Research Article
Volume 9 Issue 4 - 2020
Hepatic Steatosis in a Population of Overweight and Obese Children and Adolescents
Pabla Lorena Segovia Bareiro1, Maysa dos Santos2, Fernando Cáritas de Souza3, Gleice Fernanda Costa Pinto Gabriel3, Fabiano Sandrini4 and Marcos Antonio da Silva Cristovam3*
1Second-Year Pediatrics Resident at Hospital Universitário do Oeste do Paraná, Cascavel, PR, Brazil
2Pediatrician, On-Call Physician at Hospital Universitário do Oeste do Paraná, Cascavel, PR, Brazil
3Assistant Professor of Pediatrics, Medical School, Universidade Estadual do Oeste do Paraná, Cascavel, PR, Brazil
4Associate Professor of Pediatrics, Medical School, Universidade Estadual do Oeste do Paraná, Cascavel, PR, Brazil
*Corresponding Author: Marcos Antonio da Silva Cristovam, Assistant Professor of Pediatrics, Medical School, Universidade Estadual do Oeste do Paraná, Cascavel, PR, Brazil.
Received: February 17, 2020; Published: March 03, 2020




Abstract

Objective: To identify the presence of fatty liver in a group of overweight and obese children and adolescents. 

Methods: An exploratory-descriptive cross-sectional study of overweight and obese children and adolescents with no history of alcoholism, infectious or hereditary liver diseases, or use of any medications who were treated in a pediatric outpatient clinic from March 2017 to October 2018. The following variables were analyzed: sex, age, weight, height, waist circumference, blood pressure; lipid profile, alanine aminotransferase, aspartate aminotransferase, and fasting blood glucose. Fatty liver was diagnosed by Doppler ultrasound. 

Results: The sample consisted of 55 participants aged 4 to 18 years. Of these, 33 (60%) were male and 22 (40%), female. Fatty liver was found in 26 (47.2%) patients: five (19.3%) overweight, 21 (80.7%) obese; 12 (46.1%) female, 14 (53.8%) male. Total cholesterol was elevated in eight (30.8%) patients, LDL-c in two (7.7%), triglycerides in 11 (42.3%), and fasting blood glucose in five (19.2%). Of 26 patients with a diagnosis of fatty liver, 12 (46.2%) had HDL-c concentrations below recommended targets, and 11 (42.3%) had metabolic syndrome. Seventeen (65.3%) patients with fatty liver had increased waist circumference (p < 0.001).

Conclusion: There was an association between total cholesterol, waist circumference, and fatty liver, suggesting that waist circumference may be used as a screening tool to predict fatty liver.

Keywords:Fatty Liver; Obesity; Overweight; Child; Waist Circumference

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Citation: Marcos Antonio da Silva Cristovam., et al. “Hepatic Steatosis in a Population of Overweight and Obese Children and Adolescents”. EC Paediatrics 9.4 (2020): 113-122.

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