Pediatr. praxi. 2017;18(2):94-99 | DOI: 10.36290/ped.2017.016

Malnutrition in obese children

MUDr. Zlatko Marinov¹, Ing. Hana Střítecká, Ph.D.²

1Dětská obezitologická ambulance, FN Motol, Praha, 2Katedra vojenského vnitřního lékařství a vojenské hygieny, Fakulta vojenského zdravotnictví Univerzity obrany, Hradec Králové

Currently, there is a pandemic of common obesity. In the last 25 years, there has been a tremendous increase in overweight, and

common obesity has become the most serious health problem of mankind today. In the surgeries of general paediatricians for

children and adolescents, 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 children with complex metabolic changes and 1/4 with extreme obesity. Cardiometabolic sequelae are

triggered and preserved by maladaptation processes based on malnutrition behaviour: on the one hand, developed at an early

age following the stage of imprinting during the period of neophobia and negation and, on the other hand, based on national

nutritional habits. The pressure of obesogenic environment affects the nature of hyperalimentation and results in the development

of specific nutritional deficiencies that are discussed in the present article.

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

Published: May 1, 2017  Show citation