Effects of a short residential thermal spa program to prevent work-related stress/burnout on stress biomarkers: The thermstress proof of concept study

Journal article

Dutheil, Frederic, Chaplais, Elodie, Vilmant, Audrey, Lanoir, Denise, Courteix, Daniel, Duche, Pascale, Abergel, Armand, Pfabigan, Daniela M., Han, Shihui, Mondillon, Laurie, Vallet, Guillaume, Mermillod, Martial, Boudet, Gil, Obert, Phillippe, Izem, Omar, Boirie, Yves, Pereira, Bruno and Lesage, Francois-Xavier. (2019). Effects of a short residential thermal spa program to prevent work-related stress/burnout on stress biomarkers: The thermstress proof of concept study. Journal of International Medical Research. 47(10), pp. 5130 - 5145. https://doi.org/10.1177/0300060519859119
AuthorsDutheil, Frederic, Chaplais, Elodie, Vilmant, Audrey, Lanoir, Denise, Courteix, Daniel, Duche, Pascale, Abergel, Armand, Pfabigan, Daniela M., Han, Shihui, Mondillon, Laurie, Vallet, Guillaume, Mermillod, Martial, Boudet, Gil, Obert, Phillippe, Izem, Omar, Boirie, Yves, Pereira, Bruno and Lesage, Francois-Xavier
Abstract

Objective Work-related stress is a public health issue. Stress has multiple physical and psychological consequences, the most serious of which are increased mortality and cardiovascular morbidity. The ThermStress protocol was designed to offer a short residential thermal spa program for work-related stress prevention that is compatible with a professional context. Methods Participants will be 56 male and female workers aged 18 years or above. All participants will undergo a 6-day residential spa program comprising psychological intervention, physical activity, thermal spa treatment, health education, eating disorder therapy and a follow-up. On six occasions, participants’ heart rate variability, cardiac remodelling and function, electrodermal activity, blood markers, anthropometry and body composition, psychology and quality of life will be measured using questionnaires and bone parameters. Results This study protocol reports the planned and ongoing research for this intervention. Discussion The ThermStress protocol has been approved by an institutional ethics committee (ANSM: 2016 A02082 49). It is expected that this proof of concept study will highlight the effect of a short-term specific residential thermal spa program on the prevention of occupational burnout and work-related stress. The findings will be disseminated at several research conferences and in published articles in peer-reviewed journals. Trial Registration: ClinicalTrials.gov (NCT 03536624, 24/05/2018)

KeywordsStress; burnout; prevention; heart rate variability; spa bath; work; biomarkers
Year2019
JournalJournal of International Medical Research
Journal citation47 (10), pp. 5130 - 5145
PublisherSage Publications Ltd.
ISSN0300-0605
Digital Object Identifier (DOI)https://doi.org/10.1177/0300060519859119
Scopus EID2-s2.0-85073664889
Open accessOpen access
Page range5130 - 5145
Research GroupSports Performance, Recovery, Injury and New Technologies (SPRINT) Research Centre
Publisher's version
License
Place of publicationUnited Kingdom
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Dutheil, Frederic, Naughton, Geraldine Ann, Sindyga, Patricia and Lesage, Francois-Xavier. (2016). Ill health-related job loss: A one-year follow-up of 54,026 employees. Journal of Occupational and Environmental Medicine. 58(9), pp. 918 - 923. https://doi.org/10.1097/JOM.0000000000000825
Evaluation of the efficacy and tolerance of a short 7 day third-generation cephalosporin treatment in the management of acute pyelonephritis in young women in the emergency department
Moustafa, Fares, Nguyen, Guillaume, Mathevon, Thierry, Baud, Olivier, Saint-Denis, Jennifer, Dublanchet, Nicolas, Pereira, Bruno, Shinjo, Coralie, Romaszko, Jean-Pierre, Dopeux, Loic, Dutheil, Frederic and Schmidt, Jeannot. (2016). Evaluation of the efficacy and tolerance of a short 7 day third-generation cephalosporin treatment in the management of acute pyelonephritis in young women in the emergency department. Journal of Antimicrobial Chemotherapy. 71(6), pp. 1660 - 1664. https://doi.org/10.1093/jac/dkw021
Concurrent agreement between an anthropometric model to predict thigh volume and dual-energy X-Ray absorptiometry assessment in female volleyball players aged 14-18 years
Tavares, Óscar M., Valente-dos-Santos, João, Duarte, João P., Póvoas, Susana C., Gobbo, Luís A., Fernandes, Rômulo A., Marinho, Daniel Almeida, Casanova, José M., Sherar, Lauren B., Courteix, Daniel and Coelho-e-Silva, Manuel J.. (2016). Concurrent agreement between an anthropometric model to predict thigh volume and dual-energy X-Ray absorptiometry assessment in female volleyball players aged 14-18 years. BMC Pediatrics. 16(190), pp. 1 - 10. https://doi.org/10.1186/s12887-016-0730-7
Are nurses burned out?
