{"id":130277,"date":"2026-03-02T08:48:03","date_gmt":"2026-03-02T08:48:03","guid":{"rendered":"https:\/\/easo.org\/?p=130277"},"modified":"2026-03-02T08:49:01","modified_gmt":"2026-03-02T08:49:01","slug":"easo-position-statement-on-women-with-obesity-across-the-reproductive-life","status":"publish","type":"post","link":"https:\/\/easo.org\/fr\/easo-position-statement-on-women-with-obesity-across-the-reproductive-life\/","title":{"rendered":"Prise de position de l'EASO sur les femmes souffrant d'ob\u00e9sit\u00e9 tout au long de la vie reproductive"},"content":{"rendered":"<p>L'EASO est heureuse de s'entretenir avec les auteurs de ses publications afin de mieux comprendre les perspectives qui sous-tendent les lignes directrices et les prises de position.  Avant la Journ\u00e9e mondiale de l'ob\u00e9sit\u00e9 en Europe, le 4 mars, et la Journ\u00e9e internationale de la femme, le 8 mai 2026, nous avons eu le plaisir de nous entretenir avec l'auteur, le Dr Emilia Huvinen, au sujet de la prise de position r\u00e9cemment publi\u00e9e par l'EASO sur les femmes souffrant d'ob\u00e9sit\u00e9 tout au long de leur vie reproductive.<\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-large wp-image-130279\" src=\"https:\/\/easo.org\/wp-content\/uploads\/2026\/03\/obesity-reproductive_v1-1024x724.jpeg\" alt=\"Infographic outlining key clinical recommendations for obesity management in women across reproductive life stages, including diagnosis, fertility, pregnancy, and postnatal care.\" width=\"1024\" height=\"724\" srcset=\"https:\/\/easo.org\/wp-content\/uploads\/2026\/03\/obesity-reproductive_v1-1024x724.jpeg 1024w, https:\/\/easo.org\/wp-content\/uploads\/2026\/03\/obesity-reproductive_v1-300x212.jpeg 300w, https:\/\/easo.org\/wp-content\/uploads\/2026\/03\/obesity-reproductive_v1-768x543.jpeg 768w, https:\/\/easo.org\/wp-content\/uploads\/2026\/03\/obesity-reproductive_v1-1536x1086.jpeg 1536w, https:\/\/easo.org\/wp-content\/uploads\/2026\/03\/obesity-reproductive_v1-2048x1448.jpeg 2048w, https:\/\/easo.org\/wp-content\/uploads\/2026\/03\/obesity-reproductive_v1-18x12.jpeg 18w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/p>\n<p>Emilia, c'est un plaisir d'entrer en contact et de discuter avec vous de cette importante publication.<\/p>\n<p><strong>Pourquoi \u00e9tait-il important pour l'EASO d'\u00e9laborer une prise de position sp\u00e9cifiquement ax\u00e9e sur les femmes souffrant d'ob\u00e9sit\u00e9 au cours de leur vie reproductive, plut\u00f4t que d'aborder cette question dans le cadre d'orientations plus g\u00e9n\u00e9rales sur l'ob\u00e9sit\u00e9 ?<\/strong><\/p>\n<ul>\n<li>Les sexes ne sont pas identiques, mais nous sommes \u00e9gaux.<\/li>\n<li>Les femmes sont diff\u00e9rentes dans leur composition corporelle, leurs hormones et leur r\u00e9action aux interventions par le biais du mode de vie et des m\u00e9dicaments.<\/li>\n<li>Les femmes portent \u00e9galement en elles la g\u00e9n\u00e9ration suivante<\/li>\n<li>L'ob\u00e9sit\u00e9 a un impact \u00e9norme sur la vie des femmes et sur la prochaine g\u00e9n\u00e9ration.<\/li>\n<li>Souvent, la sant\u00e9 des femmes n'est que le centre d'int\u00e9r\u00eat des gyn\u00e9cologues.<\/li>\n<li>Et ils ne sont pas form\u00e9s \u00e0 l'ob\u00e9sit\u00e9\n<ul>\n<li>N\u00e9cessit\u00e9 d'une vision \u00e0 plus haut niveau, d'un plus grand nombre de sp\u00e9cialistes impliqu\u00e9s<\/li>\n<\/ul>\n<\/li>\n<li>Cette prise de position \u00e9tait donc n\u00e9cessaire pour mettre en avant l'importance de la sant\u00e9 des femmes, y compris pour d'autres sp\u00e9cialistes et chercheurs.<\/li>\n<li>Imaginez : aider les femmes en \u00e2ge de procr\u00e9er \u00e0 lutter contre l'ob\u00e9sit\u00e9 peut avoir un impact sur la prochaine g\u00e9n\u00e9ration.<\/li>\n<\/ul>\n<p><strong>Emilia, la d\u00e9claration recommande d'aller au-del\u00e0 de l'IMC pour am\u00e9liorer l'\u00e9valuation et les soins, en utilisant les param\u00e8tres d\u00e9crits dans le cadre de l'EASO pour la gestion de l'ob\u00e9sit\u00e9. Comment ce changement pourrait-il modifier les conversations cliniques et la prise de d\u00e9cision pour les femmes ?