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Dr. Paul Smolen here. Welcome to this week’s edition of docsmo.com, a pediatric podcast dedicated to helping parents and children by bringing you timely accurate health information. Today we are going to talk about an emerging disease… not an emerging infectious disease but one that clearly comes back to lifestyle choices. A newly recognized, silent liver disease (hepatitis) is spreading across America among children that is called NASH or non alcoholic steatohepatitis. While the cause is not fully understood, the injury to these children’s livers seems to be associated with an excess intake of food, calories and high fructose corn syrup so common in our diets. Yes, these children seem to be literally eating themselves into a seriously poor health. Their excess consumption of food seems to cause the normal red brown healthy liver tissue to be replaced with yellow fatty sick liver tissue. Recent studies estimate that 1 out of every 10 children in the United States, or more than 7 million children, have fatty liver disease, the first step in the progression to the development of NASH and possibly irreversible cirrhosis or scarring of liver. A cirrhotic liver has had the healthy liver cells replaced with scar tissue…a liver that simply cannot keep a child growing and healthy. Unfortunately, once a liver has become cirrhotic, there is no going back to healthy.
Here is what experts are currently thinking is behind this newly recognized liver disease: a major excess intake of certain foods first triggers the development of a fatty liver, followed by a type of hepatitis called NASH, and finally for some unfortunate children, cirrhosis. All of this can occur without symptoms. Currently about 40% of obese children (those with a BMI greater than 30) seem to be afflicted with fatty livers and possibly the more serious NASH or cirrhosis. Mexican-American children seem to be unusually susceptible, while interestingly, African American children seem to be more protected from the disease.
Based on current knowledge, many experts suggest the following:
1. Children who are obese should have blood testing to check their liver function as well as the other related conditions such as diabetes, and elevated blood cholesterol.
2. If a child is found to have abnormal liver function tests, weight loss through diet and exercise is imperative.
3. Vitamin E supplement as well as a diet rich in green leafy vegetables seems to help reduce the liver inflammation.
4. Elimination of foods produced with high fructose corn syrup may also help.
If your child struggles with their weight, the emergence of NASH is yet another reason to make some radical life changes for the sake of their health. Remember that DocSmo pearl, Grandma didn’t waste her time telling us things that weren’t important… eat your spinach!
Your comments are welcome at www.docsmo.com. From studio 1E, this is Doc Smo, hoping your family makes a quick DASH to avoid foods that might cause NASH. Until next time.
1.Wang,Shirley, Fatty Liver: More Prevalent in Children, Wall Street journal, September 9th, 2013 http://online.wsj.com/news/articles/SB1000142412788732454900457906490305169278 – See more at: http://www.docsmo.com/are-our-children-eating-themselves-to-poor-liver-health-article/#sthash.RVvP38sh.dpuf