, 6: 632–638

Dépistage des maladies cardiovasculaires chez des étudiants de l'Université de Douala et influence des activités physiques et sportives

Introduction: Les maladies cardiovasculaires (MCV) constituent l’une des principales causes de mortalité dans les pays en développement. Le dépistage de ces dernières chez des jeunes est un défi dans la lutte contre leur expansion. Le but de cette étude était de dépister ces maladies au sein d’une population jeunes d’étudiants camerounais. Methodes: Deux mille six cent cinquante-huit étudiants de l’Université de Douala (23,6 ± 2,9 ans, sex-ratio H/F = 0,9) ont en Avril - Mai 2011 participé à une campagne de dépistage gratuit du diabète, de l’hypertension artérielle (HTA) et de l’obésité. Ils ont également été soumis à une d’enquête évaluant leur niveau en activités physiques et sportives (APS).Resultats: 12,7% des participants avaient une pression artérielle (PA) I 140/90 mmHg, 3,6% étaient obèses et 0,9 % avaient une glycémie I1,26 g/L. Des corrélations ont été trouvées entre certains facteurs de risque (diabète, hypertension et obésité) et le niveau académique d une part (r =0,366 ; p < 0,0001) et le temps passé devant la télévision d’autres part (r = 0,411 ; p < 0,0001). L`APS était inversement corrélée à l`âge (r = - 0,015; p < 0,0001) et au temps passé devant la télévision (r = -0,059 ; p = 0,002). Conclusion: La présence des MCV et leurs facteurs de risque mis en évidence dans cette étude réalisée en milieu estudiantin camerounais interpelle à une prévention et une éducation dans la lutte contre ces dernières

ELECTROCARDIOGRAPHIC CHARACTERISTICS OF ATHLETES OF MOUNT CAMEROON ASCENT: PREVENTION OF SUDDEN DEATH

Mountain ultra-marathons participants are exposed to multiple internal and external stressors, from exercise and environment that can affect the cardiovascular response such as electrocardiographic profile (ECG). The aim of this study was to determine the electrocardiographic profile of athletes participating on the mount Cameroon race. Fifty-nine athletes and 50 non-athletes (31±7 vs 24±3 years) participated to the study during the 17th edition of Mount Cameroon ascent on February 18, 2012. ECG of 12-leads rest was measured in athletes and non-athletes. Resting heart rate (54±3 vs 71±9 bats/min) was lower (P<0.001) in athletes than non-athletes. P wave duration (108.5±1.8 vs 100.7±1.7 ms), PR interval (170.4±27.2 vs 155.8±22.3 ms), and RR interval (1072.3±188.2 vs 875.6±128.4 ms) were significantly higher (P<0.001) in athletes compared to non-athletes. However, on Rhythm and morphology abnormalities, athletes developed a sinus bradycardia (88.1 vs 8%), sinus arythmia (76.3 vs 22%) and left ventricular hypertrophy (54.2 vs 6%) higher than those of non-athletes (P<0.001). For the abnormalities of ECG conduction, atrioventricular block I (11.9 vs 6%), incomplete Right Bundle Branch Block (5.1 vs 2 %), incomplete Left Branch Block (1.7 vs 0%), Left anterior fascicular block (1.7 vs 0%), T-wave inversion (V1-V6) (10.2 vs 8%), Short PR (3.4 vs 2%), Sus ST Segment shift (5.1 vs 4%) were similar in both groups. But, early repolarization (40.7 vs 16%) was significantly higher (P<0.001) in athletes than non-athletes. Mountain race athletes develop some cardiac ECG electric morpho-functional abnormalities.  Article visualizations

Effect of Schoolbag Weight on Musculoskeletal Pain among Primary School Children in Yaounde, Cameroon: A Cross-sectional Study

