Publications by authors named "Ariane Sultan"

Introduction: Cardiovascular disease is the leading cause of death. One of the main factors is obesity, which is on the rise. LDL levels below 0.

View Article and Find Full Text PDF

Background & Aims: Glycogenosis type III is a rare autosomal recessive disease caused by a mutation in the AGL gene that results in a deficiency of the glycogen debranching enzyme. This deficiency impairs fasting tolerance and leads to hypoglycemia. While the symptomatology tends to improve with age, pregnancy can trigger a recurrence of hypoglycemia due to increased carbohydrate requirements.

View Article and Find Full Text PDF

Background: Diabetic foot ulcers are chronic, difficult to heal, and potentially life-threatening. Few medical devices have been studied in diabetic ulcers penetrating to bone or tendon.

Methods: We conducted an international, open-label randomized controlled trial, randomly assigning patients with diabetic ulcers penetrating to bone, joint, or tendon 1:1 to intact fish skin graft or standard wound care, with assigned treatment applied through 14 weeks.

View Article and Find Full Text PDF

Introduction: Heart transplantation is the standard treatment for severe heart failure. Graft preservation and infectious risk secondary to immunosuppressive drugs lead healthcare teams to offer nutritional advice to patients upon discharge from the hospital. However, no consensus or recommendation is available.

View Article and Find Full Text PDF
Article Synopsis
  • The study focuses on the cardiovascular risk in patients with type 1 diabetes, specifically looking at how well they achieve target LDL-cholesterol levels, which are important for reducing heart-related health issues.
  • Researchers included 441 patients, dividing them into high risk (HR) and very high risk (VHR) categories, and examined factors that influenced whether they reached their LDL-c targets, referencing different guidelines from 2016 and 2019.
  • Results revealed that only a small percentage of both HR (35.3%) and VHR (17.4%) patients met their LDL-c targets, suggesting that improved management of cardiovascular risk factors is necessary to lower complications in these individuals.
View Article and Find Full Text PDF

We present for the first-time efficacy and tolerability of GLP-1-RA (Semaglutide) in Smith-Kingsmore syndrome (SKS). SKS is a rare genetic disorder characterized by intellectual disability, macrocephaly, seizures and distinctive facial features due to MTOR gene mutation. We present a 22-year-old woman with mosaic SKS and severe obesity (Body Mass Index ≥40 kg/m²), treated with semaglutide.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates the relationship between various weight metrics (weight suppression, weight suppression at lowest weight, and weight rebound) and the clinical severity of eating disorders (ED).
  • A total of 303 patients were assessed, revealing that weight suppression at their lowest weight strongly correlates with the severity of anorexia nervosa and bulimia nervosa as measured by the Eating Disorder Examination Questionnaire (EDE-Q).
  • The findings suggest that weight suppression at lowest weight could be an effective indicator of ED severity, highlighting a need for further research into its role in assessment and treatment.
View Article and Find Full Text PDF

Aims: This study investigates how diabetic peripheral neuropathy is linked to impairment of thermoregulatory mechanisms using a thermal camera, spectral thermal analysis and a physical test.

Methods: The plantar skin temperature of all participants was measured using a thermal camera following a 6-min walking exercise. The data were subjected to frequency decomposition, resulting in two frequency ranges corresponding to endothelial and neurogenic mechanisms.

View Article and Find Full Text PDF
Article Synopsis
  • Aging leads to a decrease in lean tissue mass (LTM) and muscle strength in women with obesity, contributing to sarcopenic obesity (SO).
  • The study found that as women aged, there was a redistribution of LTM and fat mass (FM) from the limbs to the trunk, and physical performance metrics like muscle strength and function also declined.
  • Despite these changes, the prevalence of women with obesity affected by sarcopenic obesity remained low, at 15% or less, even among those over 60 years old.
View Article and Find Full Text PDF
Article Synopsis
  • - The study aimed to investigate how care consumption before and after diabetic foot ulcers (DFUs) affects amputation risk, building on previous findings about the impact of deprivation and healthcare access.
  • - Researchers analyzed data from over 6,600 patients in France, discovering that certain medications (cardiovascular, antibiotics, neurological) and consultations with specialists (like ophthalmologists) correlated with a lower risk of amputation.
  • - The conclusion emphasizes that effective diabetes management and comprehensive healthcare can significantly improve DFU outcomes, even for patients with additional health issues.
View Article and Find Full Text PDF

Objective: This retrospective cohort study aimed to assess the effectiveness of semaglutide 2.4 mg in patients with severe obesity (BMI ≥ 40 kg/m ) who had previously undergone bariatric surgery (BS) but failed to achieve satisfactory weight loss or experienced weight regain compared with patients without a history of BS with similar BMI.

Methods: The authors analyzed data from 129 patients with a BMI ≥ 40 kg/m , including 39 with (BS+) and 90 without (BS-) a history of BS.

View Article and Find Full Text PDF

Background: Chronic kidney disease (CKD) is correlated with the incidence of diabetic foot ulcer (DFU). Furthermore, the International Working Group on the Diabetic Foot (IWGDF) has proposed a classification of the risk factors for DFU. The purpose of this study was to investigate the relationship between the IWGDF risk classification and the glomerular filtration rate level estimated by the CKD Epidemiology Collaboration formula (eGFR).

