非酒精性脂肪肝病与不同体重状况的儿童的代谢异常之间的关联
1School of Public Health, Capital Medical University, Beijing, China; Center for Non-communicable Disease Management, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
Public health
|August 14, 2024
概括
患有肥胖和非酒精性脂肪肝疾病 (NAFLD) 的儿童面临更高的代谢问题的风险. 即使没有肥胖,单独的NAFLD也与儿童的代谢健康恶化有关.
科学领域:
- 儿科内分泌学 儿科内分泌学
- 肝病学 肝病学是一种肝病学.
- 代谢障碍 代谢障碍 代谢障碍
背景情况:
- 肥胖和非酒精性脂肪肝 (NAFLD) 是已知的代谢异常的风险因素.
- 在不同肥胖状态的儿童中,NAFLD的特定代谢影响仍未得到充分研究.
研究的目的:
- 调查NAFLD与不同体重类别儿童的代谢异常之间的关联.
- 为了澄清不同肥胖亚型的儿科NAFLD患者的代谢概况.
主要方法:
- 利用了中国儿童和青少年NAFLD研究 (CCANS) 中6-18岁的6086名儿童的数据.
- 使用超声波或MRI-PDFF诊断的NAFLD和代谢异常 (高血糖症,失脂症,高尿血症).
主要成果:
- 与健康对照组相比,患有肥胖和NAFLD儿童的个体代谢异常的几率显著增加 (ORs1.77-6.23).
- 单独的NAFLD,即使没有肥胖,也与增加代谢异常的几率有关 (ORs2.08-4.36),不包括低HDL-C.
- 肥胖和NAFLD在整体代谢异常,高甘油三和低HDL-C之间观察到一个乘法相互作用.
结论:
- 儿科NAFLD,特别是当与肥胖同时发生时,会显著增加代谢异常的风险.
- 无论儿童的体重分类如何,NAFLD独立地与更高的不良代谢状态的可能性有关.
相关概念视频
Overview of Lipid Metabolism
1.2K
Lipid metabolism is a crucial process in the human body that involves the synthesis and degradation of lipids. This process is essential for energy production, cell membrane formation, and hormone production, among other functions.
Lipolysis: The Breakdown of Lipids:
Lipolysis is the process of breaking down lipids, particularly triglycerides, into glycerol and fatty acids. This process typically occurs in the adipose tissue and is triggered by various hormones, including glucagon and...
Lipolysis: The Breakdown of Lipids:
Lipolysis is the process of breaking down lipids, particularly triglycerides, into glycerol and fatty acids. This process typically occurs in the adipose tissue and is triggered by various hormones, including glucagon and...
1.2K
Obesity
416
The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
416
Inborn Errors of Metabolism
148
Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
148
Overview of Protein Metabolism
900
Proteins are broken down into amino acids during digestion. Unlike fats and carbohydrates, which are stored for later use, proteins are not. Instead, amino acids are either used to produce ATP through oxidation or contribute to the creation of new proteins for the growth and repair of the body. Any surplus amino acids from the diet are converted into glucose or triglycerides rather than excreted.
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
Amino acids play various roles in the body once they are absorbed into cells. They are restructured...
900
Diseases of the Liver and Gallbladder
492
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
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...
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...
492
Overview of Carbohydrate Metabolism
820
Carbohydrate metabolism is a fundamental biochemical process that ensures a constant supply of energy to living cells. The most important carbohydrate is glucose, which can be broken down via glycolysis to enter into the Krebs cycle and eventually lead to the production of ATP through oxidative phosphorylation.
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
Glucose transport into cells is facilitated by a family of transport proteins called GLUT (Glucose Transporters). GLUT4 is the primary glucose transporter for insulin-stimulated glucose...
820