Choron, Guillame, Dutheil, Frederic and Lesage, Francois-Xavier. (2016). Are nurses burned out? International Journal of Nursing Studies. 58, pp. 80 - 81. https://doi.org/10.1016/j.ijnurstu.2016.02.002
Validation of the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) in French psychiatric and general populations
Trousselard, Marion, Steiler, Dominique, Dutheil, Frederic, Claverie, Damien, Canini, Frédéric, Fenouillet, Fabien, Naughton, Geraldine Ann, Stewart-Brown, Sarah and Franck, Nicolas. (2016). Validation of the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) in French psychiatric and general populations. Psychiatry Research. 245, pp. 282 - 290. https://doi.org/10.1016/j.psychres.2016.08.050
Stress among nurses working in emergency, anesthesiology and intensive care units depends on qualification: a Job Demand-Control survey
Trousselard, Marion, Dutheil, Frederic, Naughton, Geraldine Ann, Cosserant, Sylvie, Amadon, Sylvie, Christian, Duale and Schoeffler, Pierre. (2016). Stress among nurses working in emergency, anesthesiology and intensive care units depends on qualification: a Job Demand-Control survey. International Archives of Occupational and Environmental Health. https://doi.org/10.1007/s00420-015-1065-7
Cross-sectional and longitudinal study protocols of the 'ADIposity and BOne metabolism: Effects of eXercise-induced weight loss in obese adolescents' (ADIBOX) project
Chaplais, Elodie, Dutheil, Frederic, Naughton, Geraldine Ann, Greene, David Anthony, Pereira, Bruno, Thivel, David and Courteix, Daniel. (2016). Cross-sectional and longitudinal study protocols of the 'ADIposity and BOne metabolism: Effects of eXercise-induced weight loss in obese adolescents' (ADIBOX) project. BMJ Open. 6, pp. 1 - 9. https://doi.org/10.1136/bmjopen-2016-011407
Multilevel approach of a 1-year program of dietary and exercise interventions on bone mineral content and density in metabolic syndrome - the RESOLVE randomized controlled trial
Courteix, Daniel, Valente-dos-Santos, Joao, Ferry, Beatrice, Lac, Gerard, Lesourd, Bruno, Chapier, Robert, Naughton, Geraldine, Marceau, Geoffroy, Coelho-E-Silva, Manuel, Vinet, Agnes, Walther, Guillaume, Obert, Philippe and Dutheil, Frederic. (2015). Multilevel approach of a 1-year program of dietary and exercise interventions on bone mineral content and density in metabolic syndrome - the RESOLVE randomized controlled trial. PLoS One (online). 10(9), pp. 1 - 20. https://doi.org/10.1371/journal.pone.0136491
Creatine supplementation and lower limb strength performance : A systematic review and meta-analyses
Lanhers, Charlotte, Pereira, Bruno, Naughton, Geraldine, Trousselard, Marion, Lesage, Francois-Xavier and Dutheil, Frederic. (2015). Creatine supplementation and lower limb strength performance : A systematic review and meta-analyses. Sports Medicine: reviews of applied medicine and science in sport and exercise. 45(9), pp. 1285 - 1294. https://doi.org/10.1007/s40279-015-0337-4
Electronic cigarettes: The resistance value of the heating filament could be the key to lung toxicity
Chausse, Pierre, Naughton, Geraldine and Dutheil, Frederic. (2015). Electronic cigarettes: The resistance value of the heating filament could be the key to lung toxicity. Chest. 148(1), pp. e29 - e30. https://doi.org/10.1378/chest.15-0497
Bone-adiposity cross-talk: implications for pediatric obesity
Chaplais, Elodie, Thivel, David, Greene, David, Dutheil, Frederic, Duche, Pascale, Naughton, Geraldine and Courteix, Daniel. (2015). Bone-adiposity cross-talk: implications for pediatric obesity. Journal of Bone and Mineral Metabolism. 33(6), pp. 592 - 602. https://doi.org/10.1007/s00774-015-0654-6
