{"id":127647,"date":"2025-01-24T10:03:12","date_gmt":"2025-01-24T10:03:12","guid":{"rendered":"https:\/\/easo.org\/?p=127647"},"modified":"2025-01-24T10:05:59","modified_gmt":"2025-01-24T10:05:59","slug":"easo-response-to-the-lancet-commission-report-on-obesity-diagnosis-and-management","status":"publish","type":"post","link":"https:\/\/easo.org\/fr\/easo-response-to-the-lancet-commission-report-on-obesity-diagnosis-and-management\/","title":{"rendered":"R\u00e9ponse de l'EASO au rapport de la Commission Lancet sur le diagnostic et la prise en charge de l'ob\u00e9sit\u00e9"},"content":{"rendered":"<h2>Comprendre l'ob\u00e9sit\u00e9 comme une maladie chronique<\/h2>\n<p>L'ob\u00e9sit\u00e9 est une maladie chronique li\u00e9e \u00e0 l'adiposit\u00e9 (ABCD) qui a un impact profond sur la sant\u00e9 physique et mentale. Il s'agit d'une maladie non transmissible (MNT) tr\u00e8s r\u00e9pandue et profond\u00e9ment stigmatis\u00e9e, qui affecte pratiquement tous les syst\u00e8mes de l'organisme. Le cadre actualis\u00e9 de l'EASO publi\u00e9 en 2024 souligne que l'ob\u00e9sit\u00e9 ne peut \u00eatre diagnostiqu\u00e9e au niveau individuel uniquement \u00e0 partir de l'indice de masse corporelle (IMC) et pr\u00e9conise une approche plus holistique et personnalis\u00e9e qui inclut des facteurs tels que le rapport taille-hanches (WtHR).<\/p>\n<p>Le rapport de la Commission Lancet introduit des concepts probl\u00e9matiques qui pourraient nuire aux soins prodigu\u00e9s aux patients.<\/p>\n<h2>Distinction entre ob\u00e9sit\u00e9 pr\u00e9clinique et clinique<\/h2>\n<p>La classification propos\u00e9e dans le rapport de \u2018 l'ob\u00e9sit\u00e9 pr\u00e9clinique \u2019 comme un \u00e9tat de sant\u00e9 pr\u00e9serv\u00e9 est tr\u00e8s pr\u00e9occupante. Cette approche sugg\u00e8re une strat\u00e9gie d'attente vigilante qui pourrait :<\/p>\n<ul>\n<li>Retarder les interventions pr\u00e9coces cruciales<\/li>\n<li>Augmentation des risques pour la sant\u00e9 des enfants, des adolescents et des adultes<\/li>\n<li>Risque d'aggravation des probl\u00e8mes de sant\u00e9 \u00e0 long terme<\/li>\n<\/ul>\n<h2>Recommandations th\u00e9rapeutiques erron\u00e9es et limites diagnostiques<\/h2>\n<p>La suggestion du rapport selon laquelle le diab\u00e8te de type 2 ne n\u00e9cessite pas de traitement contre l'ob\u00e9sit\u00e9 contredit directement les preuves scientifiques existantes. Il a \u00e9t\u00e9 d\u00e9montr\u00e9 qu'un traitement efficace contre l'ob\u00e9sit\u00e9 r\u00e9duit les complications du diab\u00e8te de type 2.<\/p>\n<p>Le rapport ne fournit pas de d\u00e9finition claire et valid\u00e9e cliniquement de l'adiposit\u00e9 \u201c excessive \u201d. Les crit\u00e8res diagnostiques propos\u00e9s sont les suivants :<\/p>\n<ul>\n<li>S'appuie fortement sur les donn\u00e9es \u00e9pid\u00e9miologiques<\/li>\n<li>Manque de sensibilit\u00e9 et de sp\u00e9cificit\u00e9 pour le diagnostic individuel<\/li>\n<li>Ne fournit pas d'informations sur les causes sous-jacentes de l'ob\u00e9sit\u00e9.<\/li>\n<\/ul>\n<h2>Cons\u00e9quences n\u00e9gatives potentielles<\/h2>\n<p>Les administrateurs et le comit\u00e9 ex\u00e9cutif de l'EASO avertissent que l'approche de la commission Lancet pourrait<\/p>\n<ul>\n<li>Accro\u00eetre la stigmatisation et la discrimination<\/li>\n<li>Cr\u00e9er des obstacles \u00e0 l'acc\u00e8s aux soins m\u00e9dicaux<\/li>\n<li>Retard dans le diagnostic et le traitement<\/li>\n<li>Compliquer la prise de d\u00e9cision clinique<\/li>\n<li>R\u00e9duire potentiellement la couverture d'assurance pour les traitements contre l'ob\u00e9sit\u00e9<\/li>\n<\/ul>\n<h2>Une approche plus globale<\/h2>\n<p>Comme d\u00e9crit dans notre cadre actualis\u00e9, l'EASO pr\u00e9conise<\/p>\n<ul>\n<li>M\u00e9decine fond\u00e9e sur les preuves<\/li>\n<li>Intervention pr\u00e9coce<\/li>\n<li>\u00c9valuation clinique compl\u00e8te<\/li>\n<li>Gestion holistique tout au long du cycle de vie du patient<\/li>\n<li>Acc\u00e8s \u00e9quitable aux soins, ind\u00e9pendamment de l'IMC ou du rapport taille-hanches<\/li>\n<\/ul>\n<p>L'approche adopt\u00e9e dans le rapport est fondamentalement erron\u00e9e si on la compare \u00e0 la prise en charge d'autres maladies chroniques. Contrairement au diab\u00e8te ou \u00e0 l'ost\u00e9oporose, o\u00f9 le diagnostic pr\u00e9coce et la pr\u00e9vention sont la norme, les crit\u00e8res propos\u00e9s par la Commission Lancet pr\u00e9conisent d'attendre l'apparition clinique des complications li\u00e9es \u00e0 l'ob\u00e9sit\u00e9.