Fatty Liver (cont.)
Bhupinder Anand, MD
In this Article
Does nonalcoholic fatty liver disease occur in children?
Since the current epidemic of obesity begins in childhood, it is not surprising to find that NAFLD occurs in children. Only a few studies are available, but the estimated prevalence among children 2-19 years of age is approximately 10%, the prevalence increases with the degree of obesity, and there is progression to cirrhosis. Although there is concern about NAFLD among children, there is not enough evidence of benefit of treatment, and, therefore, no general recommendation has been made to screen overweight and obese children for NAFLD. It is recommended, however, that children with suspected NAFLD in whom the diagnosis is not clear should have a liver biopsy. Children should not be started on any drug treatment for NAFLD without a biopsy showing NASH. Although there have not been studies in children to support the recommendations, loss of weight and exercise are the recommended treatment for children with NAFLD.
REFERENCE: MedscapeReference.com. Fatty Liver.
Reviewed by Bhupinder Anand, MD on 3/14/2013
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