{"id":128332,"date":"2025-05-23T11:51:09","date_gmt":"2025-05-23T10:51:09","guid":{"rendered":"https:\/\/easo.org\/?p=128332"},"modified":"2025-05-23T11:52:53","modified_gmt":"2025-05-23T10:52:53","slug":"reframing-obesity-in-children-jama-pediatrics-viewpoint","status":"publish","type":"post","link":"https:\/\/easo.org\/fr\/reframing-obesity-in-children-jama-pediatrics-viewpoint\/","title":{"rendered":"Recadrer l'ob\u00e9sit\u00e9 chez les enfants : point de vue de JAMA Pediatrics"},"content":{"rendered":"<p>Cet article d'opinion\u00a0<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40388188\/\" target=\"_blank\" rel=\"noopener\">doi:10.1001\/jamapediatrics.2025.1038<\/a>\u00a0R\u00e9dig\u00e9 par le Dr Melania Manco, copr\u00e9sidente des Centres collaborateurs pour la prise en charge de l'ob\u00e9sit\u00e9 (COM) de l'EASO, et publi\u00e9 dans JAMA Pediatrics, cet article pr\u00e9sente une critique articul\u00e9e de la d\u00e9finition de l'ob\u00e9sit\u00e9 clinique propos\u00e9e par la Commission Lancet, en particulier son application aux enfants et aux adolescents. La Commission fait la distinction entre l'ob\u00e9sit\u00e9 pr\u00e9clinique, qui comporte des risques sans maladie, et l'ob\u00e9sit\u00e9 clinique, caract\u00e9ris\u00e9e par un dysfonctionnement organique document\u00e9. Elle propose de limiter l'acc\u00e8s aux traitements pharmacologiques et chirurgicaux aux personnes souffrant d'ob\u00e9sit\u00e9 clinique afin d'\u00e9viter des co\u00fbts de sant\u00e9 insoutenables.<\/p>\n<p>Le Dr Manco soutient que cette approche pose probl\u00e8me pour les populations p\u00e9diatriques.<\/p>\n<blockquote><p><em>Traiter les patients p\u00e9diatriques et leur \u00e9tat comme s'ils \u00e9taient simplement des adultes plus petits est conceptuellement erron\u00e9 et pourrait conduire \u00e0 des strat\u00e9gies de prise en charge inappropri\u00e9es pour les populations plus jeunes.<\/em><\/p><\/blockquote>\n<p>Les enfants pr\u00e9sentant une ob\u00e9sit\u00e9 pr\u00e9clinique peuvent d\u00e9j\u00e0 montrer des signes pr\u00e9coces d'atteinte organique et, en raison de leur plasticit\u00e9 physiologique, r\u00e9agir plus efficacement \u00e0 une intervention pr\u00e9coce que les adultes. Attendre que la maladie se manifeste avant d'autoriser un traitement pourrait alourdir le fardeau sanitaire et les co\u00fbts des soins de sant\u00e9 tout au long de la vie.<\/p>\n<p>Elle soul\u00e8ve \u00e9galement des questions \u00e9thiques, opposant un mod\u00e8le utilitaire qui favorise les personnes ayant de meilleurs r\u00e9sultats \u00e0 long terme \u00e0 un mod\u00e8le d\u00e9ontologique qui pr\u00f4ne une prise en charge \u00e9gale pour tous les enfants. Le manque d'expertise p\u00e9diatrique au sein de la Commission et le cadre centr\u00e9 sur les adultes peuvent entra\u00eener des strat\u00e9gies de traitement inad\u00e9quates pour les jeunes. L'approche du Dr Manco s'aligne sur le cadre actualis\u00e9 de l'EASO pour le diagnostic, la stadification et la prise en charge de l'ob\u00e9sit\u00e9 chez les adultes.\u00a0<a title=\"https:\/\/easo.org\/a-new-framework-for-the-diagnosis-staging-and-management-of-obesity-in-adults\/\" href=\"https:\/\/easo.org\/fr\/a-new-framework-for-the-diagnosis-staging-and-management-of-obesity-in-adults\/\" data-outlook-id=\"02a315d4-18d9-4b63-aaba-f157d61ff0d0\">https:\/\/easo.org\/a-new-framework-for-the-diagnosis-staging-and-management-of-obesity-in-adults\/<\/a>\u00a0\u00a0Le Dr Manco pr\u00e9conise des approches proactives fond\u00e9es sur des donn\u00e9es probantes qui privil\u00e9gient le traitement pr\u00e9coce afin de r\u00e9duire la morbidit\u00e9 future, garantir l'\u00e9quit\u00e9 et apporter des b\u00e9n\u00e9fices \u00e0 la soci\u00e9t\u00e9.<\/p>\n<p>Melania Manco, docteure en m\u00e9decine, titulaire d'un doctorat,<br \/>\nUnit\u00e9 de m\u00e9decine pr\u00e9ventive et pr\u00e9dictive,<br \/>\nH\u00f4pital p\u00e9diatrique Bambino Ges\u00f9, IRCCS, scientifique<br \/>\nDirection, Largo S Onofrio 4, Rome 00165, Italie<br \/>\n(<a href=\"mailto:melania.manco@opbg.net\">melania.manco@opbg.net<\/a>)<br \/>\nPubli\u00e9 en ligne : 19 mai 2025<br \/>\n<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/40388188\/\" target=\"_blank\" rel=\"noopener\">doi:10.1001\/jamapediatrics.2025.1038<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>This Viewpoint\u00a0article\u00a0doi:10.1001\/jamapediatrics.2025.1038\u00a0written by Dr Melania Manco, Co-Chair of the EASO Collaborating Centres for Obesity Management (COMs) and published in JAMA Pediatrics, sets out an\u00a0articulate critique of the Lancet Commission\u2019s proposed definition of clinical obesity, especially its application to children and adolescents. The Commission distinguishes between preclinical obesity, which involves risk without illness, and clinical obesity, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":128335,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[529,356,526],"tags":[],"class_list":["post-128332","post","type-post","status-publish","has-post-thumbnail","hentry","category-childhood-obesity","category-coms","category-pediatric"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Reframing Obesity in Children: JAMA Pediatrics Viewpoint - 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\/reframing-obesity-in-children-jama-pediatrics-viewpoint\/\" \/>\n<meta property=\"og:locale\" content=\"fr_FR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Reframing Obesity in Children: JAMA Pediatrics Viewpoint - EASO\" \/>\n<meta property=\"og:description\" content=\"This Viewpoint\u00a0article\u00a0doi:10.1001\/jamapediatrics.2025.1038\u00a0written by Dr Melania Manco, Co-Chair of the EASO Collaborating Centres for Obesity Management (COMs) and published in JAMA Pediatrics, sets out an\u00a0articulate critique of the Lancet Commission\u2019s proposed definition of clinical obesity, especially its application to children and adolescents. 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