Related Experiment Video
Updated: Aug 18, 2026

Implementation of Non-invasive Point of Care Transient Elastography for Evaluation of Liver Disease in Pediatric Populations with Cystic Fibrosis
Published on: August 29, 2025
[Carbohydrate metabolism in children with chronic hepatitis C]
Małgorzata Wiśniewska-Ligier1, Teresa Woźniakowska-Geicka, Joanna Kupś
1III Klinika Pediatrii Instytutu "Centrum Zdrowia Matki Polki" w Lodzi.
Insights
Carbohydrate metabolism plays a role in chronic hepatitis C. In children with HCV, glucose levels correlated with fibrosis and staging, indicating early risks for hepatic fibrosis.
Area of Science:
- Hepatology
- Endocrinology
- Pediatrics
Context:
- Chronic hepatitis C (HCV) is increasingly linked to metabolic dysfunction.
- Understanding carbohydrate metabolism in pediatric HCV is crucial for early intervention.
Purpose:
- To evaluate carbohydrate metabolism in children with chronic hepatitis C.
- To investigate potential links between metabolic markers and disease progression in pediatric HCV.
Summary:
- This study assessed 16 children with chronic hepatitis C and 16 healthy controls, measuring anthropometric data, glucose, insulin, and HOMA IR.
- No significant differences in BMI, glucose, insulin, or HOMA IR were observed between groups.
- A significant correlation was found between serum glucose levels and fibrosis (r=0.64, p<0.01) or staging (r=0.7, p<0.004) in children with HCV.
Impact:
- Findings suggest carbohydrate metabolism is involved in HCV pathogenesis in children.
- Early detection of metabolic alterations may help predict hepatic fibrosis risk in young patients.
- Highlights the need for monitoring metabolic health in pediatric HCV cases to prevent long-term complications.
Unlabelled:
The importance of carbohydrate metabolism in the pathogenesis of chronic hepatitis C has been recognized in recent years. The aim of the study was to assess carbohydrate metabolism in children with chronic HCV-related hepatitis.
Material And Methods:
The study was comprised of 16 children with chronic hepatitis C and 16 healthy controls. In all the children anthropometric data and, after overnight fasting, serum levels of glucose and insulin were investigated and insulin resistance index HOMA IR was calculated. In the study group biopsy specimens were assessed.
Results:
Macrovesicular steatosis in numerous hepatocytes was found in 3 children. Mean values of body mass, height, body mass index (BMI), levels of glucose, insulin and HOMA IR did not differ significantly between the two groups. We found correlation between serum levels of glucose and fibrosis (r=0.64, p<0.01) or staging (r= 0.7, p<0.004) in children with chronic hepatitis C.
Conclusion:
Neither obesity, which is recognized as a risk factor for diabetes mellitus and steatosis was found in children with HCV-related hepatitis. Correlation between serum levels of glucose and fibrosis or staging in children with chronic hepatitis C suggests the participation of carbohydrate metabolism in the pathogenesis of this disease and the risk, existing already in such young patients, of developing hepatic fibrosis with its consequences.
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