Résumé
Résumé
Perdre du poids est une préoccupation importante pour les sujets obèses (OB) ou en surpoids (SP). Quels moyens mettent en œuvre les personnes qui décident de maigrir ?
Sujets et méthodes
Une enquête a été réalisée auprès d’un échantillon représentatif de 1000 sujets en SP (IMC [indice de masse corporelle]: 25-29,9 kg/m2) ou OB (IMC > 30 kg/m2), âgés de 18 à 70 ans.
Résultats
Parmi les sujets, 75,8 % étaient en SP et 24,2 % OB. Soixante-seize pour cent des sujets en SP (hommes: 68,1 %-femmes: 81,2 %) et 85 % des sujets OB (hommes: 77 %-femmes: 90 %) ont déjà ressenti le besoin de perdre du poids (F > M, p < 0,01). Soixantesix pour cent des sujets en SP et 85 % des sujets OB ont déjà essayé volontairement de perdre du poids (OB > SP, p < 0,001). Pour ceux qui ont essayé de perdre volontairement du poids, 79 % entament un régime de leur propre initiative, 65 % font de l’exercice physique (OB < SP, p < 0,05), 49 % ont consulté un médecin (généraliste > spécialiste, p < 0,001) ou un diététicien (OB > SP, p < 0,001) (femmes > hommes: p < 0,05). Soixante-trois pour cent de l’ensemble de la population (OB > SP, p < 0,001) ont déjà essayé au moins un régime. Parmi les sujets qui ont déjà fait au moins un régime, 57 % ont du mal à suivre les régimes scrupuleusement (OB > SP, p < 0,05): 48 % ont tendance à interrompre le régime de façon anticipée (OB < SP, p < 0,001) et 26 % considèrent que les régimes ne marchent pas pour eux. Trente-sept pour cent de l’ensemble de la population connaissent l’existence de médicaments destinés à perdre du poids, mais seulement 12 % envisageraient d’avoir recours à ces médicaments.
Conclusion
La plupart des sujets OB et en SP ont essayé de perdre du poids. Beaucoup entament des régimes et rencontrent fréquemment des difficultés. Peu envisagent le recours à des médicaments pour perdre plus facilement du poids. Les moyens disponibles paraissent décevants, alors même que les personnes concernées ressentent très souvent le besoin de perdre du poids.
Abstract
Abstract
Losing weight is an important concern for overweight (OW) subjects. What strategies do those patients adopt to lose weight?
Patients and method
A survey was conducted of a representative sample of 1000 OW (body mass index [BMI]: 25-29.9 kg/m2) or obese (OB) [BMI ≤ 30 kg/m2] subjects aged between 18 and 70.
Results
Among the subjects, 75.8% were OW and 24.2% OB. Seventy-six percent of the OW subjects (men [M]: 68.1%-women [F]: 81.2%) and 85% of the OB subjects (M: 77%-F: 90%) had already experienced the need to lose weight (F > M, P < 0.01). Sixty-six percent of the OW and 85% of the OB subjects had already voluntarily tried to lose weight (OB > OW, P < 0.001). Of those attempts undertaken at their own initiative, 79% of the subjects went on a diet and 65% tried physical exercise (OB < OW, P < 0.05). Among those who had voluntarily tried to lose weight, 49% had consulted a physician (general practitioner > specialist, P < 0.001) or a dietician (OB > OW, P < 0.001), (F > M, P < 0.05). Sixty-three percent of the entire population, (OB > OW, P < 0.001), had already attempted at least one diet. Among the subjects who had dieted, 57% experienced difficulty in complying with the diet regularly (OB > OW, P < 0.05), 48% tended to discontinue the diet prematurely (OB > OW, P < 0.001) and 26% considered that diets did not work for them. Thirty-seven percent of the entire population were aware that slimming drugs were available, but only 12% were considering using them.
Conclusion
Most of the OW and OB subjects had attempted to lose weight. Most has attempted dieting, but difficulties were frequently experienced. Few subjects were considering using a slimming drug. The strategies available appeared disappointing while the need to lose weight was very frequently experienced.
Références
Lecerf JM, Reitz C, De chasteigner A (2003) Évaluation de la gêne et des complications chez 18 102 patients en surpoids ou obèses. Presse Med 32: 689–693
Mac Guire MT, Wing RR, Hill JO (1999) The prevalence of weight loss maintenance among american adults. Int J Obes 23: 1314–1319
Sarlio-Lahteenkorva, Rissanen A, Kaprio J (2000) A descriptive study of weight loss maintenance: 6 and 15-year follow-up of initially overweight adults. Int J Obes 24: 116–125
Thompson RI, Thomas DE (2000) A cross-sectional survey of the opinions on weight loss treatments of adult obese patients attending a dietetic clinic. Int J Obes 24: 164–170
Grossi E, Dalle Grave R, Mannucci E, et al. (2006) Complexity of attrition in the treatment of obesity: clues froma structured telephone interview. Int J Obes 30: 1132–1137
Wardle J, Haase AM, Steptoe A (2006) Body image and weight control in young adults: international comparisons in university students from 22 countries. Int J Obes 30: 644–651
Ziebland S, Robertson J, Jay J, Neil A (2002) Body image and weight change in middle age: a qualitative study. Int J Obes 26: 1083–1091
Hankey CR, Leslie WS, Lean MEJ (2002) Why lose weight? Reasons seeking weight loss by overweight but otherwise healthy men. Int J Obes 26: 880–882
Hassan MK, Joshi AV, Madhavan SS, Amonkar MM (2003) Obesity and health-related quality of life: a cross-sectional analysis of the US population. Int J Obes 27: 1227–1232
Ekkkekakis P, Lind E (2006) Exercise does not feel the same when you are over weight: the impact of self-selected and imposed intensity on affect and exertion. Int J Obes 30: 652–660
Thuan JF, Avignon A (2005) Obesity management: attitudes and practices of French general practioners in a region of France. Int J Obes 29: 1100–1106
Bramlage P, Wittchen HU, Pittrow D, et al. (2004) Recognition and management of overweight and obesity in primary care in Germany. Int J Obes 28: 1299–1308
Inelmen EM, Toffanello ED, Gasparini G, et al. (2005) Predictors of drop-out in overweight and obese outpatients. Int J Obes 29: 122–128
Bennett W (1987) Dietary treatment of obesity in Wurtman RJ et Wurtman JJ Human obesity Annals of the New York Academy of Sciences 499: 250–263
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Lecerf, J.M., Waysfeld, B., Klein, P. et al. Les moyens mis en œuvre pour perdre du poids chez 1000 sujets en surpoids ou obèses. Obes 2, 239–244 (2007). https://doi.org/10.1007/s11690-007-0068-2
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11690-007-0068-2