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    <title>Obésité | Cairn.info</title>
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    <id>tag:cairn.info,2005:rss/liste-lecture/534000</id>
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                            <entry>
    <id>tag:cairn.info,2005:article:INPSY_9303_0223</id>
    <title type="html"><![CDATA[
        Place de la dimension psychique dans la décision de chirurgie
bariatrique |
        Psychiatrie au futur (2/2)
                    | L&#039;information psychiatrique
            (2017/3 Volume 93)
            ]]></title>
        <link href="https://stm.cairn.info/revue-l-information-psychiatrique-2017-3-page-223?lang=fr" type="text/html" rel="alternate" />
    <published>2017-03-30T00:00:00+02:00</published>
    <updated>2025-03-18T15:22:38+01:00</updated>
            <summary type="html"><![CDATA[The psychic dimension in bariatric surgery decision making. A study
of 62&#160;patient's records assessed at the multidisciplinary
consultation meeting of the Le Mans Hospital Center in
2014.Context. the use of bariatric surgery has grown considerably
in recent years. Certain psychological and psychiatric criteria
could be predictive factors for success or failure. The existence
of these elements would have an impact on the organization of the
pre-surgical pathway of the candidate patients and on the final
decision of the multidisciplinary consultation meeting. Method. A
retrospective comparative analysis was carried out based on 62
cases of patients who were candidates for bariatric surgery at the
Le Mans Hospital Center in 2014. Results. Patients with psychiatric
or psychological contraindications to bariatric surgery were
comparable to other psychiatric patients. In addition, patients who
underwent surgery at the end of the pre-surgical care pathway had a
significantly longer course for those for whom a temporary
psychological or psychiatric contraindication had been issued and
their cases were significantly more discussed. Discussion. Our
method of recruitment excluded all patients who did not continue to
the CPR stage, thus not taking into account potential patients with
psychic difficulties.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:STV_324_0133</id>
    <title type="html"><![CDATA[
        Chirurgie bariatrique et risque cardiovasculaire |
        Juillet-Août 2020
                    | Sang Thrombose Vaisseaux
            (2020/4 Volume 32)
            ]]></title>
        <link href="https://stm.cairn.info/revue-sang-thrombose-vaisseaux-2020-4-page-133?lang=fr" type="text/html" rel="alternate" />
    <published>2020-07-01T00:00:00+02:00</published>
    <updated>2025-03-18T15:22:38+01:00</updated>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:STV_323_0115</id>
    <title type="html"><![CDATA[
        Effets cardiovasculaires de la chirurgie de l’obésité |
        Mai-Juin 2020
                    | Sang Thrombose Vaisseaux
            (2020/3 Volume 32)
            ]]></title>
        <link href="https://stm.cairn.info/revue-sang-thrombose-vaisseaux-2020-3-page-115?lang=fr" type="text/html" rel="alternate" />
    <published>2020-05-01T00:00:00+02:00</published>
    <updated>2025-03-18T15:22:38+01:00</updated>
            <summary type="html"><![CDATA[The benefits of bariatric surgery for class II and III obese
patients are well established, with effects on type 2 diabetes and
insulin resistance dyslipidemia. This literature review suggests
that this so-called metabolic surgery induces a reduction in the
incidence of hypertension, heart failure and atrial fibrillation,
as well as an improvement in heart failure and a reduction in
cardiovascular events, both fatal and non-fatal. Indications for
bariatric surgery are class III obesity without metabolic
co-morbidity or class II obesity associated with hypertension, type
2 diabetes, sleep apnea syndrome or dysmetabolic steatosis.Because
of the risk of nutritional and psychological complications, surgery
must be preceded and followed by multidisciplinary care involving a
nutritionist, dietician, psychologist, physical activity specialist
and attending physician.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:numero:DBU_BUYSS_2011_01</id>
    <title type="html"><![CDATA[
        Diabétologie clinique
                    (2011)
            ]]></title>
        <link href="https://stm.cairn.info/diabetologie-clinique--9782804166366?lang=fr" type="text/html" rel="alternate" />
            <published>2011-11-01T00:00:00+01:00</published>
                <updated>2025-03-18T15:22:38+01:00</updated>
                <summary type="html"><![CDATA[<p><b>En cinq années, la diabétologie a évolué dans tous ses
aspects&#160;: de la physiopathologie au traitement, en passant par
la connaissance des complications.</b></p>
<p>Au cours de ces cinq dernières années, le champ des
connaissances en diabétologie s'est largement étendu, à la fois
dans les domaines de la physiopathologie et de la clinique et dans
celui, déterminant, des traitements. Il y avait donc urgence à
rassembler observations scientifiques nouvelles et apports
thérapeutiques originaux, tant dans les diabètes de type 1 et 2 que
dans les formes secondaires, pour ancrer une prise en charge
moderne de la maladie.</p>
<p>C'est dans cet esprit qu'a été remaniée la version précédente de
<i>Diabétologie clinique</i> et rédigée cette 4e édition, enrichie
par les données récentes d'une activité scientifique féconde.
