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08.2021 Life Guide

Children also have fatty liver? Doctors teach you 9 ways to fight obesity

Pediatric gastroenterology department of Far Eastern Memorial Hospital / Dr. Lin Yucheng
372M02        In order to strengthen epidemic prevention and reduce the risk of clustering, schools at all levels in Taiwan have changed to distance teaching. Children who used to jump at school suddenly have to stay at home all day, and the amount of exercise is bound to fall significantly. The pediatrician of Far Eastern Memorial Hospital wants to tell parents how to help their baby stay away from "fatty liver" through a balanced diet.

        case

        Daxiong (a pseudonym) of the third grade of this year, who is more than 180 cm tall, weighs 120 kg and has a liver index of more than 120, was warned by doctors that if the situation does not improve, he may have to have a liver puncture. Shocked, Da Xiong immediately gave up the habit of drinking pearl milk tea, jumped rope and played basketball every day, and worked hard for nearly half a year. His liver index finally returned to normal and his weight fell to 85 kg.

        372M01        What is fatty liver?

        According to the outpatient data of the children's Department of Far Eastern Memorial Hospital, more and more obese children have abnormal liver function due to severe fatty liver. On average, at least 20 of every 100 children have moderate fatty liver. It can be seen that fatty liver caused by obesity has seriously threatened children's health.

        Many people believe that fatty liver is at most the accumulation of too much fat in the liver, which will not cause harm to health. In fact, it is not. Because too much fat may also accumulate in the blood vessels of the heart and brain, causing cardiovascular, stroke and other diseases. In addition, although fatty liver will not be fatal immediately, with the progress of time, it may evolve into liver fibrosis or cirrhosis, which should not be ignored.

        Many people think that fatty liver is surrounded by fat around the liver, but it is actually caused by the high ratio of fat composition of cells in the liver. If the weight of the liver is more than 5% composed of fat, it is fatty liver. When the human body ingests too much fat, the remaining fat will be stored in the subcutaneous skin. Once it accumulates too much, it will be transferred to the liver cells for storage. This is the origin of fatty liver. The terrible thing is that too much liver fat will destroy cells, cause liver inflammation and affect the function of liver metabolic toxins. Moreover, too much liver fat accumulation will also lead to the body's resistance to insulin, further increasing the risk of metabolic syndrome and cardiovascular disease such as hypertension, hyperlipidemia and hyperglycemia.

                Most children with fatty liver have no obvious symptoms at first. They are often surprised when the liver index exceeds the standard. It is suggested that once the child has symptoms such as unexplained abdominal pain, right upper abdominal pain and burnout, blood can be drawn to detect the liver function index and abdominal ultrasound. In addition, it is worth noting that some children's neck and armpit skin wrinkles, prone to melanin deposition, how to wash is not clean, may be "black acanthosis", should pay attention to whether there is fatty liver and diabetes problems.

        How to eliminate fatty liver?

        Fortunately, as long as fatty liver has not caused cirrhosis, it will have the opportunity to recover. It's easy to stay away from fatty liver. The best way is to grasp the three elements of "exercise, diet control and maintaining a healthy lifestyle". In order to avoid children often watching TV or playing computer and sitting still for a long time, parents may wish to take time to play games or activities with their children, and do more than 60 minutes of moderate intensity exercise every day, so as to achieve a little sweating and wheezing, and the heartbeat can be at least 130 times per minute. Fast walking and swimming are good choices, and the exercise time can be accumulated in sections without having to finish all in one breath.

        In addition to exercise, you should eat an average of five kinds of fruits and vegetables every day and drink less sugary drinks, especially fructose drinks. American research has pointed out that with the increase of fructose consumption, the degree of obesity will also increase. Therefore, after exercise, drink boiled water to supplement water. If children really can't accept it, it is recommended to dilute sports drinks with water. Don't let children drink milk tea and other drinks with high calories and low nutrition directly.

        Finally, "snacks and drinks do not leave the mouth", "mobile phone tablet does not leave the hand" and "sports habits are difficult to start" are the portrayal of the life of modern children and adolescents, and they are also the fundamental factors causing obesity. Parents should set an example, establish healthy eating and exercise habits of the whole family, and persevere in order to avoid the harm of obesity to health.

        Nine skimming steps teach you to fight obesity  

        Five servings of vegetables and fruits per day

        Don't drink sugary drinks

        Reduce high calorie diet, such as saturated fat food, potato chips, candy, etc

        Reduce external food

        Avoid skipping breakfast

        Reduce static activities, and watch TV, surf the Internet and play video games for no more than 2 hours a day

        Arrange appropriate physical activities and sports according to the child's age and preferences

        Daily physical activity time has accumulated for more than 1 hour

        Sleep 9 hours a day

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