Brides-les-Bains: we teach the world to slim down Our goal, our job:
weight loss
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Healthy cooking, body treatments and physical activities : you come to Brides to learn to slim down
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CONTENT 5 LES THERMES DE BRIDES-LES-BAINS速, THE REFERENCE IN WEIGHT LOSS 6 BRIDES-LES-BAINS CURES OBESITY AND RHEUMATISM Away from your life and your habits, test a whole new attitude toward food and health
7 THERMAL BATHS OR MEDICAL SPA, ONE JOB: WEIGHT LOSS 9 SCIENTIFIC STUDIES WHICH VALIDATE THERMAL TREATMENT 12
A RESEARCH ORIENTED TEAM
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A MULTIDISCIPLINARY THERAPEUTIC TEAM
15 THERMAL BATHS WHICH BET ON SCIENCE 16 THE EVIDENCE OF THERAPEUTIC EXPERIENCES 19 SLIMMING AT BRIDES: A THREE STEPS PROTOCOL TO LEARN HOW TO LOSE WEIGHT 22
24H IN THE LIFE OF A SPA GUEST
24 SLIMMING AT BRIDES, AN ANSWER TO DIABETES 26 LE GRAND SPA DES ALPES速, THE PLEASURE OF SLIMMING 28 GOLF HOTELHHHH SAVOY HOTELHHH, TWO INSTITUTIONS WHICH GUARANTEE SLIMMING AT BRIDES 29 LE VILLAGE POUR MAIGRIR速* CREATES A DIETETIC COOKING LABEL 30
L ES THERMES DE BRIDES-LES-BAINS速 SHAREHOLDERS OF THE SPA OF VITTEL
31 CONTACT
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Brides-les-Bains : the village of weight loss
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LES THERMES DE BRIDES-LES-BAINS® THE REFERENCE IN WEIGHT LOSS
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rides-les-Bains, a small village of 600 inhabitants in Savoie, surrounded by mountains. Every season, 18,000 people come here to lose weight. This spa is the first one and the reference in France for overweight treatment. Yet, here the word diet is prohibited. Children, youth and adults stay at Les Thermes de Bridesles-Bains® to learn to lose weight permanently. Dietetics, body care, physical activity, education, everything is implemented to support people in learning. Diabetes, rheumatic diseases, hypertension, cardio-vascular risks, and all risks associated with obesity are taken into account. Proven protocols allow us to act on all correlated diseases and improve the quality and expectancy of life. They implement a multidisciplinary and personalized care. Here we act on several levels and aim for long lasting results. These slimming skills are unique in France. They result from the involvement
of researchers, specialists and therapists who have enriched protocols and confirmed the status of Les Thermes de Brides-les-Bains® as a reference in
Obesity is a disease with causes and many varied consequences. Each case is unique and requires a special approach. the fight against obesity. «Slimming at Brides» mobilizes all the actors of the place. Moreover each professional,
Palper-rouler, the massage that kills fat cells
hotel staff, chefs, physiotherapist or the shopkeepers, were trained in the process of slimming well. The thermal baths of Brides have been engaged in a scientific approach for years. It is now confirmed by several independent studies. They also conducted therapeutic experiments which have allowed them to enrich protocols and adapt to different audiences. At Brides-les-Bains, we know that obesity is a multifactorial chronic disease that requires a multidisciplinary response. The team is ready today to export their expertise to assist countries, institutions and companies who want to fight against overweight and obesity. This document details the operational scientific, human and technical tools which allow Les Thermes de Brides-les-Bains® to be the leader in the business. They suggest to support those who want to succeed in curbing the epidemic of obesity and type 2 diabetes wherever it occurs. thermes-brideslesbains.fr
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Mud massage given by a physiotherapist
BRIDES-LES-BAINS CURES OBESITY AND RHEUMATISM
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es Thermes de Brides-les-Bains速 are approved by the Ministry of Health to treat two pathologies:
- Digestive System (Slimming at Brides spa treatments): treatment of obesity and metabolic disorders resulting from excess weight (especially type 2 diabetes or non-insulin dependent). - Rheumatology: treatment of joint pain such as arthritis, back disorders or rheumatism.
61% of people come to Brides-les-Bains to fight their weight problems as well as joint discomfort at the same time. Most suffer from their lower limb joints: knees, hips or ankles. This everyday suffering causes loss of mobility and locks them into a vicious circle with increased pain, immobility, weight gain due to inactivity...
Obesity is not a problem to be taken lightly. It can be a source of associated diseases among the following: - Non-insulin-dependent diabetes; - Cardiovascular diseases including hypertension; - Respiratory problems including sleep apnea; - Rheumatological problems in hips, knees and spine; - Metabolism problems including blood lipids; - Hormonal abnormalities; - Stones in the gall bladder; - Veinous and skin problems; - More important risks in case of surgery.
In 2030 an estimated 3.3 billion people will be affected by this disease. At that time, 80% of the cases will belong to developing countries. The alarming trend of overweight among children worldwide can anticipate this trend. Obesity is booming in the Middle East, with rates of 30% for Lebanon, Saudi Arabia and Qatar. In Saudi Arabia, 17 % of boys are overweight and in Bahrain 40% of girls are overweight. In Iran, Morocco and Tunisia, 10% of men and 20% of women are obese.
