儿童代谢功能障碍相关脂肪肝疾病 (MAFLD) 的最新情况
Kushila Rupasinghe1, Jonathan Hind, Robert Hegarty
1From the Paediatric Liver, GI and Nutrition Centre, King's College Hospital, London, UK.
Journal of pediatric gastroenterology and nutrition
|August 18, 2023
概括
与代谢功能障碍相关的脂肪肝疾病 (MAFLD) 在儿童中越来越常见. 生活方式的改变,包括减肥和地中海饮食,是扭转儿科MAFLD的关键.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 儿科胃肠病学 儿科胃肠病学
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 肥胖流行病导致非酒精性脂肪性肝病 (NAFLD) 的发病率上升.
- 代谢功能障碍相关的脂肪肝疾病 (MAFLD) 或2型儿科脂肪肝疾病 (PeFLD) 正在取代儿科中NAFLD命名法.
- MAFLD的病因是多因素的,涉及荷尔蒙,营养,遗传和环境的影响.
研究的目的:
- 审查关于儿科MAFLD的最新证据.
- 概述目前对儿童MAFLD的管理策略.
主要方法:
- 关于儿科MAFLD的当前文献的审查.
- 分析诊断挑战和治疗方式.
主要成果:
- 由于有限的生物标志物,MAFLD诊断往往是被排除的诊断之一.
- 生活方式的修改,包括7%-10%的体重减轻和地中海饮食,在逆转儿科MAFLD方面显示出希望.
- 对儿童的药理干预仍然是有争议的,正在进行的成人试验显示出潜在的可能性.
结论:
- 儿科MAFLD是一个与肥胖相关的日益关注的问题.
- 生活方式干预是儿童MAFLD管理的基石.
- 为了在儿科患者群体中获得有效的药理疗法,需要进一步的研究.
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