Introduction: Obesity is a major health problem through its numerous complications especially metabolic complications associated with cardiovascular risk. The aim of our work was to describe the clinico-metabolic profile of obese Tunisian adults.
Methods: This was a descriptive cross-sectional study involved 174 obese patients who consulted between July and December 2020 at the Obesity Unit of the National Institute of Nutrition in Tunis. ResultsThe average age was 45.21±13.88 years with a female predominance of 75.3%. All patients were obese with an average BMI of 40.2 ± 7 kg/m2. Obesity was visceral in 100% of cases with a mean waist circumference of 121.05 ± 14.4 cm (men 123.93 ± 14.01 cm vs women 120.11±14.45 cm).Arterial hypertension was noted in 47.13% of our population of which 15.85% were not known hypertensive. Dyslipidemia was found in 54.6% of cases of which 45.26% were unknown. Carbohydrate tolerance disorders was found in 67.81% of cases devised as follow: 37.36% prediabetes; 24.71% diabetes and 5.17% unknown diabetes. Hyperuricemia was found in 33.3% of cases. No patients were symptomatic. Waist circumference Was significantly correlated with BMI (r =0,62;P < 0,001)), as was triglycerides (r =0,16; P = 0,039).ConclusionIn our study metabolic disorders were of incidental discovery in many patients. Their treatment must be specific, it should not be limited to weight loss, and the early detection of these abnormalities and their management will improve the cardiovascular prognosis of patients.
21 May 2022 - 24 May 2022