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Thermal water to relax and slim down
THERMAL BATHS OR MEDICAL SPA, ONE JOB: WEIGHT LOSS
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rides-les-Bains has two additional facilities to support overweight and conditions related thereto. - Les Thermes de Brides-les-Bains速 welcome people for a 18 days treatment. They concern obese or overweight people who need to take a break from their environment for several weeks to learn a new way of life. - L e Grand Spa des Alpes速, a medical spa of 2100 m2, offers short cures of 6, 9 and 12 days.
It welcomes people who want to act as soon as they gain weight to find their balance back. Each facility benefits from dedicated therapeutic teams. Dieticians, physiotherapists, hydrotherapists, chefs, or fitness professionals take turns to accompany each person in their change of lifestyle.
Obesity is generally the result of an imbalance between the consumed calories and the burnt calories. A greater consumption of very caloric food, associated with increasingly sedentary life, leads to weight gain hazardous to health. The decrease of physical activity will also lead to an energetic imbalance and weight gain. thermes-brideslesbains.fr
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Cooking workshop at Brides Thierry : the gourmet chef of the lean cuisine
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Lose weight: a scientific approach
Stretching session with a coach at Brides-les-Bains spa
SCIENTIFIC STUDIES THAT VALIDATE THERMAL TREATMENT
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everal independent scientific studies have validated thermal medicine in recent years. They concern the treatment against obesity and gonarthrosis (knee osteoarthritis). They demonstrate the effectiveness of hydrotherapy in the management of obesity and metabolic syndrome, including type 2 diabetes as one of the parameters. They also show that thermal treatment is a natural, without side effects, modern medicine and often really more effective than traditional city treatments. The reason why? The protocol operates on several factors and on long-lasting terms.
Maâthermes: Permanent Loss Weight The Maâthermes study (2011) evaluated the medical service role of thermal baths in the management of overweight and obesity and compared their effectiveness to usual treatments. The Maâthermes study demonstrates that a three week spa diet is more effective than classic accompaniment by an attending physician to a significant and durable loss of weight.
The effectiveness of spa therapy in the treatment of overweight and obesity is comparable to: > a lifestyle modification program with the usual duration of 16 to 26 weeks. The advantage of the spa is that it is much shorter (3 weeks). > (eg Lorcacerin) medication. The spa however causes no adverse side effects, unlike drugs.
On the 14th month, average weight loss of
Weight loss
5,17 kg
> 5%
VS 0,54kg for the group that did not follow the thermal treatment
for 57% for the thermal treatment group
The patients of the thermal spa treatment group are
3 times more with a weight loss of 5% of their initial weight
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Lose weight: a scientific approach
SCIENTIFIC STUDIES THAT VALIDATE THERMAL TREATMENT
The Prism Study This study examined the effectiveness of thermal baths (not only balneotherapy but also physical activity, nutrition and cooking classes) on the metabolic syndrome. A person has a metabolic syndrome when presenting three of the following criteria: - Hypertension (> 13/8) - A n increased waist circumference (>94 cm for men, >80 cm for women) - Hypertriglyceridemia ( >1.5 g/l) - H DL cholesterol too low ( <0.4 g/l for men, < 0.5g /l for women ) - Fasting glycemia too high (>1g/l) The metabolic syndrome is an indicator of high risk of cardiovascular disease and diabetes. After one year, the metabolic syndrome disappeared for 70% of the patients, with a significant decrease in blood pressure, and glycemia improved for 15% of participants. Spa treatement is therefore relevant in the therapeutic arsenal against obesity and type 2 diabetes. It is particularly interesting because it has no side effects and it allows the spa guests to have a deep reflection about their disease and their sustainable lifestyle changes.
Physical activity is a part of treatment
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SCIENTIFIC STUDIES THAT VALIDATE THERMAL TREATMENT
Thermarthrose: Mobility found again A scientific study on gonarthrosis (Thermarthrose 2009) shows that thermal treatment produced greater effects than city treatment. The study shows that thermal treatment improves the functions such as walking, standing, stooping, queuing, getting out of one’s car.
After 6 months, 41.90% of the «Thermal spa treatment» group observed an improvement of the function against 28.50% in the «control» group. This facilitates the patients’ daily lives, strengthens their muscles, increases joint stability.
Clinically relevant improvement in function (WOMAC test)
45%
Hydrotherapy is the best known therapy so far to act in the medium and long term against one of the most disabling forms of arthritis.
Evolution of pain according to time is in favour of the «Thermal spa treatment» group
41,90%
40% 0
35% 30%
28,50%
-2
25%
-4
20%
-6
15%
-8
10%
-10
5%
-12
0%
Witnesses
3 months
6 months
9 months
-14
6 months Thermal spa treatment
This natural medicine is well tolerated and has no impact on the digestive system unlike drugs. Different care (mud, massages, baths, mobilization exercises in the thermal pool) enables a soft and gradual mobilization of the body. Thermal techniques allow the people’s reappropriation of their
Day 0
Witnesses
bodies and a renewed confidence in their motor possibilities. The Thermal Baths can rely on two sites: at Brides-les-Bains, Spa cares and activities and thermal water acting on metabolism; at Salins-les-Thermes, the spa and its huge spa pool partly outdoors.
Thermal spa treatment
The thermal water of Salins has a composition close to seawater, promoting well-being, energy, decreasing pain and improving joint mobility. Rheumatology care, applications of mud and pool gymnastics contribute to the overall physical improvement of the spa guest.
