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Assessment of Diet and Physical Activity in Paediatric Non-Alcoholic Fatty Liver Disease Patients: A United Kingdom Case Control Study

Authors :
Deepa Kamat
Emer Fitzpatrick
Martha Ford-Adams
Anil Dhawan
Ashish Desai
Marianne Gilbert
P.S. Gibson
J. Bernadette Moore
Kathryn Hart
Sarah Louise Lang
Sanjay Bansal
Source :
Nutrients; Volume 7; Issue 12; Pages: 9721-9733, Nutrients, Nutrients, Vol 7, Iss 12, Pp 9721-9733 (2015), Gibson, P, Lang, S, Gilbert, M, Kamat, D, Bansal, S, Ford-Adams, M E, Desai, A P, Dhawan, A, Fitzpatrick, E, Moore, J B & Hart, K H 2015, ' Assessment of Diet and Physical Activity in Paediatric Non-Alcoholic Fatty Liver Disease Patients : A United Kingdom Case Control Study ', Nutrients, pp. 9721-9733 . https://doi.org/10.3390/nu7125494, Volume 7, Issue 12, Pages 9721-9733
Publication Year :
2015
Publisher :
MDPI AG, 2015.

Abstract

Non-alcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease in children, with prevalence rising alongside childhood obesity rates. This study aimed to characterise the habitual diet and activity behaviours of children with NAFLD compared to obese children without liver disease in the United Kingdom (UK). Twenty-four biopsy-proven paediatric NAFLD cases and eight obese controls without biochemical or radiological evidence of NAFLD completed a 24-h dietary recall, a Physical Activity Questionnaire (PAQ), a Dutch Eating Behavior Questionnaire (DEBQ) and a 7-day food and activity diary (FAD), in conjunction with wearing a pedometer. Groups were well matched for age and gender. Obese children had higher BMI z-scores (p = 0.006) and BMI centiles (p = 0.002) than participants with NAFLD. After adjusting for multiple hypotheses testing and controlling for differences in BMI, no differences in macro- or micronutrient intake were observed as assessed using either 24-h recall or 7-day FAD (p &gt<br />0.001). Under-reporting was prevalent (NAFLD 75%, Obese Control 87%: p = 0.15). Restrained eating behaviours were significantly higher in the NAFLD group (p = 0.005), who also recorded more steps per day than the obese controls (p = 0.01). In conclusion, this is the first study to assess dietary and activity patterns in a UK paediatric NAFLD population. Only a minority of cases and controls were meeting current dietary and physical activity recommendations. Our findings do not support development of specific dietary/ physical activity guidelines for children with NAFLD<br />promoting adherence with current general paediatric recommendations for health should remain the focus of clinical management.

Details

Language :
English
ISSN :
20726643
Database :
OpenAIRE
Journal :
Nutrients; Volume 7; Issue 12; Pages: 9721-9733, Nutrients, Nutrients, Vol 7, Iss 12, Pp 9721-9733 (2015), Gibson, P, Lang, S, Gilbert, M, Kamat, D, Bansal, S, Ford-Adams, M E, Desai, A P, Dhawan, A, Fitzpatrick, E, Moore, J B & Hart, K H 2015, ' Assessment of Diet and Physical Activity in Paediatric Non-Alcoholic Fatty Liver Disease Patients : A United Kingdom Case Control Study ', Nutrients, pp. 9721-9733 . https://doi.org/10.3390/nu7125494, Volume 7, Issue 12, Pages 9721-9733
Accession number :
edsair.doi.dedup.....9bcac272934cb6025c3b9517ba69b27d