Prise en charge de l'obésité de degré 2 : apport de l'hôpital de jour dans la prise en charge globale des patients adolescents

Abstract : Demographic explosion of obesity at the end of the 20th century was at the origin of a new public health policy from the year 2000. Our study concerns the development of a new structure of care for obesity in Isère: “Hôpital de la clinique du Grésivaudan”, which opened in 2012. This retrospective epidemiological study evaluated the anthropometric data, social and family environment, physical activity and quality of life during the hospitalization of patients, then at a distance (≥ 1 year) by means of a phone survey (53% of response). The average age at onset of hospitalization was 14.6 years with 60% of women and the initial mean Z-score was + 4.37. There was no significant change in the Z-score between onset and end of hospitalization (p = 0.29, average length of hospitalization 79 days). In the survey patients were 17.4 years old and the Z-score was significantly lower at + 3.94 compared to the initial care (p = 0.005). The suffering score had decreased during hospitalization (p = 0.001) and remained low in the survey. Motivation decreased after returning home (p = 0.005). The increase of physical activity did not follow up after hospitalization (p = 0.52). Patients live in an obesogenic environment (socio-economic level, parental obesity, separated parents), physical activity was weaker and academic difficulties were greater than the general population. Day care hospitalization is more efficient than the outpatient care and has similar results to customary hospitalization. A prospective, randomized study comparing the different modalities of treatment will help to better define the strengths and weakness of each modality in order to better direct patients.
Document type :
Master Thesis
Liste complète des métadonnées

https://dumas.ccsd.cnrs.fr/dumas-01469250
Contributor : Jean-Hugues Morneau <>
Submitted on : Thursday, February 16, 2017 - 11:39:26 AM
Last modification on : Wednesday, February 27, 2019 - 10:58:02 PM
Document(s) archivé(s) le : Wednesday, May 17, 2017 - 1:50:15 PM

Identifiers

  • HAL Id : dumas-01469250, version 1

Citation

Antoine Milleret. Prise en charge de l'obésité de degré 2 : apport de l'hôpital de jour dans la prise en charge globale des patients adolescents. Médecine humaine et pathologie. 2017. ⟨dumas-01469250⟩

Share

Metrics

Record views

215

Files downloads

466