{"id":2413,"date":"2020-09-04T15:45:39","date_gmt":"2020-09-04T13:45:39","guid":{"rendered":"http:\/\/www.csopacaest.fr\/?page_id=2413"},"modified":"2020-09-18T11:10:32","modified_gmt":"2020-09-18T09:10:32","slug":"principes-de-la-prise-en-charge","status":"publish","type":"page","link":"https:\/\/www.csopacaest.fr\/?page_id=2413","title":{"rendered":"Principes de la prise en charge"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2413\" class=\"elementor elementor-2413\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5819f2d7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5819f2d7\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;shape_divider_bottom&quot;:&quot;mountains&quot;,&quot;background_motion_fx_motion_fx_scrolling&quot;:&quot;yes&quot;,&quot;background_motion_fx_translateY_effect&quot;:&quot;yes&quot;,&quot;background_motion_fx_translateY_direction&quot;:&quot;negative&quot;,&quot;background_motion_fx_translateX_effect&quot;:&quot;yes&quot;,&quot;background_motion_fx_opacity_effect&quot;:&quot;yes&quot;,&quot;background_motion_fx_translateY_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:4,&quot;sizes&quot;:[]},&quot;background_motion_fx_translateY_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:0,&quot;end&quot;:100}},&quot;background_motion_fx_translateX_speed&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:4,&quot;sizes&quot;:[]},&quot;background_motion_fx_translateX_affectedRange&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:0,&quot;end&quot;:100}},&quot;background_motion_fx_opacity_direction&quot;:&quot;out-in&quot;,&quot;background_motion_fx_opacity_level&quot;:{&quot;unit&quot;:&quot;px&quot;,&quot;size&quot;:10,&quot;sizes&quot;:[]},&quot;background_motion_fx_opacity_range&quot;:{&quot;unit&quot;:&quot;%&quot;,&quot;size&quot;:&quot;&quot;,&quot;sizes&quot;:{&quot;start&quot;:20,&quot;end&quot;:80}},&quot;background_motion_fx_devices&quot;:[&quot;desktop&quot;,&quot;tablet&quot;,&quot;mobile&quot;]}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" aria-hidden=\"true\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n\t<path class=\"elementor-shape-fill\" opacity=\"0.33\" d=\"M473,67.3c-203.9,88.3-263.1-34-320.3,0C66,119.1,0,59.7,0,59.7V0h1000v59.7 c0,0-62.1,26.1-94.9,29.3c-32.8,3.3-62.8-12.3-75.8-22.1C806,49.6,745.3,8.7,694.9,4.7S492.4,59,473,67.3z\"\/>\n\t<path class=\"elementor-shape-fill\" opacity=\"0.66\" d=\"M734,67.3c-45.5,0-77.2-23.2-129.1-39.1c-28.6-8.7-150.3-10.1-254,39.1 s-91.7-34.4-149.2,0C115.7,118.3,0,39.8,0,39.8V0h1000v36.5c0,0-28.2-18.5-92.1-18.5C810.2,18.1,775.7,67.3,734,67.3z\"\/>\n\t<path class=\"elementor-shape-fill\" d=\"M766.1,28.9c-200-57.5-266,65.5-395.1,19.5C242,1.8,242,5.4,184.8,20.6C128,35.8,132.3,44.9,89.9,52.5C28.6,63.7,0,0,0,0 h1000c0,0-9.9,40.9-83.6,48.1S829.6,47,766.1,28.9z\"\/>\n<\/svg>\t\t<\/div>\n\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wider\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1fbaf7c1\" data-id=\"1fbaf7c1\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1a4ecd11 elementor-widget elementor-widget-heading\" data-id=\"1a4ecd11\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Principes de prise en charge<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fc0426d elementor-nav-menu--dropdown-tablet elementor-nav-menu__text-align-aside elementor-nav-menu--toggle elementor-nav-menu--burger elementor-widget elementor-widget-nav-menu\" data-id=\"fc0426d\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;layout&quot;:&quot;horizontal&quot;,&quot;submenu_icon&quot;:{&quot;value&quot;:&quot;&lt;i class=\\&quot;fas fa-caret-down\\&quot;&gt;&lt;\\\/i&gt;&quot;,&quot;library&quot;:&quot;fa-solid&quot;},&quot;toggle&quot;:&quot;burger&quot;}\" data-widget_type=\"nav-menu.