Ainsi, cette édition a l'ambition de concilier les acquis
essentiels du passé et les innovations les plus marquantes du
présent, dans une perspective de progrès clinique, au service du
patient.</p>
]]></summary>
        <content type="html"><![CDATA[
        <ul>
                            <li>
                     Pages I to IV| Pages de début
                                    </li>
                            <li>
                     Pages XVII to XVIII| Préface
                                            |  Gérard Slama
                                    </li>
                            <li>
                     Pages XIX to XIX| Avant-propos
                                            |  Martin Buysschaert
                                    </li>
                            <li>
                     Pages 1 to 7| Chapitre 1. Définition et classification du diabète
                                            |  Martin Buysschaert
                                    </li>
                            <li>
                     Pages 9 to 17| Chapitre 2. Le diabète de type 1
                                            |  Martin Buysschaert
                                    </li>
                            <li>
                     Pages 19 to 31| Chapitre 3. Le diabète de type 2 et le syndrome métabolique
                                            |  Martin Buysschaert
                                    </li>
                            <li>
                     Pages 33 to 42| Chapitre 4. Autres diabètes
                                            |  Martin Buysschaert
                                    </li>
                            <li>
                     Pages 43 to 52| Chapitre 5. Comment prendre en charge un sujet diabétique&#160;?
                                            |  Martin Buysschaert
                                    </li>
                            <li>
                     Pages 53 to 64| Chapitre 6. Les mesures diététiques et l’exercice physique
                                            |  Martin Buysschaert
                                    </li>
                            <li>
                     Pages 65 to 78| Chapitre 7. Traitement du diabète de type 1
                                            |  Martin Buysschaert
                                    </li>
                            <li>
                     Pages 79 to 99| Chapitre 8. Traitement du diabète de type 2
                                            |  Martin Buysschaert
                                    </li>
                            <li>
                     Pages 101 to 110| Chapitre 9. L’hypoglycémie
                                            |  Martin Buysschaert
                                    </li>
                            <li>
                     Pages 111 to 124| Chapitre 10. Complications aiguës
                                            |  Martin Buysschaert
                                    </li>
                            <li>
                     Pages 125 to 163| Chapitre 11. Complications chroniques
                                            |  Martin Buysschaert
                                    </li>
                            <li>
                     Pages 165 to 170| Chapitre 12. Grossesse, contraception et ménopause
                                            |  Martin Buysschaert
                                    </li>
                            <li>
                     Pages 171 to 181| Index général
                                    </li>
                            <li>
                     Pages 182 to 185| Index alphabétique des médicaments cités
                                    </li>
                            <li>
                     Pages 187 to 199| Bibliographie
                                    </li>
                    </ul>
    ]]></content>
</entry>
                                <entry>
    <id>tag:cairn.info,2005:article:HEG_044_0349</id>
    <title type="html"><![CDATA[
        Chirurgie métabolique&#160;: faut-il opérer les diabétiques de type
2 avec IMC &lt; 35 kg/m<sup>2</sup>&#160;? |
        Varia
                    | Hegel
            (2014/4 N° 4)
            ]]></title>
        <link href="https://stm.cairn.info/revue-hegel-2014-4-page-349?lang=fr" type="text/html" rel="alternate" />
    <published>2014-11-01T00:00:00+01:00</published>
    <updated>2025-03-18T15:22:38+01:00</updated>
            <summary type="html"><![CDATA[Bariatric surgery is usually reserved for patients with a BMI ≥ 40
kg/m2&#160;or ≥ 35 kg/m2&#160;with comorbidities that could be
improved by weight loss. Its spectacular results on the evolution
of type 2 diabetes (T2DM) - 55% to 95% of remission - have
gradually changed the “bariatric” vision of this surgery (primary
objective: weight loss) to a more “metabolic” vision (primary
objective: diabetes remission). Today, it is therefore legitimate
to question the merits of such an intervention for T2DM patients
with grade 1 obesity (BMI 30-35 kg/m2) when diabetes is poorly
controlled despite good dietary and therapeutic observance.
