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Brooklyn, NY, United States

Gupta R.,Infants | Gupta R.,New York University | Bhangoo A.,Infants | Bhangoo A.,New York University | And 12 more authors.
Journal of Pediatric Endocrinology and Metabolism | Year: 2011

Background and aim: In the context of present epidemic of childhood obesity, we aimed to fi nd the prevalence of nonalcoholic fatty liver disease (NAFLD) and metabolic syndrome (MS) in a cohort of obese children. Methodology: Retrospective chart analysis of 700 obese children was done for their anthropometric and biochemical investigations. Results: Some 15.4% (9.8% girls, 22% boys) subjects had NAFLD (ALT> 40 IU/L) after excluding other identifi able causes of liver dysfunction. Age, weight, TG, fasting serum insulin and HOMA-IR levels were higher in children with NAFLD. Twenty-eight percent children had MS. Children with NAFLD had an odds ratio of 2.65 for having MS (boys 4.6, girls 1.7). The prevalence of MS increased with age 5-9 years (21%), 10-16 years (30%), 17-20 years (35%). Conclusion: Given high prevalence of NAFLD and MS in obese children, childhood obesity should be seriously considered as a disease and not just a cosmetic issue. © 2011 by Walter de Gruyter Berlin Boston.

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