This Study is to Assess Occurence of Insulin Resistance Among Hepatits C Infected Children Whether Thalassemic or Survivors of Childhood Malignancy
Conditions
Brief summary
The goal of this observational study was to study the occurrence of insulin resistance in hepatitis C virus infected children who were either thalassemic or survivors of childhood malignancy and its correlation to the HCV viral load and other metabolic factors. The main question it aims to answer is: 1. Do children infected with Hepatitis C have a higher incidence of Insulin resistance compared to healthy controls of same age and gender? 2. Is Insulin resistance occurence affected by HCV viral load, blood transfusion frequency, or metabolic factors? Researchers will compare hepatitis c infected children who are either thalassemic or survivors of childhood malignant to healthy age and sex matched controls. Participants will be subjected to: * standardized Questionnaires, * physical examination and * laboratory investigations including liver functions (ALT, AST, Alkaline phosphatase), Prothrombin time, serum ferritin level, albumin, fasting glucose, fasting insulin level and Insulin resistance assessment by HOMA IR calculation.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* hepatitis C virus ribonucleic acid (RNA) positive children, who were following up at the pediatric hematology and oncology clinic
Exclusion criteria
* patients with concurrent active hepatitis B virus infection (positive for hepatitis B surface antigen) or * autoimmune hepatitis, * primary biliary cirrhosis (PBC), * sclerosing cholangitis, * haemochromatosis, * α1-antitrypsin deficiency, * Wilson's disease, * patients with obesity (BMI \> 25), or * Type 2 DM.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The primary outcome measure was to study the occurrence of insulin resistance in hepatitis C virus infected children who were either thalassemic or survivors of childhood malignancy | over a period of 6 months | Insulin resistance was assessed by using Homeostasis Model Assessment (HOMA) index |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Secondary outcome measure was to assess correlation between insulin resistance and HCV viral load and metabolic parameters. | 6 months | HCV viral load was measured by HCV RNA level by PCR, and metabolic parameters included liver functions, serum ferritin, fasting glucose and fasting insulin |
Countries
Egypt