Nonalcoholic fatty liver disease decrease in obese adolescents after multidisciplinary therapy

BACKGROUNDDespite the increasing prevalence of nonalcoholic fatty liver disease, its pathogenesis and clinical significance remain poorly defined and there is no ideal treatment. OBJECTIVEThe aim of this study was to assess the short-term (12-week) multidisciplinary therapy on visceral adiposity and...

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Veröffentlicht in:European journal of gastroenterology & hepatology 2006-12, Vol.18 (12), p.1241-1245
Hauptverfasser: Tock, Lian, Prado, Wagner L, Caranti, Danielle A, Cristofalo, Dejaldo M.J, Lederman, Henrique, Fisberg, Mauro, Siqueira, Kãli O, Stella, Sérgio G, Antunes, Hanna K, Cintra, Isa P, Tufik, Sérgio, Túlio de Mello, Marco, Dâmaso, Ana R
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container_end_page 1245
container_issue 12
container_start_page 1241
container_title European journal of gastroenterology & hepatology
container_volume 18
creator Tock, Lian
Prado, Wagner L
Caranti, Danielle A
Cristofalo, Dejaldo M.J
Lederman, Henrique
Fisberg, Mauro
Siqueira, Kãli O
Stella, Sérgio G
Antunes, Hanna K
Cintra, Isa P
Tufik, Sérgio
Túlio de Mello, Marco
Dâmaso, Ana R
description BACKGROUNDDespite the increasing prevalence of nonalcoholic fatty liver disease, its pathogenesis and clinical significance remain poorly defined and there is no ideal treatment. OBJECTIVEThe aim of this study was to assess the short-term (12-week) multidisciplinary therapy on visceral adiposity and nonalcoholic fatty liver disease control. METHODSWe evaluated and compared the distribution of visceral adiposity and nonalcoholic fatty liver disease, by ultrasonography, in 73 post-puberty obese participants (17.01±1.6 years old; body mass index 36.54±2.86 kg/m), submitted to a multidisciplinary treatment without medications, at the beginning and after 12 weeks of intervention. Descriptive and one-way analysis of variance, and paired t-test were performed. RESULTSThe results indicated that after intervention the adolescents had a significant reduction in visceral adiposity (4.05±1.55 to 3.37±1.44) and nonalcoholic fatty liver disease prevalence (from 52 to 29% on the right side and from 48 to 29% on the left side). It is a positive result because nonalcoholic fatty liver disease can progress to cirrhosis, even in children and adolescents. CONCLUSIONSThe short-term treatment suggests a profound impact on the control of obesity-related co-morbidities in young people.
doi_str_mv 10.1097/01.meg.0000243872.86949.95
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OBJECTIVEThe aim of this study was to assess the short-term (12-week) multidisciplinary therapy on visceral adiposity and nonalcoholic fatty liver disease control. METHODSWe evaluated and compared the distribution of visceral adiposity and nonalcoholic fatty liver disease, by ultrasonography, in 73 post-puberty obese participants (17.01±1.6 years old; body mass index 36.54±2.86 kg/m), submitted to a multidisciplinary treatment without medications, at the beginning and after 12 weeks of intervention. Descriptive and one-way analysis of variance, and paired t-test were performed. RESULTSThe results indicated that after intervention the adolescents had a significant reduction in visceral adiposity (4.05±1.55 to 3.37±1.44) and nonalcoholic fatty liver disease prevalence (from 52 to 29% on the right side and from 48 to 29% on the left side). It is a positive result because nonalcoholic fatty liver disease can progress to cirrhosis, even in children and adolescents. CONCLUSIONSThe short-term treatment suggests a profound impact on the control of obesity-related co-morbidities in young people.</description><identifier>ISSN: 0954-691X</identifier><identifier>EISSN: 1473-5687</identifier><identifier>DOI: 10.1097/01.meg.0000243872.86949.95</identifier><identifier>PMID: 17099371</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins, Inc</publisher><subject>Adiposity ; Adolescent ; Adult ; Anthropometry ; Biological and medical sciences ; Blood Glucose - metabolism ; Body Mass Index ; Combined Modality Therapy ; Diet, Reducing ; Eating ; Exercise ; Fatty Liver - diagnostic imaging ; Fatty Liver - etiology ; Female ; Follow-Up Studies ; Gastroenterology. Liver. Pancreas. Abdomen ; Humans ; Insulin - blood ; Life Style ; Lipids - blood ; Liver. Biliary tract. Portal circulation. Exocrine pancreas ; Male ; Medical sciences ; Metabolic diseases ; Obesity ; Obesity - complications ; Obesity - diagnostic imaging ; Obesity - physiopathology ; Obesity - therapy ; Other diseases. 