| Titre : | Association Between Body Mass Index and Primary Health Care Utilization in Children Aged 2 to 17 Years: A French Retrospective Cohort Study |
| Auteurs : | Théo Duguet ; Ecole des hautes études en santé publique (EHESP) (Rennes, FRA) |
| Type de document : | Mémoire |
| Année de publication : | 2025 |
| Description : | 47p. |
| Langues: | Anglais |
| Classement : | MPH/ (Mémoires MPH à partir de 2024) |
| Mots-clés : | Obésité ; Surcharge pondérale ; Enfant ; Adolescent ; Soins santé primaire ; Médecine générale ; Consultation |
| Résumé : |
Background: Childhood obesity and overweight are associated with short and long-term consequences. However, data on how the Body Mass Index (BMI) affects primary healthcare use in children remain limited, especially in France.
Objective: This study aimed to assess the association between overweight, obesity and primary care utilization in children aged 2 to 17 years. Methods: A retrospective cohort between 2012 and 2022 from the PRIMEGE health data warehouse was set, including 205,757 consultations from 10,067 children. International Obesity Task Force (IOTF) criteria were used to define BMI categories (underweight, normal BMI, overweight and obesity). The main outcome was the rate of general practitioner consultations per child. Secondary outcomes were prescriptions of antibiotics and asthma related drugs. Logistic and linear mixed-effect models were used, aside to an interrupted time series design using a negative binomial zero-inflated mixed model. Results: Children with overweight and obesity had significantly higher medical consultation rates than those with normal BMI. Becoming overweight from normal BMI was associated with an increased consultation rate of +42.4% [+33.4%; +52.1%]. Becoming overweight from normal BMI was associated with an increased consultation rate of +42.4% [+33.4%; +52.1%]. Also, becoming obese from overweight significantly increased consultation rates +61.6% [+35.2%; 93.4%]. Overweight children aged 5–9 had higher antibiotic use (OR 1.17 [1.04; 1.32], p<0.008). Obese children aged 2-9 had more asthma-related prescription between 5 and 9. Conclusion : These results suggest that abnormal BMI increases healthcare needs in childhood and adolescence. Overweight and obesity influence not only the frequency of consultations but also drugs pattern. These findings support early prevention efforts and the need to adapt health care systems to better meet the needs of children with excess weight. |
| Diplôme : | Master MPH of public health |
| Plan de classement simplifié : | Master of Public Health - master international de Santé Publique (MPH) |
| En ligne : | https://documentation.ehesp.fr/memoires/2025/mph/theo_duguet.pdf |
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