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• W2765848696 abstract "La dénutrition chez le patient obèse, à l’instar du patient non obèse, expose à de nombreuses conséquences cliniques et aboutit à un accroissement de la morbi-mortalité mais reste fortement sous-estimée. Il est donc impératif de la prévenir, de la dépister et de la prendre en charge le plus tôt possible surtout chez les patients à risque ou fragilisés par une maladie chronique. Cependant, la définition et les critères de diagnostic de la dénutrition destinés aux sujets adultes non obèses sont mis en défaut en raison des particularités cliniques, morphologiques et biologiques liées à l’adiposité excessive. Dans un domaine où il n’existe pas de consensus, cette synthèse a pour objectif de souligner les difficultés d’appréciation de la dénutrition dans cette circonstance et d’apporter des éclaircissements sur les paramètres de l’évaluation de la dénutrition et leurs limites en situation d’obésité. Undernutrition in the obese patient, like the non-obese patient, has numerous clinical consequences and leads to an increase in morbidity and mortality, but it is still underestimated. It is therefore imperative to prevent, detect and manage it as early as possible especially in patients at risk or weakened by a chronic disease. However, the definition and diagnostic criteria for undernutrition in non-obese adult subjects are flawed due to the clinical, morphological and biological characteristics associated with excessive adiposity. In an area where there is no consensus, the aim of this review is to highlight the difficulties in assessing undernutrition in this circumstance and to clarify the parameters of undernutrition assessment and their limits in the situation of obesity." @default.
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• W2765848696 date "2017-10-01" @default.
• W2765848696 modified "2023-09-29" @default.
• W2765848696 title "Comment définir et diagnostiquer la dénutrition chez le sujet obèse ?" @default.
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• W2765848696 doi "https://doi.org/10.1016/j.nupar.2017.09.003" @default.
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