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Lose weight: a scientific approach
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A RESEARCH ORIENTED TEAM Jean-Michel Lecerf Specialist in Endocrinology and Metabolic Diseases, Nutrition Department Head at the Pasteur Institute of Lille since 1985. Expert member at ANSES (French Agency for Food, Environmental and Occupational Health and Safety), member of the working group on new recommendations on fatty acids, chairman of the working group on the development of the risks related to the practice of dieting, member of the working group on phytosterols. Consultant of Les Thermes de Brides-lesBains® since 2007. As such, he validates all nutritional information of the Baths and continually trains thermal doctors, chefs and dieticians. He also lectures three conferences per year for spa clients. He is the editor of the newsletter Nutrition of the Thermes de Brides for doctors, he leads the Weight and Nutrition workshops of the Thermes de Brides-les-Bains®, medical theme day for health professionals. 12
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besity is a complex disease and each case is unique. Its triggering factors leading to chronicity are numerous. They may be biological, psychological, social and cultural, metabolic, genetic, behavioral, or linked to food... Therefore, the disease requires a multidisciplinary approach and care. To achieve this excellence, les Thermes de Bridesles-Bains® have assembled a team of scientific consultants in the areas of nutrition and physical activity. This support provides the therapeutic team with continued training and the certainty to be aware of the latest scientific news on all topics related to obesity.
Gautier Zunquin Lecturer specialist in Physical activity at the University of Littoral Côte d’Opale. Thesis: Use of energy substrates to the exercise of obese children: effect of obesity, puberty, influence of gender. Interest of a longitudinal follow-up and conative analysis of physical activity for weight control. He works as a consultant on physical activity provided by the Thermes de Brides-les-Bains®. He designs programs adapted to overweight people. He continually trains fitness specialists who coach physical activity.
A hand-book for the patients for physical activity
Nathalie Négro Dietician, Head of the Nutrition Centre of Les Thermes de Brides-lesBains®. She leads a team of 7 dieticians and 4 sports instructors. She writes and conducts public workshops and thematic conferences, conducts individual consultations. She is an expert dietician for the general public and the specialized press. She developed the therapeutic education program for overweight people (2012). She also developed and conducted specific home projects (hosting of
young overweight adults, study on the effectiveness of a therapeutic education program in addition to a spa). She assists restaurateurs to establish frames of adapted menus, trains staff about food balance and communication with spa guests. She participated in the creation of the Quality Brides Charter (2009) and the Healthy Cooking Label (2013). Publications: Book Mince avec Bridesles-Bains, avec Thierry Giannini, chef de cuisine (2012), publication Thermes de Brides-les-Bains®, une prise en charge globale du surpoids, Kinesither Rev (2008). Translated as: Slim with Bridesles-Bains, with Thierry Giannini, chef (2012), publication Thermes de Bridesles-Bains®, a comprehensive management of overweight, Kinesither Rev (2008).
The latest news on nutrition for doctors
Didier Le Lostec CEO of SET Brides since 2005, the company that manages Les Thermes de Brides-les-Bains®, Le Grand Spa des Alpes®, the Golf HotelHHHH, the Savoy HotelHHH. In turns CEO of Domaine de Marlioz Aix-les-Bains from December 1997 to 1999 (respiratory system and spa institute orientated), then CEO of the Royal Thalasso Barrière in La Baule (October 2000-April 2005), Didier Le Lostec is CEO of SET Brides and SET Hotels since 2005. SET Brides manages the Brides-les-Bains spas (Les Thermes de Brides-les-Bains®, Le Grand Spa des Alpes®, Thermes de Salins-les-Thermes). In 2013 18,000 spa guests were hosted generating a turnover
of € 11.9 million. SET Brides has a staff of 160 full-time equivalent positions. Brides-les-Bains (Savoy) is the first resort in France for the treatment of weight loss. SET Hotels manages the Savoy HotelHHH (44 rooms) and the Golf HotelHHHH (54 rooms). They generated a turnover of € 3 million in 2013 and employ 40 fulltime equivalent positions.
A gourmet cook-book made in Brides
Didier Le Lostec has made health through water his professional project and personal ambition. Entrepreneur and visionary, the autodidact has developed two lines to support the development of hydrotherapy: innovation and communication. Medical day, publishing of the book Mince avec Brides-les-Bains (Slim With Brides-les-Bains), therapeutic education program, and post cure breast cancer as enriching supports. The man surrounded himself with external scientific experts to innovate.
Post cancer treatment for women
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Lose weight: a scientific approach
A MULTIDISCIPLINARY THERAPEUTIC TEAM
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uring his/her day of care, the person will benefit from the assistance of professionals each specialized in a field. Several trades are involved: doctors, physiotherapists dieticians, hydrotherapists, fitness coaches, chefs. Each handover is an opportunity to overcome stereotypes, to practice this new life balance, enjoy the attention and encouragement of a team whose objective is each personâ&#x20AC;&#x2122;s health. All were trained in the Slimming at Brides programme, which guarantees a homogeneous care. All share the same goal: give everyone the tools for long-term effects.
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A cup of herb tea? Detox and slimming of course!
