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Featured researches published by Imed Latiri.


Respiratory Care | 2014

Investigation of Exclusive Narghile Smokers: Deficiency and Incapacity Measured by Spirometry and 6-Minute Walk Test

Helmi Ben Saad; Maya Babba; Rafik Boukamcha; Ines Ghannouchi; Imed Latiri; Sonia Mezghenni; Chakib Zedini; Sonia Rouatbi

BACKGROUND: Studies on the submaximal aerobic capacity of exclusive narghile smokers (ENS) seem necessary in view of effective prevention of cardiorespiratory diseases. The goal of the study was to assess, by 6-min walk test (6MWT) data, the submaximal aerobic capacity of ENS, to identify factors influencing their 6-min walk distance (6MWD), and to compare their data with those of a healthy non-smoker (HNS) group. METHODS: Seventy 20–60-y-old male ENS were included. Narghile use (narghile-years) and anthropometric, clinical, spirometric, and 6MWT data were collected. Univariate and multivariate analyses were used to identify factors influencing 6MWD. Data of a subgroup of 40–60-y-old ENS (n = 25) were compared with those of an age-matched HNS group (n = 53). RESULTS: The median (first to third quartile) for age and narghile use were 32 (26–43) and 17 (8–32) narghile-years, respectively. The profile of ENS performing the 6MWT was as follows: at the end of the 6MWT, 34% and 9% had a low heart rate (< 60% of maximum predicted) and high dyspnea scores (> 5/10, visual analog scale), respectively; 3% had an oxyhemoglobin saturation decrease of > 5 points during the test; and 20% had an abnormal 6MWD (less than the lower limit of the normal range). The factors that significantly influenced the 6MWD, explaining 38% of its variability, are included in the following equation: 6MWD (m) = 742.63 − 5.20 × body mass index (kg/m2) + 25.23 × FEV1 (L) − 0.44 × narghile use (narghile-years). Compared with HNS, the subgroup of ENS had a significantly lower 6MWD (98 ± 7 vs 87 ± 9% predicted, respectively). CONCLUSIONS: Narghile use may play a role in reducing submaximal aerobic capacity. The present study suggests that a program of pulmonary rehabilitation is an excellent axis to follow.


Libyan Journal of Medicine | 2014

Effects of Ramadan on physical capacities of North African boys fasting for the first time

Mohamed Amine Fenneni; Imed Latiri; Asma Aloui; Sonia Rouatbi; Mohamed Ali Saafi; I. Bougmiza; Karim Chamari; Helmi Ben Saad

Introduction Most of the literature related to the effects of Ramadan fasting on physical performance has focused on adults, and only three studies have examined its impact on childrens physical performance. Aims To examine the effects of Ramadan fasting on first-time fasting boys’ performance in short-term explosive exercises [vertical and horizontal jump tests (VJT and HJT), 20-m and 30-m sprints and medicine-ball throw (MBT)], as well as in sub-maximal endurance [6-min walking distance (6MWD) measured during the 6-min walk test (6MWT)]. Methods Eighteen Tunisian boys [mean±standard deviation (SD) of age and body mass (BM): 11.9±0.8 y and 55.4±18.2 kg, respectively] were included. The experimental design comprised four testing phases: 2-weeks before Ramadan (BR), the end of the second week (R2) and the fourth week (R4) of Ramadan, and 10–12 days after the end of Ramadan (AR). At each phase, boys performed two test sessions in the afternoon (15:00–17:00 h) interrupted by 48 h of recovery (first test session: BM, VJT, HJT, and 20-m and 30-m sprint tests; second session: MBT and 6MWT). The study was conducted during the summer of 2012 from July 5 to August 29. Results 6MWDs (m) were significantly shorter during R2 (652±101) and R4 (595±123) compared to BR (697±86) and came back to baseline values AR. BM (kg) mean±SD did not significantly change during R2 (52±15) and during R4 (53±15) compared to BR (55±17), and short-term explosive performances were unchanged throughout the study. Conclusion In non-athletic children, first-ever Ramadan fasting impairs sub-maximal aerobic capacity but has no effect on BM or short-term explosive performance.