<\/strong><\/p>\n<ul>\n<li>Actuellement, l'accent est trop mis sur les chiffres de l'\u00e9chelle.<\/li>\n<li>C'est ce que les femmes font \u00e0 la maison, mais aussi ce que les m\u00e9decins sont enclins \u00e0 faire dans leur cabinet<\/li>\n<li>Cependant, nous savons que l'IMC est une excellente m\u00e9thode de d\u00e9pistage au niveau de la population, mais qu'il ne refl\u00e8te pas la sant\u00e9 ou la maladie d'un individu et certainement pas son mode de vie.<\/li>\n<li>L'IMC n'est pas pertinent d'un point de vue clinique et n'est pas souvent b\u00e9n\u00e9fique pour les personnes qui vivent dans des corps plus grands.<\/li>\n<li>S'\u00e9loigner des chiffres de l'\u00e9chelle nous permet de parler du v\u00e9ritable impact de l'ob\u00e9sit\u00e9 au niveau individuel - qui n'est pas li\u00e9 \u00e0 l'apparence ou aux normes de la soci\u00e9t\u00e9.<\/li>\n<li>Il s'agit du bien-\u00eatre d'un individu, de sa sant\u00e9 future et de sa capacit\u00e9 \u00e0 poursuivre ses r\u00eaves et ses objectifs.<\/li>\n<li>Cela nous aide \u00e9galement \u00e0 parler davantage du mode de vie en tant que tel, et pas seulement de la perte de poids en tant que chiffres.<\/li>\n<\/ul>\n<p><strong>Le soutien psychologique et les soins centr\u00e9s sur la personne sont des th\u00e8mes centraux de la prise de position. \u00c0 quoi ressemblent, dans la pratique, des soins significatifs et respectueux pour les femmes \u00e0 diff\u00e9rents stades de la procr\u00e9ation ?<\/strong><\/p>\n<ul>\n<li>Il est vraiment n\u00e9cessaire de tenir compte des diff\u00e9rentes \u00e9tapes de la vie de chaque femme.<\/li>\n<li>Il ne s'agit pas seulement de chiffres sur la balance, chaque personne souffrant de surpoids ou d'ob\u00e9sit\u00e9 a sa propre histoire et ses propres ant\u00e9c\u00e9dents.<\/li>\n<li>Aller \u00e0 la rencontre de nos patients l\u00e0 o\u00f9 ils se trouvent est la seule fa\u00e7on d'avancer en \u00e9quipe - en respectant leur parcours individuel.<\/li>\n<li>Nous avons tous nos propres d\u00e9fis \u00e0 relever et nous m\u00e9ritons d'\u00eatre aid\u00e9s, non pas avec une mesure g\u00e9n\u00e9rale, mais avec une cuill\u00e8re individuelle - l\u00e0 o\u00f9 nous en avons besoin.<\/li>\n<li>Le d\u00e9sir de concevoir ou de devenir m\u00e8re est un d\u00e9sir fondamental dans la vie d'une femme et suscite des inqui\u00e9tudes et des craintes sp\u00e9cifiques, ind\u00e9pendamment de son poids. Si l'on ajoute l'ob\u00e9sit\u00e9 au tableau, celui-ci devient facilement tr\u00e8s difficile \u00e0 vivre, avec des reproches, des peurs, des autocritiques et des jugements de la part de la soci\u00e9t\u00e9.<\/li>\n<li>La grossesse peut ajouter ses propres d\u00e9fis au tableau, avec par exemple des sympt\u00f4mes li\u00e9s aux naus\u00e9es matinales, des contractions pr\u00e9matur\u00e9es, des complications de grossesse, des inqui\u00e9tudes et des d\u00e9fis physiques.<\/li>\n<li>Toutes les femmes m\u00e9ritent notre soutien, quels que soient leurs ant\u00e9c\u00e9dents et leur poids.<\/li>\n<li>Demandons-nous quelles sont les pr\u00e9occupations, les craintes et les souhaits de chaque femme.<\/li>\n<li>Quel type de soutien souhaitent-ils recevoir de notre part ? Pas de jugement. Pas de pr\u00e9jug\u00e9s. Pas de st\u00e9r\u00e9otypes.<\/li>\n<\/ul>\n<p><strong>Il est prouv\u00e9 qu'une r\u00e9duction de poids relativement modeste peut am\u00e9liorer les r\u00e9sultats en mati\u00e8re de fertilit\u00e9. Comment les cliniciens peuvent-ils aborder ce sujet d'une mani\u00e8re qui soutienne et responsabilise les femmes sans renforcer la stigmatisation ou cr\u00e9er des attentes irr\u00e9alistes ?<\/strong><\/p>\n<ul>\n<li>Je pense que l'honn\u00eatet\u00e9 et l'authenticit\u00e9 sont la cl\u00e9. Si nous nous soucions r\u00e9ellement de nos patients, nous ne renforcerons pas la stigmatisation. J'aimerais exprimer chaleureusement mon point de vue positif sur le fait qu'une gestion r\u00e9ussie du poids peut apporter des am\u00e9liorations suppl\u00e9mentaires \u00e0 la fertilit\u00e9.<\/li>\n<li>Ne pas souligner l'impact n\u00e9gatif de l'ob\u00e9sit\u00e9<\/li>\n<li>Je crois aussi qu'il faut s'enqu\u00e9rir des craintes individuelles de chaque patient et de ses souhaits.