Is liver transaminases assessment an appropriate tool for the screening of non-alcoholic fatty liver disease in at risk obese children and adolescents?

Pediatric obesity has increased dramatically all over the world and nonalcoholic fatty liver disease (NAFLD) is one of the most frequent complications associated with excess adiposity. NAFLD causes serum transaminase elevation and liver disease, which could end up in fibrosis, cirrhosis and eventual...

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Main Authors: G. Rodríguez, S. Gallego, C. Breidenassel, L. A. Moreno, F. Gottrand
Format: Article
Language:English
Published: Arán Ediciones, S. L.
Series:Nutrición Hospitalaria
Subjects:
Online Access:http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112010000500005&lng=en&tlng=en
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author G. Rodríguez
S. Gallego
C. Breidenassel
L. A. Moreno
F. Gottrand
author_facet G. Rodríguez
S. Gallego
C. Breidenassel
L. A. Moreno
F. Gottrand
author_sort G. Rodríguez
collection DOAJ
description Pediatric obesity has increased dramatically all over the world and nonalcoholic fatty liver disease (NAFLD) is one of the most frequent complications associated with excess adiposity. NAFLD causes serum transaminase elevation and liver disease, which could end up in fibrosis, cirrhosis and eventually hepatocellular carcinoma. NAFLD seems to be associated with the metabolic complications of obesity, mainly insulin resistance. The aim of the present article is to review the role of serum liver enzyme assessment as a suitable non invasive predictor of NAFLD in children. Although serum liver enzyme elevation does not accurately measure liver damage, it may be a valuable and non invasive test to screen NAFLD in children and adolescents and a marker to control NAFLD evolution. To detect NAFLD in obese children and adolescents, transaminases serum concentrations should be routinely determined in these patients. In this sense, it seems necessary to obtain transaminase reference standards for children and adolescents.
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spelling doaj.art-5e44c04ceb954faaa44857f657c3cffe2022-12-22T03:01:59ZengArán Ediciones, S. L.Nutrición Hospitalaria0212-1611255712717S0212-16112010000500005Is liver transaminases assessment an appropriate tool for the screening of non-alcoholic fatty liver disease in at risk obese children and adolescents?G. Rodríguez0S. Gallego1C. Breidenassel2L. A. Moreno3F. Gottrand4University of ZaragozaHospital Ernest Lluch de CalatayudRheinische Friedrich Wilhelms UniversitätUniversity of ZaragozaHôpital Jeanne de FlandrePediatric obesity has increased dramatically all over the world and nonalcoholic fatty liver disease (NAFLD) is one of the most frequent complications associated with excess adiposity. NAFLD causes serum transaminase elevation and liver disease, which could end up in fibrosis, cirrhosis and eventually hepatocellular carcinoma. NAFLD seems to be associated with the metabolic complications of obesity, mainly insulin resistance. The aim of the present article is to review the role of serum liver enzyme assessment as a suitable non invasive predictor of NAFLD in children. Although serum liver enzyme elevation does not accurately measure liver damage, it may be a valuable and non invasive test to screen NAFLD in children and adolescents and a marker to control NAFLD evolution. To detect NAFLD in obese children and adolescents, transaminases serum concentrations should be routinely determined in these patients. In this sense, it seems necessary to obtain transaminase reference standards for children and adolescents.http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112010000500005&lng=en&tlng=enTransaminasasSíndrome metabólicoObesidadHígado graso no alcohólico
spellingShingle G. Rodríguez
S. Gallego
C. Breidenassel
L. A. Moreno
F. Gottrand
Is liver transaminases assessment an appropriate tool for the screening of non-alcoholic fatty liver disease in at risk obese children and adolescents?
Nutrición Hospitalaria
Transaminasas
Síndrome metabólico
Obesidad
Hígado graso no alcohólico
title Is liver transaminases assessment an appropriate tool for the screening of non-alcoholic fatty liver disease in at risk obese children and adolescents?
title_full Is liver transaminases assessment an appropriate tool for the screening of non-alcoholic fatty liver disease in at risk obese children and adolescents?
title_fullStr Is liver transaminases assessment an appropriate tool for the screening of non-alcoholic fatty liver disease in at risk obese children and adolescents?
title_full_unstemmed Is liver transaminases assessment an appropriate tool for the screening of non-alcoholic fatty liver disease in at risk obese children and adolescents?
title_short Is liver transaminases assessment an appropriate tool for the screening of non-alcoholic fatty liver disease in at risk obese children and adolescents?
title_sort is liver transaminases assessment an appropriate tool for the screening of non alcoholic fatty liver disease in at risk obese children and adolescents
topic Transaminasas
Síndrome metabólico
Obesidad
Hígado graso no alcohólico
url http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0212-16112010000500005&lng=en&tlng=en
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