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t<nav aria-label=\"Menu\" class=\"elementor-nav-menu--main elementor-nav-menu__container elementor-nav-menu--layout-horizontal e--pointer-underline e--animation-fade\">\n\t\t\t\t<ul id=\"menu-1-fc0426d\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-2330\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\">Surpoids et ob\u00e9sit\u00e9<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-2982\"><a href=\"#\" class=\"elementor-sub-item elementor-item-anchor\">L&rsquo;ob\u00e9sit\u00e9<\/a>\n\t<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2986\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2962\" class=\"elementor-sub-item\">Calcul d\u2019IMC<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2985\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2966\" class=\"elementor-sub-item\">Je ne suis pas le seul<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2984\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2970\" class=\"elementor-sub-item\">Les cons\u00e9quences de l\u2019ob\u00e9sit\u00e9<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2983\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2973\" class=\"elementor-sub-item\">Pourquoi devient-on trop gros ?<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-3084\"><a href=\"#\" class=\"elementor-sub-item elementor-item-anchor\">L&rsquo;alimentation<\/a>\n\t<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2935\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=1922\" class=\"elementor-sub-item\">L\u2019alimentation<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3000\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2989\" class=\"elementor-sub-item\">Qu\u2019est-ce que je mange ?<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3001\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2942\" class=\"elementor-sub-item\">Comment je mange ?<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2999\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2995\" class=\"elementor-sub-item\">Pourquoi je mange trop ?<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-3093\"><a href=\"#\" class=\"elementor-sub-item elementor-item-anchor\">Activit\u00e9 physique et mode de vie<\/a>\n\t<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3006\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2861\" class=\"elementor-sub-item\">Balance \u00e9nerg\u00e9tique<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3005\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2863\" class=\"elementor-sub-item\">Lutter contre la s\u00e9dentarit\u00e9 au quotidien<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3004\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2865\" class=\"elementor-sub-item\">Pratiquer une activit\u00e9 physique<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3003\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2867\" class=\"elementor-sub-item\">Pr\u00e9cautions et fausses id\u00e9es<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3002\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2869\" class=\"elementor-sub-item\">Quelles activit\u00e9s physiques<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2793\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2413\" class=\"elementor-sub-item\">Principes de la prise en charge<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-3094\"><a href=\"#\" class=\"elementor-sub-item elementor-item-anchor\">La chirurgie de l&rsquo;ob\u00e9sit\u00e9<\/a>\n\t<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3099\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=1502\" class=\"elementor-sub-item\">Pour qui ?<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3098\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=3024\" class=\"elementor-sub-item\">Le parcours de soin avant et apr\u00e8s l\u2019op\u00e9ration<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3100\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=3031\" class=\"elementor-sub-item\">Quelles sont les op\u00e9rations possibles ?<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3097\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=3088\" class=\"elementor-sub-item\">Contraintes et risques<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-3142\"><a href=\"#\" class=\"elementor-sub-item elementor-item-anchor\">Et l&rsquo;enfant et l&rsquo;adolescent ?<\/a>\n\t<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3145\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2853\" class=\"elementor-sub-item\">Mon enfant grossit trop vite, pourquoi ?<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3144\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=3123\" class=\"elementor-sub-item\">Surveiller la croissance de mon enfant<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3143\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=3132\" class=\"elementor-sub-item\">Que faire si mon enfant est trop gros ?