Santé de l’adolescent
Livre
Aounallah-Skhiri H. Mode de vie, nutrition et santé de l’adolescent. Le cas de la Tunisie dans un contexte de transition épidémiologique. 2010. 272 p. (Thèse de Doctorat en épidémiologie publiée par les Editions Universitaires Européennes en novembre 2010).
http://www.amazon.fr/Mode-nutrition-sant%C3%A9-ladolescent-%C3%A9pid%C3%A9miologique/dp/6131545375
Au cours des dernières décennies, la Tunisie a connu une transition épidémiologique rapide associée à une occidentalisation des modes de vie, notamment en ce qui concerne les comportements alimentaires. Selon les environnements, les adolescents tunisiens, en recherche de modèles et exposés à divers niveaux de transition vont éprouver un retentissement très variable sur leur santé. C'est ce que nous cherchons à évaluer sur le plan épidémiologique à travers deux études. Une étude transversale auprès d'un échantillon représentatif a permis d'évaluer les comportements et la qualité de vie liés à la santé des jeunes scolarisés vivant dans un gouvernorat très urbanisé et ayant connu une phase de transition épidémiologique rapide. Une autre étude transversale menée auprès d'un échantillon national représentatif des adolescents (15-19ans) s'est attachée à évaluer le mode de vie et la santé de l'adolescent notamment leur état nutritionnel et les facteurs associés d'une part et à estimer sur un sous-échatillon leur apport alimentaire, de façon plus spécifique, en relation avec leur état de santé et nutrition (surpoids et tension artérielle élevée).
Reference Type: Journal Article
Record Number: 27
Author: Aounallah-Skhiri, H.; Romdhane, H. B.; Traissac, P.; Eymard-Duvernay, S.; Delpeuch, F.; Achour, N.; Maire, B.
Year: 2008
Journal: Public Health Nutr
Volume: 11
Issue: 12
Pages: 1306-17
Date: Dec
Accession Number: 18561866
Abstract: OBJECTIVE: To assess the nutritional status of Tunisian adolescents and associated factors. DESIGN: A cross-sectional study based on a national stratified random cluster sample.Subjects and methodsIn all, 1295 boys and 1577 girls aged 15-19 years, of whom 28.4 % had already left school. Socio-economic characteristics of the parents, anthropometric measurements, food behaviours and physical activity of the adolescents were recorded during home visits. RESULTS: Prevalence of underweight, overweight and obesity (WHO/National Center for Health Statistics reference) were, respectively, 8.1 %, 17.4 % and 4.1 % among boys and 1.3 %, 20.7 % and 4.4 % among girls; abdominal obesity was highly prevalent among both sexes. Prevalence of overweight differed by region (from 11.5 % to 22.2 %) and was higher in urban v. rural areas for males (21.7 % v. 10.4 %) but not for females (21.7 % v. 19.2 %). These differences were partially mediated by socio-economic and lifestyle factors for males. For females, influence of cultural factors is hypothesised. In rural areas, overweight was more prevalent among boys of higher economic level households, having a working mother or a sedentary lifestyle; for girls, prevalence increased with the level of education of the mother. In urban areas, prevalence of overweight was related to eating habits: it was higher for boys with irregular snacking habits and for girls skipping daily meals. Urban girls having left school were also more overweight.ConclusionOverweight and abdominal obesity in late adolescence have become a true public health problem in Tunisia with the combined effects of cultural tradition for girls in rural areas, and of rapid economic development for boys and girls in cities.
Notes: 1368-9800 (Print)
Journal Article
URL: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=18561866
Author Address: 1Institut National de la Sante Publique (INSP), 5-7 rue Khartoum, Tunis, Tunisia.
Reference Type: Journal Article
Record Number: 51
Author: Aounallah-Skhiri, H.; Traissac, P.; El Ati, J.; Eymard-Duvernay, S.; Landais, E.; Achour, N.; Delpeuch, F.; Ben Romdhane, H.; Maire, B.
