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Pediatric Non-alcoholic Fatty Liver Disease
Vikas Uppal1,2, Sana Mansoor1,2, Katryn N Furuya3,4
1Division of Pediatric Gastroenterology, Hepatology and Nutrition, Department of Pediatrics, Alfred I duPont Hospital for Children, Wilmington, DE, USA.
Childhood obesity is rising, leading to more pediatric non-alcoholic fatty liver disease (NAFLD). Research is exploring causes, diagnosis, and treatments, including lifestyle changes and new therapies.
Area of Science:
- Pediatric gastroenterology and hepatology
- Public health and epidemiology
- Microbiome research
Background:
- Childhood obesity affects over one-third of American children, increasing liver disease prevalence.
- Non-alcoholic fatty liver disease (NAFLD) is now the most common chronic liver disease in children.
- Emerging research investigates the complex factors contributing to pediatric NAFLD.
Purpose of the Study:
- To review current understanding of pediatric NAFLD, including pathogenesis and genetic factors.
- To highlight advancements in non-invasive diagnostic methods for hepatic steatosis and fibrosis.
- To summarize treatment strategies, focusing on lifestyle interventions and ongoing clinical trials.
Main Methods:
- Literature review of pathogenesis, genetics, and microbiome in pediatric NAFLD.
- Analysis of new non-invasive diagnostic modalities for liver conditions.
- Overview of current lifestyle and pharmacological treatment trials.
Main Results:
- Significant increase in pediatric NAFLD cases linked to obesity epidemic.
- Development of novel non-invasive techniques for diagnosing liver conditions in children.
- Ongoing clinical trials exploring innovative treatments for pediatric NAFLD.
Conclusions:
- Pediatric NAFLD is a growing public health concern requiring further research.
- Non-invasive diagnostics are crucial for monitoring disease progression in children.
- Lifestyle interventions combined with emerging therapies offer hope for managing pediatric NAFLD.
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Diseases of the Liver and Gallbladder
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...