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Evaluation of hepatic steatosis in obese children and adolescents using immune-inflammatory markers and shear wave elastography Cover

Evaluation of hepatic steatosis in obese children and adolescents using immune-inflammatory markers and shear wave elastography

Open Access
|Jan 2025

Figures & Tables

Fig. 1.

SWE images were generated on gray-scale images within a region of interest (ROI) at least 2 cm away from the liver capsule, with particular attention given to avoid large vascular structures and bile ducts. At the bottom right, liver stiffness values (mean, SD, min, max), ROI diameter (diameter), and reliability measurement index (RMI) are shown to assess the reliability of each measurement
SWE images were generated on gray-scale images within a region of interest (ROI) at least 2 cm away from the liver capsule, with particular attention given to avoid large vascular structures and bile ducts. At the bottom right, liver stiffness values (mean, SD, min, max), ROI diameter (diameter), and reliability measurement index (RMI) are shown to assess the reliability of each measurement

Comparison of obese patients with hepatic steatosis and without hepatic steatosis in terms of anthropometric measurements, laboratory values, and imaging findings

VariablesNHSOG (n = 30)HSOG (n = 46)p-value
Age12.6 ± 2.713.0 ± 2.60.698
Gender (M/F)13/1724/220.474
Weight (kg)67.5 ± 12.384.7 ± 21.10.003
Height (cm)157.5 ± 9.9160.5 ± 13.30.412
BMI27.1 ± 2.432.5 ± 4.20.000
BMI standard deviation scores1.8 ± 0.42.2 ± 0.30.001
BMI percentile95.9 ± 3.898.0 ± 1.80.023
Glucose (70–105 mg/dL)91.8 ± 11.692.0 ± 10.80.699
Insulin (2.6–24.9 μIU/ml)21.3 ± 11.124.3 ± 17.80.532
HOMA-IR4.8 ± 4.05.5 ± 4.30.379
Triglyceride (0–150 mg/dL)113 ± 47.6122.6 ± 54.10.578
LDL (0–130 mg/dL)80.1 ± 21.691.1 ± 24.90.151
HDL (0–55 mg/dL)45.6 ± 7.146.9 ± 9.00.482
AST (0–50 mg/dL)21.8 ± 5.126.4 ± 15.80.034
ALT (0–50 mg/dL)20.1 ± 7.232.6 ± 23.10.007
Liver size (cm)14.0 ± 1.715.3 ± 1.60.014
Liver stiffness (kPa)4.9 ± 0.66.2 ± 1.70.000
SII480.0 ± 264.2601 ± 288.50.000
PIV297.5 ± 197.7432.1 ± 259.00.000

Comparison of obese patients with no hepatic steatosis (sonographically grade 0 HS), sonographically grade 1, and 2 HS in terms of anthropometric measurements, laboratory values, and imaging findings

VariablesSonographically grade 0 HS (n = 30)Sonographically grade 1 HS (n = 30)Sonographically grade 2 HS (n = 16)ANOVA
Age12.6 ± 2.713.0 ± 2.913.4 ± 2.10.434
Gender (M/F)13/1717/137/90.566
Weight (kg)67.5 ± 12.380.2 ± 22.494.4 ± 15.00.003b
Height (mm)157.5 ± 9.9157.7 ± 15.4166.0 ± 5.50.244
BMI27.1 ± 2.431.7 ± 3.833.9 ± 4.80.002a,b
BMI Z-score1.8 ± 0.42.3 ± 0.42.7 ± 0.20.005a,b
BMI percentile95.9 ± 3.897.9 ± 2.298.2 ± 0.70.140
Glucose (70–105 mg/dL)91.8 ± 11.690.2 ± 9.696.3 ± 13.30.436
Insulin (2.6–24.9 μIU/ml)21.3 ± 11.121.5 ± 15.832.1 ± 21.20.210
HOMA-IR4.8 ± 3.24.9 ± 3.87.6 ± 3.50.002b,c
Triglyceride (0–150 mg/dL)113 ± 47.6122.6 ± 54.1154.4 ± 58.60.005b,c
LDL (0–130 mg/dL)80.1 ± 21.687.6 ± 16.498.1 ± 37.30.210
HDL (0–55 mg/dL)45.6 ± 7.148.7 ± 6.544.1 ± 6.90.266
AST (0–50 mg/dL)21.8 ± 5.125.9 ± 17.127.3 ± 16.50.311
ALT (0–50 mg/dL)20.1 ± 7.230.7 ± 23.238.9 ± 27.60.003b
Liver size (cm)14.0 ± 1.714.6 ± 1.416.6 ± 1.00.016b,c
Liver stiffness (kPa)4.9 ± 0.65.2 ± 0.97.5 ± 1.90.000b,c
SII480.0 ± 264.2568.9 ± 341.5695.0 ± 297.30.000a,b,c
PIV297.5 ± 197.7388.1 ± 289.0550.1 ± 341.80.000a,b,c

Comparison of the obese patient group and normal-weight patient group in terms of anthropometric measurements and imaging findings

VariablesOG (n = 76)NG (n = 44)p-value
Age12.8 ± 2.612.9 ± 2.80.940
Gender (M/F)37/3921/230.710
BMI30.0 ± 4.318.9 ± 3.40.000
Liver size (cm)14.7 ± 1.712.7 ± 1.40.000

Comparison of obese patients without hepatic steatosis and normal-weight patients in terms of anthropometric measurements and imaging findings

VariablesNHSOG (n = 30)NG (n = 44)p-value
Age12.6 ± 2.712.8 ± 2.80.568
Gender (M/F)13/1721/230.910
BMI27.1 ± 2.418.9 ± 3.40.000
Liver size (cm)14.0 ± 1.712.7 ± 1.40.008
Liver stiffness (kPa)4.9 ± 0.64.6 ± 0.90.690
DOI: https://doi.org/10.15557/jou.2025.0001 | Journal eISSN: 2451-070X | Journal ISSN: 2084-8404
Language: English
Submitted on: Aug 24, 2024
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Accepted on: Oct 27, 2024
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Published on: Jan 20, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Mehmet Akçiçek, Nurullah Dağ, published by MEDICAL COMMUNICATIONS Sp. z o.o.
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.