Abstract
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.