Situation en Suisse

En Suisse, on dénombre 30% de patients avec un excès de poids et 7,7% de patients obèses. Les coûts totaux engendrés par l’obésité et la surcharge pondérale s’élèvent à 2,7 milliards de francs suisses par année, dont 98% sont dus aux complications !

1Pi-Sunyer X. A clinical view of the obesity problem. Science 2003 ; 299 : 859-60.


2James PT, Leach R, Kalamara E, et al. The worldwide obesity epidemic. Obes Res 2001 ; 9 : 228S-233S.


3Haslam DW, James WP. Obesity. Lancet 2005 ; 366 : 1197-209.


4 Consensus sur le traitement de l’obésité en Suisse. Journal Suisse de Médecine 2007, in press.


5Masciangelo ML, Golay A. Poids de l’obésité, de l’épidémie aux coûts. Rev Med Suisse 2005 ; 1 : 807-13.


6Schmid A, Schneider H, Golay A, Keller U. Economic burden of obesity and its comorbidities in Switzerland. Soz-Präventiv Med 2005 ; 50 : 87-94.


Approche globale :

7Ybarra J, De Stefano M, Kammer A, de Tonnac N, Lehmann T, Golay A. Interest of prognostic score for optimal clinical management of obese patients. Diabetes Metab 2003 ; 29 : 418-23.


8Golay A, Buclin S, Ybarra J, Toti F, Pichard C, Picco N, de Tonnac N, Allaz AF. New interdisciplinary cognitive behavioural-nutritional approach to obesity treatment : A 5-year follow-up study. Eating Weight Disord 2004 ; 9 : 24-34.


9Elfhag K, Rössner S. Who succeeds in maintaining weight loss ? A conceptual review of factors associated with weight loss maintenance and weight regain. Obes Rev 2005 ; 6 : 67-85.


10Senekal M, Albertse EC, Momberg DJ, et al. A multidimensional weight-management program for women. J Am Diet Assoc 1999 ; 99 : 1257-64.


Approche spécifique en fonction de la personnalité :

11 Golay A. Maigrir selon sa personnalité. Ed. Payot, Paris, 2007.


12Golay A, Nicolet J, Hagon I. Assal JP. How to improve compliance in diabetic patients. Patient Education and counseling 1994 ; 23 : 109-11.


13 Golay A, Loup S, Ducommun V, et al. Efficacité des différents régimes selon la personnalité. Diabète éducation (journal du DELF) 2004 ; 14 : 50-3.


Traitements médicamenteux:

14Padwal R, Li SK, Lau DCW. Long term pharmacotherapy for overweight and obesity : A systematic review and meta-analysis of randomised controlled trials. Int J Obes 2003 ; 27 : 1437-46.


15Zhaoping L, Maglione M, Wenli T, et al. Meta-analysis : Pharmacologic treatment of obesity. Ann Intern Med 2005 ; 142 : 532-46.


16Hofbauer KG, Nicholson JR, Boss O. The obesity epidemic : Current and future pharmacological treatments. Annu Rev Pharmacol Toxicol 2007 ; 47 : 565-92.


17Mathys M. Pharmacologic agents for the treatment of obesity. Clin Geriatr Med 2005 ; 21 : 735-46.


18Sjöström L, Rissanen A, Andersen T, Boldrin M, Golay A, Kopperschaar HPF, Krempf M. Randomised placebo-controlled trial of orlistat for weight loss and prevention of weight regain in obese patients. Lancet 1998 ; 352 : 167-73.


19James WPT, Astrup A, Finer N, et al for the STORM study group. Effect of sibutramine on weight maintenance after weight loss : A randomised trial. Lancet 2000 ; 356 : 2119-25.


20Despres JP, Golay A, Sjöström L, Rimonabant in obesity-lipids study group. Effects of rimonabant on metabolic risk factors in overweight patients with dyslipidemia. N Engl J Med 2005 ; 353 : 2121-34.


Approche comportementale :

21Volery M, Golay A. Comment détecter des troubles du comportement alimentaire chez des patients obèses ? Med Hyg 2001 ; 2353 : 1467-71.


22 Golay A, Volery M, Rieker A, Fossati M, Nguyen Howles M. Approche cognitivo-comportementale. In : Médecine de l’obésité. Basdevant A, Guy-Grand B. Ed Médecine-Sciences Flammarion, 2004 : 246-52.


23Wadden TA, Berkowitz RI, Womble LG, et al. Randomized trial of lifestyle modification and pharmacotherapy for obesity. N Engl J Med 2005 ; 353 : 2111-20.


24Simon GE, Von Korff M, Saunders K, et al. Association between obesity and psychiatric disorders in the US adult population. Arch Gen Psychiatry 2006 ; 63 : 824-30.


25Fossati M, Amati F, Painot D, et al. Cognitive-behavioural therapy with simultaneous nutritional and physical activity education in obese patients with binge eating disorder. Eating Weight Disord 2004 ; 9 : 134-8.


26Fairburn CG, Cooper Z. New perspectives on dietary and behavioural treatments for obesity. Int J Obesity 1996 ; 20(suppl 1) : S9-S13.


27Wardle J. Obesity and behaviour change : Matching problems to practice. Int J Obesity 1996 ; 20(suppl 1) : S1-S8.


28Shaw K, O’Rourke P, Del Mar C, et al. Psychological interventions for overweight or obesity. Cochrane Database Syst Rev 2005 ; 2 : CD003818.


29Liao KL. Cognitive-behavioural approaches and weight management : An overview. J R Soc Health 2000 ; 120 : 27-30.


30de Zwaan M. Binge eating disorder and obesity. Int J Obes 2001 ; 25 : S51-55.


31Wilson GT, Schlam TR. The transtheoretical model and motivational interviewing in the treatment of eating and weight disorders. Clin Psychol Rev 2004 ; 24 : 361-78.


Traitements chirurgicaux :

32Maggard MA, Shugarman LR, Suttorp M, et al. Meta-analysis : Surgical treatment of obesity. Ann Inter Med 2005 ; 142 : 547-59.