TABLE!DES!MATIERES!
!
I.!INTRODUCTION!!!!10!
II.!OBESITES!:!ETAT!DES!LIEUX! ! 11!
A.!DEFINITION!11!
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B.!DONNEES!EPIDEMIOLOGIQUES!14!
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C.!PRISE!EN!CHARGE!ET!RECOMMANDATIONS!HAS:!18!
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III.!REGULATION!DU!COMPORTEMENT!ALIMENTAIRE!24!
A.!REGULATION!HOMEOSTASIQUE:! 25!
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B.!REGULATION!SENSORIELLE!:!(16)!32!
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aS!,Q,*$@$!G$!D$J-@0$#,$!%! /a!
C.!REGULATION!PSYCHOLOGIQUE!:!(15)!37!
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IV.!PATHOGENIE!DES!OBESITES!40!
A.!MECANISMES!DE!RECOMPENSE!CHEZ!LES!PATIENTS!OBESES!:!(20)!40!
B.!EMPREINTE!METABOLIQUE!:! 44!
C.!NOUVELLE!CIBLE!POTENTIELLE!:!LA!11Β]HSD1 :! 46!
D.!MICROBIOTE!INTESTINAL!:! 47!
E.!IRRITATION!DIGESTIVE!:! 53!
F.!LE!TISSU!ADIPEUX!BRUN!:! 57!
V.!TRAITEMENTS!PHARMACOLOGIQUES!:! 59!
A.!MECANISMES!D’ACTION!PHARMACOLOGIQUES:! 60!
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B.!ORLISTAT!:! 61!
C.!NOUVELLES!MOLECULES!SUR!LE!MARCHE!:! 63!
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