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Master Thesis

Obstacle au traitement de l'obésité infantile‎ : enquête auprès des familles défavorisées

Abstract : [Introduction] Our goal was to find out the factors that make it difficult for families of obese children to pursue strategies against childhood obesity. [Methods] Our investigation was retrospective. It concerned families of obese children living in a ZUS (=Urban deprived zones) and who had stopped prematurely their follow-up in a health center. Two criteria of inclusion: age less than 18-year-old and obesity according to the international definition. Our hypothesis was that there are economic, psychological and cultural intra-family obstacles to the treatment of obesity. [Results] 54.8 % of the eligible families were questioned. At the beginning of the follow-up the average age was 9 years-old. 42.6 % of the children had less than a six-months-follow up. For 55.6% of the children, the age of adiposity rebound was between their 2nd and 3rd of life. 13.6 % of the heads of the parents did not work. Two main causes were found : discouragement for 48.5 % of families ( 95 % CI [36.4 %; 60.6 %]) and lack of family support for 35.3 % of them ( 95 % CI [24.4 %; 47.9 %]). 30.8 % of families (95 % CI [20.5 %; 43.4 %]) stopped care for economic reasons. 91 % of families were conscious of the consequences of long-term obesity for their child but only 66 % perceived a restriction in their daily activities because of their weight. [Conclusion] To fight childhood obesity the focus should be to modify the environment that leads to obesity rather than stigmatizing families.
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Master Thesis
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Submitted on : Friday, March 30, 2012 - 6:43:56 PM
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Pauline Robinet. Obstacle au traitement de l'obésité infantile‎ : enquête auprès des familles défavorisées. Médecine humaine et pathologie. 2012. ⟨dumas-00684209⟩

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