<\/a><\/li>\n\t<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-2342\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\">Le CSO peut vous aider<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2350\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2343\" class=\"elementor-sub-item\">Les parcours de soins propos\u00e9s<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2349\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2345\" class=\"elementor-sub-item\">Les outils pratiques pour les patients<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3226\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=3223\" class=\"elementor-sub-item\">A qui s\u2019adresser ?<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-2351\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\">Liens utiles<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2357\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2352\" class=\"elementor-sub-item\">Associations de patients<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2356\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2354\" class=\"elementor-sub-item\">Autres sites<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t<div class=\"elementor-menu-toggle\" role=\"button\" tabindex=\"0\" aria-label=\"Menu Toggle\" aria-expanded=\"false\">\n\t\t\t<i aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--open eicon-menu-bar\"><\/i><i aria-hidden=\"true\" role=\"presentation\" class=\"elementor-menu-toggle__icon--close eicon-close\"><\/i>\t\t<\/div>\n\t\t\t\t\t<nav class=\"elementor-nav-menu--dropdown elementor-nav-menu__container\" aria-hidden=\"true\">\n\t\t\t\t<ul id=\"menu-2-fc0426d\" class=\"elementor-nav-menu\"><li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-2330\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\" tabindex=\"-1\">Surpoids et ob\u00e9sit\u00e9<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-2982\"><a href=\"#\" class=\"elementor-sub-item elementor-item-anchor\" tabindex=\"-1\">L&rsquo;ob\u00e9sit\u00e9<\/a>\n\t<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2986\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2962\" class=\"elementor-sub-item\" tabindex=\"-1\">Calcul d\u2019IMC<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2985\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2966\" class=\"elementor-sub-item\" tabindex=\"-1\">Je ne suis pas le seul<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2984\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2970\" class=\"elementor-sub-item\" tabindex=\"-1\">Les cons\u00e9quences de l\u2019ob\u00e9sit\u00e9<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2983\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2973\" class=\"elementor-sub-item\" tabindex=\"-1\">Pourquoi devient-on trop gros ?<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-3084\"><a href=\"#\" class=\"elementor-sub-item elementor-item-anchor\" tabindex=\"-1\">L&rsquo;alimentation<\/a>\n\t<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2935\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=1922\" class=\"elementor-sub-item\" tabindex=\"-1\">L\u2019alimentation<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3000\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2989\" class=\"elementor-sub-item\" tabindex=\"-1\">Qu\u2019est-ce que je mange ?<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3001\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2942\" class=\"elementor-sub-item\" tabindex=\"-1\">Comment je mange ?<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2999\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2995\" class=\"elementor-sub-item\" tabindex=\"-1\">Pourquoi je mange trop ?