Nutrient Deficiencies in Obese Children and Adolescents
Obesity in children and adolescents can lead to multiple nutrient deficiencies, creating a double burden on their health. The diagnosis involves understanding local nutritional issues, clinical assessments, dietary recalls, and biological evaluations. Common deficiencies include vitamins A, D, E, folate, iron, zinc, and selenium. Pitfalls in diagnosis include inflammatory effects on proteins and the need to consider fat-soluble vitamin status. Nutritional deficiencies in obese individuals can compound the risks of cardiovascular issues, insulin resistance, and liver damage.
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Presentation Transcript
Nutrient deficiencies of the obese child and adolescent ML FRELUT, MD Service d'Endocrinologie et Diab tologie P diatriques Centre hospitalier universitaire de Bic tre H pitaux Universitaires Paris Sud (AP-HP) France ECOG eBOOK ML Frelut
Obesity Excess fat mass + Association to several nutrients deficiencies = Double burden ECOG eBOOK ML Frelut
The keys of the diagnosis Good knowledge of the local nutritional situation Clinics Dietary recall Biological assesment ECOG eBOOK ML Frelut
Top 6 deficiencies 4 vitamins 3 Minerals /trace elements Vitamin A Vitamin D Vitamin E Folate Iron Zinc Selenium ECOG eBOOK ML Frelut
The pitfalls of the biological diagnosis Obesity is a mild inflammatory disease: impact on proteins overestimation of ferritine Underestimation of retinol binding protein Increased fat mass Unknown stores of fat soluble vitamins: A, D,E ECOG eBOOK ML Frelut
Consequences of nutritional deficiencies Addition of classical consequences and Increase of complications of obesity Cardiovascular risk Insulin resistance Liver damage . ECOG eBOOK ML Frelut
