Micronutrient Deficiencies in Obese Thai Children

微量營養素缺乏的肥胖泰國兒童

Narumon Densupsoontorn ； Pipop Jirapinyo ； Channagan Kangwanpornsiri

《Asia Pacific Journal of Clinical Nutrition》 預刊文章 Pp. 35-41

摘要

這篇個案報告三位呈現佝僂型串珠、手腳麻木，以及小球性低色素貧血之不同程度症狀的肥胖兒童。檢測血清抗壞血酸濃度、紅血球硫胺焦磷酸鹽作用及血清鐵調節素濃度，分別顯示抗壞血酸不足、硫胺缺乏以及高發炎狀態致使鐵吸收下降造成之缺鐵性貧血。這份報告指出肥胖兒童，不僅熱量攝取過多，還可能有微量營養素缺乏的風險。因此，體重管理時需特別注意維生素及礦物質的給予是否足夠。

關鍵字

抗壞血酸 ； 鐵調節素 ； 缺鐵性貧血 ； 肥胖兒童 ； 硫胺缺乏

並列摘要

We reported the cases of 3 obese children who presented variously with costochondral beading, numbness of both hands and feet, and hypochromic-microcytic anemia. Serum ascorbic acid concentration, erythrocyte thiamin pyrophosphate effect, and serum hepcidin concentration were done to investigate these symptoms, respectively, with findings of ascorbic acid insufficiency, thiamin deficiency, and iron deficiency anemia from poor iron absorption due to a hyper-inflammatory state, respectively. This report indicated that obese children not only have energy excess but may also risk being micronutrient deficiencies; therefore, weight management with special attention to an adequate intake of vitamins and minerals should be provided.

並列關鍵字

ascorbic acid ； hepcidin ； iron deficiency anemia ； obese children ； Thiamin deficiency