Doctor's Guide to Medical & Other News


To print: Select File and then Print from your browser's menu
---------------------------------------------------------------------------------------
Title: DDW: Elevated Liver Enzymes in Obese Children
URL: http://www.pslgroup.com/dg/215696.htm
Doctor's Guide
May 21, 2002


By Roberta Friedman

SAN FRANCISCO, CA -- May 21, 2002 -- Childhood obesity may set the stage for liver damage, with elevated liver enzymes a warning sign, according to researchers.

Dr. Yoram Elitsur, of Marshall University School of Medicine, Huntington, West Virginia, United States, presented the findings here Monday at the 103rd annual meeting of the American Gastroenterological Association and Digestive Disease Week (DDW).

Dr. Elitsur and colleagues reviewed the charts of 2,550 patients older than two years, 902 of which included liver enzyme measures. Their analysis revealed that liver enzymes were elevated in a greater proportion of children who were obese, as defined by the U.S. Centers for Disease Control and Prevention (CDC) nomogram, than in those of normal body mass index.

Excluding other clinical reasons that could result in elevated liver enzymes, more than half of the abnormal readings were clearly associated with obesity in the children sampled, he said. Possible other reasons for high readings that were excluded from the sample included drug toxicity, ulcerative colitis, cholelithiasis, choledochal cyst, biliary atresia, and hepatitis.

Only children age eight or older showed the association. Of 191 children rated as obese, 17 had elevated liver enzymes. One of the 128 children rated overweight by the CDC nomogram had elevated enzymes. Of the remaining 583 children, 15 had elevations. The difference was statistically significant: 9 percent of obese children had elevated readings compared to 2.5 percent of normal weight children.

Dr. Elitsur said the increase in liver enzymes "is a sign of pathology." Of the 90 percent of obese children who did not show elevated enzymes, "all probably had fatty liver" and were at risk for liver damage.

---------------------------------------------------------------------------------------------
Copyright © 1999 P\S\L Consulting Group Inc. All rights reserved. Republication or redistribution of P\S\L content is expressly prohibited without the prior written consent of P\S\L. P\S\L shall not be liable for any errors, omissions or delays in this content or any other content on its sites, newsletters or other publications, nor for any decisions or actions taken in reliance on such content.
---------------------------------------------------------------------------------------------
This news story was printed from *Doctor's Guide to the Internet*
located at http://www.docguide.com
---------------------------------------------------------------------------------------

Return to News Story Page

This site is maintained by webmaster@pslgroup.com
Please contact us with any comments, problems or bugs.
All contents Copyright (c) 1998 P\S\L Consulting Group Inc.
All rights reserved.