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1.
Acta Paediatr ; 107(4): 658-665, 2018 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-29215159

RESUMO

AIM: This study was to characterise respiratory and nonrespiratory sleep disorders in obese children and evaluate the diagnostic and therapeutic impact of a specific sleep consultation. METHODS: A descriptive study was conducted in obese French children who received multidisciplinary care management from the hospital centre for paediatric obesity in Bordeaux. This followed a specific sleep consultation between 2007 and 2015, because their paediatrician had identified symptoms suggestive of sleep disorders. RESULTS: The sleep specialist confirmed the presence of a sleep disorder in 98.4% of the 128 obese children, with a mean age of 12.1 ± 3.2 years. These included respiratory sleep disorders, hypersomnolence, insomnia and circadian rhythm sleep-wake disorders. Polysomnography revealed that 46.1% had respiratory sleep disorders and 24.2% had obstructive sleep apnoea syndrome (OSAS). Just under half (47.6%) were referred to an otorhinolaryngologist for sleep care management, 30.5% were referred to an orthodontist, 17.9% had melatonin treatment and 13.3% received continuous positive airway pressure ventilation. CONCLUSION: Sleep disorders in obese children were not limited to respiratory sleep disorders including OSAS. A systematic specific consultation with a sleep specialist is essential for the diagnosis and care of such children and would be beneficial when treating paediatric obesity.


Assuntos
Obesidade Infantil/complicações , Transtornos do Sono-Vigília/diagnóstico , Transtornos do Sono-Vigília/epidemiologia , Adolescente , Criança , Pré-Escolar , Estudos de Coortes , Pressão Positiva Contínua nas Vias Aéreas , Feminino , França , Humanos , Masculino , Obesidade Infantil/fisiopatologia , Polissonografia , Transtornos do Sono-Vigília/terapia
2.
Public Health Nutr ; 18(10): 1883-9, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25307744

RESUMO

OBJECTIVE: The objective of the present study was to describe changes in overweight and obesity prevalence and eating habits among 7.5-10.5-year-old children in Aquitaine (France) between 2004 and 2008, and to assess how the programme 'Nutrition, Prevention and Health of children and teenagers in Aquitaine' implemented in 2004 may have impacted these changes. DESIGN: Two cross-sectional studies were conducted in two samples of children: the 'before programme' sample during the school year 2004/2005 and the 'after programme' sample during the school year 2008/2009. Settings Data were collected on gender, age, weight, height, area of residence (rural/urban) and socio-economic status of the school (non-low socio-economic/low socio-economic). Multivariate analyses were used to assess the effect of the regional programme intervention on the evolution of overweight and obesity prevalence and eating habits independently. SUBJECTS: The 'before programme' sample included 1836 children from 163 schools during the school year 2004/2005 and the 'after programme' sample included 3483 children from 210 schools during the school year 2008/2009. RESULTS: After adjustment of the model for age, residential area and socio-economic status of the area of residence, the prevalence of overweight including obesity (OR = 1.05; 95% CI 0.89, 1.23, P = 0.56) and of obesity (OR = 0.99; 95% CI 0.71, 1.39, P = 0.96) was found to have stabilized and eating habits had improved: intake of light afternoon meals had increased (OR = 1.38; 95% CI 1.13, 1.69, P = 0.002) while snacking in the morning (OR = 0.50; 95 % CI 0.45, 0.57, P < 0.001) and nibbling (OR = 0.81; 95% CI 0.70, 0.93, P < 0.001) had decreased. CONCLUSIONS: These results encourage the promotion and implementation of regional and national interventions among children regarding their eating habits in order to stabilize or decrease the prevalence of overweight.


Assuntos
Índice de Massa Corporal , Peso Corporal , Dieta , Comportamento Alimentar , Obesidade/prevenção & controle , Criança , Estudos Transversais , Feminino , França/epidemiologia , Humanos , Masculino , Análise Multivariada , Obesidade/epidemiologia , Razão de Chances , Sobrepeso/epidemiologia , Sobrepeso/prevenção & controle , Prevalência , Avaliação de Programas e Projetos de Saúde , Instituições Acadêmicas , Lanches
3.
Public Health Nutr ; 16(2): 193-201, 2013 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22953729

RESUMO

OBJECTIVE: To determine the prevalence of, and identify associated factors with, overweight and obesity in two samples of French children. DESIGN: We conducted two cross-sectional studies among two samples of children. Weight status, eating behaviour, sedentary activity, physical activity and parents' socio-economic status (SES) were collected using questionnaires filled by doctors during school health check-ups. Overweight and obesity were defined according to the age- and sex-specific BMI cut-off points of the International Obesity Taskforce. Multivariate analysis (logistic regression) was used to identify independent factors associated with overweight including obesity and obesity alone. SETTING: Aquitaine region (south-west France). SUBJECTS: Analyses were conducted among children aged 5-7 years (n 4048) and 7-11 years (n 3619). RESULTS: Overweight prevalence was 9·5 % including 2·2 % of obesity in 5-7-year-old children and 15·6 % including 2·9 % of obesity in 7-11-year-old children. In both samples, overweight and obesity prevalence were higher in children whose parents had low or medium SES (P < 0·05). Factors associated significantly (P < 0·05) and independently with higher overweight or obesity prevalence were female gender, low or medium parental SES, never or sometimes having breakfast, never eating at the school canteen, never having a morning snack, never or sometimes having a light afternoon meal and having high sedentary activity. CONCLUSIONS: Our data confirm that low SES, absence of breakfast and high sedentary activity are associated with a higher risk of being overweight or obese, but also highlight original potential protective factors such as eating at the canteen and high meal frequency.