However, the benefit/risk ratio of this surgery in T2DM patients
with BMI &lt; 35 kg/m2, remains to be determined. In the absence of
randomized studies conducted in this specific population, most of
international recommendations remain cautious on this subject, with
the exception of those of the International Diabetes Federation,
that recognize since 2011 metabolic surgery as a therapeutic option
for T2DM patients with a BMI between 30-35 kg/m2&#160;when diabetes
is poorly controlled (HbA1c &gt; 7.5%) despite optimized medical
treatment. This position is based on the analysis of observational
studies showing the effectiveness of obesity surgery on glycemic
control and remission rate of T2DM in this specific population,
with a rate of death and post-operative complications similar to
those usually observed. Nevertheless, randomized studies conducted
specifically in these patients vs intensive lifestyle changes
and/or “modern” therapies as GLP-1 analogues, with long-term
monitoring to assess the risk of complications, the impact on
quality of life and the socio-economic consequences, are mandatory
to identify the actual place of metabolic surgery in the
therapeutic strategy for T2D patients with a BMI &lt; 35 kg/m2.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:CSMT_304_0232</id>
    <title type="html"><![CDATA[
        Focus sur le diabète de type 2 chez le sujet âgé |
        Juillet-Août 2021
                    | Cahiers Santé Médecine Thérapeutique
            (2021/4 Vol. 30)
            ]]></title>
        <link href="https://stm.cairn.info/revue-cahiers-sante-medecine-therapeutique-2021-4-page-232?lang=fr" type="text/html" rel="alternate" />
    <published>2021-07-01T00:00:00+02:00</published>
    <updated>2025-03-18T15:22:38+01:00</updated>
            <summary type="html"><![CDATA[Type 2 diabetes remains a major concern for all health
professionals, being itself considered a true global “pandemic”.
Its prevalence is high and will continue to increase in the years
to come, becoming more prevalent in the elderly and very elderly.
We propose a general synthesis and a focus on diabetes in the
elderly with the GERODIAB study.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:SPUB_083_0239</id>
    <title type="html"><![CDATA[
        Promotion de la santé des tout-petits par l'activité
physique&#160;: intérêts et obstacles |
        Varia
                    | Santé Publique
            (2008/3 Vol. 20)
            ]]></title>
        <link href="https://stm.cairn.info/revue-sante-publique-2008-3-page-239?lang=fr" type="text/html" rel="alternate" />
    <published>2008-08-27T00:00:00+02:00</published>
    <updated>2025-03-18T15:22:38+01:00</updated>
            <summary type="html"><![CDATA[SummaryThe objective of this study is to understand why young
children are not at all, or very little, considered as population
groups targeted by physical activity health promotion programs in
France. The study concerns children aged 0 - 6 years and the
institutions which serve this group. It is based on a literature
review and a questionnaire survey conducted among facilities which
service and work with these children. Few studies are related to
this topic. The majority of children do not achieve the daily
recommended duration of physical activity (at least 60 minutes/
day), and they exceed the duration of inactivity (more than
60&#160;consecutive minutes/day). This work highlighted two
obstacles for physical activity promotion among young children:
lack of training and illustrations of parents and professionals. A
communication effort is needed to disseminate information to young
parents and health professionals, as well as sports and early
childhood professionals.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:SPUB_011_0007</id>
    <title type="html"><![CDATA[
        Prévalence de l'obésité chez l'enfant : étude dans les écoles
primaires publiques parisiennes |
        Santé publique. Volume 13, n° 1
                    | Santé Publique
            (2001/1 Vol. 13)
            ]]></title>
        <link href="https://stm.cairn.info/revue-sante-publique-2001-1-page-7?lang=fr" type="text/html" rel="alternate" />
    <published>2001-03-01T00:00:00+01:00</published>
    <updated>2025-03-18T15:22:38+01:00</updated>
            <summary type="html"><![CDATA[SummaryObesity is an important risk factor in public health. In
Paris, few statistical data are available in this area. The purpose
of the present study is to evaluate the prevalence of overweight
and obesity in 10 years-old children attending Paris elementary
schools (cours moyen deuxième année – CM2 – last level of the
elementary school). 148 classes were randomly selected, gathering 3
