Liver fat content investigated by magnetic resonance spectroscopy in obese children and youths included in multidisciplinary treatment
Article first published online: 24 APR 2012
© 2012 The Authors. Clinical Obesity © 2012 International Association for the Study of Obesity
Volume 2, Issue 1-2, pages 41–49, February/April 2012
How to Cite
Bille, D. S., Chabanova, E., Gamborg, M., Fonvig, C. E., Nielsen, T. R. H., Thisted, E., Thomsen, H. S. and Holm, J.-C. (2012), Liver fat content investigated by magnetic resonance spectroscopy in obese children and youths included in multidisciplinary treatment. Clinical Obesity, 2: 41–49. doi: 10.1111/j.1758-8111.2012.00038.x
- Issue published online: 10 JUL 2012
- Article first published online: 24 APR 2012
- Received 6 August 2011; revised 16 March 2012; accepted 21 March 2012
- hepatic steatosis;
- magnetic resonance spectroscopy;
What is already known about this subject
- • Investigations of non-alcoholic fatty liver disease (NAFLD) by non-invasive imaging procedures have limited evidence.
- • Thirty percent of obese children are estimated to have NAFLD and implications for future morbidity are uncertain.
What this study adds
- • Many obese children and youths exhibit a high liver fat content as examined by magnetic resonance spectroscopy.
- • Associations between liver fat content, anthropometry, abdominal adipose tissue distribution and liver enzymes are illustrated.
The study aims to investigate the degree of hepatic steatosis and associations with the amount of abdominal subcutaneous adipose tissue (SAT), visceral adipose tissue (VAT), anthropometric data and biochemical measures of liver enzymes in children and youths included in obesity treatment. The study included 164 patients, aged 6–20 years, with a body mass index (BMI) above the 90th percentile for sex and age. Liver fat content was measured by magnetic resonance spectroscopy (MRS). SAT and VAT were measured by magnetic resonance imaging. Hepatic steatosis was defined as liver fat content >5% (steatosis-5%) and 9% (steatosis-9%), respectively. Data on waist circumference (WC) and blood samples were available in 124 patients. Steatosis-5% and steatosis-9% were identified in 45% and 27% of the patients, respectively. These patients had increased SAT, VAT, BMI standard deviation score, WC/height ratio, alanine aminotransferase (ALT) and gamma-glutamyl transferase (GGT) levels. GGT, ALT and VAT were found to be independent risk factors of hepatic steatosis. In this study, a substantial proportion of obese children and youths have hepatic steatosis. Therefore, it is important to examine these subjects for the degree of fat in their liver. Future studies focusing on hepatic steatosis should consider the use of MRS in addition to blood samples.