Overweight, obesity and cardiometabolic risk factors prevalence in France: The Constances cohort. Prévalence du surpoids, de l’obésité et des facteurs de risque cardio-métaboliques dans la cohorte Constances

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Matta, Joane | Zins, Marie | Feral-Pierssens, Anne | Carette, Claire | Ozguler, Anna | Goldberg, Marcel | Czernichow, Sébastien

Edité par CCSD ; Santé publique France -

International audience. OBJECTIVES  – The objective of this article is to provide data on the prevalence of overweight and obesity in France. The prevalence of the ’metabolically healthy obesity’ phenotype (MHO) was also determined. METHODS  – The study population consisted of 28,895  participants from the CONSTANCES cohort, aged 30-69 years in 2013. Weight, height, waist circumference, and blood pressure were measured. Blood analyses were performed. Abdominal obesity was defined as a waist circumference ≥94 cm for men and ≥80 cm for women. Sociodemographic data was collected using questionnaires. RESULTS – The prevalence of overweight was 41.0% and 25.3% in men and women respectively. The prevalence of obesity was 15.8% for men and 15.6% for women. The prevalence of abdominal obesity was higher with rates of 41.6% and 48.5% for men and women respectively. Women have a higher prevalence of the MHO phenotype (51.8%) versus men (25.7%) without taking into consideration medications intake. CONCLUSION – Excess weight concerns nearly half of the French population. These results confirm the importance of this nutritional pathology in terms of public health. . Objectifs-L'objectif de cette étude était de fournir des estimations de la prévalence du surpoids et de l'obésité en France. La fréquence du phénotype d'obésité métaboliquement saine (MHO) a aussi été calculée. Méthodes-La population d'étude était constituée de 28 895 participants issus de la cohorte Constance, âgés de 30 à 69 ans en 2013. Le poids, la taille, le tour de taille et la tension artérielle ont été mesurés. Des analyses sanguines ont été effectuées. L'obésité abdominale était définie par un tour de taille ≥94 cm pour les hommes et ≥80 cm pour les femmes, et les données sociodémographiques ont été recueillies par questionnaires. Résultats-La prévalence du surpoids était de 41,0% et 25,3%, respectivement, chez les hommes et les femmes. La prévalence de l'obésité globale était de 15,8% pour les hommes et de 15,6% pour les femmes, celle de l'obésité abdominale était de 41,6% et 48,5% respectivement chez les hommes et les femmes. La prévalence du phénotype MHO, sans prise en compte des traitements, était moins élevée chez les hommes (25,7%) que chez les femmes (51,8%). Conclusion-L'excès de poids concerne près de la moitié de la population en France. Ces données confirment l'importance de cette pathologie nutritionnelle en termes de santé publique. Objectives-The objective of this article is to provide data on the prevalence of overweight and obesity in France. The prevalence of the 'metabolically healthy obesity' phenotype (MHO) was also determined. Methods-The study population consisted of 28,895 participants from the CONSTANCES cohort, aged 30-69 years in 2013. Weight, height, waist circumference, and blood pressure were measured. Blood analyses were performed. Abdominal obesity was defined as a waist circumference ≥94 cm for men and ≥80 cm for women. Sociodemographic data was collected using questionnaires. Results-The prevalence of overweight was 41.0% and 25.3% in men and women respectively. The prevalence of obesity was 15.8% for men and 15.6% for women. The prevalence of abdominal obesity was higher with rates of 41.6% and 48.5% for men and women respectively. Women have a higher prevalence of the MHO phenotype (51.8%) versus men (25.7%) without taking into consideration medications intake. Conclusion-Excess weight concerns nearly half of the French population. These results confirm the importance of this nutritional pathology in terms of public health.

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