621 schoolchildren 10 years 6 months old. 66 doctors in charge of
health at school participated in the study, doing the measurements
of weight, size and collecting also the weight and size at birth
and at the « grande section -GS- level »(last level of the infant
school, 5 years-old children) from the individual health file of
the schoolchildren. The statistical analysis was based on the study
of distributions of the observed Quetelet index (Q0) at the
different ages, compared to French reference curves. A logistic
regression analysis was performed to determine whether birth weight
and GS weight predict obesity in CM2. In GS and in CM2, observed
Quetelet indices are over expected values : in CM2, 22.8% of boys
and 25.6 % of girls exceed the reference value Q90 ; the prevalence
of obesity (Q0 ? Q97) is 13.4 % in boys and 13.5 % in girls. Among
the variables « term », « weight at birth », weight in GS level and
« gender », the weight in GS level is the only predictive factor of
obesity in CM2 level. The situation in Paris appears to be serious.
Preventive actions are needed at early stages to try to stop and,
if possible, to reverse the present increase of overweight. In this
context, school doctors have to play a prominent role.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:SPUB_135_0571</id>
    <title type="html"><![CDATA[
        Comparaison de trois systèmes de classification du poids
de&#160;l'enfant d'âge préscolaire d'une région québécoise |
        Varia
                    | Santé Publique
            (2013/5 Vol. 25)
            ]]></title>
        <link href="https://stm.cairn.info/revue-sante-publique-2013-5-page-571?lang=fr" type="text/html" rel="alternate" />
    <published>2013-10-01T00:00:00+02:00</published>
    <updated>2025-03-18T15:22:38+01:00</updated>
            <summary type="html"><![CDATA[Comparison of three weight classification systems for preschool
children in a region of QuebecIntroduction: Overweight in children
is a serious public health problem. The use of different weight
classification systems in research and clinical practice results in
variable the estimate of prevalences of overweight, which
complicates follow-up of this health problem in the population. The
study compared three child body weight classification systems by
estimating the prevalence of overweight established by each
system.Method: In 2010, a study was conducted in 259 five-year-old
children at the time of routine childhood vaccination. The
children’s height and weight were measured. The prevalence of
overweight was determined and compared to the International Obesity
Task Force (IOTF), the Centers for Disease Control and Prevention
(CDC) and the World Health Organization (WHO) criteria.Results:
According to the IOTF, 16.6% of children of the study were
overweight (obesity 3.1%). According to the CDC, 24.3% of children
were overweight (obesity 9.1%) and according to WHO, the prevalence
was 26.3% (obesity 6.2%). According to the IOTF criteria, obesity
affected more girls than boys (2.7% vs. 0.4%), whereas similar
proportions were observed with the other two systems.Conclusion:
This study demonstrates that the prevalence of overweight in
children varies considerably depending on the classification system
used. These results support the need to consider the system used in
clinical practice and in research when monitoring the course of the
prevalence of this health problem.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:STA_106_0087</id>
    <title type="html"><![CDATA[
        Évaluation de la condition physique des adolescents dans la région
Île-de-France&#160;: comparaison avec les normes européennes |
        Volume 35 - Automne 2014
                    | Staps
            (2014/4 n° 106)
            ]]></title>
        <link href="https://shs.cairn.info/revue-staps-2014-4-page-87?lang=fr" type="text/html" rel="alternate" />
    <published>2015-04-26T00:00:00+02:00</published>
    <updated>2025-03-18T15:22:38+01:00</updated>
            <summary type="html"><![CDATA[Physical Fitness Levels of Adolescents in&#160;the Île-de-France
region: Comparison with&#160;European Standards and Relevance
for&#160;Future Cardiovascular RiskBackground: Physical fitness is
an important determinant of health in children and adolescents. The
main objective of our study was to assess physical fitness by
gender in French schoolchildren in the Île-de-France region and to
compare the results with other European countries. We were
particularly interested in the relationship between physical
fitness and future cardiovascular risk. Methods: Participants were
1,851 French youth (946 boys, 905 girls) from 11 to 15 years old
living in the Ile-de-France region (Paris, France).
