Prakt. Lékáren. 2017; 13(4e) [Pediatr. praxi. 2017;18(2):94-99]

Malnutrition in obese children

Zlatko Marinov¹, Hana Střítecká²

¹ Dětská obezitologická ambulance, FN Motol, Praha

Katedra vojenského vnitřního lékařství a vojenské hygieny, Fakulta vojenského zdravotnictví Univerzity obrany,

² Hradec Králové

Currently, there is a pandemic of common obesity. In the last 25 years, there has been a tremendous increase in overweight, and commonobesity has become the most serious health problem of mankind today. In the surgeries of general paediatricians for children andadolescents, common paediatric obesity is the second largest group of chronic diseases with long-term metabolic changes, second only to allergic conditions. In the Czech Republic, approximately 10 % of children aged up to 16 years old have obesity, including 2/3 childrenwith complex metabolic changes and 1/4 with extreme obesity. Cardiometabolic sequelae are triggered and preserved by maladaptationprocesses based on malnutrition behaviour: on the one hand, developed at an early age following the stage of imprinting duringthe period of neophobia and negation and, on the other hand, based on national nutritional habits. The pressure of obesogenic environmentaffects the nature of hyperalimentation and results in the development of specific nutritional deficiencies that are discussedin the present article.

Keywords: paediatric obesity, nutrition, hyperalimentation, malnutrition, obesogenic environment

Published: December 1, 2017  Show citation