Smartphone interventions for weight treatment and behavioral change in pediatric obesity : A systematic review
Chaplais, Elodie, Naughton, Geraldine, Thivel, David, Courteix, Daniel and Greene, David. (2015). Smartphone interventions for weight treatment and behavioral change in pediatric obesity : A systematic review. Telemedicine and e-Health (print). 21(10), pp. 822 - 830. https://doi.org/10.1089/tmj.2014.0197
Metabolic syndrome individuals with and without type 2 diabetes mellitus present generalized vascular dysfunction : Cross-sectional study
Walther, Guillaume, Obert, Philippe, Dutheil, Frederic, Chapier, Robert, Lesourd, Bruno, Naughton, Geraldine, Courteix, Daniel and Vinet, Agnes. (2015). Metabolic syndrome individuals with and without type 2 diabetes mellitus present generalized vascular dysfunction : Cross-sectional study. Arteriosclerosis Thrombosis and Vascular Biology. 35(4), pp. 1022 - 1029. https://doi.org/10.1161/ATVBAHA.114.304591
Effects of a multi-disciplinary lifestyle intervention on cardiometabolic risk factors in young women with abdominal obesity: A randomised controlled trial
Share, Bianca, Naughton, Geraldine, Obert, Phillippe, Peat, Jennifer, Aumand, Elizabeth and Kemp, Justin. (2015). Effects of a multi-disciplinary lifestyle intervention on cardiometabolic risk factors in young women with abdominal obesity: A randomised controlled trial. PLoS One (online). 10(6), pp. 1 - 15. https://doi.org/10.1371/journal.pone.0130270
Chest CT Scan Screening for Lung Cancer in Asbestos Occupational Exposure : A Systematic Review and Meta-analysis
Ollier, Marie, Chamoux, Alain, Naughton, Geraldine, Pereira, Bruno and Dutheil, Frederic. (2014). Chest CT Scan Screening for Lung Cancer in Asbestos Occupational Exposure : A Systematic Review and Meta-analysis. Chest. 145(6), pp. 1339 - 1346. https://doi.org/10.1378/chest.13-2181
Left ventricular myocardial dyssynchrony is already present in nondiabetic patients with metabolic syndrome
Crendal, Edward, Walther, Guillaume, Dutheil, Frederic, Courteix, Daniel, Lesourd, Bruno, Chapier, Robert, Naughton, Geraldine A., Vinet, Agnes and Obert, Phillippe. (2014). Left ventricular myocardial dyssynchrony is already present in nondiabetic patients with metabolic syndrome. Canadian Journal of Cardiology. 30(3), pp. 320 - 324. https://doi.org/10.1016/j.cjca.2013.10.019
Increased myocardial dysfunction, dyssynchrony, and epicardial fat across the lifespan in healthy males
Crendal, Edward, Dutheil, Fred, Naughton, Geraldine, McDonald, Tracey and Obert, Philippe. (2014). Increased myocardial dysfunction, dyssynchrony, and epicardial fat across the lifespan in healthy males. BMC Cardiovascular Disorders. 14(95), pp. 1 - 10. https://doi.org/10.1186/1471-2261-14-95
Atherogenic subfractions of lipoproteins in the treatment of metabolic syndrome by physical activity and diet - the RESOLVE trial
Dutheil, Frederic, Walther, Guillame, Chapier, Robert, Mnatzaganian, George, Lesourd, Bruno, Naughton, Geraldine, Verney, Julien, Fogli, Anne, Sapin, Vincent, Duclos, Martine, Vinet, Agnes, Obert, Philippe, Courteix, Daniel and Lac, Gerard. (2014). Atherogenic subfractions of lipoproteins in the treatment of metabolic syndrome by physical activity and diet - the RESOLVE trial. Lipids in Health and Disease. 13(1). https://doi.org/10.1186/1476-511X-13-112
Comparison of the ultra-low-dose Veo algorithm with the gold standard filtered back projection for detecting pulmonary asbestos-related conditions : A clinical observational study
Tekath, Marielle, Dutheil, Frederic, Bellini, Romain, Roche, Antoine, Pereira, Bruno, Naughton, Geraldine, Chamoux, Alain and Michel, Jean-Luc. (2014). Comparison of the ultra-low-dose Veo algorithm with the gold standard filtered back projection for detecting pulmonary asbestos-related conditions : A clinical observational study. BMJ Open. 4(5), pp. 1 - 8. https://doi.org/10.1136/bmjopen-2014-004980