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OBJECTIVEThe aim of this study was to assess the short-term (12-week) multidisciplinary therapy on visceral adiposity and nonalcoholic fatty liver disease control. METHODSWe evaluated and compared the distribution of visceral adiposity and nonalcoholic fatty liver disease, by ultrasonography, in 73 post-puberty obese participants (17.01±1.6 years old; body mass index 36.54±2.86 kg/m), submitted to a multidisciplinary treatment without medications, at the beginning and after 12 weeks of intervention. Descriptive and one-way analysis of variance, and paired t-test were performed. RESULTSThe results indicated that after intervention the adolescents had a significant reduction in visceral adiposity (4.05±1.55 to 3.37±1.44) and nonalcoholic fatty liver disease prevalence (from 52 to 29% on the right side and from 48 to 29% on the left side). It is a positive result because nonalcoholic fatty liver disease can progress to cirrhosis, even in children and adolescents. 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Exocrine pancreas</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metabolic diseases</subject><subject>Obesity</subject><subject>Obesity - complications</subject><subject>Obesity - diagnostic imaging</subject><subject>Obesity - physiopathology</subject><subject>Obesity - therapy</subject><subject>Other diseases. 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Semiology</topic><topic>Severity of Illness Index</topic><topic>Treatment Outcome</topic><topic>Ultrasonography</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Tock, Lian</creatorcontrib><creatorcontrib>Prado, Wagner L</creatorcontrib><creatorcontrib>Caranti, Danielle A</creatorcontrib><creatorcontrib>Cristofalo, Dejaldo M.J</creatorcontrib><creatorcontrib>Lederman, Henrique</creatorcontrib><creatorcontrib>Fisberg, Mauro</creatorcontrib><creatorcontrib>Siqueira, Kãli O</creatorcontrib><creatorcontrib>Stella, Sérgio G</creatorcontrib><creatorcontrib>Antunes, Hanna K</creatorcontrib><creatorcontrib>Cintra, Isa P</creatorcontrib><creatorcontrib>Tufik, Sérgio</creatorcontrib><creatorcontrib>Túlio de Mello, Marco</creatorcontrib><creatorcontrib>Dâmaso, Ana R</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of gastroenterology &amp; hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Tock, Lian</au><au>Prado, Wagner L</au><au>Caranti, Danielle A</au><au>Cristofalo, Dejaldo M.J</au><au>Lederman, Henrique</au><au>Fisberg, Mauro</au><au>Siqueira, Kãli O</au><au>Stella, Sérgio G</au><au>Antunes, Hanna K</au><au>Cintra, Isa P</au><au>Tufik, Sérgio</au><au>Túlio de Mello, Marco</au><au>Dâmaso, Ana R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nonalcoholic fatty liver disease decrease in obese adolescents after multidisciplinary therapy</atitle><jtitle>European journal of gastroenterology &amp; hepatology</jtitle><addtitle>Eur J Gastroenterol Hepatol</addtitle><date>2006-12</date><risdate>2006</risdate><volume>18</volume><issue>12</issue><spage>1241</spage><epage>1245</epage><pages>1241-1245</pages><issn>0954-691X</issn><eissn>1473-5687</eissn><abstract>BACKGROUNDDespite the increasing prevalence of nonalcoholic fatty liver disease, its pathogenesis and clinical significance remain poorly defined and there is no ideal treatment. OBJECTIVEThe aim of this study was to assess the short-term (12-week) multidisciplinary therapy on visceral adiposity and nonalcoholic fatty liver disease control. METHODSWe evaluated and compared the distribution of visceral adiposity and nonalcoholic fatty liver disease, by ultrasonography, in 73 post-puberty obese participants (17.01±1.6 years old; body mass index 36.54±2.86 kg/m), submitted to a multidisciplinary treatment without medications, at the beginning and after 12 weeks of intervention. Descriptive and one-way analysis of variance, and paired t-test were performed. RESULTSThe results indicated that after intervention the adolescents had a significant reduction in visceral adiposity (4.05±1.55 to 3.37±1.44) and nonalcoholic fatty liver disease prevalence (from 52 to 29% on the right side and from 48 to 29% on the left side). It is a positive result because nonalcoholic fatty liver disease can progress to cirrhosis, even in children and adolescents. CONCLUSIONSThe short-term treatment suggests a profound impact on the control of obesity-related co-morbidities in young people.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins, Inc</pub><pmid>17099371</pmid><doi>10.1097/01.meg.0000243872.86949.95</doi><tpages>5</tpages></addata></record>
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subjects Adiposity
Adolescent
Adult
Anthropometry
Biological and medical sciences
Blood Glucose - metabolism
Body Mass Index
Combined Modality Therapy
Diet, Reducing
Eating
Exercise
Fatty Liver - diagnostic imaging
Fatty Liver - etiology
Female
Follow-Up Studies
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Insulin - blood
Life Style
Lipids - blood
Liver. Biliary tract. Portal circulation. Exocrine pancreas
Male
Medical sciences
Metabolic diseases
Obesity
Obesity - complications
Obesity - diagnostic imaging
Obesity - physiopathology
Obesity - therapy
Other diseases. Semiology
Severity of Illness Index
Treatment Outcome
Ultrasonography
title Nonalcoholic fatty liver disease decrease in obese adolescents after multidisciplinary therapy
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