患有唐氏综合征的儿童的代谢功能障碍相关的肝病和胆道化:一项回顾性研究
Renato Nisihara1, Nayane Hiba Fuga1, Liete Maia1
1Universidade Positivo, Curitiba, PR, Brazil.
概括
与代谢功能障碍相关的脂肪肝疾病 (MAFLD) 影响了3.2%的唐氏综合征患者,而8.9%的人患有胆结石. 脱脂症是巴西队列中MAFLD的关键风险因素.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 胃肠病学 胃肠病学
- 遗传学 遗传学 是一个
背景情况:
- 唐氏综合征与各种健康状况的风险增加有关.
- 与代谢功能障碍相关的脂肪肝病 (MAFLD) 和胆囊异常在一般人群中很常见.
- 患有唐氏综合征的人群中MAFLD和胆囊疾病的患病率和危险因素在巴西尚未得到充分确定.
研究的目的:
- 为了确定MAFLD和胆囊异常的流行率,在一个巴西群体的唐氏综合征患者.
- 在这个人群中识别相关的危险因素,特别是失脂症.
主要方法:
- 追溯分析来自巴西库里蒂巴的124名唐氏综合征患者 (年龄>5岁) 的病历.
- 从1995年1月到2023年9月收集的数据,不包括酒精或肝毒药物的使用.
- 检查了腹部超声波和生化数据.
主要成果:
- 在3.2%的患者中诊断出MAFLD,而在8.9%的患者中存在胆结石.
- 在儿童中,总胆固醇和甘油三酸的升高更为频繁.
- 肥胖 (33.8%) 和超重 (21.7%) 是普遍存在的;失脂症是MAFLD的重要危险因素.
结论:
- 巴西的唐氏综合征患者中存在MAFLD和胆结石病.
- 脱脂症是这群人中与MAFLD相关的主要危险因素.
- 需要进一步研究以了解长期影响和管理策略.
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