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Master Thesis

L’impact de la précarité dans l’obésité dans la filière Surcharge Pondérale du service d’Endocrinologie, Diabétologie, Maladies Métaboliques et Nutrition au CHU de Bordeaux

Abstract : The link between obesity and deprivation has often been observed. However, the impact of deprivation on the management of obesity is not properly established in terms of complication, follow-up adherence and weight loss. 140 obese patients have been included, 87 of which were followed up. The EPICES score (Evaluation of the Deprivation and Inequalities of Health in Healthcare Centers) has been used to define deprivation from a threshold value of 30. We have collected anthropometric data, the existence of metabolic complications, the physical activity score and the evolution after follow-up. Results are expressed in mean value +/- standard deviation. Deprived obese patients had higher BMI than non-deprived ones (43,8 +/- 8,4 kg/m2 vs 40,9 +/- 5,5 kg/m2; p=0,02) and were presenting more severe obesity (maximal BMI: 46,1 +/- 8,6 kg/m2 vs 42,3 +/- 5,2 kg/m2; p=0,002). There was no difference on obesity complications according to deprivation. EPICES score was positively correlated to BMI (r=0,2056; p=0,01) and maximal BMI (r=0,2592; p=0,002). There was no difference for this score according to the duration of the follow-up. Percentage of weight loss at the end of the follow-up was of 4,07 +/- 4,37% and was not different according to deprivation. Physical activity score was higher at the end of the follow-up (7 +/- 3 vs 11 +/- 4; p=0,004) and tended to be lower for deprived patients (6 +/- 3 vs 8 +/- 3; p=0,08). Deprived obese patients are more obese but are not more complicated and adhere as well to follow-up with the same weight loss as non-deprived ones although their physical activity tends to be lower. Deprivation should not prevent the proper management and needs to be detected with patients whose obesity is more important and potentially more complicated so that management is adapted to their environment in term of physical activity.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-01245746
Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Thursday, December 17, 2015 - 3:46:15 PM
Last modification on : Wednesday, August 23, 2017 - 4:32:37 PM
Long-term archiving on: : Saturday, April 29, 2017 - 6:46:05 PM

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Céline Loddo. L’impact de la précarité dans l’obésité dans la filière Surcharge Pondérale du service d’Endocrinologie, Diabétologie, Maladies Métaboliques et Nutrition au CHU de Bordeaux. Médecine humaine et pathologie. 2015. ⟨dumas-01245746⟩

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