Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2019 Apr;98(16):e14939.
doi: 10.1097/MD.0000000000014939.

Metabolic characteristics of obese children with fatty liver: A STROBE-compliant article

Affiliations

Metabolic characteristics of obese children with fatty liver: A STROBE-compliant article

Kanglu Zhao et al. Medicine (Baltimore). 2019 Apr.

Abstract

To investigate metabolic differences between simple obese children and those comorbid with fatty liver disease.Obese children hospitalized in our center from 2014 to 2016 were included and divided into simple obese group and obese with fatty liver group by ultrasound-based diagnosis of fatty liver. Epidemiology data and serum biochemical studies were recorded. Body Mass Index (BMI) and homeostasis model insulin resistance index (HOMA-IR) were calculated accordingly.A total of 186 obese children were enrolled in this study, including 93 cases of obese children and 93 obese patients' comorbid with fatty liver. The proportion of male, age, waist circumference (WC), BMI, fasting blood-glucose (FBG), glycosylated hemoglobin A1c (HbA1c), fasting insulin (FINS), and HOMA-IR were significantly higher in obese patients with fatty liver (P <.05). Age and BMI were found to be independent risk factors for fatty liver disease (OR >1, P <.05).Among obese children, male and elder patients and individuals with higher uric acid are more susceptible to fatty liver.

PubMed Disclaimer

Conflict of interest statement

No author has any conflict of interest to claim.

Figures

Figure 1
Figure 1
Comparison of BMI (A), HOMA-IR (B), and UA (C) in 2 groups. Group A: simple obesity; Group B: obesity with fatty liver.aP <.05. BMI = Body Mass Index, HOMA-IR = homeostasis model insulin resistance index, UA = uric acid.
Figure 2
Figure 2
Association between UA and BMI (A), WC (B), HOMA-IR (C), TC (D). BMI = Body Mass Index, HOMA-IR = homeostasis model insulin resistance index, TC = total cholesterol, UA = uric acid, WC = waist circumference.

References

    1. Wang S, Dong YH, Wang ZH, et al. Trends in overweight and obesity among Chinese children of 7-18 years old during 1985-2014. Zhonghua yu fang yi xue za zhi Chin J Prevent Med 2017;51:300–5. - PubMed
    1. Fan JG. Epidemiology of alcoholic and nonalcoholic fatty liver disease in China. J Gastroenterol Hepatol 2013;28suppl 1:11–7. - PubMed
    1. Meng L, Luo N, Mi J. Impacts of types and degree of obesity on non-alcoholic fatty liver disease and related dyslipidemia in Chinese school-age children. Biomed Environ Sci BES 2011;24:22–30. - PubMed
    1. EASL, EASD, EASO. Clinical Practice Guidelines for the management of non-alcoholic fatty liver disease. J Hepatol 2016;64:1388–402. - PubMed
    1. Alkassabany YM, Farghaly AG, El-Ghitany EM. Prevalence, risk factors, and predictors of nonalcoholic fatty liver disease among schoolchildren: a hospital-based study in Alexandria, Egypt. Arab J Gastroenterol Off Publ Pan-Arab Assoc Gastroenterol 2014;15:76–81. - PubMed