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Year: 2008 Volume: 27 Issue: 1

Year: 2007 Volume: 26

Are saturated fatty acids and insulin resistance associated with fatty liver in obese children?

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Papandreou, Dimitrios Rousso, Israel Malindretos, Pavlos Makedou, Areti Moudiou, Tatiana Pidonia, Ifigenia Pantoleon, Athina Economou, Ipolliti Mavromichalis, Ioannis
Description	Country affiliation: Greece Author Affiliation: Papandreou D ( 2nd Department of Pediatrics, Aristotle University of Thessaloniki, School of Medicine, AHEPA Hospital, St. Kiriakidi 1, 54636 Thessaloniki, Greece. papandreoudimitrios@yahoo.gr)
Abstract	BACKGROUND: Fatty liver (FL) is a common cause of liver disease in children. Obesity and insulin resistance (IR) play an important role in pathogenesis of FL. Diet has been reported to affect IR and possibly FL. The purpose of this study was to investigate certain parameters (anthropometric, biochemical, dietary intake) of obese Greek children with and without FL. METHODS: Forty-three obese children aged 9-14 (25 boys/18 girls) participated in the study. FL was diagnosed by ultrasonography (US). Liver indexes (ALT, AST, gamma-GT) were measured in all children. A 3-day dietary was recorded for all subjects. None of the subjects were positive for viral hepatitis or had a history of consuming alcohol. RESULTS: Eighteen out of 43 subjects (41.8%) had FL based on US. Intakes of carbohydrates and simple refined carbohydrates were significantly higher in subjects with FL compared to children without FL, while saturated fatty acids (SFA) were proportionally increased to the degree of hepatic steatosis. In multiple regression analysis of factors associated with FL, only HOMA-IR [Beta: 0.160, 95%CI (0.122-1.340), P<0.001] and SFA [Beta: 0.455, 95%CI (0.129-2.129), P<0.001] were the most significant one. CONCLUSIONS: Our results suggest that high intake of carbohydrates and simple refined carbohydrates as well as low intake of fiber may be correlated with the pathogenesis of FL. Moreover, IR and high intake of SFA are independently associated with FL in obese children.
File Format	HTM / HTML
ISSN	02615614
Issue Number	2
Volume Number	27
e-ISSN	15321983
Journal	Clinical Nutrition
Language	English
Publisher	Elsevier
Publisher Date	2008-04-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Nutritional Sciences Diet Dietary Fats Administration & Dosage Fatty Acids Blood Fatty Liver Insulin Resistance Obesity Complications Adolescent Analysis Of Variance Anthropometry Body Mass Index Child Child Nutritional Physiological Phenomena Physiology Dietary Carbohydrates Metabolism Etiology Female Humans Male Mental Recall Risk Factors Ultrasonography Journal Article
Content Type	Text
Resource Type	Article
Subject	Nutrition and Dietetics Critical Care and Intensive Care Medicine

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Are saturated fatty acids and insulin resistance associated with fatty liver in obese children?