Abstract
Aim – to study the features of the eating behavior (EB) in children with different forms of nonalcoholic fatty liver disease (NAFLD) - simple steatosis (SS) and nonalcoholic steatohepatitis (NASH), to compare the obtained data with the eating behavior of children without liver steatosis. 120 patients aged 7 to 16 years were examined, the average age of the patients was (12.00 ± 2.56) years. The presence and degree of liver steatosis was determined by transient elastography using a FibroScan®502Touch with an assessment of CAP (controlled attenuation parameter). According to the CAP, gender-specific alanine aminotransferase levels and body mass index, patients were divided into 4 groups: 1 group consisted of 26 patients with NASH, 2 group – of 44 patients with SS, 3 group – of 35 patients with obesity without liver steatosis, 4 group (control) – of 15 patients with normal weight without metabolic disorders. The groups were homogeneous in age. Assessment of EB was carried out using the pediatric modification of the Dutch eating behavior questionnaire (DEBQ-C). It was found that most patients with SS (75,0%) and NASH (87,5%) demonstrated an emotional type of EB. The restrictive type of EB was predominant in obese children without hepatic steatosis (73,7%). The total score of the restrictive type of EB in children of the 3 group was significantly higher compared with the data of the 4 group (p<0,05). The external type of EB occurred in 25% of children with SS and was not observed in children with NASH. Thus, children with NAFLD and obesity are characterized by an increased incidence of various types of unhealthy eating behavior compared to children with normal weight, which requires appropriate correction and involvement of psychologists in a team of specialists involved in the health care of the obese children.
Highlights
Features of eating behavior in children with different forms of non-alcoholic fatty liver disease
The aim of our work is to study the features of eating behavior in children with various forms of nonalcoholic fatty liver disease (NAFLD), as well as to compare the obtained data with the EB in children with obesity and normal weight without liver steatosis
Patients were divided into 4 groups according to the presence of nonalcoholic steatohepatitis (NASH) and obesity / overweight: the 1 group consisted of 26 patients with NASH, 2 group – of 44 patients with simple steatosis, 3 group – of 35 patients with obesity without liver steatosis, 4 group – of 15 patients with normal weight without metabolic disorders
Summary
Features of eating behavior in children with different forms of non-alcoholic fatty liver disease. Children with NAFLD and obesity are characterized by an increased incidence of various types of unhealthy eating behavior compared to children with normal weight, which requires appropriate correction and involvement of psychologists in a team of specialists involved in the health care of the obese children. Мета: вивчити особливості харчової поведінки дітей з різними формами неалкогольної жирової хвороби печінки (НАЖХП) - простим стеатозом та неалкогольним стеатогепатитом (НАСГ), зіставити отримані дані з особливостями харчової поведінки дітей без стеатозу печінки. За показником САР, гендерспецифічними рівнями аланінамінотрансферази та індексом маси тіла пацієнти були розподілені на 4 групи: 1 групу склали 26 пацієнтів з НАСГ, 2 групу – 44 пацієнти з простим стеатозом печінки, 3 групу – 35 пацієнтів з ожирінням без стеатозу печінки, 4 групу (контрольну) – 15 пацієнтів з нормальною вагою без метаболічних порушень. Among the eating disorders in accordance with DSM-5 (The Diagnostic and Statistical Manual of Mental Disorders, 5th edition), in turn, there are picacism, rumination, restrictive eating disorder (including sensory aversion to food, post-traumatic eating disorder and eating disorder associated with the disease), anorexia nervosa, bulimia nervosa, episode overeating disorder, and unspecified eating disorder [18, 23]
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