<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-3093\"><a href=\"#\" class=\"elementor-sub-item elementor-item-anchor\" tabindex=\"-1\">Activit\u00e9 physique et mode de vie<\/a>\n\t<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3006\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2861\" class=\"elementor-sub-item\" tabindex=\"-1\">Balance \u00e9nerg\u00e9tique<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3005\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2863\" class=\"elementor-sub-item\" tabindex=\"-1\">Lutter contre la s\u00e9dentarit\u00e9 au quotidien<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3004\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2865\" class=\"elementor-sub-item\" tabindex=\"-1\">Pratiquer une activit\u00e9 physique<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3003\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2867\" class=\"elementor-sub-item\" tabindex=\"-1\">Pr\u00e9cautions et fausses id\u00e9es<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3002\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2869\" class=\"elementor-sub-item\" tabindex=\"-1\">Quelles activit\u00e9s physiques<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2793\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2413\" class=\"elementor-sub-item\" tabindex=\"-1\">Principes de la prise en charge<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-3094\"><a href=\"#\" class=\"elementor-sub-item elementor-item-anchor\" tabindex=\"-1\">La chirurgie de l&rsquo;ob\u00e9sit\u00e9<\/a>\n\t<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3099\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=1502\" class=\"elementor-sub-item\" tabindex=\"-1\">Pour qui ?<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3098\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=3024\" class=\"elementor-sub-item\" tabindex=\"-1\">Le parcours de soin avant et apr\u00e8s l\u2019op\u00e9ration<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3100\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=3031\" class=\"elementor-sub-item\" tabindex=\"-1\">Quelles sont les op\u00e9rations possibles ?<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3097\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=3088\" class=\"elementor-sub-item\" tabindex=\"-1\">Contraintes et risques<\/a><\/li>\n\t<\/ul>\n<\/li>\n\t<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-3142\"><a href=\"#\" class=\"elementor-sub-item elementor-item-anchor\" tabindex=\"-1\">Et l&rsquo;enfant et l&rsquo;adolescent ?<\/a>\n\t<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3145\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2853\" class=\"elementor-sub-item\" tabindex=\"-1\">Mon enfant grossit trop vite, pourquoi ?<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3144\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=3123\" class=\"elementor-sub-item\" tabindex=\"-1\">Surveiller la croissance de mon enfant<\/a><\/li>\n\t\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3143\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=3132\" class=\"elementor-sub-item\" tabindex=\"-1\">Que faire si mon enfant est trop gros ?<\/a><\/li>\n\t<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-2342\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\" tabindex=\"-1\">Le CSO peut vous aider<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2350\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2343\" class=\"elementor-sub-item\" tabindex=\"-1\">Les parcours de soins propos\u00e9s<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2349\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2345\" class=\"elementor-sub-item\" tabindex=\"-1\">Les outils pratiques pour les patients<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-3226\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=3223\" class=\"elementor-sub-item\" tabindex=\"-1\">A qui s\u2019adresser ?<\/a><\/li>\n<\/ul>\n<\/li>\n<li class=\"menu-item menu-item-type-custom menu-item-object-custom menu-item-has-children menu-item-2351\"><a href=\"#\" class=\"elementor-item elementor-item-anchor\" tabindex=\"-1\">Liens utiles<\/a>\n<ul class=\"sub-menu elementor-nav-menu--dropdown\">\n\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2357\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2352\" class=\"elementor-sub-item\" tabindex=\"-1\">Associations de patients<\/a><\/li>\n\t<li class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-2356\"><a href=\"https:\/\/www.csopacaest.fr\/?page_id=2354\" class=\"elementor-sub-item\" tabindex=\"-1\">Autres sites<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\t\t\t<\/nav>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-55d88adc elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"55d88adc\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-wider\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7aae50d0\" data-id=\"7aae50d0\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-aee9355 elementor-widget elementor-widget-text-editor\" data-id=\"aee9355\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>L\u2019accompagnement des personnes en surpoids, quelque soit leur \u00e2ge, vise \u00e0 les\u00a0<span style=\"color: #bd0926;\">aider \u00e0 modifier durablement leurs comportements et leurs habitudes, d\u2019alimentation, d\u2019activit\u00e9 physique, de mode de vie afin de limiter leur exc\u00e8s de poids<\/span>.<\/p><p>Des recommandations nationales ont \u00e9t\u00e9 travaill\u00e9es en 2011 et \u00e9mises par la\u00a0<a href=\"http:\/\/www.has-sante.fr\" target=\"_blank\" rel=\"noopener\">Haute Autorit\u00e9 de Sant\u00e9<\/a>.\u00a0Elles pr\u00e9cisent en premier lieu que cette accompagnement doit s\u2019appuyer sur les principes de ce que les soignants appelle l\u2019ETP\u00a0: Education Th\u00e9rapeutique du Patient.<\/p><p>Cette approche a \u00e9t\u00e9 d\u00e9velopp\u00e9e dans la prise en charge des maladies chroniques\u00a0; elle est la seule \u00e0 disposition pour l\u2019ob\u00e9sit\u00e9 de l\u2019enfant et l\u2019adolescent\u00a0(en effet il n\u2019y a actuellement aucun m\u00e9dicament disponible et la chirurgie bariatrique n\u2019est pas recommand\u00e9e) et doit \u00eatre le fil conducteur de celle de l\u2019adulte, m\u00eame si une chirurgie est envisag\u00e9e.<\/p><p><span style=\"color: #bd0926;\">Il s\u2019agit donc d\u2019aider la personne en surpoids et son entourage (qui doit n\u00e9cessairement \u00eatre impliqu\u00e9 chez l\u2019enfant et l\u2019adolescent mais aussi chez l\u2019adulte) \u00e0 acqu\u00e9rir ou maintenir les connaissances et les comp\u00e9tences dont ils ont besoin pour mettre en place ces changements. Cette d\u00e9marche est n\u00e9cessairement personnalis\u00e9e\u00a0(pas de prescription de \u00ab\u00a0r\u00e9gime\u00a0\u00bb identique pour tous) et doit amener les personnes \u00e0 trouver eux-m\u00eames les solutions.<\/span><\/p><p>Plusieurs \u00e9tapes sont n\u00e9cessaires\u00a0:<\/p><ol><li><span style=\"color: #bd0926;\">Identifier<\/span> avec l\u2019aide des soignants les <span style=\"color: #bd0926;\">difficult\u00e9s<\/span> principales qui ont amen\u00e9 cette personne \u00e0 prendre trop de poids (ces difficult\u00e9s peuvent \u00eatre tr\u00e8s diff\u00e9rentes d\u2019une situation \u00e0 l\u2019autre et ne concernent pas que l\u2019alimentation), et les <span style=\"color: #bd0926;\">ressources<\/span> qu\u2019elle poss\u00e8de ;<\/li><li><span style=\"color: #bd0926;\">D\u00e9finir ensemble des priorit\u00e9s et convenir d\u2019objectifs concrets<\/span> de changements que l\u2019on se sent en capacit\u00e9 d\u2019appliquer.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-0e5c18b\" data-id=\"0e5c18b\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-20f2c76 elementor-widget elementor-widget-text-editor\" data-id=\"20f2c76\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Les soignants sont alors d\u2019avantage des guides que des prescripteurs, ils apportent connaissances et expertise mais sans imposer leur point de vue.<\/p><p>Pour cela\u00a0<span style=\"color: #bd0926;\">des techniques, des outils<\/span>\u00a0sont \u00e0 disposition\u00a0; pour aider un jeune enfant \u00e0 appr\u00e9hender la notion de portion dans l\u2019assiette diff\u00e9rente selon l\u2019\u00e2ge, l\u2019histoire de Boucle d\u2019Or est tr\u00e8s utile\u00a0; avoir une portion plus petite dans son assiette n\u2019est alors plus v\u00e9cue comme une injustice mais comme normal\u00a0; des parents peuvent \u00eatre sollicit\u00e9s en groupe pour donner des solutions \u00e0 des parents confront\u00e9s \u00e0 un adolescent ob\u00e8se en difficult\u00e9 visualis\u00e9s sur une video et construire avec le soignant une \u00ab\u00a0charte du parent aidant\u00a0\u00bb.<\/p><p><span style=\"color: #bd0926;\">Cet accompagnement doit s\u2019inscrire dans la dur\u00e9e<\/span>, n\u00e9cessite des consultations d\u00e9di\u00e9es r\u00e9guli\u00e8res. C\u2019est le meilleur garant d\u2019une absence de reprise de poids secondaire.