Respiration | 2010

North-African reference values of alveolar membrane diffusion capacity and pulmonary capillary blood volume.

Sonia Rouatbi; Helmi Ben Saad; Imed Latiri; Zouhair Tabka; Hervé Guénard

Background: In North-African adults, location-specific reference values for membrane diffusion capacity (D<sub>m</sub>) and pulmonary capillary blood volume (V<sub>c</sub>) were needed. Objectives: To verify the applicability of previously published reference equations for D<sub>m</sub> and V<sub>c</sub> in North-African healthy adults (age >18 years) and to determine specific reference equations for North Africa. Methods: The study was designed as a prospective cross-sectional study. Anthropometric data (age, height, weight and body mass index) and D<sub>m</sub> and V<sub>c</sub> were assessed in 85 healthy Tunisian adults. Univariate and multiple linear regression analyses were used to determine reference equations and to calculate the lower limit of the normal range (LLN). Results: The mean ages ± SD (minimum – maximum) for male and female adults were 53 ± 21 (21–85) and 42 ± 16 (18–72) years, respectively. Previously published reference equations did not reliably predict measured D<sub>m</sub> and V<sub>c</sub>. The reference equation (r<sup>2</sup> = 47%) for D<sub>m</sub> was –36.16 + 45.37 × height – 0.34 × age + 0.39 × weight + 7.41 × gender (0 = female and 1 = male). To calculate the D<sub>m</sub> LLN subtract 24.36 from the reference value. The reference equation (r<sup>2</sup> = 30%) for female V<sub>c</sub> was 94.70 – 0.57 × age, and the reference equation (r<sup>2</sup> = 52%) for male V<sub>c</sub> was 0.82 – 0.48 × age + 52.47 × height + 0.16 × weight. To calculate the V<sub>c</sub> LLN subtract 28.52 and 26.54 from these reference values for females and males, respectively. Conclusion: These V<sub>c</sub> and D<sub>m</sub> reference equations supplement the international World Bank of reference equations.


Research in Sports Medicine | 2011

Leg Muscle Power in 12-Year-Old Black and White Tunisian Football Players

Karim Ben Ayed; Imed Latiri; Eric Dore; Zouhair Tabka

This study examined leg muscle power of young male Tunisian black and white football players and extended the analysis to determine whether there is a relationship between cycling peak power output (PPO) and some field tests. A total of 113 children (white group (WG) = n = 56; black group (BG) = n = 57) participated in this investigation. Anthropometric data included age, body mass (BM), height, leg length (LL), body mass index (BMI), and leg muscle volume (LMV). Cycling PPO was measured including a force–velocity test. Peak power output (PPO; W and W/kg), Fopt (optimal braking force), and Vopt (optimal velocity) were significantly higher in the WG compared with the BG (p < 0.05). However, jump and sprint performances of the BG were significantly higher than the WG (p < 0.05). Multiple stepwise regression with anthropometric variables and the extrapolated values of the force–velocity test as explanatory factors showed that 33% of the variance of PPO of BG was explained by qualitative factors that may be related to cycling skill, muscle composition, and socioeconomic and training status.


