70 likes | 84 Views
Learn about the double burden of obesity and nutrient deficiencies in children and adolescents. Discover key diagnostic tools, common deficiencies, pitfalls in diagnosis, and consequences of nutritional deficiencies in obesity.
E N D
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