Wednesday, May 6, 2020

Non-Alcoholic Fatty Liver Disease - 1779 Words

For the past few decades there has been a chronic disease plaguing society’s young children. This chronic disease has spread worldwide with the numbers of diseased children is expected to increase in the next decade. This chronic disease is obesity. Along with the rise of obesity among youth, there is a new silent killer linked to childhood obesity. This new chronic disease, typically found in alcoholics, is now becoming prevalent in obese children and is called non-alcoholic fatty liver disease (NAFLD). NAFLD is defined as a liver disease in people who have not consumed alcohol in significant amounts to cause liver damage, and in whom no other etiology for fatty liver is present (Prashant, 2007, p. 401). Ulrich, an MD at the Birmingham†¦show more content†¦In a study by Giorgio, an MD at regional hospital of Bolzano, found that using MRI, â€Å"14 children had steatosis, with 8 of 14 subjects with severe fatty infiltration and 6 of 14 with mild form† (Giorgio, 2005, p. 834). Ultrasound has been helpful in detecting fat accumulation, but it does not detect fibrosis as effectively. Prashant reported an ultrasound study by Joseph et al reported,â€Å" A sensitivity of 89% and specificity of 93% in detecting steatosis in the liver, and a sensitivity of 77% and specificity of 89% in detecting increased fibrosis in the liver† ( Prashant, 2007, p. 402). That same study showed that the MRI reported a sensitivity of 92% and specificity of 100% in detecting NAFLD when combined with serum aminotransferases (ATL) levels (Prashant, 2007, p.402). With these findings, it can be concluded that MRI is better at detecting NAFLD than ultrasound. However, MRI is only accurate at 100% when combined with taking ALT and aspartate aminotransferases (AST) serum blood levels. ALT and AST are liver enzymes in the blood, and when found at high concentrations are associated with obese children, and linked to be a good indicator of detecting NAFLD. Prashant (2 007) stated, â€Å"In NAFLD the ALT and AST levels are elevated to up to 5 times the upper normal limit (p.402). Therefore, studies have shown that 24-25% of children referred to obesity centers have elevated ALT levels (Kerkar, 2004, p.614). With the differentShow MoreRelatedObesity and Non Alcoholic Fatty Liver Disease Essay1787 Words   |  8 PagesThis disease was uncommon in the old days because it was unusual to accumulate enough fat to hurt livers. However, many people in the United States are now suffering from NAFLD and NASH. Before 1998, there was no case of NASH heard. In contrast, a statistics from a website called Partners In Liver Wellness provides an alarming information. 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