Dietitian-led lifestyle modification programme for obese Chinese adolescents with non-alcoholic fatty liver disease: a randomized controlled study

Autor: Edmund A S Nelson, Madelynn Chan, Steve C. N. Hui, Winnie C.W. Chu, Ruth Chan, H. K. So, Dorothy F.Y. Chan, Jean Woo, Mandy Man-Mei Sea, Albert M. Li
Rok vydání: 2017
Předmět:
Zdroj: International journal of obesity (2005). 42(9)
ISSN: 1476-5497
Popis: The prevalence of non-alcoholic fatty liver disease (NAFLD) in children is increasing. This study evaluated the efficacy of a dietitian-led lifestyle modification programme (D-LMP) to reduce NAFLD in obese adolescents. Subjects with intra-hepatic triglyceride content (IHTC) equal to or greater than 5% diagnosed by proton-magnetic resonance spectroscopy (1H-MRS) were enroled and randomly assigned to either the D-LMP intervention or conventional paediatrician-led consultation (P-CON) group. Subjects in the P-CON group received usual care consisting of a consultation by a paediatrician with the child and parents every 16 weeks. Intention-to-treat analysis was used for data analysis. Fifty-two subjects were recruited, with 26 in each group. After the initiation phase (at week-16), there was a greater difference in the change in the IHTC and BMI z-score in the D-LMP group (P = 0.029 and
Databáze: OpenAIRE