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Master Thesis

Dépistage de l’obésité adulte et des pathologies associées en médecine générale dans la ville du Port, d’avril 2013 à janvier 2014, dans le cadre du Plan Obésité à destination des populations d’Outre-mer

Abstract : Introduction: The 2010-2013 Anti-Obesity Plan prioritizes the screening of obesity and of its comorbidities. The main purpose of this study is to establish the proportion of Body Mass Index (BMI) and Waist Circumference (WC) acknowledged in Reunion Island GPs’ medical files. We shall also assess for the screenings and follow-ups of the comorbidities according to the GP’s profile: age, exercise environment and seniority. Method: We carried a cross sectional descriptive and analytic study over 570 medical files in 20 practice populations of GPs working in Le Port. Results: 42% of the files included a BMI and 1% a WC. The presence of the BMI was significantly linked to some additional medical training, the computerization of the practice or to the patient’s morphology. We identified 21.4% of obese patients amongst whom 34% were diabetic, 50% hypertensive and 50% dyslipidemic. 22% of obese patients were diagnosed as diabetic and dyslipidemic, 13% had High Blood Pressure (HBP) and 11% colon cancer. According to the French HAS (High Sanitary Authority), the diagnosis for HBP was established too soon for 86% of them and 57% of the diabetics had an insufficient follow-up. Regarding the doctors, 60% were not aware of the Anti-Obesity plan. Female doctors had more data on weight while doctors with normal weight had more data on weight and BMI. 90% of the GPs thought screening obesity was part of their prerogatives, 55% felt concerned with the follow-up, 65% were willing to work in collaboration with specialized centres. Discussion: Our study revealed a general lack of BMI and WC data. Comorbidities were not systematically looked for even though GPs felt concerned with the follow-up of obese patients. Cultural representations, prevention campaigns and adapted software are options worth examining, but the major improvement would come from evolution in GP’s practices.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01245329
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Submitted on : Thursday, December 17, 2015 - 9:09:31 AM
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Vanessa Palma. Dépistage de l’obésité adulte et des pathologies associées en médecine générale dans la ville du Port, d’avril 2013 à janvier 2014, dans le cadre du Plan Obésité à destination des populations d’Outre-mer. Médecine humaine et pathologie. 2014. ⟨dumas-01245329⟩

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