THERMAL BATHS WHICH BET ON SCIENCE
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es Thermes de Brides-les-Bains® invest in scientific research to contribute to a better understanding of nutrition, obesity and future treatments. As such, they participated in the funding of research projects. Including: - E xercise and energy intake, regulation mechanism concerning obese adolescents (2009). Blaise Pascal University of Clermont Ferrand - E valuate the effects of sensory education on preferences, choices and consumption of fruits and vegetables by children aged 11 years in the Avesnes (2009). Pasteur Institute of Lille - S tudy on mice of a prebiotic fiber intake on the functioning and composition of the intestinal flora. An additional link to understand the cascade reaction which starting from this flora could change the insulin resistance induced by a high fat diet (2010). Syral - D etermine the necessary protein needs for the preservation of muscle in patients after bariatric-type surgery (2010). Unit of Human Nutrition, Clermont-Ferrand - I mpact of weight change and exploration of the mechanisms involved in chemotherapy of patients with non-metastatic breast cancer (2001). Jean Perrin, Clinical Unit, Clermont-Ferrand Research Centre -M etabolic and behavioural consequences of splitting food intake in obese subjects (2011). Centre for Research in Human Nutrition Rhône-Alpes, Lyon
Les Thermes de Brides-les-Bains® also support a Think Tank ObésitéS. Members’ work can be found on a blog : www.thinktankobesites.com The purpose of the Think Tank ObésitéS group is to educate health professionals, patients, governments, and the media about the reality of obesity. Acting against overweight and obesity requires reflection and a transversal and multidisciplinary action. This is the challenge of the Think Tank ObésitéS reflection group. Founded in 2013, it gathers a doctor, a nutritionist, a surgeon, a psychoanalyst, a dietician, and a psychiatrist. The members of the Think Tank ObésitéS are: - Patrick Bergevin, gastrointestinal surgeon at the Private Hospital Centre of Montgardé (Yvelines) - Arnaud Cocaul, nutritionist - Catherine Grangeard, psychoanalyst specialized in obesity issues - Jean-Michel Lecerf, Head of Nutrition at the Institut Pasteur de Lille and specialized in endocrinology and metabolic diseases - Nathalie Négro, dietician responsible for the Nutritional Centre of the Thermes de Brides-les-Bains® - Bernard Waysfeld, nutritionist and psychiatrist
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Lose weight: a scientific approach
THE EVIDENCE OF THERAPEUTIC EXPERIENCES Brides ongoing research and studies for weight loss
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besity is a chronic disease with multiple causes. Les Thermes de Brides-les-Bains速 chose to launch multidisciplinary protocols to investigate these causes.
The therapeutic team designed and tested different programs and treatments tailormade for distinct populations. Each time, their impact were assessed and analysed by independant researchers. In five years, les Thermes de Brides-les-Bains速 led 3 different protocols targeted on young adults, children and adults. Very soon a post cancer treatment will be added. All of them contributed to improve and enrich the treatments and their specific needs thus paving the way to long term weight loss for patients whatever their age group or pathology.
Qatar has one of the highest obesity rates in the Middle East. Only a few countries of the South Pacific have even more alarming statistics. 34 % of men and 45% of women suffer from obesity, which is defined by an index greater than 30kg/m2 body mass. But these figures do not reveal the full extent of the problem. In fact, they are based on the total population of the Emirate - 1.9 million people -. But among the population, the essential number consists of immigrant workers, the number of Qataris being limited to 250,000. As these immigrants are mostly construction workers and other manual workers, obesity is actually much more common among Qataris than the statistics say. Source: International Association for the Study of Obesity
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THE EVIDENCE OF THERAPEUTIC EXPERIENCES
Adults An education programme of the patient that should set a precedent Entitled «In Thermes of Health and curves», this programme, created in 2012, is aimed at overweight people who want to understand their illness better, slowing its effects and live better with every day. Validated by the Regional Health Agency, it promotes the patient’s autonomy and invited him/her to become responsible. It is added to a spa treatment protocol and includes an educational interview shared with a dietician, 5 thematic workshops to take into account the specific needs of each person, a mandatory workshop «And if you
moved», an assessment at the end of the spa treatment, 5 aftercare appointments by email with a dietician. In 2013 and 2014, a scientific study will measure the effectiveness of the treatment programme of the Thermal Baths of Brides in addition to the conventional spa treatment care. It will compare the results between a traditional spa treatment and a spa treatment including the therapeutic education program. If the results are positive, it could become a model for all spas considering to get involved in therapeutic education for this orientation (AD).
The new frontier: an education program is launched along with a study on its effect.
Intermediate outcomes (one year) should be published late 2015. The final results (18 months) should be available in Spring 2016.
Youth A totally innovative experimental treatment In 2008, the therapeutic team of the Thermal Baths experienced spa treatment for thirty obese youth from18 to 25 years old. Called «Changing our life at Brides», the spa treatment has opened promising new tracks. First collective spa with shared communal activities. First spa dedicated to young adults with a program for this type of public (workshops, physical activities, meals, entertainment). First twelve-dayperiod spa followed by a six day booster shot six months later. First spa with new workshops: managing one’s image and learning to develop self-confidence, the impact of advertising on food purchases, language-photo... This experimental program was fully funded by Les Thermes de Brides-les-Bains®.
One year after treatment, 65 % continued to lose weight, 53% of the group lost more than 5 % of their initial weight (the figure of 5 % being considered as a significant weight loss in a year for the improvement of blood tests, possible articular complications...), 30 % more than 10 % of their initial weight. Even subjects who lost some weight lost more fat mass, through the establishment of regular but moderate physical activity (team sport training, gymnastics, swimming, walking to the main activities). The gradual improvement in eating habits and the development of physical activity account for these long-term results. This result may suggest health benefits over the long term and sustainability of weight loss as it relates to changes in behaviour. Finally, measures of perceived quality of life are encouraging signs about their perception of themselves.
