Risk stratification and screening for coronary artery disease in asymptomatic patients with diabetes mellitus: Position paper of the French Society of Cardiology and the French-speaking Society of Diabetology

International audienc

Prenatal education of overweight or obese pregnant women to prevent childhood overweight (the etoig study): an open-label, randomized controlled trial

Background We aimed to evaluate whether pre and perinatal education of pregnant women would reduce childhood overweight. Methods Four French centers included women at 25 kg/m(2) before pregnancy. Patients were randomized to a control group (routine care including at least one dietary visit) or an intervention group (2 individuals (26 and 30 GW) and 4 group sessions (21, 28, 35 GW, 2 months postpartum)) aimed at educating the future mother regarding infant and maternal nutrition. The primary objective was to reduce post-natal excessive weight gain in the infant from birth to 2 years (NCT00804765). This project was funded by a grant from the National Programme for Hospital Research (PHRC-2007 French Ministry of Health). Results We included 275 women (BMI: 32.5 kg/m(2)). The rate of post-natal excessive weight gain was similar in the intervention (n = 132) and control (n = 136) groups by intention to treat (ITT: 59.1% vs 60.3% respectively, p = 0.84) in available data (AD, n = 206) and by per-protocol analysis (PP, n = 177). Two years after delivery, normalization of maternal BMI and number of infants with BMI 19 kg/m(2) in the intervention group in AD (n = 204: 0% vs 6.8%, p = 0.014) and PP (n = 176: 0% vs 6.4%, p = 0.03). Conclusions An education and nutritional counseling program for overweight women, starting after 3 months of gestation, did not significantly change post-natal excessive weight gain of infants or prevent overweight in mothers and children 2 years after delivery

Gastric Electrical Stimulation Reduces Refractory Vomiting in a Randomized Crossover Trial

International audienc

Gastric Electrical Stimulation Reduces Refractory Vomiting in a Randomized Crossover Trial

International audienc