View Article and Find Full Text PDF
Article Synopsis
  • - The study evaluated malnutrition prevalence in systemic sclerosis (SSc) patients at a referral center from 1985 to 2019, finding that 59.2% were malnourished and 25% had severe malnutrition.
  • - Malnutrition correlated with disease features, specifically cardiac involvement and limited mouth opening (interincisal distance <35 mm), indicating potential warning signs.
  • - The findings suggest that addressing malnutrition could be crucial for improving health outcomes in SSc patients, given its high prevalence and associations with serious disease symptoms.
View Article and Find Full Text PDF

Skeletal muscle is essential for locomotion and plays a crucial role in energy homeostasis. It is regulated by nutrition, genetic factors, physical activity and hormones. Furan fatty acids (FuFAs) are minor fatty acids present in small quantities in food from plants and animals origin.

View Article and Find Full Text PDF
Article Synopsis
  • - The study aimed to evaluate how the SINBAD score, which assesses factors like ischaemia and neuropathy, relates to major foot complications in diabetic patients with ulcers.
  • - It included 537 patients from six hospitals, analyzing their SINBAD scores and tracking major adverse foot events over 5-6 months.
  • - Results showed a clear connection between the SINBAD score and these adverse events, indicating that lower scores predict fewer complications, making the SINBAD score a valuable predictive tool.
View Article and Find Full Text PDF

The increase in obesity has become a major global health problem and is associated with numerous metabolic dysfunctions. Furan fatty acids (FuFAs) are minor lipids present in our diet. Recently we showed that FuFA-F2 extracted from Hevea brasiliensis latex stimulates muscle anabolism in mice in vitro and in vivo, mimicking in part physical activity.

View Article and Find Full Text PDF

Aim: To evaluate the real-life diagnosis and therapeutic means of Charcot Neuroosteoarthropathy (CN) in French-Belgian diabetic foot expert centers.

Methods: We collected clinical characteristics, results of exams and therapeutic pathways of consecutive adult patients with diabetic osteoarthropathy seen in consultation or hospitalization from January 1 to December 31, 2019 in 31 diabetic foot expert centers. The primary outcome was to describe the diagnostic and management methods for CN according to patient clinical characteristics, the clinical-radiological characteristics of acute and chronic CN and discharge means.

View Article and Find Full Text PDF

Background And Aims: The oxidative metabolism of polyunsaturated fatty acids (PUFAs) leads to bioactive isoprostanoids. The aim was to establish the associations of a complete urinary isoprostanoid profiling in a cohort study of carefully phenotyped obese subjects to determine possible potential differential implications for omega-6 PUFA- and omega-3 PUFA-derived isoprostanoids for obesity, metabolic indicators, and inflammation.

Methods And Results: PUFA peroxidation compounds were determined in urine samples from obese human subjects (n = 46) by liquid chromatography coupled to tandem mass spectrometry.

View Article and Find Full Text PDF

Background: Cell and/or tissue-based wound care products have slowly advanced in the treatment of non-healing ulcers, however, few studies have evaluated the effectiveness of these devices in the management of severe diabetic foot ulcers.

Method: This study (KereFish) is part of a multi-national, multi-centre, randomised, controlled clinical investigation (Odin) with patients suffering from deep diabetic wounds, allowing peripheral artery disease as evaluated by an ankle brachial index equal or higher than 0.6.

View Article and Find Full Text PDF

Adverse drug events (ADEs) are a major public health concern, given their consequences in terms of morbi-mortality and associated healthcare costs. Many studies have focused on the elderly, who are considered particularly vulnerable in this respect. We aimed to determine and compare the frequency, characteristics, and predictive factors of ADEs according to age in an adult population.

View Article and Find Full Text PDF
Article Synopsis
  • The study investigates Charcot neuroarthropathy (CN) in patients with diabetes, focusing on whether hyperglycemia decreases when an active phase of CN begins.
  • Researchers analyzed Hemoglobin A1c (HbA1c) levels in 103 diabetic patients before and during the active phase of CN, looking at changes over six months prior to diagnosis.
  • Results indicated a significant decline in HbA1c levels from six months to three months before diagnosis and from six months to the onset of the active phase, suggesting a relationship between reduced blood sugar levels and the onset of CN.
View Article and Find Full Text PDF

The prevalence of sarcopenia in patients with obesity varies according to the definition used. The purpose of our study was to: (i) determine the prevalence of sarcopenia in terms of lean tissue mass in older women with obesity using the current cut-offs, (ii) redefine a specific cut-off for low lean tissue mass (LLTM), and (iii) re-determine the prevalence of LLTM using this new cut-off. Appendicular lean mass (ALM) and the ALM index [ALM/height: ALMI(h)] and ALMI/body mass index [ALMI(BMI)] were determined in 791 women with or without obesity.

View Article and Find Full Text PDF

A PHP Error was encountered

Severity: Notice

Message: fwrite(): Write of 34 bytes failed with errno=28 No space left on device

Filename: drivers/Session_files_driver.php

Line Number: 272

Backtrace:

A PHP Error was encountered

Severity: Warning

Message: session_write_close(): Failed to write session data using user defined save handler. (session.save_path: /var/lib/php/sessions)

Filename: Unknown

Line Number: 0

Backtrace: