Ciocca Mirta, Álvarez Fernando
Hepatología y Trasplante Hepático Pediátrico, Hospital Alemán, Ciudad Autónoma de Buenos Aires, Argentina.
Departamento de Pediatría, CHU Sainte-Justine, Universidad de Montreal, Montreal, Canadá.
Arch Argent Pediatr. 2021 Dec;119(6):427-430. doi: 10.5546/aap.2021.427.
Pediatric nonalcoholic fatty liver disease (NAFLD) is the most common cause of chronic liver disease in children and adolescents that cannot be attributed to other genetic, infectious, toxic or nutritional causes. It can evolve from simple steatosis to nonalcoholic steatohepatitis, and can progress to advanced fibrosis, cirrhosis, and an increased risk of hepatocellular carcinoma. Its treatment consists of a change in lifestyle, promoting weight loss with the incorporation of a healthy diet and increased physical activity. To achieve this goal, family support is essential. These measures will benefit the physical, mental and social quality of life of these children. The objective of this communication is to sensitize the pediatric community about the importance of managing these patients and their family environment, committing to modifying socioeconomic risk factors, to achieve a better quality of life for future generations.
小儿非酒精性脂肪性肝病（NAFLD）是儿童和青少年慢性肝病的最常见病因，且不能归因于其他遗传、感染、中毒或营养因素。它可从单纯性脂肪变性发展为非酒精性脂肪性肝炎，并可进展为晚期纤维化、肝硬化，以及肝细胞癌风险增加。其治疗包括改变生活方式，通过健康饮食和增加体育活动来促进体重减轻。为实现这一目标，家庭支持至关重要。这些措施将有益于这些儿童的身体、心理和社会生活质量。本交流的目的是提高儿科界对管理这些患者及其家庭环境的重要性的认识，致力于改变社会经济风险因素，为子孙后代实现更好的生活质量。