Over 40 million of children under five years old were overweight in 2008. Childhood obesity is one of the most serious public health problems of the XXI century. For overweight children, the risk of becoming obese when reaching adults age is important. Compared to normal-weight children, they are more likely to suffer from diabetes and cardiovascular diseases earlier during their life, which means a more important risk of premature death and disability.
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Lose weight: a scientific approach
THE EVIDENCE OF THERAPEUTIC EXPERIENCES
Children and adolescents A summer special childrenâ&#x20AC;&#x2122;s spa Every summer, the Baths welcome 200 children aged from 8 to 17 for a 18 day spa. These three weeks of care and activities are a means to correct nutritional or lifestyle errors. This time away from their environment avoids entering a dieting spiral with yo-yo (losing and gaining weight) devastating effects. The protocol originates from the experience of 2008. Young people attend a dietetic dedicated workshop according to their age at the beginning of the stay. This moment, led by a dietician, allows them to correct some errors, and to be given some advice. This is also an opportunity for the children to meet and create affinity groups.
- For the 8-12 years old: sensory awareness and knowledge of food through games. Learning to recognise different tastes to eat more slowly, to appreciate food and reduce rations. - For the 13-17 years old: learning to eat in another way. Exchanging about balanced diet. Imagining meals between friends, at the fast food, the canteen and snack time. Every young person has free access to individual dietetic counselling to prepare his/her return home and provide concrete answers to his/hers experience and needs. Finally, he or she has also free access to the physical activity room and the daily group sport classes.
The choices of children and their habits concerning food and physical exercise are influenced by their environment. Social and economic development, as well as policies in the fields of agriculture, transport, urban development, environment, education, food transformation, distribution and marketing have an influence on the food habits and preferences of children as well as their behaviours towards physical exercise. More and more, these influences promote a weight gain which is harmful to health and leads to a consistent increase of the prevalence of childhood obesity.
Women cured of breast cancer A post breast cancer spa Sometimes isolated, often having lost confidence or self-esteem, women who have fought during the breast cancer treatment are often helpless. This period is crucial, however, to avoid the risk of recurrence and also to fully regain their place in society. In fact, overweight and physical inactivity are risk factors for a second cancer.
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Les Thermes de BridesÂŽ have a real legitimacy to support these women in that step. The therapeutic team launched a 15 day post breast cancer program in 2014. Each session is limited to nine women and offers specific workshops led by a multidisciplinary team that gathers a dietician, a beautician, a sports instructor.
The WHO statistics indicate that over 53% of Algerians (more than one in two women) are obese or overweight against 36% for men. The FAO (United Nations Food and Agriculture) shows that 15.9% of Algerian children are affected by this. A few months ago, experts have revealed that obesity is a cause of hypertension in Algeria, which occurs in young children.
SLIMMING AT BRIDES: A THREE STEPS PROTOCOL TO LEARN HOW TO LOSE WEIGHT
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besity is a disease which has causes and many varied consequences. Each case is unique and requires a special approach. Les Thermes de Brides-les-Bains® have invested in research and multiplied the experiences to accompany each person step by step in their quest for health. That work led Les Thermes to develop a protocol that operates the three factors which are effective against overweight: body care, diet and physical activity. These programs in three stages apply to the thermal spas of 6, 9, 12 and 18 days, as part of an overall package or «à la carte». They are available at Les Thermes de Brides-les-Bains® as well as Le Grand Spa des Alpes®. Whatever the duration of his/her stay, the person will benefit from an effective treatment against his/her excess weight. It is an invitation for a change in lifestyle, offers a behavioural approach by learning a balanced life, providing psychological support, the experience of a balanced diet...
1.
BODY CARE: to reconcile WITH ONESELF Body care has anti-cellulitis and circulatory properties. Provided by hydrotherapists and physiotherapists, these treatments use manual techniques that play an active role in blood circulation, cellulite deposits, skin tone and water retention while balancing blood pressure. They also contribute to muscle relaxation and letting go, two essential advantages for weight loss.
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SLIMMING AT BRIDES: A THREE STEPS PROTOCOL TO LEARN HOW TO LOSE WEIGHT
2.
LEARNING TO EAT IN A BALANCED WAY Banishing the word diet, Brides-les-Bains has opened a new way to find balance and reach a healthy weight. Training and learning are at the heart of the device. Doctors, chefs and dieticians take turns to inform and educate. This concrete situation setting takes many forms: individual counselling, lectures, demonstrations and cooking classes, Feed your health Festival, publishing cookbooks, animations... This ambitious and interactive device allows a transfer of knowledge. The spa guest goes back home with a veritable toolbox adapted to his/her situation and needs. The thermal spa has a team of seven dieticians continuously trained thanks to the monitoring of the nutrition service of the Institut Pasteur de Lille.
19 themes of lectures by a dietician
2 free lectures on average
per day
1-2 Free weekly cooking
demonstrations by a dietician
8 collective physical activity classes on average per day at the Thermal Centre
10 themes of different practices and supervised group sessions with cardio equipment
2-3 cooking classes
per week with a chef to compose festive menus (2h)
85 health, wellness
and leisure activities per week offered by the Tourist Office
4-6 aquagym classes per day
3.
