Recently, Shenzhen Hospital announced a case: a pair of 14-year-old twin brothers both suffered from fatty liver.
Physical examination value exceeds 6 times the normal range
Xiaojun and Xiaojie (pseudonym) from Shenzhen are in the third grade of junior high school this year. Not only do the two brothers look similar, they are also similar in body shape, white and chubby.
Parents think that when their children are growing, they look particularly healthy if they have more flesh and are strong. However, after Xiaojun and Xiaojie completed their physical examinations this year, their parents were shocked when they received the physical examination report.
Fatty Liver (Synthesized by Voice of Hope)
Xiaojun and Xiaojie followed their parents to the liver disease clinic of Shenzhen People’s Hospital. Deputy chief physician Fu Yanling read Xiaojun and Xiaojie’s physical examination report: Xiaojun’s alanine aminotransferase was 262U/L (normal value is 0-40) , Aspartate aminotransferase 147U/L (normal value is 0-40); Xiaojie’s alanine aminotransferase 108U/L, aspartate aminotransferase 52U/L.
Next, Dr. Fu Yanling evaluated the body shapes of the two children. Xiaojun was 163cm tall and weighed 75kg, while Xiaojie was 165cm tall and weighed 70kg. They were overweight and believed that they were more likely to suffer from fatty liver. By investigating other causes of liver disease, Xiaojun and Xiaojie underwent further examinations – color ultrasound of the liver, gallbladder and spleen. The color ultrasound results of both children showed that the liver had diffuse echo abnormalities, suggesting mild to moderate fatty liver disease.
Parents: Never control their children’s diet
After hearing that both children had fatty liver, Xiaojun’s parents were puzzled, “Why do children also have fatty liver?”
Dr. Fu said that most patients with fatty liver are middle-aged or obese. In recent years, the prevalence of fatty liver in Chinese children has been increasing, reaching 5%. The prevalence of fatty liver in obese and overweight children is as high as 50%- 80%. Obesity is the main cause of fatty liver disease in children.
It is worth noting that the early symptoms of fatty liver are very mild or even no symptoms at all. Some patients will experience discomfort in the right upper abdomen, as well as symptoms of fatigue and loss of appetite.
“Do the two children usually eat a lot but exercise little?” Dr. Fu asked.
“The two children usually eat quite a lot, and can eat several bowls of rice in one meal. Now in the third grade of junior high school, the children are under a lot of pressure to study. They go home from class to eat every day, and then do their homework until 11 o’clock, let alone exercise. We as parents also think that our children can replenish their bodies by eating more, and we never restrict their diet.” Xiaojun’s father said helplessly.
The two children have really big appetites and can eat several bowls of rice in one meal (Photo AC)
Generally speaking, the main factor causing fatty liver disease in children is eating habits. Daily intake of high-sugar, high-fat, high-calorie foods, coupled with low exercise consumption, can lead to obesity and fatty liver disease.
Today, Xiaojun and Xiaojie are still suffering from mild to moderate fatty liver disease with no obvious symptoms. Dr. Fu emphasized: Pay attention to the potential harm of fatty liver disease, and timely control is crucial!
Because in daily life, many people find out that they have fatty liver, but their attitude is very Buddhist: fatty liver does not itch, does not hurt, does not cause discomfort, and does not need to take it seriously. In fact, our liver is not that strong. When it really can’t bear it, fatty liver may gradually develop into cirrhosis or even liver cancer.
It is understood that fatty liver disease in children is more harmful, as it can cause insulin resistance, leading to type ΙΙ diabetes, as well as hypertension, retinopathy, vitamin D deficiency, low bone density, obstructive sleep apnea, cardiovascular diseases such as arterial Atherosclerosis, etc.
At present, people’s awareness, screening rate and diagnosis of fatty liver in children are far from enough, and the harm of fatty liver in children has not received enough attention.
Therefore, if fatty liver is found during physical examination, do not ignore it. You must see a doctor as soon as possible for timely intervention and treatment.
Fatty liver disease, also known as metabolic-related fatty liver disease, is a chronic liver disease caused by excessive fat accumulation in the liver due to metabolic disorders.
In terms of type, fatty liver can be divided into alcoholic fatty liver and non-alcoholic fatty liver. The former is mainly caused by excessive drinking, while the latter is mainly caused by non-alcoholic factors such as excessive calorie intake and long-term irregular work and rest.
Is fatty liver unique to obese people?Thin people may also get it
It sounds like fatty liver is a “privilege” for obese people, but in fact, thin people may also get it, for the following reasons:
Drugs and Alcohol. Long-term drinking or taking drugs that damage the liver (such as tetracycline) may cause damage to mitochondria in liver cells, causing increased fat synthesis and retention in the liver.
Malnutrition. It is worth noting that fatty liver caused by malnutrition is relatively hidden. Most of these patients have a relatively light diet, mainly vegetables and less meat. They may seem healthy, but they may lead to a lack of vitamins, minerals, etc., leading to a decrease in the activity of enzymes related to metabolism in the body, and excessive fat synthesis in the liver, leading to fat loss. Liver. Generally speaking, if the protein intake of the elderly population is reduced, translipoprotein will be reduced accordingly, which may also cause fatty liver.
In addition, due to unstable hormone levels and increased fat mobilization in pregnant women, it will also lead to increased synthesis of triglycerides and other substances in the liver, increasing the probability of developing fatty liver.
Is fatty liver unique to obese people? Thin people may also get it (pixabay)
Will you get fatty liver if you diet to lose weight?There are also those who are “hungry”
A 25-year-old girl from Fuzhou discovered at the beginning of the year that she weighed more than 140 kilograms due to being sedentary for a long time, so she made a strict diet plan for herself. She only eats vegetables and grains every day, once or twice a week. Milk and eggs.
In more than half a year, she successfully lost more than 40 pounds. However, the recent physical examination report showed that her transaminase index was three times the normal index, further confirming the diagnosis of severe fatty liver.
The treating doctor said that clinically, such patients are not uncommon. Their fatty liver is caused by “hungry” due to excessive dieting. Excessive dieting can lead to insufficient intake of nutrients, especially protein, and triglycerides in the liver cannot be transported out of the liver.
The occurrence of fatty liver is mostly related to an unhealthy lifestyle. Therefore, “shut your mouth and open your legs” is the most important and effective prevention and treatment measure for fatty liver.
01. Change bad lifestyle
diet modification
Do not exceed the daily total intake; reduce the intake of high-sugar and high-fat foods; try to drink less or no alcohol; maintain a variety of daily food to ensure balanced nutrition.
Exercise regularly
Moderate-intensity aerobic exercise for ≥150 minutes per week, including ≥30 minutes per day, ≥5 days per week. Moderate-intensity aerobic exercise includes: brisk walking, jogging, swimming, ball games, aerobics, etc.
Will you get fatty liver if you diet to lose weight? There are also “hungry” ones (pixabay)
02. Control weight and waist circumference
For overweight and obese patients, it is advisable to lose 5%-10% of the current weight within the first 6 months, with a weight loss of 0.5-1.0 kg per week. The weight loss rate should not be too fast. If the weight loss is too fast, it will aggravate fatty liver.
If the above methods do not provide relief, please seek medical treatment in time for drug treatment or weight loss surgery.
2023-10-28 08:39:08
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