Prise en charge nutritionnelle, médicamenteuse et chirurgicale de l'obésité PDF Download

Author: Alixia Blachère
Publisher:
ISBN:
Category :
Languages : fr
Pages : 200

View

Book Description
L'obésité est un problème majeur de Santé Publique de la société moderne qui se développe de façon épidémique. Elle résulte d'un ensemble d'interactions complexes comprenant des facteurs nutritionnels, environnementaux et génétiques. L'obésité entraîne de lourdes complications, tant sur le plan humain, que sur le plan social ou médical ; en effet, l'obésité augmente le risque de maladies cardio-vasculaires, de diabète de type 2, d'hypertension artérielle... La prise en charge de l'obésité conjugue 3 approches complémentaires : une alimentation équilibrée, une activité physique régulière et un soutien psychologique. L'objectif premier est d'aider les patients à modifier son style de vie de façon à obtenir une perte de poids suffisante et durable. Les médicaments anti-obésité sont proposés en seconde intention. En fonction du degré d'obésité et des comorbidités associées à l'obésité, le recours à la chirurgie bariatrique peut être envisagé. Cette chirurgie permet une perte de poids importante, une amélioration des comorbidités et de la qualité de vie. Cependant elle est responsable de complications notamment nutritionnelles et implique un suivi à vie. Quoi qu'il en soit, l'obésité doit être prise en charge dans sa globalité pour obtenir des résultats positifs sur la santé. De part sa formation et sa disponibilité, le pharmacien d'officine a un rôle clé de conseil à jouer à la fois dans la prévention de l'obésité et dans le suivi des patients obèses.

Author: Jean-François Lopez
Publisher: Elsevier Health Sciences
ISBN: 2294778987
Category : Medical
Languages : fr
Pages : 176

View

Book Description
L’obésité chirurgicale est cette forme d’obésité suffisamment sévère pour justifier, dans certains cas, la réalisation d’une chirurgie bariatrique, reconnue comme partie intégrante de l’arsenal thérapeutique visant à contrôler l’obésité-maladie. Cette chirurgie n’acquiert son efficacité que si elle est intégrée dans un parcours de soins global et pluridisciplinaire et ne prend tout son sens qu’en tenant compte de la dimension psychologique inhérente à cette affection. Or, si les techniques chirurgicales sont de mieux en mieux maîtrisées, la difficulté réside toujours dans l’appréciation de la composante comportementale. Cet ouvrage, fruit d’une expérience de plus de trente ans, porte un projet de réflexion clinique basée sur ce matériau brut qu’est la confrontation avec ces patients en souffrance et souvent en errance médicale ; avec leur vulnérabilité, leurs attentes parfois démesurées, leur demande parfois ambiguë. Ce qui nous intéresse, ici, c’est de comprendre comment les patients envisagent leur intervention et réagissent à la transformation consécutive à leur amaigrissement. Comment leur comportement peut impacter leur préparation. Comment l’équipe multidisciplinaire doit en tenir compte, pour ne pas se laisser dépasser elle-même par des mécanismes psychologiques complexes. Comment, enfin, à la suite d’une perte de poids massive, les modifications de l’image de soi peuvent perturber leurs relations familiales et sociales. Autant de questions qui recoupent le champ d’intervention des chirurgiens mais aussi de tous les soignants concernés par la prise en charge des patients souffrant d’obésité à qui ce livre s’adresse (endocrinologues, diabétologues, nutritionnistes, médecins généralistes et psychologues). Autant de questions qui nous révèlent la difficulté de cette spécialité mais aussi son intérêt et surtout son humanité.

Author: Jean-Philippe Bastard
Publisher: Springer Science & Business Media
ISBN: 2817803434
Category : Medical
Languages : en
Pages : 432

View

Book Description
The scientific advances in the physiology and pathophysiology of adipose tissue over the last two decades have been considerable. Today, the cellular and molecular mechanisms of adipogenesis are well known. In addition, adipose tissue is now recognized as a real endocrine organ that produces hormones such as the leptin acting to regulate food intake and energy balance in the central nervous system, a finding that has completely revolutionized the paradigm of energy homeostasis. Other adipokines have now been described and these molecules are taking on increasing importance in physiology and pathophysiology. Moreover, numerous works have shown that in obesity, but also in cases of lipodystophy, adipose tissue was the site of a local low-grade inflammation that involves immune cells such as macrophages and certain populations of lymphocytes. This new information is an important step in the pathophysiology of both obesity and related metabolic and cardiovascular complications. Finally, it is a unique and original work focusing on adipose tissue, covering biology and pathology by investigating aspects of molecular and cellular biology, general, metabolic, genetic and genomic biochemistry.

Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241208945
Category : Cooking
Languages : en
Pages : 267

View

Book Description
This report issues a call for urgent action to combat the growing epidemic of obesity, which now affects developing and industrialized countries alike. Adopting a public health approach, the report responds to both the enormity of health problems associated with obesity and the notorious difficulty of treating this complex, multifactorial disease. With these problems in mind, the report aims to help policy-makers introduce strategies for prevention and management that have the greatest chance of success. The importance of prevention as the most sensible strategy in developing countries, where obesity coexists with undernutrition, is repeatedly emphasized. Recommended lines of action, which reflect the consensus reached by 25 leading authorities, are based on a critical review of current scientific knowledge about the causes of obesity in both individuals and populations. While all causes are considered, major attention is given to behavioural and societal changes that have increased the energy density of diets, overwhelmed sophisticated regulatory systems that control appetite and maintain energy balance, and reduced physical activity. Specific topics discussed range from the importance of fat content in the food supply as a cause of population-wide obesity, through misconceptions about obesity held by both the medical profession and the public, to strategies for dealing with the alarming prevalence of obesity in children. "... the volume is clearly written, and carries a wealth of summary information that is likely to be invaluable for anyone interested in the public health aspects of obesity and fatness, be they students, practitioner or researcher." - Journal of Biosocial Science

Author: Sanjay Agrawal
Publisher: Springer
ISBN: 3319043439
Category : Medical
Languages : en
Pages : 708

View

Book Description
Written by leading experts from all across the globe, this comprehensive yet concise textbook offers up-to-date summary in the field of Obesity and its Surgical Management for a wide range of healthcare professionals involved within a Bariatric Multidisciplinary Team including Surgeons, Dieticians, Metabolic Physicians, Anaesthesiologists, Psychologists, Psychiatrists, Radiologists and Nursing staff. The book also serves as a reference manual for General Physicians, General Surgeons & General Practitioners.

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309148057
Category : Medical
Languages : en
Pages : 506

View

Book Description
Reducing the intake of sodium is an important public health goal for Americans. Since the 1970s, an array of public health interventions and national dietary guidelines has sought to reduce sodium intake. However, the U.S. population still consumes more sodium than is recommended, placing individuals at risk for diseases related to elevated blood pressure. Strategies to Reduce Sodium Intake in the United States evaluates and makes recommendations about strategies that could be implemented to reduce dietary sodium intake to levels recommended by the Dietary Guidelines for Americans. The book reviews past and ongoing efforts to reduce the sodium content of the food supply and to motivate consumers to change behavior. Based on past lessons learned, the book makes recommendations for future initiatives. It is an excellent resource for federal and state public health officials, the processed food and food service industries, health care professionals, consumer advocacy groups, and academic researchers.

Author:
Publisher:
ISBN:
Category : Diabetes
Languages : en
Pages : 802

View

Book Description

Author: Edmund A. M. Neugebauer
Publisher: Springer Science & Business Media
ISBN: 3540327843
Category : Medical
Languages : en
Pages : 423

View

Book Description
This book gathers recommendations of the European Association for Endoscopic Surgery (EAES), as compiled by leading European laparoscopic surgeons. The book offers an overview of current surgical research. All recommendations precisely describe the proven benefit of each surgical procedure and technique. Chapters follow a structured format to allow quick identification of recommendations. This work provides a highly usable and practice-oriented overview of the achievements in laparoscopic surgery throughout the last decade.

Author:
Publisher: Academic Press
ISBN: 0128172258
Category : Medical
Languages : en
Pages : 254

View

Book Description
Mitochondrial Neuropathies, Volume 146, brings together experts in a range of diseases that damage the nervous system to present the role of mitochondrial dysfunction in their particular field, with this new release focusing on Mitochondrial dysfunction in Alzheimer's Disease, HIV and the mitochondrial: immune interface in the CNS, The Impact of mitochondrial damage in HIV-induced peripheral neuropathy, Mitochondrial dysfunction and the pathogenesis of chemotherapy-induced peripheral neuropathy, Disorders of mitochondrial biogenesis in peripheral neuropathy, Mitochondrial dysfunction and the pathogenesis of diabetic neuropathy, Manipulating mitochondria to treat peripheral neuropathy, and DCA therapy - the yin and yang of mitochondrial activation. - Contains contributions from a diverse group of experts - Presents a timely resource that brings together different fields to highlight a common pathogenic mechanism - Focuses on the role of mitochondria in diverse neuropathies

Author: Alan D. Lopez
Publisher: World Bank Publications
ISBN: 0821362631
Category : Medical
Languages : en
Pages : 511

View

Book Description
Strategic health planning, the cornerstone of initiatives designed to achieve health improvement goals around the world, requires an understanding of the comparative burden of diseases and injuries, their corresponding risk factors and the likely effects of invervention options. The Global Burden of Disease framework, originally published in 1990, has been widely adopted as the preferred method for health accounting and has become the standard to guide the setting of health research priorities. This publication sets out an updated assessment of the situation, with an analysis of trends observed since 1990 and a chapter on the sensitivity of GBD estimates to various sources of uncertainty in methods and data.