<\/p>\n<p>Il est important de d\u00e9battre et de discuter des mod\u00e8les de soins en m\u00e9decine. Nous pensons que le cadre propos\u00e9 par The Lancet repr\u00e9sente un recul potentiel dans la prise en charge de l'ob\u00e9sit\u00e9 chez les enfants, les adolescents et les adultes. Il risque de privil\u00e9gier les discussions s\u00e9mantiques au d\u00e9triment des soins pratiques centr\u00e9s sur le patient. L'EASO recommande vivement une approche plus nuanc\u00e9e et plus globale qui reconnaisse l'ob\u00e9sit\u00e9 comme une maladie chronique n\u00e9cessitant une prise en charge proactive et individualis\u00e9e. En mettant l'accent sur l'intervention pr\u00e9coce et en proposant un traitement complet, nous pouvons relever plus efficacement les d\u00e9fis importants que pose l'ob\u00e9sit\u00e9 en mati\u00e8re de sant\u00e9.<\/p>\n<h2>R\u00e9f\u00e9rences :<\/h2>\n<p>Un nouveau cadre pour le diagnostic, la stadification et la prise en charge de l'ob\u00e9sit\u00e9 chez les adultes<\/p>\n<p><a href=\"https:\/\/doi.org\/10.1038\/s41591-024-03095-3\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1038\/s41591-024-03095-3<\/a><\/p>\n<p><a href=\"https:\/\/easo.org\/wp-content\/uploads\/2025\/01\/Framework-Infographic-Final-10012024.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/easo.org\/wp-content\/uploads\/2025\/01\/Framework-Infographic-Final-10012024.pdf<\/a><\/p>\n<p>Fournir un langage commun pour l'ob\u00e9sit\u00e9 : la taxonomie de l'ob\u00e9sit\u00e9 de l'EASO<\/p>\n<p><a href=\"https:\/\/doi.org\/10.1038\/s41366-024-01565-9\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1038\/s41366-024-01565-9<\/a><\/p>\n<p><a href=\"https:\/\/easo.org\/wp-content\/uploads\/2024\/09\/EASO-obesity-taxonomy-1-pager-_v7.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/easo.org\/wp-content\/uploads\/2024\/09\/EASO-obesity-taxonomy-1-pager-_v7.pdf<\/a><\/p>\n<p>D\u00e9finition et crit\u00e8res diagnostiques de l'ob\u00e9sit\u00e9 clinique<\/p>\n<p><a href=\"https:\/\/doi.org\/10.1016\/S2213-8587(24)00316-4\" target=\"_blank\" rel=\"noopener\">https:\/\/doi.org\/10.1016\/S2213-8587(24)00316-4<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>Understanding Obesity as a Chronic Disease Obesity is an adiposity-based chronic disease (ABCD) that profoundly impacts both physical and mental health. It is a highly prevalent and deeply stigmatised non-communicable disease (NCD), affecting virtually every system in the body. The updated EASO framework published in 2024 emphasises that obesity cannot be diagnosed on the individual [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":127650,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[477],"tags":[],"class_list":["post-127647","post","type-post","status-publish","has-post-thumbnail","hentry","category-advocacy"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>EASO response to the Lancet Commission Report on Obesity Diagnosis and Management - EASO<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/easo.org\/fr\/easo-response-to-the-lancet-commission-report-on-obesity-diagnosis-and-management\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"EASO response to the Lancet Commission Report on Obesity Diagnosis and Management - EASO\" \/>\n<meta property=\"og:description\" content=\"Understanding Obesity as a Chronic Disease Obesity is an adiposity-based chronic disease (ABCD) that profoundly impacts both physical and mental health. 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