RESTORING CONFIDENCE IN ONE’S BODY At Les Thermes de Bridesles-Bains®, physical activity is considered as a treatment in itself. The scientific world agrees to assert that nutrition and diet are closely related. The therapeutic team of the Thermes associates them to perpetuate long term weight loss. It produces a change in body composition which enables muscle mass gaining with beneficial effects on health. A large space is dedicated to physical activity in the Thermes de Brides. It is run by five professionals. The organisation, content, pace, and overall approach have been designed with
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Gautier Zunquin, Doctor in STAPS (Science and Sports and Physical Techniques) lecturer at the University of Littoral Côte d’Opale. He concentrates his research on eating disorders and physical activity. His PhD research dealt with muscle metabolism. His goal at Brides: adapting the intensity and duration of the exercise and the programmes to reduce body fat in obese individuals while respecting their feelings and their perception of effort. The typical session lasts about an hour and includes three main phases: warmup, the activity itself and recovery. The scientist did train the coaches of the Thermes to deal with the pathologies associated with obesity and the effects
of physical activity on their health and well-being. Programmes are targeted to support often inactive people who are novices and resistant to physical activity. Therefore, the team focuses on the fun aspects of exploring physical activity. The approach aims to restore confidence in their ability to permanently inscribe it in their daily life in order to adopt an «active» lifestyle. Throughout the sessions, the «benefits» of the physical activity become visible on the scale. Skills to move more easily, anthropometric parameters (waist and hip circumference in particular) and mood are also good indicators of a fulfilling and effective health activity.
SLIMMING AT BRIDES: A THREE STEPS PROTOCOL TO LEARN HOW TO LOSE WEIGHT
The three stages of a physical activity session Stage 1 / warm up Warming up is an essential element when we start a physical activity: its intensity should increase gradually. Its length should be approximately 10 minutes and involve all major muscle groups involved in the physical activity.
Stage 2 / activity It is a period that combines cardio work and /or muscle building. Cardiotraining includes all the cardio endurance activities that aim to improve heart and lung capacity. It takes fat as an energy source. Ex. Indoor: treadmill, exercise bike, rowing machine, choreographed classes... Outside: cycling, walking, swimming, team sports... Strength training helps maintain and develop the muscles in the goal of health and / or performance.
Stage 3 / cooling down and stretching Cooling down allows to take the ÂŤreverseÂť path of cooling down. The goal is to return to the initial state and prepare the following sessions (with a rest period). It limits the scope of aches and therefore stimulates motivation for future sessions.
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24H IN THE LIFE OF A SPA GUEST:
1 Body care
Drinking cure with anorectic, diuretic and laxative virtues
Affusion massage (anti-cellulite, circulatory and relaxing)
Nutritional interview with a dietician
Dietetic meal
Group stretching classes
Postural Swiss ball classes
2 Learning to lose
weight
3 Physical activities adapted to acquire an active lifestyle
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LEARNING TO LOSE WEIGHT WELL DAILY
Whirlpool bath and shower immersion bath, toning, relaxing and anti-cellulite
Pressure jet shower, circulatory and anti-cellulite
4 anti-cellulite, circulatory, and relaxing body care treatments provided either by a hydrotherapist, or a physiotherapist everyday.
The Nutritional centre of Les Thermes de Brides-les-Bains® is lead by 7 dieticians. Their action is multiple: dietetic counselling, 3 workshops with different topics per week, edition of cooking booklets, chefs training, after spa treatment monitoring.
Cooking lessons with a dietician chef
Conferences collection and cooking booklets
They operate a real knowledge transfer validated by the nutrition service of the Pasteur Institute of Lille, France.
At Les Thermes de Brides-les-Bains®, physical activity is considered as a treatment in itself. It is organised by fitness qualified instructors. It adapts to each spa guest’s capacities, moods and needs. Brides-les-Bains is the place to go to learn to lose weight and find balance.
Hiking at Brides-les-Bains
Relooking (Brides fashion Festival)
All the actors, from the hoteliers, restaurateurs, shopkeepers, to the Tourist Office animators, take turns to give the spa guests appropriate pieces of advice, to restore their confidence, and help find their self-esteem.
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SLIMMING AT BRIDES, AN ANSWER TO DIABETES Obesity and diabetes Type 2 diabetes, also called diabetes of the fifties, is the most common form of diabetes in the world. Unlike type 1 diabetes; it is an inherited form of diabetes. However, genetics is only a predisposing factor. Thus, in 80% of cases, type 2 diabetes appear only thanks to a weight gain. Obesity and diabetes are closely related because the former is the cause of insulin resistance. The body produces a hormone, the insulin, which stores excess glucose in the blood into the liver and muscles. Excess abdominal fat prevents this operation. Insulin is normally produced but no longer able to play its role. Then, escalation and installation of a vicious circle occur. Glucose in the blood 24
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stagnates, the pancreas increases the insulin production to overcome the resistance and so on: blood sugar rises, diabetes develops. Weight loss can restore normal insulin sensitivity. Gaining fat on the abdomen is linked to stress among other parameters, itself correlated with the urbanization of lifestyle. This way of life which settles today in emerging countries is also at the origin of sedentarization, causing weight gain and the maintenance of blood sugar imbalance. Finally, this change in lifestyle is often accompanied by the destructuring of meals and an increased consumption of energy-dense processed foods. All the factors are combined to increase the risk of developing obesity and diabetes.
The physical activity of our children would be 70% lower than the previous generation.