<\/li>\n<li>Il est \u00e9galement important de souligner les avantages d'une perte de poids, m\u00eame minime, afin que nos patients ne se sentent pas oblig\u00e9s d'atteindre ce que l'on appelle le \u201cpoids normal\u201d, qui peut sembler \u201ctr\u00e8s \u00e9loign\u00e9\u201d.<\/li>\n<\/ul>\n<p><strong>Si vous pouviez donner la priorit\u00e9 \u00e0 un changement dans la recherche, la pratique clinique ou la politique afin d'am\u00e9liorer la prise en charge des femmes vivant avec l'ob\u00e9sit\u00e9 \u00e0 travers les g\u00e9n\u00e9rations et le parcours de la vie reproductive, quel serait-il et pourquoi ?<\/strong><\/p>\n<ul>\n<li>J'aimerais mettre en place un acc\u00e8s facile aux soins li\u00e9s \u00e0 l'ob\u00e9sit\u00e9 dans les cliniques de contraception en Europe.<\/li>\n<li>Ces futures m\u00e8res m\u00e9ritent toute notre attention et nos soins, car ce sont elles qui portent, nourrissent et prennent soin de la prochaine g\u00e9n\u00e9ration.<\/li>\n<li>Aider \u00e0 traiter leur ob\u00e9sit\u00e9 peut \u00e9galement avoir un impact sur la prochaine g\u00e9n\u00e9ration - quoi de plus beau !<\/li>\n<\/ul>\n<p>Le Dr Emilia Huvinen est une gyn\u00e9cologue passionn\u00e9e par la prise en charge de l'ob\u00e9sit\u00e9. Coauteur de la d\u00e9claration de position de l'EASO, elle est sp\u00e9cialiste en obst\u00e9trique et gyn\u00e9cologie et a \u00e9t\u00e9 nomm\u00e9e professeur associ\u00e9 en novembre 2024. Son doctorat portait sur le diab\u00e8te gestationnel et ses recherches portent actuellement sur la sant\u00e9 m\u00e9tabolique \u00e0 long terme des femmes ayant d\u00e9j\u00e0 subi un diab\u00e8te gestationnel et sur la programmation de l'ob\u00e9sit\u00e9 dans la descendance.<\/p>\n<p>Emilia est membre du conseil d'administration de l'Association finlandaise pour l'\u00e9tude de l'ob\u00e9sit\u00e9 (FASO) et membre du groupe d'\u00e9tude international sur le diab\u00e8te pendant la grossesse (DPSG). Le Dr Huvinen a particip\u00e9 \u00e0 de nombreuses collaborations, publications et pr\u00e9sentations internationales. Elle a r\u00e9cemment contribu\u00e9 au groupe de travail de l'ICHOM (International Consortium for Health Outcomes Measurement) qui d\u00e9finit des objectifs fond\u00e9s sur la valeur pour les soins li\u00e9s \u00e0 l'ob\u00e9sit\u00e9. Elle est l'une des fondatrices du R\u00e9seau nordique de l'ob\u00e9sit\u00e9, qui vise \u00e0 am\u00e9liorer les soins et l'\u00e9ducation en mati\u00e8re d'ob\u00e9sit\u00e9 en Europe. En Finlande, elle contribue activement au d\u00e9bat public sur l'ob\u00e9sit\u00e9, notamment par le biais de son livre sur l'ob\u00e9sit\u00e9 destin\u00e9 au grand public, qui sera \u00e9galement publi\u00e9 en anglais au printemps 2026, et de son podcast sur la sant\u00e9 des femmes.<\/p>\n<p>Lire l'int\u00e9gralit\u00e9 de la prise de position en acc\u00e8s libre :\u00a0 <a href=\"https:\/\/karger.com\/ofa\/article\/18\/6\/625\/929282\/EASO-Position-Statement-Women-with-Obesity-across\">https:\/\/karger.com\/ofa\/article\/18\/6\/625\/929282\/EASO-Position-Statement-Women-with-Obesity-across<\/a><\/p>\n<p><a href=\"https:\/\/easo.org\/wp-content\/uploads\/2026\/03\/obesity-reproductive_v1.pdf\" target=\"_blank\" rel=\"noopener\">T\u00e9l\u00e9charger notre infographie<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>EASO is pleased to speak with authors of EASO publications to better understand perspectives informing guidelines and position statements.\u00a0 In advance of World Obesity Day Europe on 4 March and International Women\u2019s Day on May 8th 2026, we were delighted to speak with author Dr. Emilia Huvinen about the recently published EASO position statement on [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":130283,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[1],"tags":[],"class_list":["post-130277","post","type-post","status-publish","has-post-thumbnail","hentry","category-easo-2"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - 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