{"id":127693,"date":"2025-01-29T14:36:05","date_gmt":"2025-01-29T14:36:05","guid":{"rendered":"https:\/\/easo.org\/?p=127693"},"modified":"2025-01-29T15:12:00","modified_gmt":"2025-01-29T15:12:00","slug":"meet-the-coms-vall-hebron-childrens-university-hospital-spain","status":"publish","type":"post","link":"https:\/\/easo.org\/fr\/meet-the-coms-vall-hebron-childrens-university-hospital-spain\/","title":{"rendered":"Rencontrez les COM : H\u00f4pital universitaire p\u00e9diatrique Vall Hebron, Espagne"},"content":{"rendered":"

Nous sommes heureux d'accueillir le Dr Eduard Mogas Vi\u00f1als, responsable du COM p\u00e9diatrique \u00e0 l'h\u00f4pital universitaire pour enfants Vall Hebron en Espagne. Cette \u00e9quipe COM multidisciplinaire comprend cinq membres : un nutritionniste p\u00e9diatrique \u00e0 temps plein et un psychologue, deux endocrinologues p\u00e9diatriques \u00e0 temps partiel et un expert en r\u00e9\u00e9ducation \u00e0 temps partiel. Cette \u00e9quipe travaille en \u00e9troite collaboration avec le unit\u00e9 sp\u00e9cialis\u00e9e dans l'ob\u00e9sit\u00e9 adulte \u00e0 Vall Hebron, qui est \u00e9galement un centre agr\u00e9\u00e9 EASO COM<\/a>. Les collaborations s'\u00e9tendent \u00e9galement \u00e0 la n\u00e9phrologie, la cardiologie, l'unit\u00e9 du sommeil, l'h\u00e9patologie et la g\u00e9n\u00e9tique clinique au sein de l'h\u00f4pital, garantissant ainsi une approche multidisciplinaire solide pour le traitement de l'ob\u00e9sit\u00e9 infantile. Ce COM veille \u00e0 ce que les familles b\u00e9n\u00e9ficient d'une combinaison personnalis\u00e9e d'approches de prise en charge de l'ob\u00e9sit\u00e9 adapt\u00e9es \u00e0 leurs besoins.<\/p>\n

Bienvenue, Eduard ! Quelles nouvelles peux-tu nous donner sur les activit\u00e9s de ton COM au cours des 12 derniers mois ?<\/strong><\/p>\n

Au cours de l'ann\u00e9e \u00e9coul\u00e9e, nous avons c\u00e9l\u00e9br\u00e9 plusieurs r\u00e9alisations importantes, notamment notre accr\u00e9ditation en tant que COM EASO en mars 2024. Nous avons \u00e9largi notre \u00e9quipe en accueillant un psychologue p\u00e9diatrique et un sp\u00e9cialiste en r\u00e9adaptation, ce qui nous a permis d'am\u00e9liorer nos activit\u00e9s dans ces domaines. Ces progr\u00e8s nous permettent \u00e9galement de mettre en place, dans un avenir proche, des th\u00e9rapies physiques de groupe ax\u00e9es sur l'ob\u00e9sit\u00e9. De plus, nous avons commenc\u00e9 \u00e0 recruter des patients pour l'essai Surmount 2, qui examine les effets du tirzepatide chez les adolescents. Cela marque une avanc\u00e9e passionnante dans nos efforts de recherche.<\/p>\n

Pouvez-vous nous parler de vos approches en mati\u00e8re de gestion de l'ob\u00e9sit\u00e9 dans votre COM ?<\/strong><\/p>\n

Notre approche multidisciplinaire int\u00e8gre une th\u00e9rapie nutritionnelle, un soutien psychologique et des interventions comportementales adapt\u00e9es \u00e0 chaque patient. Les soins nutritionnels mettent l'accent sur la prise de d\u00e9cision partag\u00e9e, en encourageant une alimentation \u00e9quilibr\u00e9e et un mode de vie sain sans imposer de restrictions alimentaires strictes. Les familles \u00e9ligibles participent \u00e0 des programmes de groupe de trois mois combinant une th\u00e9rapie cognitivo-comportementale avec des th\u00e8mes pratiques tels que la nutrition, l'image corporelle et l'activit\u00e9 physique, suivis de suivis r\u00e9guliers \u00e0 trois, six et douze mois. Le soutien psychologique commence par une \u00e9valuation compl\u00e8te visant \u00e0 identifier les difficult\u00e9s \u00e9motionnelles ou comportementales, notamment l'anxi\u00e9t\u00e9, la d\u00e9pression ou les troubles alimentaires. Une th\u00e9rapie de groupe est propos\u00e9e aux personnes pour lesquelles elle est appropri\u00e9e, tandis que les autres b\u00e9n\u00e9ficient de soins individualis\u00e9s. Les familles re\u00e7oivent des conseils sur l'hygi\u00e8ne du sommeil, la r\u00e9duction du temps pass\u00e9 devant les \u00e9crans, le renforcement de l'estime de soi et la cr\u00e9ation d'un environnement familial favorable. La th\u00e9rapie cognitivo-comportementale est utilis\u00e9e pour am\u00e9liorer la r\u00e9gulation \u00e9motionnelle, la r\u00e9solution de probl\u00e8mes et l'adoption d'habitudes plus saines. Les patients souffrant d'ob\u00e9sit\u00e9 syndromique, g\u00e9n\u00e9tique ou secondaire b\u00e9n\u00e9ficient de soins hautement personnalis\u00e9s, comprenant des \u00e9valuations de leur alimentation, de leur bien-\u00eatre \u00e9motionnel et de leur qualit\u00e9 de vie \u00e0 l'aide d'outils auto-administr\u00e9s. Cette approche inclusive et centr\u00e9e sur la famille garantit des soins complets et personnalis\u00e9s.<\/p>\n