Nutrition and physical activity components for the control of diabetes By Nathalie Négro, dietician and manager of the Nutrition Center of the Thermes de Bride-les-Bains®
In addition to the mandatory drug treatment to reduce the risk of complications, respecting hygieno-dietetic rules is essential for glycemic and diabetes improvement. Thus, eating habits play an important role. Care should be taken about several factors: - Association of food: always cook vegetables and starchy foods during meals, add fat in reasonable and measured quantity - Cooking times: long cooking promotes subsequent rise in blood sugar, - Food choices: • according to recipes, bread will impact glycaemia differently; • the fiber content has also an influence; • choose the type of fat you use with care, the cardiovascular risk being increased in case of diabetes. - Recipes: reduction in small particles (purees, soups, sauces) further increases blood sugar. Conversely, the cooling of starches to use in salads, the adding vinegar reduce the impact on glycaemia... - Moments of sugary foods consumption: they should always be eaten with a meal, never alone outside meals. We will also discuss what to do in case of hypoglycemia.
Finally, in 80% of cases, type 2 diabetes appears to favor weight gain: weight loss will play a key role in glycaemia balance.
Thus, Mr. R., age 68, a spa guest at Brides-les-Bains in October 2013, suffered from unbalanced type 2 diabetes with a glycated hemoglobin to 9%. This is the long-term marker of blood glucose variations in the body. This is a key element in the prevention of complications. He weighed 91 kg. He attented the therapeutic education program in the framework of his spa treatment, which allowed him to benefit from adapted nutritional counselling. In March 2014, his weight was down to 81kg. His glycated hemoglobin is currently 6.1% , a figure considered normal for a person with diabetes.
Obesity and diabetes mellitus: Dangerous Liaisons Overweight, obesity and a lack of exercise are the main modifiable risk factors for type 2 diabetes. In its 2002 World Report on Health, the World Health Organization (WHO) estimated that obesity and physical inactivity contributed to at least two thirds of the burden of type 2 diabetes. • Each additional kilo increases by 5% the risk of developing the disease at the time of the diagnosis, 80 % of diabetics are overweight. • Physical inactivity is directly responsible for 10-16 % of diabetes cases. The more television is watched, the higher the risk of overweight and diabetes increases. But our current lifestyle promotes inactivity. The physical activity of our children would be 70% lower than the previous generation. As for adults, 60 % of them do not practice 30 minutes of daily recommended physical activity. The International Federation against Diabetes (IDF): « Changes in lifestyle, such as healthy eating and physical activity can efficiently delay and, in many cases, prevent the onset of type II diabetes 2 -, as well as reduce the risk of complications for patients who are already suffering. It is estimated that by monitoring the weight of adults, it could be possible to reduce the number of cases of diabetes by at least 50% ».
Physical activity helps to use sugar that the body is unable to store. It also helps to balance the weight.
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LE GRAND SPA DES ALPES®, THE PLEASURE OF SLIMMING
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es Thermes created a medical spa, Le Grand Spa des Alpes®. This unique location combines the beauty of the spaces with the effectiveness of care. Here slimming becomes a pleasure. Its 2,100 m2 are an invitation to let go. Le Grand Spa des Alpes® offers two short thermal spas: 6 and 9 day Slimming at Brides. These protocols implement a real anticurves attack. Each program meets some particular expectation. The 6 day Slimming at Brides is a concentrated programme of the Slimming at Brides skills and allows the spa guests to leave with all the tools for lasting effects. The 9 day Slimming at Brides spa is intended for people who need a more important break from their daily lives and longer coaching to find balance.
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9 day Slimming at Brides
Programme with 47 treatments and activities The Metamorphosis spa treatment, nine days « Slimming at Brides», sets up a customized programme that combines drinking treatment, targeted body treatments, dietary diagnosis with specific menus, not to mention physical activities. During 9 days, we will learn to lose weight, to adopt a new balanced diet and develop a real plan of action. THERMAL CARE • 9 days drinking cure • 22 treatments: 5 affusion massages, 4 hydroxeurs, 9 jet-spray showers, 4 whirlpool baths
OTHER CARE • 3 «dry-float» alga wraps • 1 hammam scrub • 1 introductory Sothys facial treatment (30 min)
DIETARY • 1 nutritional assessment with diagnostic scale at the start of the stay • 1 dietary consultation at the end of the stay
PHYSICAL ACTIVITY • 9 days of physical activity, relaxation and cardio training • 9 entries for the spa pool and aquagym classes at Salins-lesThermes • Access to the outdoor pool next to the spa
Free access to the Spa Ludique activities.
Espace Ludique
at Le Grand Spa des Alpes® During your stay, between two thermal treatments, let’s continue the journey of the senses in the Espace Ludique at Le Grand Spa des Alpes®. No need to book to enjoy this free access programme. Just follow your inspiration. First, relax in one of the two steam baths. An invitation to rest on the warm mosaic benches and smell plant steam. To recover from your emotions, the ice fountain. It’s exciting to experience the Far North by rubbing yourself with crushed ice. Then, why not enjoy the experimental showers? Its fountains, mist and steam are wrapped in light. Do you want fresh mountain air? So glide into one of the two outdoor jacuzzis. At the end of the day care, go to the hammam to finish letting go. And end with a unsweetened cup of mint tea at the divana, the luxurious, oriental, small boudoir...