Cardiorespiratory fitness, muscular endurance, speed, flexibility,
and agility/coordination were tested. Trained physical education
teachers performed all tests. Independent t-tests were used to
compare differences between variables in participants. Spearman’s
rho correlation coefficients were used to assess the relationship
between body mass index (BMI), socioeconomic status, and physical
fitness. Results: Generally, boys were more physically fit than
girls, with agility tests showing the most significant difference.
Subjects of normal weight had significantly better results than
overweight or obese adolescents (p &lt; 0.05). Subjects with high
socioeconomic status were more physically fit than those with low
socioeconomic status (p &lt; 0.05). Results also showed that the
percentage of adolescents at increased risk of future
cardiovascular disease was 15.3% and 10.2% for boys and girls,
respectively. Conclusions: French schoolchildren living in the
Île-de-France region demonstrate relatively poor physical fitness
when compared with existing European test results. Introducing a
health promotion curriculum in Île-de-France schools is suggested
to improve health and physical fitness.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:HEG_HS1_0S14</id>
    <title type="html"><![CDATA[
        Conseils alimentaires pour prévenir les risques cardiovasculaires
et les troubles lipidiques (cholestérol, triglycérides) |
        L'actualité en nutrition
                    | Hegel
            (2014/Supp N° 3)
            ]]></title>
            <subtitle type="html">
            <![CDATA[]]>
        </subtitle>
        <link href="https://stm.cairn.info/revue-hegel-2014-Supp-page-S14?lang=fr" type="text/html" rel="alternate" />
    <published>2014-08-01T00:00:00+02:00</published>
    <updated>2025-03-18T15:22:38+01:00</updated>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:DUNOD_BRENN_2018_01_0119</id>
    <title type="html"><![CDATA[
        Chapitre 15. Surpoids et obésité |
        Alimentation santé
                    (2018)
            ]]></title>
            <subtitle type="html">
            <![CDATA[]]>
        </subtitle>
        <link href="https://stm.cairn.info/alimentation-sante--9782100764709-page-119?lang=fr" type="text/html" rel="alternate" />
    <published>2018-02-07T00:00:00+01:00</published>
    <updated>2025-03-18T15:22:38+01:00</updated>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:DBU_BUYSS_2011_01_0041</id>
    <title type="html"><![CDATA[
        Chapitre 3. Le diabète de type 2 et le syndrome métabolique |
        Diabétologie clinique
                    (2011)
            ]]></title>
        <link href="https://stm.cairn.info/diabetologie-clinique--9782804166366-page-19?lang=fr" type="text/html" rel="alternate" />
    <published>2011-11-01T00:00:00+01:00</published>
    <updated>2025-03-18T15:22:38+01:00</updated>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:ANSO_171_0011</id>
    <title type="html"><![CDATA[
        Les évolutions de&#160;l’alimentation et de sa sociologie au regard
des inégalites sociales |
        Sociologie de l’alimentation
                    | L&#039;Année sociologique
            (2017/1 Vol. 67)
            ]]></title>
        <link href="https://shs.cairn.info/revue-l-annee-sociologique-2017-1-page-11?lang=fr" type="text/html" rel="alternate" />
    <published>2017-04-20T00:00:00+02:00</published>
    <updated>2025-03-18T15:22:38+01:00</updated>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:MEDE_1909_0409</id>
    <title type="html"><![CDATA[
        Suivi des patients opérés d’une chirurgie de l’obésité&#160;:
élaboration de&#160;la fiche de suivi «&#160;BARIA-Check&#160;» à
l’intention des médecins généralistes |
        Novembre 2023
                    | Médecine
            (2023/9 Vol. 19)
            ]]></title>
        <link href="https://stm.cairn.info/revue-medecine-2023-9-page-409?lang=fr" type="text/html" rel="alternate" />
    <published>2023-11-01T00:00:00+01:00</published>
    <updated>2025-03-18T15:22:38+01:00</updated>
            <summary type="html"><![CDATA[Introduction&#160;: The current obesity epidemic is accompanied by
an increasing use of obesity surgery. However, the French health
care system struggles to ensure long-term follow-up of these
patients, for which the general practitioner plays a crucial role.