Libyan Journal of Medicine | 2015

Critical analysis of the published literature about the effects of Ramadan intermittent fasting on healthy children’s physical capacities

Mohamed Amine Fenneni; Imed Latiri; Asma Aloui; Sonia Rouatbi; Karim Chamari; Helmi Ben Saad

No abstract available. (Published: 8 June 2015) Citation: Libyan J Med 2015, 10 : 28351 -http://dx.doi.org/10.3402/ljm.v10.28351


Revue Des Maladies Respiratoires | 2010

Aptitude aérobie sous-maximale et qualité de vie des fumeurs exclusifs de narguilé

H. Ben Saad; Maya Babba; Rafik Boukamcha; Imed Latiri; J. Knani; R. Slama; I. Bougmiza; A. Zbidi; Zouhair Tabka

BACKGROUND It is well known that oxidative stress is increased significantly by regular water-pipe smoking (WPS). This could lead to muscle dysfunction and thus to impairments of exercise and quality of life (QOL). Considering the impressive number of WP smokers, we intend to investigate the potential effect of WPS on submaximal exercise capacity and QOL. AIMS (1). To evaluate the submaximal exercise capacity by the 6-minutes walking test (6-MWT). (2). To compare the deficiency, incapacity and QOL data of exclusive WPS with those of two control groups (never smokers and exclusive cigarette smokers). (3). To determine the factors influencing the 6-minutes walk distance (6-MWD) of WPS subjects. METHODS A multicentre study including 180 exclusive WPS [> or =5 WP-year] men aged > or =40 years. Cigar or cigarette smoking, contraindications to the 6-MWT or cortico-steroid therapy will be exclusion criteria. QOL evaluation, spirometry, electrocardiogram and two 6-MWT will be performed. Signs of exercise impairment will be: 6-MWD< or =lower limit of normal, end of walk dyspnoea > or =5/10, haemoglobin saturation fall > or =5 points. Data from WPS subjects will be compared with those from 90 never smoking subjects and 90 exclusives cigarettes smokers. EXPECTED RESULTS (1). WPS will affect significantly the submaximal exercise capacity. (2). Resting spirometric, 6-MWT and QOL data of exclusive WPS subjects will be significantly reduced compared to never smoking subjects. (3). The 6-MWDs of exclusive WPS subjects will be significantly influenced by cumulative WP consumption, by resting spirometric data, by obesity and by physical activity score.


American Journal of Men's Health | 2017

The Effects of Ramadan Fasting on the Spirometric Data of Healthy Adult Males

Imed Latiri; Siwar Sandid; Mohamed Amine Fennani; Mohamed Hadrich; Tasnim Masmoudi; Chiraz Maatoug; Makrem Zammit-Chatti; Karim Chamari; Helmi Ben Saad

The few studies carried out on the effects of Ramadan fasting (RF) on spirometric values present contradictory conclusions. This study aimed at assessing whether RF affects healthy adults’ spirometric values. Twenty-nine nonsmoking healthy males (M ± standard error of mean [SEM] of age: 27 ± 1 years) who fasted during Ramadan (June 29-July 28, 2014) volunteered to the study. Three periods (before-Ramadan [June 23-25], mid-Ramadan [July 14-16] and after-Ramadan [August 11-14]) were selected for spirometry measurements that were consistently performed 5.5 to 3.5 hours (between 15:00 and 17:00 hours) before fasting break. Assessment sessions comprised following: weight (kg), forced vital capacity (FVC), first second expiratory volume (FEV1), FEV1/FVC, peak expiratory flow (PEF), maximal mid expiratory flow (MMEF), and forced expiratory flow rate at the x% of FVC to be exhaled (FEFx%). Spirometric data were expressed in percentages of reference values. Results were analyzed by applying repeated measures analysis of variance. The M ± SEM of weight (before-R: 81.6 ± 2.8 kg, mid-R: 80.8 ± 2.9 kg, after-R: 81.2 ± 2.9 kg), FEV1 (before-R: 99 ± 2%, mid-R: 98 ± 2%, after-R: 98 ± 2%), FVC (before-R: 103 ± 2%, mid-R: 101 ± 2%, after-R: 101 ± 2%), PEF (before-R: 112 ± 3%, mid-R: 113 ± 2%, after-R: 114 ± 3%), MMEF (before-R: 83 ± 3%, mid-R: 83 ± 3%, after-R: 82 ± 3%), FEF25% (before-R: 90 ± 5%, mid-R: 89 ± 6%, after-R: 87 ± 6%), FEF50% (before-R: 94 ± 4%, mid-R: 91 ± 4%, after-R: 93 ± 3%), and FEF75% (before-R: 108 ± 3%, mid-R: 111 ± 2%, after-R:111 ± 3%) were not significantly influenced by RF. To conclude, RF did not bring about any significant changes in the spirometric values of nonsmoking healthy adult males.


