
"The most serious, it is the increase in obesity in young adults and the elderly." For Professor Arnaud Basdevant, head of the Department of nutrition at the Hôtel-Dieu in Paris, the overweight epidemic that extends in France is becoming a serious public health problem. In addition, caring and very corpulent sick is a new source of many puzzles in hospitals. Assistance publique-Hôpitaux de Paris (AP - HP) launched a "special large patients" program well, but overall, these cases are difficult to manage in the structures of existing care. "Six specific centres were created in the Paris region to support the morbid anti-obesity." "But some patients still cannot gain access to medical imaging, or adapted machines," said Arnaud Basdevant.
In fact, much of the hospital equipment are calibrated to relatively standard sizes. "Many patients are denied access in services who lack adequate lifting or brancardage gear", adds the Parisian nutritionist. One thing is certain: given the inevitable increase in the number of obese in the country, the world of health "will have to adapt to the new situation".

The latest survey ObEpi-rock figures disclosed Tuesday are without appeal ("Les Echos" from September 19). Currently, 12.4 of the French have a body mass index greater than 30 (more than 90 kg to 1.74 m), threshold that they return to the camp of moderate overweight, according to the international classification. And 0.8 of the population (approximately 500,000 persons) is already in the red zone that starts more than a BMI of 40 (120 kg to 1.74 m) or 108 kg for 1.65 m. "This increase in massive anti-obesity is very worrying," said the physician of Hôtel-Dieu.
According to this survey, the proportion of large progresses in all age classes: it reached 3 in the 15-25 years (compared to 1.8 in 1997), 8.7 in the 25-34 years (compared to 5.5), 13.1 aged 35-44 (against 7.7), 18.3 in the 55-64 years (13.2) and 16.5 of those over 65 (against 11.2). This generalization of excessive overweight concerned Marie-Aline Charles, doctor INSERM and Coordinator surveys ObEpi. "The new generations are affected more and earlier." "On average, 28 years women have today the same waist size than their mothers who have more than 50 years".
Nearly one in three women has a waist size beyond the alert threshold. This value related to abdominal adiposity is today considered a good indicator of cardiovascular risk associated with overweight. The Tower of maximum size was set at 102 cm in men and 88 cm in women.
Seniors at risk
Three main pathologies are associated with weight: cardiovascular disease, type 2 diabetes and hypertension. "But there is also a risk for cancer and we meet very many joint problems," adds Arnaud Basdevant.
Remains finally posed the problem of senior citizens. The 2006 survey shows that this age group is not spared by the epidemic. 19.3 Of the men in the age group 65-69 years is currently in a critical situation from the point of view of the size (16.7 per cent of women). This ratio decreases while with age (17.7 to 11.8 in more than 80 years and 70-74 years), but it is too high. "He will have to launch an inquiry specific to these populations" argues Arnaud Basdevant. In fact is not if an overweight in older adults is an advantage (fall protection) or a disadvantage (inducing associated diseases). One thing is certain, obesity crosses now all generations without exception and elders have failed a avoid the double trap of overnutrition and lack of exercise.