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Master Thesis

Importance du nombre de consultations des différents professionnels dans la réussite de la prise en charge multidisciplinaire de l’obésité infantile : analyse des données du Réseau de Prévention et de Prise en charge de l’Obésité Pédiatrique de la région Rhône-Alpes

Abstract : Background. French National Authority for Health recommends multidisciplinary intervention for children who failed weight management in primary care. This study investigated the database of childhood obesity centers for disease control and prevention in the Rhone-Alps, France. Objective. To examine whether successful management in pediatric obesity is associated with the number of visits and the specialty of consultant involved (physician, dietician and psychologist). Method. Obese children aged 6 to 12 years were included in two retrospective analyses respectively after one and two year follow-up. They were divided into two groups according to changes in BMI z-score: the first with a decrease in BMI z-score≥0.25 and the second with a decrease in BMI z-score<0.25. Results. The study included 665 children with a reduction in BMI Z-score of 0.36 SD after one year and 216 children with a reduction in BMI Z-score of 0.52 SD after two-year follow-up. The two groups didn’t differ in age, gender, motivation and social categories but had a difference in obesity at inclusion (3.73 vs 3.29 SD p=0.01). Patients didn’t visit more specialists in the first group (p>0.05) beside a slight difference of physician visits after one year follow up (7.29 vs 6.56 p<0.05). Children visited fewer psychologists in the first group (41 vs 28 % p<0.05). Conclusion. In this study, successful management of pediatric obesity wasn't correlated with the number of visits or the intervention of dietician and psychologist. Involving psychological intervention in patients who didn’t respond to initial treatment may not provide additional benefit.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01150849
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Submitted on : Tuesday, May 12, 2015 - 9:11:12 AM
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  • HAL Id : dumas-01150849, version 1

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Bastien Bert. Importance du nombre de consultations des différents professionnels dans la réussite de la prise en charge multidisciplinaire de l’obésité infantile : analyse des données du Réseau de Prévention et de Prise en charge de l’Obésité Pédiatrique de la région Rhône-Alpes. Médecine humaine et pathologie. 2015. ⟨dumas-01150849⟩

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