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Nutrition clinique et métabolisme
Volume 29, n° 1
pages 50-53 (février 2015)
Doi : 10.1016/j.nupar.2014.12.001
Received : 17 November 2014 ;  accepted : 4 December 2014
Dénutrition du sujet obèse
Undernutrition in obese patient

Nicolas Farigon a, , Magalie Miolanne a, Florence Montel a, Sylvain Dadet a, Karem Slim b, Noël Cano a, c, Yves Boirie a, c
a Service de nutrition clinique, CHU Gabriel-Montpied, 58, rue Montalembert, 63003 Clermont-Ferrand, France 
b Service de chirurgie digestive, hôpital Gabriel-Montpied, CHU Estaing, 63003 Clermont-Ferrand, France 
c Unité de nutrition humaine, UMR 1019, CRNH, 63009 Clermont-Ferrand, France 

Auteur correspondant.

La dénutrition avec ses nombreuses conséquences cliniques accroît la morbi-mortalité des sujets atteints. Par conséquent, elle doit être dépistée et prise en charge le plus tôt possible chez les patients à risque. Cependant en situation d’obésité, le dépistage et les critères d’évaluation de l’état nutritionnel sont mis en défaut en raison des particularités clinico-biologiques associées à l’adiposité excessive. Le but de cette synthèse est de discuter les limites des paramètres habituellement utilisés pour le dépistage de la dénutrition afin de mieux évaluer sa fréquence et définir les situations à risque de dénutrition en situation d’obésité.

The full text of this article is available in PDF format.

Undernutrition and its numerous clinical consequences increase morbidity and mortality. For these reasons, undernutrition screening and its treatment must be undertaken as soon as possible for every patient at risk. However in case of obesity, the criteria for the nutritional assessment are deficient because of the clinical and biological specificities associated with excessive body fat. The purpose of this review is to discuss the limits of the parameters actually used for nutritional evaluation in order to better assess its frequency and define the situations at risk of undernutrition in obese patients.

The full text of this article is available in PDF format.

Mots clés : Dénutrition, Composition corporelle, Obésité sarcopénique, Carence protéique, Chirurgie bariatrique

Keywords : Undernutrition, Body composition, Sarcopenic obesity, Protein deficiency, Bariatric surgery

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