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Master Thesis

Perceptions et pratiques de l’alimentation végétarienne par les personnes végétariennes et leurs médecins généralistes

Abstract : Introduction: vegetarian food is increasingly practiced in the world for ethical (environmental and animal protection) and health reasons. 3% of French people are said to be vegetarians, and 10% are considering becoming vegetarians. The vegetarian diet leads to a reduction in the incidence of cardiovascular diseases and their risk factors, certain inflammatory diseases and cancers. To date, there is no French recommendation or medical training. The specific nutritional advice for vegetarian patients seems to be based on the personal representations of general practitioners. The main objective of this work is to explore the knowledge and psycho-social difficulties encountered by vegetarians, as well as the perceptions and care of GPs. The secondary objective was to explore doctor-patient communication around vegetarian diet. Method: a qualitative study of 15 vegetarians and 15 GPs was conducted from December 2019 to April 2020. Semi-directed interviews were used for thematic analysis. Results: most vegetarians, including vegans, do not take vitamin B12 supplements. Vegetarians have few psycho-social difficulties. Diet is little discussed in consultation, whereas nutrition has a primary role to play in primary care. On the one hand, vegetarians do not want to put their doctor in trouble, on the other hand, the doctor avoids discussing the subject because of a lack of knowledge or a lack of consideration of nutrition. General practitioners make few recommendations because of the lack of training and their personal perceptions. Conclusion: this work highlights the crucial need for GPs to be trained in nutrition, especially vegetarian nutrition, at a time when more and more patients are being treated with nutrition.
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Master Thesis
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Submitted on : Wednesday, October 21, 2020 - 6:42:39 PM
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Élodie Kervarec, Valentine Boisgontier. Perceptions et pratiques de l’alimentation végétarienne par les personnes végétariennes et leurs médecins généralistes. Médecine humaine et pathologie. 2020. ⟨dumas-02974453⟩



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