Assuntos
Comportamento Infantil , Comportamentos Relacionados com a Saúde , Obesidade/epidemiologia , Sobrepeso/epidemiologia , Índice de Massa Corporal , Criança , Pré-Escolar , Estudos Transversais , Feminino , França/epidemiologia , Humanos , Modelos Logísticos , Masculino , Refeições , Análise Multivariada , Obesidade/etiologia , Sobrepeso/etiologia , Prevalência , Fatores de Risco , Instituições Acadêmicas , Comportamento Sedentário , Fatores Sexuais , Classe Social , Inquéritos e Questionários
4.
Acta Paediatr ; 102(3): 273-7, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23190280

RESUMO

AIM: To assess time trends in overweight and obesity prevalence among 5-6-year-old children of Bordeaux city (France) over seven school years from 2004-2005 to 2010-2011. METHODS: For each year, all 5-6-year-old children from 63 of the 69 schools of Bordeaux were included: 2005, 2100, 2010, 1952, 2040, 2017 and 2111 subjects, respectively. Weight and height were collected by school doctors, and weight status was defined according to the age- and sex-specific body mass index cut-off points of the International Obesity Task Force (IOTF) for obesity and to the French age- and gender-specific child cut-off (close to the IOTF cut-off) for overweight including obesity. RESULTS: From 2004-2005 to 2010-2011, an overall decrease was observed in overweight including obesity (from 8.9% to 5.2%, p < 0.001) and obesity prevalences (from 2.8% to 1.4%, p = 0.046). Similar results were observed in non-low socio-economic status (SES) areas (p < 0.001), whereas the prevalence did not vary significantly in low-SES areas (p > 0.05). CONCLUSION: Overweight prevalence has decreased between 2004 and 2011 in 5-6-year-old children from Bordeaux. However, the gap between low and non-low-SES areas has persisted during these years.


Assuntos
Obesidade/epidemiologia , Serviços Preventivos de Saúde/organização & administração , Classe Social , Fatores Etários , Índice de Massa Corporal , Criança , Pré-Escolar , Feminino , França , Humanos , Masculino , Obesidade/prevenção & controle , Prevalência , Fatores de Risco , Fatores de Tempo
6.
Pediatr Obes ; 14(8): e12522, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-30990572

RESUMO

BACKGROUND: The nine French regional health networks for the prevention and care of paediatric obesity offer a 2-year program of multidisciplinary primary care (medical, dietetical, psychological, adapted physical activity) based on multicomponent lifestyle interventions. OBJECTIVES: To assess the short-term and long-term impact of care management. METHODS: The impact of the multidisciplinary care was assessed by changes in the body mass index (BMI) Z score during the period of the care, and at least 2 years after the end. Anthropometric data were collected at baseline and at the end of the care either through a digital medical file or through direct phone contacts with the referring. Long-term outcomes were assessed through studies relative to post follow-up evaluation. RESULTS: At the end of the period of the care in a network, 72.9% of 6947 children had decreased their BMI Z score from 3.6 ± 1.0 DS at baseline to 3.3 ± 1.1 DS at the end. The four studies relative to long-term evaluation showed a pursuit of the decrease of BMI Z score during the 5.1 years after the beginning of the care. CONCLUSIONS: The care provided by regional French networks for prevention and care of paediatric obesity induce a reduction of BMI that continues afterwards.


Assuntos
Comunicação Interdisciplinar , Obesidade Infantil/prevenção & controle , Obesidade Infantil/terapia , Adolescente , Antropometria , Índice de Massa Corporal , Criança , Exercício Físico , Feminino , Seguimentos , França , Humanos , Estilo de Vida , Masculino , Sobrepeso/psicologia , Resultado do Tratamento
7.
J Physiol Biochem ; 69(1): 111-8, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-22773296

RESUMO

This study aimed to identify dietary behaviors that might be considered as associated factors for overweight or obesity among French adolescents. Forty-nine of the 536 middle and high schools in Aquitaine (southwest of France) were invited to take part in the study. For each school, participating adolescents were selected using stratification by grade. A self-report questionnaire, including information about sex, age, dietary behaviors, physical and sedentary activities, and parental socioeconomic status (SES), was filled in by adolescents during class. Overweight and obesity were defined according to the age- and sex-specific body mass index cutoff points of the International Obesity Task Force. Multivariate analysis (logistic regression) was used to identify independent dietary factors associated with overweight including obesity and obesity alone (adjustment on sex, age, parental SES, and weight status and adolescents' sedentary activity). In addition to parental SES and weight status and adolescents' sedentary activity, some dietary behaviors are also independently and significantly associated with a higher prevalence of overweight including obesity: absence (OR 1.43, 0.91-2.23) or rare (OR 1.57, 1.23-2.01) breakfast intake (p < 0.01) and absence (OR 5.03, 3.19-7.92) or rare (OR 1.90, 1.46-2.47) light afternoon meal intake (p < 0.001). All variables were also significantly and independently associated with obesity alone. This study shows that socioeconomic factors and individual behaviors are associated with overweight or obesity. These results confirm the importance to carry out multifaceted educational actions among adolescents, by promoting physical activity and healthy food choices in order to prevent overweight and promote healthy lifestyle behaviors.


Assuntos
Dieta , Comportamento Alimentar/psicologia , Obesidade/psicologia , Adolescente , Índice de Massa Corporal , Peso Corporal , Criança , Comportamento Alimentar/fisiologia , Feminino , França/epidemiologia , Comportamentos Relacionados com a Saúde , Humanos , Estilo de Vida , Masculino , Atividade Motora , Obesidade/epidemiologia , Obesidade/fisiopatologia , Prevalência , Fatores de Risco , Comportamento Sedentário , Autorrelato , Classe Social
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