Nutrient Deficiencies in Obese Children and Adolescents
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
ECOG eBOOK ML Frelut
Excess fat mass
+
Association to several nutrients deficiencies
=
Double burden
ECOG eBOOK ML Frelut
Obesity
The keys of the diagnosis
G
ood knowledge of the local nutritional
situation
Clinics
Dietary recall
Biological assesment
ECOG eBOOK ML Frelut
Top 6 deficiencies
•
Vitamin A
•
Vitamin D
•
Vitamin E
•
Folate
3 Minerals /trace elements
•
Iron
•
Zinc
•
Selenium
ECOG eBOOK ML Frelut
4 vitamins
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
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