Cardiometabolic and behavioural risk factors in young overweight women identified with simple anthropometric measures
Share, Bianca L., Naughton, Geraldine A., Obert, Phillippe, Peat, Jennifer K. and Kemp, Justin G.. (2014). Cardiometabolic and behavioural risk factors in young overweight women identified with simple anthropometric measures. Journal of Science and Medicine in Sport. 17(6), pp. 656 - 661. https://doi.org/10.1016/j.jsams.2013.09.011
Reproducibility of a peripheral quantitative computed tomography scan protocol to measure the material properties of the second metatarsal
Chaplais, Elodie, Greene, David, Hood, Anita, Telfer, Scott, du Toit, Verona, Singh-Grewal, Davinder, Burns, Joshua, Rome, Keith, Schiferl, Daniel and Hendry, Gordon. (2014). Reproducibility of a peripheral quantitative computed tomography scan protocol to measure the material properties of the second metatarsal. BMC Musculoskeletal Disorders. 15(242), pp. 1 - 6. https://doi.org/10.1186/1471-2474-15-242
Right ventricle free wall mechanics in metabolic syndrome without type-2 diabetes: Effects of a 3-month lifestyle intervention program
Serrano-Ferrer, Juan, Walther, Guillaume, Crendal, Edward, Vinet, Agnes, Dutheil, Frederic, Naughton, Geraldine A., Lesourd, Bruno, Chapier, Robert, Courteix, Daniel and Obert, Philippe. (2014). Right ventricle free wall mechanics in metabolic syndrome without type-2 diabetes: Effects of a 3-month lifestyle intervention program. Cardiovascular Diabetology. 13(1), pp. 1 - 11. https://doi.org/10.1186/s12933-014-0116-9
Atherogenic subfractions of lipoproteins in the treatment of metabolic syndrome by physical activity and diet : the RESOLVE trial
Dutheil, Frederic, Walther, Guillaume, Chapier, Robert, Mnatzaganian, George, Lesourd, Bruno, Naughton, Geraldine, Verney, Julien, Fogli, Anne, Sapin, Vincent and Duclose, Martine. (2014). Atherogenic subfractions of lipoproteins in the treatment of metabolic syndrome by physical activity and diet : the RESOLVE trial. Lipids in Health and Disease. 13(112), pp. 1 - 9. https://doi.org/10.1186/1476-511X-13-112
Myocardial deformation and twist mechanics in adults with metabolic syndrome : Impact of cumulative metabolic burden
Crendal, Edward, Walther, Guillaume, Vinet, Agnes, Dutheil, Frederic, Naughton, Geraldine, Lesourd, Bruno, Chapier, Robert, Rupp, Thomas, Courteix, Daniel and Obert, Philippe. (2013). Myocardial deformation and twist mechanics in adults with metabolic syndrome : Impact of cumulative metabolic burden. Obesity: a resourch journal. https://doi.org/10.1002/oby.20537
Urinary Interleukin-8 is a biomarker of stress in emergency physicians, especially with advancing age: The JOBSTRESS* randomized trial
Dutheil, Frederic, Trousselard, Marion, Perrier, Christophe, Lac, Gerard, Chamoux, Alain, Duclos, Martine, Naughton, Geraldine, Mnatzaganian, George and Schmidt, Jeannot. (2013). Urinary Interleukin-8 is a biomarker of stress in emergency physicians, especially with advancing age: The JOBSTRESS* randomized trial. PLoS ONE. 8(8), pp. 1 - 7. https://doi.org/10.1371/journal.pone.0071658
Gymnastics participation is associated with skeletal benefits in the distal forearm : a 6-month study using peripheral Quantitative Computed Tomography
Burt, Lauren, Ducher, Gaele, Naughton, Geraldine, Courteix, Daniel and Greene, David. (2013). Gymnastics participation is associated with skeletal benefits in the distal forearm : a 6-month study using peripheral Quantitative Computed Tomography. The Journal of Musculoskeletal and Neuronal Interactions.
