M. Belkacem

Centre Hôpital Universitaire Farhat Hached, Susa, Sūsah, Tunisia

Are you M. Belkacem?

Claim your profile

Publications (9)4.91 Total impact

  • [Show abstract] [Hide abstract]
    ABSTRACT: Tobacco use, unhealthy diet, and physical inactivity are among the leading causes of the major non communicable diseases. So, prevention should take place early in childhood. In this paper, we will present an overview of project "Together in health" in schools, a component of a community based intervention. It consists on a school based intervention with the aim to improve knowledge, attitudes and behaviors concerning the main chronic disease risk factors such as unhealthy diet, physical inactivity and smoking. We conducted a quasi experimental design with intervention and control groups. The study concerned pupils of colleges of Sousse aged 11 to 16 years old in 7th and 9th grade. The pre-assessment concerned a randomized sample of schoolchildren. The proportional and stratified sample was composed of 4003 schoolchildren with 1929 and 2074 respectively in intervention and control groups. We used chi square test to compare percentages with 0.05 level of significance. The sex ration was been 1 in the intervention group and 0.87 in control group. The mean age of our population was been 13.48±1.29 and 13.24±1.25 respectively in intervention and control groups with significant difference (p<10-3). Schoolchildren who reported practicing physical activity daily represented 19.1% and 12.7% respectively in intervention and control groups. Concerning eating habits, the schoolchildren reported frequency (number of days per week) of consuming various foods and beverages included respectively in the intervention and control group: vegetables 3.9 days/week and 4.81 days/week, fruits 5.41 days/week and 5.7 days/week, high fat food 2.49 days/week and 2.48 days/week, sweetened beverage 3.84 days/week and 3.3 days/week, sweets 4.33 days/week and 4.57 days/week. The proportion of irregular smokers was been respectively 6.8% and 2.2% among boys and girls in the intervention group and 11.3% and 0.9% in control group. Integrated and sustainable interventions against non communicable disease risk factors in this region are needed to prevent these diseases early in childhood.
    La Tunisie médicale 05/2015; 93(1):28-32.
  • N. Zammit · J. Maatoug · S. Bhiri · S. Hmad · M. Belkacem · H. Ghannem
    Revue d Épidémiologie et de Santé Publique 09/2014; 62:S187. DOI:10.1016/j.respe.2014.06.053 · 0.59 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: In Tunisia, few studies have assessed the association between tobacco use and other lifestyle risk factors for chronic disease (eg, unhealthy diet, physical inactivity). We studied 1,880 adults to determine the association between tobacco use and other lifestyle risk factors in Tunisia. This study was part of an assessment of the prevalence of chronic disease risk factors in a community-based trial conducted in 2009 to implement a chronic disease prevention program. The study population was randomly selected from 3 districts of the region of Sousse. The questionnaires were administered by personal interview and included the assessment of tobacco use and other chronic disease risk factors such as unhealthful diet habits and physical inactivity. Of the 1,880 study participants, 64% were women. The mean age of the participants was 37.9 (standard deviation, 13.5 y). The prevalence of tobacco use in our population was 50.4% for men and 3.1% for women. Among men, the proportion of alcohol consumption was significantly higher among smokers (25.3% vs 5.7% [P <.001]). Smokers consumed fewer fruits and vegetables and more high-fat, high-salt, and high-sugar foods than did nonsmokers. There was no significant difference between male smokers and nonsmokers regarding physical activity (P = .36). Physical activity and dietary characteristics may be important areas for physicians to assess during smoking-cessation interventions.
    Preventing chronic disease 12/2013; 10(12):E211. DOI:10.5888/pcd10.130075 · 2.12 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Background. To our knowledge no study has been conducted in Tunisia to describe practice of health care providers towards chronic disease risk factors, particularly among obese adults. Aim. This study is aimed at assessing the level of giving advice on diet and physical activity by health care providers for obese adults comparing to nonobese adults in Tunisia. Methods. A cross-sectional survey was carried out in 2010 for adults aged from18 to 65 years living in the region of Sousse. The questionnaires were administered by an interview made by trained data collectors to standardize the administration of the questionnaire. Anthropometric measurements of height and weight were obtained using a standardized protocol from each participant. Results. The findings from this study indicate that obesity is frequent among adults essentially among women and aged categories. It also shows that obese adults are not adequately diagnosed with few proportion of anthropometric measure evaluation among all the participants. Even if obese participants were significantly more advised than nonobese participants with, respectively, 28.5% to lose weight and 23.8% to increase physical activity, this proportion remains low.
    02/2013; 2013(15):498527. DOI:10.1155/2013/498527
  • S. Hmad · J. Maatoug · I. Harrabi · M. Belkacem · H. Ghannem
    Revue d Épidémiologie et de Santé Publique 09/2012; 60:S113. DOI:10.1016/j.respe.2012.06.256 · 0.59 Impact Factor
  • J. Maatoug · I. Harrabi · S. Hmad · M. Belkacem · H. Ghannem
    Revue d Épidémiologie et de Santé Publique 09/2012; 60:S107. DOI:10.1016/j.respe.2012.06.232 · 0.59 Impact Factor
  • Archives des Maladies Professionnelles et de l Environnement 06/2012; 73(3):304–305. DOI:10.1016/j.admp.2012.03.229 · 0.09 Impact Factor
  • Revue des Maladies Respiratoires 01/2012; 29:A107. DOI:10.1016/j.rmr.2011.10.352 · 0.62 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: To examine the prevalence of tobacco use among the teachers in the region of Sousse (Tunisia) and to identify the factors, which determine this behavior. It is a transactional study; using a self-administered and pre-tested questionnaire to 800 teachers. The population being studied was made up of 739 teachers including 50.6% of professors. The sample was 35.4% male and the average age was of 45.3±8.1 years. The total prevalence of tobacco use was 17.8% (41.4% among men and 4.7% among women). Half of these teachers smoked in their school establishments and in the presence of their pupils. The multivariate analysis had made it possible to identify four factors, which determine the profile of tobacco use in our teachers; these factors were: the sex, the age, knowledge and attitudes. It's necessary to intervene with the teachers of the town of Sousse with specific trainings on the topic of the tobacco use and dispose their adapted tools which will be used in the educational programmes of tobacco use prevention in schools.
    Annales de cardiologie et d'angeiologie 04/2011; 60(2):92-6. DOI:10.1016/j.ancard.2010.12.021 · 0.30 Impact Factor