Background: Heavy schoolbag is known to cause health problems for school children. The aim of this study was to determine the effects of carrying heavy schoolbags on the musculoskeletal pain among primary school children of the two subsystems in Yaounde, Cameroon. Methods: A cross-sectional study was carried out in primary schools in Yaounde. A total of 457 school-children (8.2 ± 2.2 years) were included, 202 from the French-speaking subsystem, and 255 from the English-speaking subsystem. Parameters studied included weight, height, and schoolbag weight. A questionnaire was used to collect socio-demographic information and potential musculoskeletal pain in three regions: back, shoulders, and neck. Results: The mean weight of children and their bags was 28.4 ± 8.2 kg and 5.2 ± 2.3 kg respectively. More than 50% of schoolchildren in the two subsystems carried a schoolbag weighing more than 15% of body weight. The back (38%) was the least affected area in comparison to the shoulders (58.6%) and neck (42.4%) (p < 0.001). Carrying heavy bags and walking to school was associated with pain in the back, shoulders, and neck. School-children in the French-speaking subsystem had lower risk (adjusted Odds Ratio 0.438, 95% Confidence Interval [CI] = 0.295-0.651; p < 0.001) to develop a sore neck compared to peers from the English-speaking subsystem. Conclusion: Carrying heavy schoolbags is associated to musculoskeletal pain in schoolchildren. The means moving to and from school is a main risk factor of developing musculoskeletal pain. French-speaking schoolchildren develop less neck pain than English-speaking schoolchildren

Association between periodontal diseases and cardiovascular diseases in Cameroon

To assess the association between periodontal diseases and cardiovascular diseases in dental patients in Cameroon, a prospective observational study was carried out in 3 hospitals in Cameroon from January 2013 to December 2015. Data on general condition, age, gender and lifestyle were collected during medical history taking. The Dutch Periodontal Screening Index assessed periodontal health during oral examination. The Wilcoxon test, the Fisher test and logistic regression analysis were performed. 558 patients (53.9% women) were included in the study. The mean age was 44±13 years (30 to 85). In terms of overall health, 161 (28.9%) had cardiovascular diseases (CVD) and 73 (13.1%) had diabetes. Hypertension accounted for 87.6% of CVD. In terms of periodontal diseases (PD), 431 (77.2%) patients had PD, the break-down by PD was 347 (62.2%) gingivitis and 84 (15%) periodontitis. Statistical associations were found between CVD and gingivitis [OR=4.30 (1.85-10.00), P=0.001], and CVD and periodontitis [OR=2.87 (1.04-7.93); P=0.04]

Schoolbag Weight and Low Back Pain: A Cross-Sectional Study among Children of Public and Private Primary Schools in Cameroon

Background: The issue of excessively heavy schoolbags remains a public health concern in Africa. This study aimed to determine the weight of schoolbags among students in the public and private sectors of Yaoundé city, Cameroon and identify factors associated with low back pain.Methods: A cross-sectional study was conducted during the first term of the 2020/2021 academic year in French-speaking private and public primary schools in Yaoundé city, Cameroon. The study involved 2000 pupils (8.41±2.11 years), with 1000 from the public sector and 1000 from the private sector. The variables analyzed included weight, height, and schoolbag weight. A questionnaire, developed specifically for this study and based on the Standardized Nordic Body Map Questionnaire, was used to collect socio-demographic information and assess potential musculoskeletal low back pain. A diagram was included to indicate the lower back area for reporting pain. The questionnaire was administered, and each student answered it, with assistance from the investigator if needed. Descriptive and inferential statistics, as well as multiple logistic regressions, were employed for data analysis.Results: The average weight of the children and their schoolbags was 28.51±8.04 kg and 4.04±1.72 kg, respectively. Nearly 45% of the pupils were carrying a schoolbag weighing more than 15% of their body weight, and 23% reported experiencing low back pain. Schoolbag weights ranging from 10-15% of body weight were associated with a threefold higher risk (OR=2.66; 95% CI=1.65 – 4.31; P<0.0001) of developing low back pain. Pupils in the public sector had a lower risk (OR=0.28; P<0.0001) of developing low back pain.Conclusion: Children in the private sector experience low back pain more frequently. Carrying heavy schoolbags is associated with low back pain among pupils

Musculoskeletal disorders among secondary school teachers in Douala, Cameroon: The effect of the practice of physical activities