Year: 2011
Title: Nutrition transition among adolescents of a south-Mediterranean country: dietary patterns, association with socioeconomic factors, overweight and blood pressure. A cross-sectional study in Tunisia
Journal: Nutr J
Volume: 10
Issue: 1
Pages: 38
Date: Apr 24
Accession Number: 21513570
Abstract: ABSTRACT: BACKGROUND: The increase in the burden of chronic diseases linked to the nutrition transition and associated dietary and lifestyle changes is of growing concern in south and east Mediterranean countries and adolescents are at the forefront of these changes. This study assessed dietary intake and association with socio-economic factors and health outcomes among adolescents in Tunisia. METHODS: Cross-sectional survey (year 2005); 1019 subjects 15-19y. from a clustered random sample. Dietary intake was assessed by a validated semi-quantitative frequency questionnaire (134 items) as was physical activity; the Diet Quality Index International measured diet quality; dietary patterns were derived by multiple correspondence analysis from intakes of 43 food groups. Body Mass Index (BMI) >= 85th and 95th percentile defined overweight and obesity. Waist Circumference (WC) assessed abdominal fat. High blood pressure was systolic (SBP) or diastolic blood pressure (DBP) >=90th of the international reference for 15-17y., and SBP/DBP>=120/80 mm Hg for 18-19y. RESULTS: Energy intake levels were quite high, especially for females. The macro-nutrient structure was close to recommendations but only 38% had a satisfactory diet quality. A main traditional to modern dietary gradient, linked to urbanisation and increased economic level, featured an increasing consumption of white bread, dairy products, sugars, added fats and fruits and decreasing consumption of oils, grains, legumes and vegetables; regarding nutrients this modern diet score featured a decreasing relationship with total fat and an increase of calcium intake, but with an increase of energy, sugars and saturated fat, while vitamin C, potassium and fibre decreased. Adjusted for age, energy and physical activity, this modern pattern was associated with increased overweight in males (2nd vs. 1st tertile: Prevalence Odds-Ratio (POR)=4.0[1.7-9.3], 3rd vs. 1st: POR=3.3[1.3-8.7]) and a higher WC. Adjusting also for BMI and WC, among females, it was associated with decreased prevalence of high blood pressure (2nd vs. 1st tertile: POR=0.5[0.3-0.8], 3rd vs. 1st tertile: POR=0.4[0.2-0.8]). CONCLUSION: The dietary intake contrasts among Tunisian adolescents, linked to socio-economic differentials are characteristic of a nutrition transition situation. The observed gradient of modernisation of dietary intake features associations with several nutrients involving a higher risk of chronic diseases but might have not only negative characteristics regarding health outcomes.
Notes: 1475-2891 (Electronic)
1475-2891 (Linking)
Journal article
URL: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=21513570
Health and behaviours of Tunisian school youth in an era of rapid epidemiological transition
Reference Type: Journal Article
Record Number: 32
Author: Aounallah-Skhiri, H.; Ben Romdhane, H.; Maire, B.; Elkhdim, H.; Eymard-Duvernay, S.; Delpeuch, F.; Achour, N.
Year: 2009
Title: Health and behaviours of Tunisian school youth in an era of rapid epidemiological transition
Journal: East Mediterr Health J
Volume: 15
Issue: 5
Pages: 1201-14
Date: Sep-Oct
Accession Number: 20214134
Abstract: To assess youth health behaviours and related quality of life in urban Tunisia, we conducted a cross-sectional survey of a representative sample of 699 secondary-school students. The overweight rate was 20.7%. Most of the sample had an insufficient level of physical activity and were unfamiliar with the recommended frequency of moderate physical activity. Norm-based scores of psychological state were about average, slightly better for boys than girls. Girls perceived themselves to be more stressed than boys. Of all students, 35% declared having smoked a cigarette and 14% having drunk alcohol at least once in their lives. The main sources of health education were mass media (59%) and medical staff (36%).
Notes: 1020-3397 (Print)
1020-3397 (Linking)
Journal Article
URL: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=20214134
Author Address: Institut National de la Sante Publique (INSP), Tunis, Tunisia. Cette adresse email est protégée contre les robots des spammeurs, vous devez activer Javascript pour la voir.