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TWO INSTITUTIONS WHICH GUARANTEE SLIMMING AT BRIDES
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f all hotels located in Brides-les-Bains offer dietetic menus, the Golf Hotel and the Savoy Hotel pursue excellence.
Both SET Brides institutions benefit from the follow-up of the dieticians of the baths. The menu patterns and the composition of the dishes are prepared by the chef with a professional. They regularly animate the guest tables. During the meal, it is an opportunity to fight preconceived ideas, to inform, and also reassure. As for the chefs, they visit their hosts weekly. This convivial moment is an opportunity to share recipes and tips for combining gustatory pleasures and balance when back home.
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The Savoy Hotel HHH Cozy living room, cosy bar, wellness area with sauna, swimming pool and outdoor jacuzzi... The Savoy Hotel offers all services for an exotic and generous living. The 44 rooms offer a cosy intimacy and come with two atmospheres: burgundy or purple. The Savoy Hotel does not forget the disabled persons with three RMP bedrooms and easier access via a ramp at the reception. Its wise cuisine cultivates good taste first. All senses are awakened with its seasonal menus as beautiful to look at as tasty.
The Golf Hotel HHHH A charming hotel bathed in light. During the day, it offers a stunning view of the Vanoise park and its Grand Bec. At night, through large windows, the village lights sparkle like lanterns. Its generous volumes, its noble materials sublimate its art deco architecture. The Golf Hotel offers elegant and cosy life spaces highlighted by the total renovation completed in 2012. The dietetic cuisine promises a culinary journey and a gourmet feast for the eyes. Its 54 rooms are spacious and bright, open onto a greenery heart. Refined decors entice you to cocooning. In summer, you can chill out on the outdoor terrace. In winter, you can relax in front of the large fireplace. In any season, you can enjoy the relaxation area. Both hotels are committed to a quality chart certified by the Association for Food Security in Restauration.
LE VILLAGE POUR MAIGRIR速* CREATES A DIETETIC COOKING LABEL
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iet fads, dangerous drugs, the efficiency of thermal treatment against overweight scientifically proven... Slimming at Brides becomes a natural and convincing answer. In the small Savoyard village surrounded by majestic mountains, everything has been set up to make sure weight loss is not a punishment, a guilty and necessary step. Hoteliers and their chefs play a key role because they guarantee what is served on the plate. In 2013 eleven Brides-les-Bains dietetic hotels and restaurants committed to the dietetic healthy cuisine label created by the resort. And they agreed to submit daily to 82 quality criteria, 19 of which being discriminating. Diet plan, balanced diet, menu patterns over three weeks, but also communication...
Everything is reviewed and submitted for the approval of dieticians. Anonymous external control of the institutions is also provided to ensure compliance with the label. Losing weight with confidence, being sure that your food plan will be respected, that variety and taste will be there, that seasonal produce is preferred, that everything is homemade... that is the promise of Brides-les-Bains with its dietetic healthy cuisine label; thanks to which Le Village Pour Maigrir速 has reached a new milestone quality. Four years after the resort charter, it has created a label which trains, checks and if necessary corrects the restaurateurs and hoteliers who have signed it.
Les Thermes de Brides-les-Bains速 have a license to train kitchen staff in hotels and restaurants participating to the Health Cooking Label. The dieticians of the spa manage the mission, supervised by the Nutrition Service of the Institute Pasteur of Lille.
*(THE VILLAGE TO LOSE WEIGHT) thermes-brideslesbains.fr
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LES THERMES DE BRIDES-LES-BAINS® SHAREHOLDERS OF THE SPA OF VITTEL
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es Thermes de Brides-lesBains® are shareholders of the Managing Company of the Spa of Vittel. The management team of Brides accompanied for three years the municipality of Vittel. The assistance focused on the following tasks: - Negotiating the acquisition of the property project of the Thermal Spa of Vittel by the municipality, - Assistance with technical, financial, human resources and management within the first three years of operation of the Thermal Spa of Vittel, - Recruitment of the present Director at the end of these three years, - Defining strategies accompanied by propositions for projects, investment, product definition, marketing strategy, - Assistance to resume business relations with the Club Méditerranée - Creating and monitoring the restoration of the Thermal Spa of Vittel.
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The Thermal Spa of Vittel is approved to treat the following conditions : - AD (diseases of the digestive and metabolic tracts) - AU (urinary and metabolic diseases) - HR (rheumatology and after-effects of osteoarticular injuries) The attendance of Thermal Spa of Vittel has increased of 22 % in 6 years. SET Brides, a partner designer, supervisor of institution projects of physical reconditioning programmes The team des Thermes de Brides-lesBains® has two skills: - T herapeutic: orientation of institution projects of physical reconditioning programmes - T echnical: Technical operational logistics support, to give shape to ideas This dual expertise ensures full compliance with the philosophy of each project, from its conception to its achievement.
TO CONTACT SET Brides Didier Le Lostec, the CEO of SET Brides M. +33 6 33 37 54 38 T. +33 4 79 55 28 47 d.lelostec@thermes-brideslesbains.fr SET Brides BP 14 73573 Brides-les-Bains Cedex France
Redaction: Media Conseil Presse / Design & illustrations: C. Monard Photographs: J. Fernandes / Vittel Congrès Tourisme, S. Kempinaire, B. Radvaner, V. Vedrenne, fotolia.com Printed by Nouvelles Impressions, Albertville FRANCE
Our goal, our job:
weight loss
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