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European Journal of Gastroenterology & Hepatology:
December 2006 - Volume 18 - Issue 12 - pp 1241-1245
doi: 10.1097/01.meg.0000243872.86949.95
Original Articles: Liver Diseases

Nonalcoholic fatty liver disease decrease in obese adolescents after multidisciplinary therapy

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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Abstract

Background: Despite the increasing prevalence of nonalcoholic fatty liver disease, its pathogenesis and clinical significance remain poorly defined and there is no ideal treatment.

Objective: The aim of this study was to assess the short-term (12-week) multidisciplinary therapy on visceral adiposity and nonalcoholic fatty liver disease control.

Methods: We 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/m2), 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.

Results: The 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.

Conclusions: The short-term treatment suggests a profound impact on the control of obesity-related co-morbidities in young people.

© 2006 Lippincott Williams & Wilkins, Inc.

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