Features of eating behavior in children with different forms of non-alcoholic fatty liver disease
Keywords:children, eating behavior, liver steatosis, nonalcoholic steatohepatitis
Aim – to study the features of the eating behavior (EB) in children with different forms of nonalcoholic fatty liver disease (NAFLD) - simple steatosis (SS) and nonalcoholic steatohepatitis (NASH), to compare the obtained data with the eating behavior of children without liver steatosis. 120 patients aged 7 to 16 years were examined, the average age of the patients was (12.00 ± 2.56) years. The presence and degree of liver steatosis was determined by transient elastography using a FibroScan®502Touch with an assessment of CAP (controlled attenuation parameter). According to the CAP, gender-specific alanine aminotransferase levels and body mass index, patients were divided into 4 groups: 1 group consisted of 26 patients with NASH, 2 group – of 44 patients with SS, 3 group – of 35 patients with obesity without liver steatosis, 4 group (control) – of 15 patients with normal weight without metabolic disorders. The groups were homogeneous in age. Assessment of EB was carried out using the pediatric modification of the Dutch eating behavior questionnaire (DEBQ-C). It was found that most patients with SS (75,0%) and NASH (87,5%) demonstrated an emotional type of EB. The restrictive type of EB was predominant in obese children without hepatic steatosis (73,7%). The total score of the restrictive type of EB in children of the 3 group was significantly higher compared with the data of the 4 group (p<0,05). The external type of EB occurred in 25% of children with SS and was not observed in children with NASH. Thus, children with NAFLD and obesity are characterized by an increased incidence of various types of unhealthy eating behavior compared to children with normal weight, which requires appropriate correction and involvement of psychologists in a team of specialists involved in the health care of the obese children.
Bulatova E, Butko P, Shabalov A. [Eating Disorders as Predictors of Obesity and Metabolic Syndrome: Is Prevention Possible?]. Pediatr. 2019;3:57-61. Russian. doi: https://doi.org/10.17816/PED10357-61.
Nikiforova YV, Vovchenko MM, Buryakovskaya OO. [A way of correcting eating behavior in patients with cardiometabolic risk]. Contemporary gastroenterology. 2016;6:45-53. Ukranian.
Savchikova YL. [Psychological traits of women with body weight problems]. Saint Petersburg State University; 2005. Russian.
Fadееnko GD, Nіkіforova JaV, Vovchenko MM, Buriakovska OO. [Nutrigenetic features and eating behavior are important components of modern personalized medicine]. Ukrainskyi terapevtychnyi zhurnal. 2017;2: 26-32. Ukranian.
Fadeenko GD, Nikiforova YV. [Features of eating behavior of patients with nonalcoholic steatohepatitis with overweight or obesity on the background of hyper¬ten¬sion]. Suchasna hastroenterologiia. 2016;2:7-14. Ukranian.
Benbaibeche H, Bounihi A, Koceir EA. Leptin level as a biomarker of uncontrolled eating in obesity and overweight. Ir J Med Sci. 2021:190:155-61. doi: https://doi.org/10.1007/s11845-020-02316-1
Brown AW, Altman DG, Baranowski T, Bland JM, Dawson JA, Dhurandhar NV, Dowla S, Fontaine KR, Gelman A, Heymsfield SB, Jayawardene W, Keith SW, Kyle TK, Loken E, Oakes JM, Stevens J, Thomas DM, Allison DB. Childhood obesity intervention studies: A narrative review and guide for investigators, authors, editors, reviewers, journalists, and readers to guard against exaggerated effectiveness claims. Obes Rev. 2019 Nov;20(11):1523-41. doi: https://doi.org/10.1111/obr.12923
Czepczor-Bernat K, Brytek-Matera A. Children's and Mothers' Perspectives of Problematic Eating Behaviours in Young Children and Adolescents: An Explora¬tory Study. Int J Environ Res Public Health. 2019 Jul 28;16(15):2692. doi: https://doi.org/10.3390/ijerph16152692
Fox CK, Gross AC, Rudser KD, Foy AM, Kel¬ly AS. Depression, Anxiety, and Severity of Obesity in Adolescents: Is Emotional Eating the Link? Clin Pediatr (Phila). 2016 Oct;55(12):1120-5. doi: https://doi.org/10.1177/0009922815615825
Casagrande M, Boncompagni I, Forte G, Guari¬no A, Favieri F. Emotion and overeating behavior: effects of alexithymia and emotional regulation on overweight and obesity. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity. 2019;1:1-13. doi: https://doi.org/10.1007/s40519-019-00767-9
World Health Organization: Growth reference 5-19 years. BMI-for-age (5-19 years). Available from: http://www.who.int/growthref/who2007_bmi_for_age/en/
Izydorczyk B, Sitnik-Warchulska K, Lizińczyk S, Lipiarz A. Psychological Predictors of Unhealthy Atti¬tudes in Young Adults. Front Psychol. 2019;19(10):590. doi: https://doi.org/10.3389/fpsyg.2019.00590.