Objective&#160;: Based on a literature review, to develop a
monitoring tool in order to improve patient follow-up care after
obesity surgery, by optimizing the coordination between general
practitioner and the referral Obesity center team. Methods&#160;:
Methodology of the French National Authority for Health to develop
a memo sheet, supported by a systematic review, validated by the
expertise of a task group. Results&#160;: Obesity surgery, yet
effective on severe obesity and its comorbidities, can expose to
the risk of severe postoperative complications, adverse
psychosocial impact, or weight regain, which is feared. Nutritional
deficiencies are frequent, and a lifelong micronutrient
supplementation is essential (multivitamin and mineral complex,
vitamin D-calcium, iron, vitamin B12); otherwise, the deficiency
could lead to complications (e.g. hematological, neurological,
musculoskeletal). Their prevention-screening-treatment are part of
a global interdisciplinary postoperative management, including
medical and biochemical monitoring, behavior change strategies in
eating and exercise habits, and psychological support. The learned
societies recommend to strengthen the collaboration between general
practitioners and surgical teams. The&#160;“BARIA Check” sheet has
synthesized these key data in order to guide the general
practitioner to ensure this mission, in coordination with the
referral obesity centre. Conclusion&#160;: Complications after
obesity surgery need to be prevented to ensure its long-term safety
and effectiveness. General practitioners supported by “BARIA Check”
will contribute to this achievement.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:SPUB_124_0317</id>
    <title type="html"><![CDATA[
        Prévalence et facteurs de risque de la surcharge pondérale chez les
écoliers narbonnais de 5 à 11 ans |
        Varia
                    | Santé Publique
            (2012/4 Vol. 24)
            ]]></title>
        <link href="https://stm.cairn.info/revue-sante-publique-2012-4-page-317?lang=fr" type="text/html" rel="alternate" />
    <published>2012-09-01T00:00:00+02:00</published>
    <updated>2025-03-18T15:22:38+01:00</updated>
            <summary type="html"><![CDATA[Prevalence and risk factors of overweight among 5- to 11-year-old
schoolchildren in Narbonne, FranceIn order to address the
increasing prevalence of overweight and obesity in children, the
French city of Narbonne recently began monitoring childhood obesity
with a view to developing and implementing targeted actions to
stabilize the prevalence of overweight. The main purpose of this
study was to assess the risk factors for overweight in children.
The study was conducted during the 2008-2009 academic year and was
based on a sample of 1,476 preschool and primary school children
from all public and private schools in Narbonne. The prevalence of
overweight and obesity were 14.9% and 3.7%, respectively. The study
found that watching television for more than 2 hours a day, short
sleep duration (less than 10 hours per night), a low socioeconomic
status and parental obesity are risk factors for overweight and
obesity in children. The findings suggest that priority actions
among poor populations and overweight mothers are required in order
to stabilize the prevalence of overweight and obesity in children,
including providing advice on healthy eating, fighting against
sedentary lifestyles and promoting sleep.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:numero:EDP_BRACC_2018_01</id>
    <title type="html"><![CDATA[
        Obésité : Au-delà&#160; de l'impasse
                    (2018)
            ]]></title>
        <link href="https://stm.cairn.info/obesite-au-dela-de-l-impasse--9782759821815?lang=fr" type="text/html" rel="alternate" />
            <published>2018-09-27T00:00:00+02:00</published>
                <updated>2025-03-18T15:22:38+01:00</updated>
                <summary type="html"><![CDATA[<p>L’obésité est un problème de société dont la fréquence augmente,
malgré tout ce qui est mis en oeuvre pour le combattre. Les
personnes en excès de poids souffrent souvent d’un sentiment de
découragement après l’expérience d’échecs répétés et de lutte
continue. Nous comprenons de mieux en mieux cette pathologie grâce
à nos connaissances sur le cerveau et ses implications dans nos
comportements et dans notre métabolisme.</p>
<p>Pourquoi le stress et les émotions font-ils grossir&#160;?
