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Docosahexaenoic acid supplementation decreases liver fat content in children with non-alcoholic fatty liver disease: double-blind randomised controlled clinical trial

Nobili, V., Bedogni, G., Alisi, A., Pietrobattista, A., Rise, P., Galli, C., Agostoni, C.·2011·Archives of Disease in Childhood

Abstract

OBJECTIVE: To investigate whether dietary supplementation with docosahexaenoic acid (DHA) decreases liver fat content in children with non-alcoholic fatty liver disease (NAFLD). DESIGN, SETTING AND PATIENTS: We performed a randomised controlled trial of DHA supplementation (250 and 500 mg/day) versus placebo in 60 children with biopsy-proven NAFLD (20 children per group). MAIN OUTCOME MEASURES: The main outcome was the change in liver fat content as detected by ultrasonography after 6 months of treatment. Secondary outcomes were the changes in insulin sensitivity index, alanine transaminase, triglycerides and body mass index after 6 months of treatment. RESULTS: Blood DHA increased in children supplemented with DHA (0.65%, 95% CI 0.30% to 1.10% for the DHA 250 mg group and 1.15%, 0.87% to 1.43% for the DHA 500 mg group). The odds of more severe versus less severe liver steatosis after treatment was lower in children treated with DHA 250 mg/day (OR = 0.01, 0.002 to 0.11, p <0.001) and DHA 500 mg/day (OR = 0.04, 0.002 to 0.46, p = 0.01) as compared to placebo but there was no difference between the DHA groups (p = 0.4). Insulin sensitivity index increased and triglycerides decreased to a similar degree in both DHA groups as compared to placebo but there was no effect on alanine transaminase and body mass index. CONCLUSION: DHA supplementation improves liver steatosis and insulin sensitivity in children with NAFLD.

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Crossref · 10.1136/adc.2010.192401

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Metadata

Authors
Nobili, V., Bedogni, G., Alisi, A., Pietrobattista, A., Rise, P., Galli, C., & Agostoni, C.
Venue
Archives of Disease in Childhood
Publisher
BMJ
Published
2011-01-12
Volume
96
Issue
4
Pages
350-353
ISSN
  • 0003-9888 (ISSN-L)
  • 1468-2044
OpenAlex
W2154164735
Cited by
256
References
2
FWCI
16.86
Type
journal article
Language
en
Open access
closed

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