Respiratory Medicine | 2015

6-Min walk-test data in severe obstructive-sleep-apnea-hypopnea-syndrome (OSAHS) under continuous-positive-airway-pressure (CPAP) treatment.

Helmi Ben Saad; Ikram Ben Hassen; Ines Ghannouchi; Imed Latiri; Sonia Rouatbi; Pierre Escourrou; Halima Ben Salem; M. Benzarti; A. Abdelghani

INTRODUCTION Few studies have evaluated the functional capacity of severe OSAHS. AIMS To assess their functional capacity, identify their 6-min walking-distance (6MWD) influencing factors and compare their data with those of two control-groups. METHODS Sixty (42 males) clinically consecutive stable patients with severe OSAHS under CPAP were included. Clinical, Epworth questionnaire, anthropometric, polysomnographic, plethysmographic and 6-min walk-test (6MWT) data were collected. Univariate and multivariate analyses were used to identify the 6MWD influencing factors. Data of a subgroup of severe OSAHS aged ≥40 Yrs (n = 49) were compared with those of non-obese (n = 174) and obese (n = 55) groups. RESULTS The means ± SD of age and apnea-hypopnea-index were, respectively, 49 ± 10 Yr and 62 ± 18/h. The profile of OSAHS patients carrying the 6MWT, was as follows: at the end of the 6MWT, 31% and 25% had, respectively, a high dyspnea (>5/10, visual analogue scale) and a low heart-rate (<60% of-maximal-predicted), 13% had an abnormal 6MWD ( 5 points and 3% stopped the walk. The factors that significantly influenced the 6MWD, explaining 80% of its variability, are included in the following equation: 6MWD (m) = 29.66 × first-second-forced-expiratory-volume (L) - 4.19 × Body-mass-index (kg/m(2)) - 51.89 × arterial-hypertension (0. No; 1. Yes) + 263.53 × Height (m) + 2.63 × average oxy-sat during sleep (%) - 51.06 × Diuretic-use (0. No; 1. Yes) - 20.68 × Dyspnea (NYHA) (0. No; 1. Yes) - 38.09 × Anemia (0. No; 1. Yes) + 5.79 × Resting oxy-sat (%) - 586.25. Compared with non-obese and obese groups, the subgroup of OSAHS has a significantly lower 6MWD [100 ± 9%, 100 ± 8% and 83 ± 12%, respectively). CONCLUSION Severe OSAHS may play a role in reducing the functional capacity.


Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy | 2012

Six-minute walk test in non-insulin-dependent diabetes mellitus patients living in Northwest Africa

Imed Latiri; Rihab Elbey; Kamel Hcini; Afif Zaoui; Bessam Charfeddine; Mohamed Ridha Maarouf; Zouhair Tabka; A. Zbidi; Helmi Ben Saad