Comment se libérer de la culpabilité&#160;? D’où viennent l’envie
et le plaisir de manger&#160;? Comment renouer avec son
corps&#160;?<br />
Les avancées en neurosciences, la compréhension des boucles
neuro-hormonales, les apports de la méditation permettent,
aujourd’hui, de développer de nouvelles perspectives en nutrition.
Cet ouvrage a pour vocation d’aider tout lecteur, qui se sent
concerné par les problématiques de poids, à modifier les rapports
qu’il entretient avec l’alimentation et avec lui-même.</p>
Médecin endocrinologue, Lélia Bracco est investie dans la prise en
charge de l’obésité au sein de différentes structures
hospitalières. Formée à l’accompagnement thérapeutique, elle fonde
l’association l’Étincelle du Soin. Son engagement pour une médecine
plus globale l’amène à réaliser une formation de neurosciences et
de méditation de pleine conscience.]]></summary>
        <content type="html"><![CDATA[
        <ul>
                            <li>
                     Pages 2 to 6| Pages de début
                                    </li>
                            <li>
                     Pages 7 to 8| Préface
                                            |  Emmanuel Disse
                                    </li>
                            <li>
                     Pages 9 to 10| Introduction
                                            |  Lélia Bracco
                                    </li>
                            <li>
                     Pages 13 to 28| 1. Une impasse annoncée
                                            |  Lélia Bracco
                                    </li>
                            <li>
                     Pages 29 to 48| 2. L’organisme en souffrance
                                            |  Lélia Bracco
                                    </li>
                            <li>
                     Pages 49 to 61| 3. Le stress, un mal grossissant
                                            |  Lélia Bracco
                                    </li>
                            <li>
                     Pages 63 to 74| 4. Je sais, mais je ne fais pas
                                            |  Lélia Bracco
                                    </li>
                            <li>
                     Pages 77 to 91| 1. Sortir de l’illusion
                                            |  Lélia Bracco
                                    </li>
                            <li>
                     Pages 93 to 106| 2. Apport de la méditation
                                            |  Lélia Bracco
                                    </li>
                            <li>
                     Pages 107 to 115| 3. Comprendre autrement
                                            |  Lélia Bracco
                                    </li>
                            <li>
                     Pages 117 to 138| 4. Aime-toi
                                            |  Lélia Bracco
                                    </li>
                            <li>
                     Pages 139 to 140| Conclusion
                                            |  Lélia Bracco
                                    </li>
                            <li>
                     Pages 141 to 143| Remerciements
                                            |  Lélia Bracco
                                    </li>
                            <li>
                     Pages 145 to 149| Bibliographie
                                    </li>
                    </ul>
    ]]></content>
</entry>
                                <entry>
    <id>tag:cairn.info,2005:article:HPG_281_0046</id>
    <title type="html"><![CDATA[
        Obésité et cancer colorectal |
        Les indications rares de transplantation hépatique
                    | Hépato-Gastro &amp; Oncologie Digestive
            (2021/1 Vol. 28)
            ]]></title>
        <link href="https://stm.cairn.info/revue-hepato-gastro-et-oncologie-digestive-2021-1-page-46?lang=fr" type="text/html" rel="alternate" />
    <published>2021-01-01T00:00:00+01:00</published>
    <updated>2025-03-18T15:22:38+01:00</updated>
            <summary type="html"><![CDATA[The risk of colorectal cancer (CRC) is increased by obesity.
