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( Amar Nagila ),( Dipendra Raj Pandey ),( Basant Kumar Tamrakar ) 대한간학회 2018 춘·추계 학술대회 (KASL) Vol.2018 No.1
Aims: The aim of this study was to determine the level of serum paraoxonase 1 (PON1) in young children with Non-Alcoholic Fatty Liver Disease compared to healthy controls, and to examine the association of biochemical and hematological parameters with oxidative stress. Methods: Anthropometric measurements, blood pressure, biochemical and hematological parameters, abdominal ultrasonography (USG) and clinical examinations were assessed in all subjects to diagnose NAFLD. Forty seven young children diagnosed Non-Alcoholic Fatty Liver Disease and Forty seven age and gender matched healthy controls were enrolled and Serum PON1 levels, total antioxidant status (TAS), total oxidant status (TOS) were measured. Oxidative stress index (OSI) was calculated to indicate the degree of oxidative stress. Results: A total of ninety four children (51 boys, 43 girls) were included in this study, with 33 children age ≤ 10 years and 61 adolescents. Serum PON1 activity is significantly reduce in NAFLD children than control (110.81±7.43 Vs 152.73±12.72, P=0.003). In children with NAFLD, TAS level is significantly lower than control (1.19±0.22 Vs 1.37±0.41, P=0.03), whereas TOS is increased significantly (0.24±0.05 Vs 0.17±0.03, P=0.05). Our results show that OSI is significantly higher in NAFLD group in comparison to the control groups (0.20±0.08 Vs 0.12±0.06, P<0.05). Conclusions: Our results suggest that NAFLD are associated with decreased PON1 activity and increased oxidative stress. Thus, in NAFLD patients, low level serum PON1activity may contribute in pathogenesis of carotid atherosclerosis from the childhood.