<\/p><p>Dans l\u2019id\u00e9al, le m\u00e9decin doit \u00eatre second\u00e9 par d\u2019autres professionnels\u00a0: di\u00e9t\u00e9ticiens, psychologues, professionnels de l\u2019activit\u00e9 physique\u2026 C\u2019est un travail en r\u00e9seau, id\u00e9alement au plus pr\u00e8s de la personne.<\/p><p><a href=\"http:\/\/www.csopacaest.fr\/index.php\/espace-patients\/les-parcours-de-soins-proposes\/\"><span style=\"color: #000000;\"><span style=\"color: #86b8d9;\">Le parcours de soin<\/span><\/span><\/a>\u00a0va du premier recours en lib\u00e9ral par le m\u00e9decin de terrain aid\u00e9 par un ou d\u2019autres professionnels au troisi\u00e8me recours par des \u00e9quipes sp\u00e9cialis\u00e9es dans les CHU lorsque cela est n\u00e9cessaire.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d2122f5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d2122f5\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4adedb4\" data-id=\"4adedb4\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3818374 elementor-widget elementor-widget-text-editor\" data-id=\"3818374\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4>Quels objectifs de perte de poids ?<\/h4><p>\u00a0<span style=\"color: #bd0926;\">Chez l\u2019enfant en croissance\u00a0: il n\u2019est pas n\u00e9cessaire de perdre du poids.<\/span><\/p><p>Un enfant prend du poids naturellement tout au long de sa croissance et particuli\u00e8rement pendant la pubert\u00e9\u00a0: lui imposer alors de perdre du poids (et m\u00eame seulement de le stabiliser) est lui demander un effort trop important et inutile qui risque de le d\u00e9courager.<\/p><ul><li>L\u2019objectif doit \u00eatre de\u00a0<span style=\"color: #bd0926;\">ralentir la prise de poids <\/span>: la croissance en taille permettra alors \u00e0 l\u2019enfant de devenir plus mince et sa corpulence s\u2019am\u00e9liorera (son tour de taille rapport\u00e9 \u00e0 sa taille diminuera)<\/li><li>\u00a0<span style=\"color: #bd0926;\">Pour l\u2019adulte en surpoids, l\u2019objectif est avant tout de ne pas prendre de poids<\/span><\/li><li>\u00a0<span style=\"color: #bd0926;\">Pour l\u2019adulte ob\u00e8se\u00a0: une perte de poids d\u2019environ 10% de son poids initial\u00a0<\/span>(par ex 10 kg si poids de 100 kg)\u00a0<span style=\"color: #bd0926;\">permet une nette am\u00e9lioration de son \u00e9tat de sant\u00e9 global<\/span><\/li><\/ul><p>\u00a0<\/p><p>Chez ceux qui ont d\u00e9j\u00e0 essay\u00e9 de maigrir \u00e0 de multiples reprises mais ont repris tout le poids perdu, stabiliser son poids est d\u00e9j\u00e0 une belle r\u00e9ussite.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Principes de prise en charge L\u2019accompagnement des personnes en surpoids, quelque soit leur \u00e2ge, vise \u00e0 les\u00a0aider \u00e0 modifier durablement leurs comportements et leurs habitudes, d\u2019alimentation, d\u2019activit\u00e9 physique, de mode de vie afin de limiter leur exc\u00e8s de poids. Des recommandations nationales ont \u00e9t\u00e9 travaill\u00e9es en 2011 et \u00e9mises par la\u00a0Haute Autorit\u00e9 de Sant\u00e9.\u00a0Elles pr\u00e9cisent&hellip;<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":418,"menu_order":30,"comment_status":"closed","ping_status":"closed","template":"elementor_header_footer","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-2413","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.csopacaest.fr\/index.php?rest_route=\/wp\/v2\/pages\/2413","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.csopacaest.fr\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.csopacaest.fr\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.csopacaest.fr\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.csopacaest.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2413"}],"version-history":[{"count":16,"href":"https:\/\/www.csopacaest.fr\/index.php?rest_route=\/wp\/v2\/pages\/2413\/revisions"}],"predecessor-version":[{"id":3083,"href":"https:\/\/www.csopacaest.fr\/index.php?rest_route=\/wp\/v2\/pages\/2413\/revisions\/3083"}],"up":[{"embeddable":true,"href":"https:\/\/www.csopacaest.fr\/index.php?rest_route=\/wp\/v2\/pages\/418"}],"wp:attachment":[{"href":"https:\/\/www.csopacaest.fr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2413"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}