In life, in the face of chubby children, adults always shouted "Little Pound", feeling that they are fleshy, very cute, but few people will worry about the health of these fat children. Especially in recent years, with the improvement of the material level, some parents' false parenting concepts have been “spreadingâ€, resulting in diseases that were originally thought to only occur in adults. “Fat†is the child. Fatty liver is one of them. one. So what is child fatty liver? What are the risks of fatty liver in children? How to prevent and treat childhood fatty liver? Fatty liver in children is a histological type of nonalcoholic fatty liver disease (NAFLD). The concept of nonalcoholic steatohepatitis (NASH) was first introduced in 1980, when it was specifically referred to adult patients with a history of liver damage similar to alcoholic steatohepatitis without excessive drinking, and was reported for the first time three years later. The disease can also occur in children. The two boys and one girl in the report had liver disease that could not be explained by other reasons, and histology was similar to that of adult NASH. It can be seen that fatty liver, which is regarded as an "adult disease", does occur in children. For reasons, the incidence of fatty liver in children is directly related to the degree of obesity. It can be said that obesity is a major cause of fatty liver in children. It has been reported that the incidence of nonalcoholic fatty liver disease in children with moderate to severe obesity in China has reached 68%, and the prognosis of children with fatty liver is worse than that of adults. The incidence of NASH is higher and can even develop into cirrhosis and End-stage liver disease requiring liver transplantation. The prevention measures for fatty liver in children are mainly to control body weight. Scientific and reasonable dietary structure and exercise are the main methods to avoid childhood obesity. In terms of diet, it is necessary to pay attention to the rationality of children's diet structure. Generally speaking, it is necessary to control the intake of three high (high calorie, high fat, high sugar) foods, such as eating fried foods, cream cakes, and fat meat. Foods with higher calories; limit the total calories of the diet, mainly controlling the intake of sugars and fats; eating more protein-rich foods such as milk, fish, and soy products to protect and promote the recovery of damaged liver cells. Regeneration; pay attention to the supply of vitamins, especially to increase the intake of B vitamins and vitamin C; eat more fresh vegetables, fruits, such as celery, spinach, cabbage, cucumber, melon, bamboo shoots, tomatoes, etc.; In addition, the diet should also pay attention to the combination of weight and fineness, as well as the combination of vegetarian diet; try to drink soup before meals, because the soup before meals can control the intake of staple food. In sports, children are advised to choose aerobic exercise such as long distance walking, jogging, cycling, swimming, aerobics and water sports, in conjunction with non-competitive ball games such as badminton, table tennis, tennis, volleyball, basketball, etc. Increase the fun of exercise; on the basis of aerobic exercise, you can choose a small force, a lot of muscle strength exercises. Exercise at least 30~60 minutes each time, no less than 5 times a week, it is best to keep exercising every day. If parents can demonstrate themselves, it is better to accompany them to exercise together. It is worth reminding that while diet control and exercise, you should also avoid the rapid decline of children's weight in the short term, because this may increase liver damage. Conversely, slow, sustained weight loss is the most effective way to treat fatty liver in children. For children who have already developed fatty liver, they can be treated with drugs under the guidance and supervision of a professional physician. Among them, taurine has obvious auxiliary therapeutic effect on fatty liver; choline, L-carnitine and methionine are suitable for related dystrophic fatty liver; daily consumption of vitamin E can also lower serum ALT in children with fatty liver And alkaline phosphatase levels; in addition, some traditional Chinese medicine, acupuncture and other Chinese medicine treatment can also improve the abnormal appetite of children to a certain extent, help them to manage their diet and improve their metabolism. Author: Huangpu District, Shanghai Integrative Medicine Hospital physician Tangzuo Yang This article is scientifically controlled by Wang Wei, the director of the Medical Science Popularization Committee of the China Association of Popular Science Writers. 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