Exercise-induced cardioprotection: A role for eNOS uncoupling and NO metabolites
Farah, C., Kleindienst, Adrien, Bolea, G., Meyer, G., Gayrard, Sandrine, Geny, B., Obert, Phillippe, Cazorla, O., Tanguy, Stephane and Reboul, Cyril. (2013). Exercise-induced cardioprotection: A role for eNOS uncoupling and NO metabolites. Basic Research in Cardiology. 108(6), pp. 1 - 13. https://doi.org/10.1007/s00395-013-0389-2
Different modalities of exercise to reduce visceral fat mass and cardiovascular risk in metabolic syndrome : the RESOLVE* randomized trial
Dutheil, Frederic, Lac, Gerard, Lesourd, Bruno, Chapier, Robert, Walther, Guillaume, Vinet, Agnes, Sapin, Vincent, Verney, Julien, Ouchchane, Lemlih and Duclos, Martine. (2013). Different modalities of exercise to reduce visceral fat mass and cardiovascular risk in metabolic syndrome : the RESOLVE* randomized trial. International Journal of Cardiology. https://doi.org/10.1016/j.ijcard.2013.05.012
The long-term effects of occupational exposure to vinyl chloride monomer on microcirculation : a cross-sectional study 15 years after retirement
Lopez, Vincent, Chamoux, Alain, Tempier, Marion, Thiel, Helene, Ughetto, Sylvie, Trousselard, Marion, Naughton, Geraldine and Dutheil, Frederic. (2013). The long-term effects of occupational exposure to vinyl chloride monomer on microcirculation : a cross-sectional study 15 years after retirement. BMJ Open. https://doi.org/10.1136/bmjopen-2013-002785
Non-elite gymnastics participation is associated with greater bone strength, muscle size, and function in pre- and early pubertal girls
Burt, Lauren, Naughton, Geraldine, Greene, David and Courteix, Daniel. (2012). Non-elite gymnastics participation is associated with greater bone strength, muscle size, and function in pre- and early pubertal girls. Osteoporosis International. 23(4), pp. 1277 - 1286. https://doi.org/10.1007/s00198-011-1677-z
Treatment of Metabolic syndrome by combination of physical activity and diet needs an optimal protein intake: a randomized controlled trial
Dutheil, Frederic, Lac, Gerard, Courteix, Daniel, Dore, Eric, Chapier, Robert, Roszyk, Laurence, Sapin, Vincent and Lesourd, Bruno. (2012). Treatment of Metabolic syndrome by combination of physical activity and diet needs an optimal protein intake: a randomized controlled trial. Nutrition Journal. 11(1). https://doi.org/10.1186/1475-2891-11-72
Beta-Adrenergic receptors desensitization is not involved in exercise-induced cardiac fatigue: NADPH oxidase-induced oxidative stress as a new trigger
Vitiello, Damien, Boissiere, Julien, Doucende, Gregory, Gayrard, Sandrine, Polge, Anne, Faure, Patrice, Goux, Aurelie, Tanguy, Stephane, Obert, Phillippe, Reboul, Cyril and Nottin, Stephane. (2011). Beta-Adrenergic receptors desensitization is not involved in exercise-induced cardiac fatigue: NADPH oxidase-induced oxidative stress as a new trigger. Journal of Applied Physiology. 111(5), pp. 1242 - 1248. https://doi.org/10.1152/japplphysiol.00449.2011
Bone geometry and strength adaptations to physical constraints inherent in different sports: Comparison between elite female soccer players and swimmers
Ferry, B., Duclos, M., Burt, Lauren A., Therre, P., Le Gall, F., Jaffré, C. and Courteix, D.. (2011). Bone geometry and strength adaptations to physical constraints inherent in different sports: Comparison between elite female soccer players and swimmers. Journal of Bone and Mineral Metabolism (print version). 29(3), pp. 342 - 351. https://doi.org/10.1007/s00774-010-0226-8
Carbon monoxide pollution impairs myocardial perfusion reserve: Implication of coronary endothelial dysfunction
Meyer, G., Boissiere, Julien, Tanguy, Stephane, Rugale, C., Gayrard, Sandrine, Jover, Bernard, Obert, Phillippe and Reboul, Cyril. (2011). Carbon monoxide pollution impairs myocardial perfusion reserve: Implication of coronary endothelial dysfunction. Cardiovascular Toxicology. 11(4), pp. 334 - 340. https://doi.org/10.1007/s12012-011-9125-z
Bone geometry and strength adaptations to physical constraints inherent in different sports: comparison between elite female soccer players and swimmers
Ferry, Beatrice, Duclos, Martine, Burt, Lauren, Therre, Perrine, Le Gall, Franck, Jaffre, Christelle and Courteix, Daniel. (2011). Bone geometry and strength adaptations to physical constraints inherent in different sports: comparison between elite female soccer players and swimmers. Journal of Bone and Mineral Metabolism. 29(3). https://doi.org/10.1007/s00774-010-0226-8
Effect of a six-month training programme on the physical capacities of Romanian schoolchildren
Greene, David, Serbescu, Carmen, Flora, D., Hantiu, Iacob, Benhamou, Claude Laurent and Courteix, Daniel. (2006). Effect of a six-month training programme on the physical capacities of Romanian schoolchildren. Acta Paediatrica. 10(10), pp. 1258 - 1265. https://doi.org/10.1080/08035250600599719