Obesity also seems to have a negative impact on post-operative
complications, treatment efficacy and prognosis of CRC. Bariatric
surgery may decrease the risk of CRC in obese subjects. The
metabolic disorders induced by obesity and involved in colorectal
carcinogenesis are complex. Different hormones, adipokins and
mediators produced in adipose tissue contribute to tumor
development and progression. The main metabolic pathways affected
in adipose tissue are those of insulin and IGF growth factors and
their receptors, leptin, adipokins and estrogens; chronic
inflammation and disturbances of bile acid homeostasis also play an
important role. Finally, obesity is associated with a significant
decrease in the diversity of the intestinal microbiota. These
modifications lead to an alteration of the intestinal barrier, an
increase in pro-inflammatory molecules of microbial origin. They
also induce epigenetic remodeling and modify gene expression in
colonic epithelial cells. Finally, they cause alterations in
intestinal microbial metabolites that can cause DNA damage and
decrease anti-tumor immunity.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:MTG_221_0006</id>
    <title type="html"><![CDATA[
        Impact de l’obésité, des désordres métaboliques et de la nutrition
sur la fertilité des femmes |
        Janvier-Février-Mars 2020
                    | Médecine de la Reproduction
            (2020/1 Vol. 22)
            ]]></title>
        <link href="https://stm.cairn.info/revue-medecine-de-la-reproduction-2020-1-page-6?lang=fr" type="text/html" rel="alternate" />
    <published>2020-01-01T00:00:00+01:00</published>
    <updated>2025-03-18T15:22:38+01:00</updated>
            <summary type="html"><![CDATA[Abstract Many environmental and lifestyle elements have been
identified as risk factors for female infertility. Among them, the
association between overweight, obesity, metabolic disorders and
infertility, notably by ovulation disorders, is widely
demonstrated. There are arguments highlighting the importance of
weight loss by diet and physical activity to improve ovulatory
disorders and increase the chances of pregnancy. Although there is
no formal evidence to conclude to an implication of a food or a
group of food on fertility, more and more studies emphasize the
importance of a varied and balanced diet, based on the
Mediterranean diet. Micronutrient supplementation could be proposed
in certain situations, and in particular in case of deficiencies.
This supplementation should only be prescribed in addition to a
balanced lifestyle and under medical supervision.]]></summary>
    </entry>
                                <entry>
    <id>tag:cairn.info,2005:article:SPUB_194_0591</id>
    <title type="html"><![CDATA[
        Facteurs associés à l’obésité au sein d’un groupe d’usagers
du&#160;marché Dantokpa (Bénin) |
        Varia
                    | Santé Publique
            (2019/4 Vol. 31)
            ]]></title>
        <link href="https://stm.cairn.info/revue-sante-publique-2019-4-page-591?lang=fr" type="text/html" rel="alternate" />
    <published>2019-12-06T00:00:00+01:00</published>
    <updated>2025-03-18T15:22:38+01:00</updated>
            <summary type="html"><![CDATA[Objective: To study obesity prevalence and associated factors in
sedentary activity users at the Dantokpa market, Cotonou.Method:
From October to November 2016, 460&#160;subjects were selected by
stratified survey. Anthropometric data and information regarding
knowledge and practices of the subjects related to obesity were
collected by a questionnaire. The factors associated with obesity
were researched by a logistic regression model.Results: The obesity
prevalence was 35.7%. It was more predominant in women
(P&#160;&lt;&#160;0.0001) and those aged between 38-57&#160;years
(P&#160;&lt;&#160;0.0001). Insufficient or false knowledge and
insufficient or bad practices concerning obesity cohabited among
Dantokpa market sedentary users. The obesity associated factors
were the sex (OR&#160;=&#160;2.3; P&#160;&lt; 0.006), the age of 38
to 57&#160;years (2.3; P&#160;=&#160;0.014), marital status (2.5;
P&#160;=&#160;0.003), knowledge of physical incapacity as a
consequence of obesity (1.8; P&#160;&lt;&#160;0.0001), daily
sedentary duration between three and seven hours (18.0;
P&#160;&lt;&#160;0.0001) and more than seven hours (85.1;
P&#160;&lt;&#160;0.0001), family childbirth circumstances (1.9;
P&#160;=&#160;0.002) revenue increasing circumstances (3.1;
P&#160;=&#160;0.001) and sleep duration (2.01;
P&#160;=&#160;0.003).Conclusion: This study suggests the necessity
for the implementation of strategies including notably physical
activities and knowledge about obesity in order to reduce obesity
prevalence in Dantokpa market sedentary activity users.]]></summary>
    </entry>
            </feed>
