Journal article
Sarcopenia is highly prevalent in children with autoimmune liver diseases and is linked to visceral fat and parent-perceived general health
Liver international, Vol.42(2), pp.394-401
02/2022
DOI: 10.1111/liv.15108
PMID: 34817929
Abstract
Patients with autoimmune hepatitis (AIH) and primary or autoimmune sclerosing cholangitis are at nutritional risk; their body composition and has not been extensively studied. We aimed to describe their body composition and identify clinical links.
Using magnetic resonance imaging (MRI), two reviewers segmented total psoas muscle area (tPMSA), visceral fat area (VFA) and subcutaneous fat area (mm
) and measured visceral and subcutaneous thickness (mm). Clinical, laboratory and quality of life (QoL; using PedsQL) data were collected. Sarcopenia was defined as tPMSA ≤5th percentile. Analysis of variance, Wilcoxon rank test and multivariable modelling were performed. A paediatric cohort with non-alcoholic fatty liver disease (NAFLD) was used as a comparator following propensity score matching.
Fifty-eight patients with autoimmune liver disease (AILD) (33 [57%] with AIH) were included: median age 16 years (interquartile range [IQR]: 13-18), 33 (57%) male. Median time from diagnosis to MRI was 15 months (IQR: 2-39 months). Two patients (3%) had a BMIz indicative of mild malnutrition. tPMSA was measurable in 52 subjects (90%). Of those, 25 (48%) had sarcopenia. Sarcopenic patients had a lower blood urea nitrogen compared to non-sarcopenic (median [IQR]: 9.5 [8.0, 12.0] vs 11 [10, 14] mg/dL; P = .023). There was no difference in corticosteroid use between groups. The VFA of sarcopenic patients was higher (3156 [2064, 7492]) vs 2084 [688, 3092]) mm
; P = .005). Patient-reported QoL negatively associated with VFA and general health negatively associated with VFA. Compared with NAFLD, the odds ratio for sarcopenia with AILD was 14.5 (95% confidence interval: 2.3-90.7).
In autoimmune liver diseases, sarcopenia is highly prevalent, associated with increased visceral fat and QoL.
Details
- Title: Subtitle
- Sarcopenia is highly prevalent in children with autoimmune liver diseases and is linked to visceral fat and parent-perceived general health
- Creators
- Antoinette A Amevor - Cincinnati Children's Hospital Medical CenterToshifumi Yodoshi - Cincinnati Children's Hospital Medical CenterAndrew T Trout - Cincinnati Children's Hospital Medical CenterJonathan R Dillman - Cincinnati Children's Hospital Medical CenterRuchi Singh - Cincinnati Children's Hospital Medical CenterRyan Jarvis - Cincinnati Children's Hospital Medical CenterLin Fei - Cincinnati Children's Hospital Medical CenterChunyan Liu - Cincinnati Children's Hospital Medical CenterAmy Taylor - Cincinnati Children's Hospital Medical CenterAlexander Miethke - University of Cincinnati Medical CenterMarialena Mouzaki - Cincinnati Children's Hospital Medical Center
- Resource Type
- Journal article
- Publication Details
- Liver international, Vol.42(2), pp.394-401
- DOI
- 10.1111/liv.15108
- PMID
- 34817929
- NLM abbreviation
- Liver Int
- ISSN
- 1478-3223
- eISSN
- 1478-3231
- Grant note
- P30 DK078392 / NIDDK NIH HHS
- Language
- English
- Date published
- 02/2022
- Academic Unit
- Stead Family Department of Pediatrics; Gastroenterology, Hepatology, Pancreatology, and Nutrition
- Record Identifier
- 9985214107302771
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