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Assessment of Diet and Physical Activity in Paediatric Non-Alcoholic Fatty Liver Disease Patients: A United Kingdom Case Control Study
- 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.
- Subjects :
- Male
obesity
medicine.medical_specialty
Adolescent
Population
Physical fitness
physical activity
lcsh:TX341-641
Motor Activity
Chronic liver disease
Article
Childhood obesity
Liver disease
children
Surveys and Questionnaires
Internal medicine
medicine
Humans
Child
education
eating behaviour
education.field_of_study
Nutrition and Dietetics
business.industry
Data Collection
Fatty liver
Case-control study
non-alcoholic fatty liver disease
nutritional and metabolic diseases
Feeding Behavior
medicine.disease
Obesity
Diet
nutrition
Case-Control Studies
Mental Recall
Physical therapy
Female
adolescence
business
lcsh:Nutrition. Foods and food supply
Food Science
Subjects
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