ECE2021 Eposter Presentations Diabetes, Obesity, Metabolism and Nutrition (82 abstracts)
UHC Hedi Chaker, Endocrinology, Sfax, Tunisia
Introduction
In Tunisia, obesity is a public health problem. In fact, it has been considered as a complex disease including alteration of the nutritional, somatic and psychological functioning of the individual. Various psychological disorders have been associated with it such as social phobia (SP). In this context, our study was conducted to determine the psychological profile in terms of SP in obese adults.
Methods
This was a cross-sectional descriptive study. We included obese adults aged 19 to 64 who consulted in the basic health districts of Sfax, South Tunisia, and who had a body mass index (BMI) greater than or equal to 30 kg/m2. Data was collected using a validated anonymous questionnaire: Liebowitz Social Anxiety Scale (LSAS).
Results
A total of 150 adults were included with an average age of 47.1 ± 12.5 years. Females accounted for 76.7% with a sex ratio H/F = 0.3. The mean BMI was 35.9 kg/m2 (S.D. = 5.6). Eighty-two subjects (54.7%) had grade I obesity, 31 subjects had grade II (20.7%) and 37 subjects (24.7%) had grade III. Abdominal obesity was present in 142 people (94.7%). The study of the psychological profile revealed that 33.59 and 58 patients had respectively a mild, a moderate and a severe intensity of SP according to the LSAS questionnaire. the study of the factors which condition the severity of SP had shown that it was correlated with age (31% of the subjects of the age group [19, 34] had severe SP vs 39% of the group [35, 49] vs 41% of the group [50, 64], P = 0.01). On the other hand it was not correlated with gender, the grade of BMI, the practice of a physical activity or the somatic impact of obesity.
Conclusion
The prevalence of SP was significant in our study population. As a result, the establishment of a national care program for obese patients including psychologists is mandatory.