Introduction International recommendations of the exploration of non-insulin-dependent diabetes mellitus (NIDDM) are focused on deficiency and not incapacity. Aims (1) To estimate the incapacity of NIDDM patients through the 6-minute walk test (6MWT) data. (2) To determine their 6-minute walk distance (6MWD) influencing factors (3) To compare data of NIDDM patient group (PG; n = 100) with those of two control groups (CG): CG1 (n = 174, healthy nonobese and nonsmoker); CG2 (n = 55, obese nondiabetic free from comorbidities). Population and methods The anthropometric, socioeconomic, clinical, metabolic, and 6MWT data of 100 NIDDM patients (45 females) were collected. Results Total sample means ± standard deviation of age, weight, and height were 54 ± 8 years, 81 ± 14 kg, and 1.64 ± 0.09 m. (1) Measured 6MWD (566 ± 81 m) was significantly lower than the theoretical 6MWD (90% ± 12%). The profile of the PG carrying the 6MWT, was as follows: 23% had an abnormal 6MWD; at the end of the 6MWT, 21% and 12% had, respectively, a low heart rate and a high dyspnea (>5/10), and 4% had desaturation during the walk. The estimated “cardiorespiratory and muscular chain” age (68 ± 16 years) was significantly higher than the chronological age. (2) The factors that significantly influenced the 6MWD (r2 = 0.58) are included in the following equation: 6MWD (m) = −73.94 × gender (0, male; 1, female) – 3.25 × age (years) + 7.33 × leisure activity score – 35.57 × obesity (0, no; 1, yes) + 32.86 × socioeconomic level (0, low; 1, high) – 27.67 × cigarette use (0, no; 1, yes) + 8.89 × resting oxyhemoglobin saturation – 105.48. (3) Compared to the CGs, the PG had a significantly (P < 0.05) lower 6MWD (100%+9% and 100%+8%, respectively, for the CG1 and CG2). Conclusion NIDDM seems to accelerate the decline of the submaximal aerobic capacity evaluated through the 6MWD.


American Journal of Men's Health | 2018

The Effects of Ramadan Intermittent Fasting (RIF) on Spirometric Data of Stable COPD Patients: A Pilot Study:

Hajer Zouari; Imed Latiri; Mohamed Mahjoub; Mohamed Boussarsar; M. Benzarti; A. Abdelghani; Helmi Ben Saad

No previous study has raised the effects of RIF on lung function data of chronic obstructive pulmonary disease (COPD) patients. The objective of the present study was to assess the effects of RIF on spirometric data measured in male patients with a stable COPD. Sixteen patients with stable COPD (mean ± SD of age: 64 ± 7 years) who fasted during Ramadan volunteered to the study. Three sessions (Before-R, End-R, and After-R) were selected for spirometry tests that were consistently performed 2.5–4.5 hr before fasting break. Assessment sessions comprised: forced vital capacity (FVC), 1st s forced expiratory volume (FEV1), FEV1/FVC, peak expiratory flow (PEF), maximal mid-expiratory flow (MMEF), and forced expiratory flow rate at the x% of FVC to be exhaled (FEFx%). A reversibility test was performed only during the Before-Ramadan session. Spirometric data were expressed in percentages of local reference values. Findings were analyzed by applying repeated measures analysis of variance. The mean ± SD of the postbronchodilator FEV1/FVC ratio and the FEV1 were, respectively, 0.52 ± 0.14 and 48 ± 19%. The mean ± SD of FEV1 (Before-R: 47 ± 19, End-R: 45 ± 18, After-R: 44 ± 19%), FVC (Before-R: 73 ± 18, End-R: 71 ± 16, After-R: 69 ± 17%), FEV1/FVC (Before-R: 67 ± 16, End-R: 66 ± 16, After-R: 65 ± 16%), PEF (Before-R: 46 ± 19, End-R: 47 ± 22, After-R: 45 ± 21%), MMEF (Before-R: 19 ± 10, End-R: 18 ± 8, After-R: 18 ± 9%), FEF25% (Before-R: 16 ± 6, End-R: 16 ± 5, After-R: 15 ± 5%), FEF50% (Before-R: 21 ± 14, End-R: 20 ± 12, After-R: 20 ± 12%) and FEF75% (Before-R: 27 ± 19, End-R: 27 ± 19, After-R: 27 ± 19%) were not significantly influenced by RIF. RIF did not bring about any significant changes in the spirometric data of stable COPD male patients fasting the 2016 holy month of Ramadan.

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A. Zbidi

University of Sousse

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