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Master Thesis

Exploration du profil métabolique, clinique et comportemental chez une population d'enfants obèses à Raiatea : une étude pilote menée en Polynésie Française

Abstract : Introduction: childhood obesity is a major public health problem throughout the world, and particularly in Polynesia where it affects 25.4 % of girls and 22.4 % of boys. At an early age this disease can result in metabolic abnormalities associated with an increased risk of mortality. Our study focuses on liver and cholesterol abnormalities, as well as blood sugar and insulin levels in a subgroup of obese children in an area where these metabolic complications are still scarcely explored. Material and method: clinical history, physical examination findings, laboratory and ultrasound results were collected via chart revue of a group of young patients followed for obesity at Raiatea hospital in French Polynesia between May 19, 2018 and March 31, 2019. Results: 24 children were included. All of them presented with at least one metabolic complication of obesity. 19 children had insulin resistance and/or glucose tolerance impaired. 17 children had evidence of NAFLD on laboratory or ultrasound. 15 children had at least one type of dyslipidemia. The exploration of other data reveals numerous other complications surrounding obesity, a deeplyrooted cultural relationship to diet, and better knowledge of the relationship to physical activity. Conclusion: metabolic complications affect a large proportion of obese children. This study provides a better understanding of the metabolic and environmental profile of the population studied, and encourages more proactive management of childhood obesity by general practitioners.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-02866703
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Submitted on : Friday, June 12, 2020 - 4:41:46 PM
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Anne-Lorraine Choné. Exploration du profil métabolique, clinique et comportemental chez une population d'enfants obèses à Raiatea : une étude pilote menée en Polynésie Française. Médecine humaine et pathologie. 2020. ⟨dumas-02866703⟩

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