Prévalence de l'obésité chez l'enfant et l'adolescent scolarisés en Seine Saint-Denis

Abstract

In France, the increase of obesity prevalence in children constitutes a true "epidemic". The school doctors based in Seine Saint-Denis carried out a study during the 2003-2004 academic year on the prevalence of childhood obesity in students from nursery school and junior high school. It was also closely linked to an individually-based awareness campaign for better management of the students surveyed and selected. The results show a prevalence of obesity of 13.9% at 6 years old and 14.3% at 15 years, values which are higher than the national data (10.6% at 6 years old and 11.3% at 15 years old). On the other hand, a percentage of 5.15% of underweight children was found in the 6 year old group. The socio-economic and urban specificities of this specific county partially explain these numbers. It would seem judicious to sign-up the service for health promotion in support of students (SPSFE) with the task to pursue activities which can identify and manage their care, in partnership namely with the network for the management and prevention of pediatric obesity (REPOP-IdeF), county social services and maternal and child protection (PMI). It would also be recommended to engage in and commission new reflections on the schools' nutrition and food practices (both for snacks and cafeteria dining). The population of underweight children should serve as a target focus group for streamlining adapted care management as well as for more additional complementary information.

The "Snacking Child" and its social network: some insights from an italian survey

“…Moreover, snacking has been related with other behaviors, such as TV watching, which are all believed to be, by itself, obesogenic; in this way, a pattern of potentially unhealthy behaviors has been described, identifying snacking children as having a sedentary lifestyle and spending the majority of leisure time alone [9]. However, snacking is also related with social and group activities, as an accompanying activity during social meetings and after them [10]. Social pattern of interaction are of course very different when referred to adults than for children.…”

Recruitment of precarious families in an interventional study: Lessons from the French “Fruits and vegetables at home” (FLAM) trial

“…Yet, there is a real interest promoting FV consumption and healthier diet among young children, since it has been shown that dietary habits in adults are widely determined by those adopted during childhood [ 53 , 54 ]. The FLAM study has been set in Saint-Denis city because of its greater precariousness and its increased cardiovascular diseases prevalence [ 28 , 32 , 33 ]. In 2013, according to the French National Statistic Institute (INSEE, Institut National de la Statistique et des études économiques ), the poverty rate of Saint-Denis raised up to 36.7% of the population, and a quarter (25.4%) of families were single-parent [ 29 ].…”

“…Unemployment rate is high (17.5% of unemployed in 2014 vs. 10.4% in France) [ 28 ], as well as the poverty rate (38.7% vs 14.1% in France) [ [28] , [29] , [30] , [31] ]. In addition, the prevalence of diabetes for all ages was 5.42% in Seine-Saint-Denis (while it is 4.82% in France) [ 32 ], and the obesity rate was 13.9% in children aged 5 years old against 10.6% in France [ 33 ]. Single parenthood was initially a selection criterion, but given recruitment difficulties (see below), inclusions were then extended to families with two parents.…”