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Endocrine Abstracts (2023) 90 EP271 | DOI: 10.1530/endoabs.90.EP271

National Institute of Nutrition, A, Tunis, Tunisia


Introduction: Obesity is recognized as a continuously growing, global public health problem. It is associated with increased risk of a variety of acute and chronic disorders.

Objective: The aim of our work was to estimate the prevalence of obesity-related complications in a group of patients undergoing sleeve gastrectomy.

Methodology: Retrospective, descriptive study of a group of obese candidates for bariatric surgery recruited from the obesity research unit of the National Institute of Nutrition. All patients underwent a thorough interview, physical examination and biological analysis to rule out secondary obesity and to look for metabolic complications of obesity.

Results: Our study included 40 patients, 7 men and 33 women. The mean age of the patients was 34.6 years [18-57]. The mean BMI was 50.23±8.27 kg/m2. The mean waist circumference was 137.75±16.09 cm. The prevalence of morbid obesity was 95%. Nearly two thirds of the subjects had a first degree family history of obesity. The prevalence of smoking and alcoholism was 27% and 2.5% respectively. The prevalence of metabolic complications of obesity was 7.5% for hyperuricemia, 37.5% for hypercholesterolemia, 67.5% for hypoHDLemia and 30% for hypertriglyceridemia. Concerning the disorders of carbohydrate tolerance, type 2 diabetes was found in 17.5% of patients, moderate fasting hyperglycaemia in 40% of patients and carbohydrate intolerance in 2 patients. Hypertension was diagnosed in 20% of patients. PCOS and fertility disorders were observed in 18% and 10% of obese women respectively. Digestive complications such as non-alcoholic fatty liver disease, vesicular lithiasis and gastroesophageal reflux were noted in 62.5%, 7.5% and 25% of cases respectively. Bone and joint complications were dominated by gonarthrosis in 57% of patients. obstructive sleep apnea syndrome (OSAS )was noted in 80% of patients with 32% mild, 22% moderate and 25% severe OSAS.

Conclusion: Our work demonstrates a significant prevalence of obesity complications in our population. This justifies the need for early and adequate management of obesity in order to prevent the occurrence of these complications.

Volume 90

25th European Congress of Endocrinology

Istanbul, Turkey
13 May 2023 - 16 May 2023

European Society of Endocrinology 

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