RESUMO
INTRODUCTION: Obesity is associated with nonalcoholic fatty liver disease (NAFLD) in children. Our aim was to analyze the association of dietary and sociodemographic factors with NAFLD in obese children and adolescents. MATERIALS AND METHODS: Thirty-three obese patients from 6-16 years of age were included in the present analytic cross-sectional study. Obesity was diagnosed with a body mass index z-score > 2 SD. NAFLD was estimated by liver ultrasound, serum amino transferases, and elastography. The sociodemographic variables were evaluated using validated questionnaires. Diet was estimated through two 24-h recall dietary surveys focused on the quantity of food energy, simple sugars, polyunsaturated fatty acids (PUFAs), and antioxidants. RESULTS: Hepatic steatosis was identified by abdominal ultrasound in 13 patients (39.4%) and the serum alanine aminotransferase level was above the upper reference value in 54.2%. A higher educational level in both parents, greater monthly food expenditure, and a higher socioeconomic level were associated with NAFLD. Overall, simple sugar and saturated fat consumption was above the recommended daily intake, whereas vitamin E and PUFA consumption was below those parameters. CONCLUSIONS: NAFLD was identified in one-third of the cases. There was an association between NAFLD and sociodemographic variables. Both groups had an increased intake of simple sugars and a reduced intake of PUFAs. The selective occurrence of NAFLD could be related to a genetic predisposition that has been demonstrated in a Mexican population.
Assuntos
Hepatopatia Gordurosa não Alcoólica , Obesidade Infantil , Adolescente , Índice de Massa Corporal , Criança , Estudos Transversais , Dieta , Humanos , Hepatopatia Gordurosa não Alcoólica/epidemiologia , Obesidade Infantil/epidemiologiaRESUMO
172 children were studied, being 113 hypertrophy symptomatic adenoid (AH) and 59 of control group. Clinical findings were compiled of such entity in a direct way; without knowing the results, measurings of the diameter of the adenoid tissue were taken, at the trachea and preadenoid aerial column (PAAC). It was shown that their involvement is a forecaster of undoubtful value in the prognosis of AH, specially if it is considered that other procedures are hard to carry out such as in the case of the child affected by posterior rhinoscopy.
Assuntos
Tonsila Faríngea/patologia , Nasofaringe/diagnóstico por imagem , Tonsila Faríngea/diagnóstico por imagem , Adolescente , Criança , Pré-Escolar , Humanos , Hipertrofia/diagnóstico por imagem , Hipertrofia/patologia , Lactente , Recém-Nascido , RadiografiaAssuntos
Valva Ileocecal , Intussuscepção/diagnóstico , Ultrassonografia , Apendicite/diagnóstico , Criança , Pré-Escolar , Diagnóstico Diferencial , Feminino , Humanos , Doenças do Íleo/diagnóstico , Doenças do Íleo/diagnóstico por imagem , Valva Ileocecal/diagnóstico por imagem , Lactente , Infarto/diagnóstico , Intussuscepção/diagnóstico por imagem , Masculino , Peritonite/diagnóstico , RadiografiaAssuntos
Vesícula Biliar/anatomia & histologia , Ultrassom , Veias/anatomia & histologia , Adolescente , Criança , Pré-Escolar , Humanos , Lactente , Recém-Nascido , Veia Porta/anatomia & histologia , Valores de Referência , Veia Esplênica/anatomia & histologia , Veia Cava Inferior/anatomia & histologiaAssuntos
Nanismo/genética , Criança , Pré-Escolar , Nanismo/diagnóstico por imagem , Nanismo/patologia , Feminino , Genes Recessivos , Humanos , Masculino , RadiografiaRESUMO
La pseudoacondroplasia es una displasia osea que representa un grupo heterogeneo de padecimientos que puede distinguirse de otras osteocondrodisplasias tanto clinica como radiologicamente; sus principales caracteristicas son baja talla desproporcionada con miembros cortos y morfologia craneofacial normal. Se presenta una familia con dos casos de pseudoacondroplasia tipo II, se revisa la clasificacion y se discuten el cuadro clinico y el diagnostico diferencial