Research Article Details

Article ID: A25578
PMID: 21697744
Source: J Pediatr Gastroenterol Nutr
Title: Biochemical parameters and anthropometry predict NAFLD in obese children.
Abstract: The aim of the present study was to build a predictive model of nonalcoholic fatty liver disease (NAFLD) in obese children. Fifty-six obese 10-year-old children underwent blood tests for biochemical measures and magnetic resonance imaging for NAFLD diagnosis. A model combining waist-to-height ratio, homeostasis model assessment of insulin resistance, adiponectin, and alanine aminotransferase was accurate in predicting NAFLD (AUROC&#8202;=&#8202;0.94 [95% confidence interval 0.89-0.99], P&#8202;<&#8202;10). When adiponectin was not included in the model, the discrimination accuracy was still good (AUROC&#8202;=&#8202;0.88 [95% confidence interval 0.79-0.97], P&#8202;<&#8202;10). In conclusion, a predictive equation combining routinely available variables may allow physicians to identify obese children at the highest risk of NAFLD.
DOI: 10.1097/MPG.0b013e31822960be