Vos MB, Abrams SH, Barlow SE, Caprio S, Daniels SR, Kohli R. NASPGHAN clinical practice guideline for the diagnosis and treatment of nonalcoholic fatty liver disease in children: recommendations from the Expert Committee on NAFLD (ECON) and the North American Society of Pediatric Gastroenterology, Hepa¬tology and Nutrition (NASPGHAN). Journal of pediatric gastroenterology and nutrition. 2017;64(2):319. doi: https://doi.org/10.1097/MPG.0000000000001482
Bray I, Slater A, Lewis-Smith H, Bird E, Sabey A. Promoting positive body image and tackling overweight/obesity in children and adolescents: A combined health psychology and public health approach. Prev Med. 2018 Nov;116:219-21. doi: https://doi.org/10.1016/j.ypmed.2018.08.011
Ohara K, Nakamura H, Kouda K, Fujita Y, Mo¬moi K, Mase T, Carroll C, Iki M. Psychometric properties of the Japanese version of the Dutch Eating Behavior Ques¬tionnaire for Children. Appetite. 2020 Aug 1;151:104690. doi: https://doi.org/10.1016/j.appet.2020.104690
Jeong JE, Jung DJ, Kwak M, Yang HK, Lim SY, Lee JH, Yoon KH, Kim DJ. Reliability and Validity of the Korean Version of the General-Food Craving Ques¬tionnaire-Trait for Children. Psychiatry Investig. 2017 Sep;14(5):595-602. doi: https://doi.org/10.4306/pi.2017.14.5.595
Schwimmer JB. Clinical advances in pediatric nonalcoholic fatty liver disease. Hepatology. 2016 May;63(5):1718-25. doi: https://doi.org/10.1002/hep.28441
Taylor SA, Ditch S, Hansen S. Identifying and Preventing Eating Disorders in Adolescent Patients with Obesity. Pediatr Ann. 2018 Jun 1;47(6):e232-e237. doi: https://doi.org/10.3928/19382359-20180522-01
Jebeile H, Gow ML, Baur LA, Garnett SP, Paxton SJ, Lister NB. Treatment of obesity, with a dietary component, and eating disorder risk in children and adolescents: A systematic review with meta-analysis. Obes Rev. 2019 Sep;20(9):1287-98. doi: https://doi.org/10.1111/obr.12866
Anderson EL, Howe LD, Jones HE, Higgins JPT, Lawlor DA, et al. (2015) The Prevalence of Non-Alcoholic Fatty Liver Disease in Children and Adolescents: A Systematic Review and Meta-Analysis. PLOS ONE 2015;10(10):e0140908. doi: https://doi.org/10.1371/journal.pone.0140908
van Strien T, Oosterveld P. The children's DEBQ for assessment of restrained, emotional, and external eating in 7- to 12-year-old children. Int J Eat Disord. 2008 Jan;41(1):72-81. doi: https://doi.org/10.1002/eat.20424
van Strien T, Beijers R, Smeekens S, Winkens LH. Duration of breastfeeding is associated with emotional eating through its effect on alexithymia in boys, but not girls. Appetite. 2019;132:97-105. doi: https://doi.org/10.1016/j.appet.2018.10.006.
Walsh B. Timothy. Diagnostic categories for eating disorders: Current status and what lies ahead. Psychiatric Clinics. 2019;42(1):1-10. doi: https://doi.org/10.1016/j.psc.2018.10.001.
Wang YF, Chuang HL, Chang CW, Zauszniewski JA. Translation and Psychometric Analysis of the Chinese Version of the Dutch Eating Behavior Questionnaire for Children (DEBQ-C) in Taiwanese Preadolescents. J Pediatr Nurs. 2018 Mar-Apr;39:e30-e37. doi: https://doi.org/10.1016/j.pedn.2018.01.009
How to Cite
Copyright (c) 2021 Medicni perspektivi (Medical perspectives)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Submitting manuscript to the journal "Medicni perspektivi" the author(s) agree with transferring copyright from the author(s) to publisher (including photos, figures, tables, etc.) editor, reproducing materials of the manuscript in the journal, Internet, translation into other languages, export and import of the issue with the author’s article, spreading without limitation of their period of validity both on the territory of Ukraine and other countries. This and other mutual duties of the author and all co-authors separately and editorial board are secured by written agreement by special form to use the article, the sample of which is presented on the site.
Author signs a written agreement and sends it to Editorial Board simultaneously with submission of the manuscript.