Predictors of non-alcoholic fatty liver disease in obese and overweight Egyptian children: Single center study

Autor: Hanaa M El-Karaksy, Nehal M El-Koofy, Ghada M Anwar, Fatma M El-Mougy, Ahmed El-Hennawy, Mona E Fahmy
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: The Saudi Journal of Gastroenterology, Vol 17, Iss 1, Pp 40-46 (2011)
Druh dokumentu: article
ISSN: 1319-3767
1998-4049
DOI: 10.4103/1319-3767.74476
Popis: Background/Aim: Pediatric non-alcoholic fatty liver disease (NAFLD) is a global problem which has been increasingly recognized with the dramatic rise in pediatric obesity. The aim of the present study was to identify the clinical, sonographic, and biochemical predictors for NAFLD in obese children. Materials and Methods: Seventy-six children (2-15 years) were included after an informed consent. All were subjected to full anthropometric assessment (including height, weight, body mass index, subscapular skin fold thickness, waist and hip circumference and calculation of waist: hip ratio), biochemical assessment of liver function tests, lipid profile and insulin resistance and sonographic assessment of hepatic echogenicity. Liver biopsy when indicated, was done in 33 patients. Results: Sixteen patients (21%) had elevated ALT and 6 (7.9%) had elevated AST. Significant dyslipidemia (low HDL-c, high total cholesterol, high LDL-c and triglycerides) and higher insulin resistance were found in obese patients (P
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