fatty liver hepatic steatosis
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • Age 8 - 18 years • Obesity (BMI >= 95th percentile) or overweight (BMI >= 85th and < 94th percentile) with one of the following additional risk factors: central adiposity, insulin resistance, prediabetes or diabetes, dyslipidemia, sleep apnea, or family history of NAFLD/NASH.
Exclusion criteria
Exclusion criteria: • Age > 18 years • Other liver disease (viral/autoimmune hepatitis, M. Wilson, haemochromatosis, alfa1-antitrypsine deficiency) • Metabolic disease (beta-oxidation defects, urea cyclus defects) • Alcohol consumption > 140 g/week • Use of steatogenic medication
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1) Percentage of children with probable significant fibrosis (FibroScan® value > 7.4 kPa) when screening children based on the NASPGHAN 2017 guideline. 2) Costs of screening to find one patient with significant fibrosis. 3) - Success rate of FibroScan® measurements of M-probe and XL-probe in subjects in who XL-probe, or both XL- and M-probe is indicated by the FibroScan® apparatus. - Correlation between FibroScan® values of M-probe and XL-probe in subjects in who XL-probe, or both XL- and M-probe is indicated by the FibroScan® apparatus. - Difference in percentage positive and negative results for significant fibrosis (FibroSscan® value >/<7.4 Kpa) when using M-probe or XL-probe. - Correlation between ELF test and FibroScan® values (M-probe) - Correlation between shear wave elastography, FibroScan® (M-probe) and ELF test - Difference in percentage positive and negative results for significant fibrosis of ELF test (>/< 10.18) compared to FibroScan® M-probe (>/<7.4 kPa). 5) Difference in quality of life between children with NAFLD and healthy children and impact of fibrosis on quality of life. 6) Patient experience during screening process and illness perception | — |
Secondary
| Measure | Time frame |
|---|---|
| Nvt | — |
Countries
Netherlands