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Nutrient deficiencies of the obese child and adolescent. ML FRELUT, MD Service d'Endocrinologie et Diabétologie Pédiatriques Centre hospitalier universitaire de Bicêtre Hôpitaux Universitaires Paris Sud (AP-HP) France. Obesity. E xcess fat mass +
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Nutrientdeficiencies of the obese child and adolescent ML FRELUT, MD Service d'Endocrinologie et Diabétologie Pédiatriques Centre hospitalier universitaire de Bicêtre Hôpitaux Universitaires Paris Sud (AP-HP) France ECOG eBOOK ML Frelut
Obesity Excess fat mass + Association to severalnutrientsdeficiencies = Double burden ECOG eBOOK ML Frelut
The keys of the diagnosis • Good knowledge of the local nutritional situation • Clinics • Dietaryrecall • Biologicalassesment ECOG eBOOK ML Frelut
Top 6 deficiencies 4vitamins 3 Minerals /trace elements Iron Zinc Selenium • Vitamin A • VitaminD • Vitamin E • Folate ECOG eBOOK ML Frelut
The pitfalls of the biologicaldiagnosis • Obesityis a mildinflammatorydisease: impact on proteins • overestimation of ferritine • Underestimation of retinolbindingprotein • Increased fat mass • Unknown stores of fat soluble vitamins: A, D,E ECOG eBOOK ML Frelut
Consequences of nutritionaldeficiencies • Addition of classicalconsequences and • Increase of complications of obesity • Cardiovascularrisk • Insulinresistance • Liverdamage • …. ECOG eBOOK ML Frelut