The incidence of nonalcoholic fatty liver disease (NAFLD) in children is growing in parallel with that of obesity; however, to date, no drugs have been approved for its treatment. Results from a 5-year clinical trial show that neither metformin nor vitamin E are effective for the treatment of pediatric NAFLD.
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Pediatric non-alcoholic fatty liver disease: an increasing public health issue
European Journal of Pediatrics Open Access 26 September 2013
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References
Brunt, E. M. Pathology of nonalcoholic fatty liver disease. Nat. Rev. Gastroenterol. Hepatol. 7, 195–203 (2010).
Nobili, V. et al. Lifestyle intervention and antioxidant therapy in children with nonalcoholic fatty liver disease: a randomized, controlled trial. Hepatology 48, 19–28 (2008).
Nobili, V. et al. Metformin use in children with nonalcoholic fatty liver disease: an open-label, 24-month, observational pilot study. Clin. Ther. 30, 1168–1176 (2008).
Lavine, J. E. et al. Treatment of nonalcoholic fatty liver disease in children: TONIC trial design. Contemp. Clin. Trials 31, 62–70 (2010).
Lavine, J. E. et al. Effect of vitamin E or metformin for treatment of nonalcoholic fatty liver disease in children and adolescents: the TONIC randomized controlled trial. JAMA 305, 1659–1668 (2011).
Nobili, V. et al. Docosahexaenoic acid supplementation decreases liver fat content in children with non-alcoholic fatty liver disease: double-blind randomised controlled clinical trial. Arch. Dis. Child. 96, 350–353 (2011).
Feldstein, A. E. et al. The natural history of non-alcoholic fatty liver disease in children: a follow-up study for up to 20 years. Gut 58, 1538–1544 (2009).
Alisi, A., Cianfarani, S., Manco, M., Agostoni, C. & Nobili, V. Non-alcoholic fatty liver disease and metabolic syndrome in adolescents: Pathogenetic role of genetic background and intrauterine environment. Ann. Med. doi:10.3109/07853890.2010.547869.
Alisi, A., Locatelli, M. & Nobili, V. Nonalcoholic fatty liver disease in children. Curr. Opin. Clin. Nutr. Metab. Care 13, 397–402 (2010).
Iacono, A., Raso, G. M., Canani, R. B., Calignano, A. & Meli, R. Probiotics as an emerging therapeutic strategy to treat NAFLD: focus on molecular and biochemical mechanisms. J. Nutr. Biochem. doi:10.1016/j.jnutbio.2010.10.002.
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The authors wish to thank B. Dallapiccola for his editorial assistance.
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Alisi, A., Nobili, V. Targeted therapy in children—what is the right way?. Nat Rev Gastroenterol Hepatol 8, 425–426 (2011). https://doi.org/10.1038/nrgastro.2011.117
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DOI: https://doi.org/10.1038/nrgastro.2011.117
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