Vous avez r\u00e9cemment particip\u00e9 au sommet EASO COMs \u00e0 Saint-Jacques-de-Compostelle, en Espagne, qui s'est tenu en novembre 2024. Pourriez-vous nous parler de votre exp\u00e9rience l\u00e0-bas ?<\/strong><\/p>\n

Ce fut une exp\u00e9rience enrichissante \u00e0 plusieurs \u00e9gards. Tout d'abord, le programme p\u00e9diatrique \u00e9tait ax\u00e9 sur les soins et les traitements actuellement prodigu\u00e9s aux enfants ob\u00e8ses, ce qui nous a permis de comparer les protocoles et les perspectives entre les pays et de tirer des conclusions sur les domaines dans lesquels nous devons concentrer nos efforts \u00e0 l'avenir. Il existe \u00e9galement des questions sans r\u00e9ponse concernant les traitements pharmacologiques chez les enfants, auxquelles nous devons r\u00e9pondre collectivement. De plus, nous avons pr\u00e9sent\u00e9 une \u00e9tude de cas complexe issue de notre COM, re\u00e7u des commentaires pr\u00e9cieux de la part de nos coll\u00e8gues et acquis des connaissances qui nous ont aid\u00e9s \u00e0 d\u00e9cider s'il fallait recommander une chirurgie bariatrique au patient et \u00e0 sa famille.<\/p>\n

Votre COM s'engage-t-il aupr\u00e8s de la communaut\u00e9 au sens large et\/ou du syst\u00e8me de sant\u00e9 dans le domaine de la sensibilisation, de la pr\u00e9vention et du traitement de l'ob\u00e9sit\u00e9 ?<\/strong><\/p>\n

Oui, nous sommes activement engag\u00e9s aupr\u00e8s de la communaut\u00e9 au sens large et du syst\u00e8me de sant\u00e9. Nous avons mis en place un syst\u00e8me d'orientation afin de rationaliser la prise en charge de l'ob\u00e9sit\u00e9 et d'assurer la continuit\u00e9 entre les soins primaires et notre \u00e9quipe multidisciplinaire. De plus, nous proposons des cours aux professionnels de soins primaires afin d'am\u00e9liorer leur compr\u00e9hension et leur gestion de l'ob\u00e9sit\u00e9 au niveau communautaire. Ces initiatives garantissent que notre approche est bien int\u00e9gr\u00e9e dans le syst\u00e8me de sant\u00e9 au sens large, favorisant ainsi une prise en charge efficace et compl\u00e8te de l'ob\u00e9sit\u00e9 d\u00e8s le d\u00e9part.<\/p>\n

Merci. Pour terminer, pourriez-vous d\u00e9crire bri\u00e8vement les principaux objectifs et projets de votre COM pour les trois \u00e0 cinq prochaines ann\u00e9es ?<\/strong><\/p>\n

Notre principal d\u00e9fi sera de maintenir l'excellence des soins tout en r\u00e9pondant aux besoins de l'ensemble de notre population. Pour y parvenir, nous pr\u00e9voyons d'augmenter nos ressources humaines et de continuer \u00e0 d\u00e9montrer le succ\u00e8s de notre approche multidisciplinaire aux parties prenantes et \u00e0 la communaut\u00e9 au sens large. Nous sommes \u00e9galement impatients de participer \u00e0 de nouveaux essais cliniques portant sur des m\u00e9dicaments contre l'ob\u00e9sit\u00e9 infantile et d'analyser leurs effets r\u00e9els, \u00e0 court et \u00e0 long terme. Enfin, nous collaborons avec des chirurgiens afin de mettre \u00e0 jour nos protocoles de chirurgie bariatrique pour les adolescents, en veillant \u00e0 ce qu'ils soient conformes aux derni\u00e8res directives et pratiques cliniques.<\/p>\n

Cette \u00e9dition met en avant le COM p\u00e9diatrique de l'h\u00f4pital universitaire pour enfants Vall Hebron, dirig\u00e9 par le Dr Eduard Mogas Vi\u00f1als. L'\u00e9quipe adopte une approche multidisciplinaire globale de la prise en charge de l'ob\u00e9sit\u00e9 infantile, int\u00e9grant une th\u00e9rapie nutritionnelle, un soutien psychologique et des interventions comportementales adapt\u00e9es \u00e0 chaque patient. Le Dr Mogas Vi\u00f1als a pr\u00e9sent\u00e9 les r\u00e9centes avanc\u00e9es du COM, notamment son accr\u00e9ditation en tant que COM EASO, sa participation \u00e0 l'essai Surmount 2 et sa participation au r\u00e9cent sommet des COM EASO. \u00c0 l'avenir, ce COM vise \u00e0 d\u00e9velopper ses ressources, \u00e0 participer \u00e0 des essais cliniques sur des m\u00e9dicaments contre l'ob\u00e9sit\u00e9 p\u00e9diatrique et \u00e0 mettre \u00e0 jour les protocoles de chirurgie bariatrique pour les adolescents. Merci, Dr Mogas Vi\u00f1als !<\/em><\/p>","protected":false},"excerpt":{"rendered":"

We are pleased to welcome Dr. Eduard Mogas Vi\u00f1als, the lead of the Paediatric COM at Vall Hebron Children’s University Hospital in Spain. This multidisciplinary COM team comprises five members: one full-time paediatric nutritionist and one psychologist, two part-time paediatric endocrinologists, and a part-time rehabilitation expert. 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