IntroductionMusculoskeletal disorders (MSDs) represent an important threat to public health in both developed and developing countries, and are present in many occupational sectors including education. Regular practice of physical activity (PA) is known elicit preventive effects on the occurrence of MSDs.ObjectiveThis study aimed at determining the prevalence of MSDs and the preventive impact of PA on their occurrence among secondary school teachers.Participants and MethodsA cross-sectional study was conducted among 179 teachers in five government secondary schools in Douala, Cameroon. The Nordic and Ricci-Gagnon questionnaires were used to determine MSDs and to assess the level of PA, respectively.ResultsThe 12-month and 7-day prevalence of MSD (PMSD-12m and PMSD-7d) were 84.3% and 69.3%, respectively. The most affected body regions by MSDs were neck (PMSD-12m = 54.2%, PMSD-7d = 33.5%), lower back (PMSD-12m = 43%, PMSD-7d = 33%), and shoulders (PMSD-12m = 35%, PMSD-7d = 22.9%). Compared to female, males were protected against MSDs during the last 12 months (OR = 0.37; 95% CI 0.16–0.93; p = 0.04). The risk of MSDs during the last seven days was higher in teachers aged 30-40 years (OR = 2.86; 95% CI 1.14–7.14; p = 0.02) and 40-50 years (OR = 4.28; 95% CI 1.49–16.29; p = 0.008) than those under 30 years. This risk was tripled in inactive teachers (OR = 3.07; 95% CI 1.40–6.78; p = 0.005), compared to their active counterparts.ConclusionMSDs are prevalent among secondary school teachers and associated with aging, gender, and lower level of P

Micro and macrovascular complications of diabetes mellitus in Cameroon: risk factors and effect of diabetic check-up -a monocentric observational study

Abstract Introduction: The objective of this study was to evaluate the prevalence of vascular complications among diabetes patients (DP), to find out th

Chronic obstructive pulmonary disease in patients with stable heart failure: Prevalence and associated factors

Background: Chronic Obstructive Pulmonary Disease (COPD) is characterized by irreversible airflow limitation in the lungs. COPD frequently coexist with Heart Failure (HF) but most patients go undiagnosed because of similarity of symptoms. Data on prevalence of COPD in HF are discrepant and scarce. In addition, associated factors of COPD in these patients have not been completely investigated. Our objectives were to determine the prevalence of COPD amongst stable HF patients and to identify the factors associated.Methods: It was a cross-sectional study carried out from January 2016 to April 2016 at the Douala General Hospital. All stable HF patients 40 years and over who came for routine follow-up and who met up inclusion criteria were enrolled. A questionnaire was used to obtain information on pulmonary symptoms, risk factors, sociodemographic data, comorbidities and spirometric measurements. COPD was defined by airflow limitation which corresponds to the ratio of post-broncho dilation forced expiratory volume in one second on the forced vital capacity less than 70% (FEV1/FVC&lt;70%). SPSS20 software was used for data analysis and a P-value &lt;0.05 was considered significant.Results: A total of 86 HF patients were included in our study. The median age was 66.5 years with an Interquartile Range (IQR) of 57-75years. Female sex was the most represented (53.3%). Twenty-two patients had COPD giving a prevalence of COPD in HF of 25.6% (95%CI; 16-34). Sputum production was significant in those with COPD (p= 0.012) and elderly age (≥65 years) was associated with COPD (p= 0.026).Conclusion: Our findings suggest that one out of four patients diagnosed with heart failure has chronic obstructive pulmonary disease with sputum production being the most likely symptom and elderly age an associated factor of having COPD in heart failure. Clinicians should think of an associated COPD when investigating patients with heart failure.</p

Physical activity and quality of life of people aged 50 and over living with HIV/AIDS: A cross-sectional study in a cohort in Yaounde, Cameroon

Introduction: HIV infection has become a chronic disease. Management has shifted to the prevention and treatment of chronic diseases. Regular physical activity (PA) reduces the impact of HIV. Our objectives were to determine levels of PA, assess quality of life (QoL) and determine the degree to which Brief WHOQOLHIV domains and PA influence QoL in older PLHIV. Methods: We conducted a cross-sectional study between March 2020 and March 2021 among 136 older PLHIV at Mvog Ada District Hospital in Yaoundé. Two questionnaires were administered to assess the level of PA (Ricci and Gagnon) and the brief WHOQOL HIV. A bivariate and multivariate analyses were performed. Result: The mean age of the participants was 57.07 ± 6.7 years and the female/male ratio was 1.6. Physical inactivity was found in 56.60% of the participants; 43.40% of them felt they had a good quality of life and 65.40% had a good health status. The environmental domain and social relationship had low scores compared to the spiritual domain and the level of independence. Scores for the different domains were higher in active participants than in inactive participants; with the psychological domain more related to physical inactivity (p < 0.001). Conclusion: Physical activity remains very insufficient among PLHIV aged 50 years and over. There is a need to encourage regular physical activity among PLHIV, and adapted physical activity programs should be developed for people living with HIV in sub-Saharan countries