2023-01-132023-01-132007LIMA, Rafael Miranda. Prevalência de esteatose hepática em ambulatório de obesidade infantil de Belém – Pará. Orientadora: Olga Maria Domingues das Neves. 2007. 90 f. Trabalho de Curso (Bacharelado em Medicina) - Faculdade de Medicina, Instituto de Ciências da Saúde, Universidade Federal do Pará, Belém, 2007. Disponível em: https://bdm.ufpa.br:8443/jspui/handle/prefix/4957. Acesso em:.https://bdm.ufpa.br/handle/prefix/4957Introduction: The obesity is a global health problem, also affecting the pediatric patients, causing complications as non alcoholic fatty liver disease. Objectives: To identify the prevalence of liver steatose identified by the abdominal ultrasound (US) in children and adolescents with weight excess, relating the diagnosis of steatose to the insulin resistance, levels of ALT, AST, AST/ALT ratio and prevalence of hiperlipidemia. Casuistry and Methods: It was carried through a transversal description-analytical study with 101 patients of 2-15 years old, with excess of weight, in the Clinic of Pediatric Obesity of the Fundação Santa Casa de Misericórdia do Pará, in the period from April/2006 to April/2007, analyzing age, sex, beginning of the weight excess, weight, height, AST/ALT ratio, triglycerides, total cholesterol, LDL-C, HDL-C and US of abdomen; the results have been submitted to the analysis statistics. Results: The abdominal US evidenced liver steatose in 54 patients, amongst these, 55.6% was of the masculine sex (p=0,0021), 38.9% were in the age band of 9 to 11 years (p=0,000256), 25.9% had initiated weight excess between 1 and 3 years old, 75.9% were obese (p=0,0346), 55.6% had normal triglicerídeos (p=0,584), 79.6% with normal total cholesterol (p=0,0035), 77.8% with normal LDL-C (p=0,0381), 55.6% with normal HDL-C (p=0,0472), 64.8% with normal AST (p=0,0237), 72.2% with normal ALT (p=0,0127), HOMA-IR altered in 51.9% (p=0,0062), presence of hiperlipidemia in 77.8% (p=0,0389). