Séminaire FPC " Prise en charge psychocomportementale de l'enfant obèse " de décembre 2007

Croezen S et coll. Skipping breakfast, alcohol consumption and physical inactivity as risk factors for overweight and obesity in adolescents : results of the E-MOVO project. Eur J Clin Nutr.

Abstract

Objective/Background: To investigate the association between skipping breakfast, alcohol consumption and physical inactivity with overweight and obesity in adolescents. The design comprises cross-sectional electronic health survey (E-MOVO).

Subjects/Methods: Over 35 000 Dutch adolescents in grade 2 (13–14 years of age) and grade 4 (15–16 years of age) of secondary educational schools were recruited by seven community health services. Analyses were performed on 25 176 adolescents. Body mass index was calculated from self-reported body weight and height. Frequency of skipping breakfast per week, amount of alcoholic drinks consumed per occasion, and numbers of physical active days per week were considered as determinants for overweight and obesity.

Results: In grade 2, adjusted odds ratios for the association with overweight were 2.17 (95% CI: 1.66–2.85) for skipping breakfast, 1.86 (1.36–2.55) for alcohol consumption and 1.73 (1.19–2.51) for physical inactivity. Statistically significant associations with overweight were also found in grade 4. In grade 2, dose–response relations (P for trend <0.05) were present between all risk factors and overweight. In a multivariate model containing all risk factors, breakfast skipping showed the strongest relation with overweight (OR 1.68, 95% CI 1.43–1.97 for grade 2, OR 1.32 95% CI 1.14–1.54 for grade 4) and obesity.

Conclusions: Skipping breakfast, alcohol consumption and physical inactivity were associated with overweight in second and fourth grade adolescents. The associations were strongest for younger adolescents. The most important risk factor for overweight and obesity was skipping breakfast.

Keywords: adolescents, overweight, breakfast, alcohol consumption, physical activity, electronic health survey

Publié dans European Journal of Clinical Nutrition advance online publication 28/11/2007

Le Centre Interdisciplinaire d'Ethique organise une série de conférences intitulées "Les fins de vie".
Ces conférences, au nombre de 8, se dérouleront dans les locaux de l'Université Catholique de Lyon, les mardis de 18h30 à 20h30, du 8 janvier au 11 mars 2008.
Cet ensemble de conférence propose un parcours de réflexion pluridisciplinaire.
Il est recommandé de participer l'ensemble du module pour bénéficier de la démarche proposée.
Toutefois, il est possible de ne suivre que l'une ou l'autre conférence.

Télécharger le programme pdf (191 ko)

Séminaire FPC " Prise en charge psychocomportementale de l'enfant obèse " de décembre 2007

Bibbins-Domingo K, Coxson P, Pletcher MJ, Lightwood J, Goldman L. Adolescent overweight and future adult coronary heart disease. N Engl J Med. 2007 Dec 6;357(23):2371-9.

BACKGROUND: The effect of adolescent overweight on future adult coronary heart disease (CHD) is not known.
METHODS: We estimated the prevalence of obese 35-year-olds in 2020 on the basis of adolescent overweight in 2000 and historical trends regarding overweight adolescents who become obese adults. We then used the CHD Policy Model, a state-transition computer simulation of U.S. residents who are 35 years of age or older, to project the annual excess incidence and prevalence of CHD, the total number of excess CHD events, and excess deaths from both CHD and other causes attributable to obesity from 2020 to 2035. We also modeled the effect of treating obesity-related increases in blood pressure and dyslipidemia.
RESULTS: Adolescent overweight is projected to increase the prevalence of obese 35-year-olds in 2020 to a range of 30 to 37% in men and 34 to 44% in women. As a consequence of this increased obesity, an increase in the incidence of CHD and in the total number of CHD events and deaths is projected to occur in young adulthood. The increase is projected to continue in both absolute and relative terms as the population reaches middle age. By 2035, it is estimated that the prevalence of CHD will increase by a range of 5 to 16%, with more than 100,000 excess cases of CHD attributable to the increased obesity. Aggressive treatment with currently available therapies to reverse modifiable obesity-related risk factors would reduce, but not eliminate, the projected increase in the number of CHD events. CONCLUSIONS: Although projections 25 or more years into the future are subject to innumerable uncertainties, extrapolation from current data suggests that adolescent overweight will increase rates of CHD among future young and middle-aged adults, resulting in substantial morbidity and mortality. Copyright 2007 Massachusetts Medical Society.

Department of Medicine, University of California, San Francisco, CA 94143, USA. bibbinsk@medicine.ucsf.edu

Dans la continuité du séminaire FPC des 16 & 17/11/2007 centré sur "Sensibilisation au dépistage en ophtalmologie", vous pouvez consulter le Décret n° 2007-1671 du 27 novembre 2007 fixant la liste des actes pouvant être accomplis par des orthoptistes et modifiant le code de la santé publique (dispositions réglementaires)