Integrated Obesity Management : Bridging the Gap between Primaryand Secondary Care. Satellite Symposium. Paris, FRA, 1998/08/29.
The problem of obesity is often not recognised.
For example, the prevalence of obesity in Sweden is estimated to be 10%, but a study of a county of 414358 inhabitants and the records from 41 primary healthcare centres found that only 949 (3.1%) of patients were registered as obese.
This is alarming, since overweight and obesity can be easily identified and the prevention and treatment of obesity is crucial in order to prevent type 2 diabetes.
A screening programme in Kisa, a district of southern Sweden, found that 45% of men and 32% of women were overweight (BMI 25-30 kg/m2), while 12% of men and 17% of women were obese (BMI>30 kg/m2).
Among people without diagnosed diabetes, a family history of obesity emerged in 1384 subjects ; 707 were overweight or obese (BMI>25 kg/m2), with 270 of these having abdominal obesity.
Of 212 of these patients who agreed to an oral glucose tolerance test, 16 were found to have type 2 diabetes and 70 impaired glucose tolerance.
It is vital that primary healthcare teams become more active in developing co-ordinated programmes of identification, registration and long-term management of overweight and obese people.
Mots-clés Pascal : Obésité, Complication, Association morbide, Prévention, Diabète non insulinodépendant, Surcharge pondérale, Programme sanitaire, Suède, Europe, Homme, Etat nutritionnel, Trouble nutrition, Endocrinopathie
Mots-clés Pascal anglais : Obesity, Complication, Concomitant disease, Prevention, Non insulin dependent diabetes, Overweight, Sanitary program, Sweden, Europe, Human, Nutritional status, Nutrition disorder, Endocrinopathy
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Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0297911
Code Inist : 002B22B. Création : 16/11/1999.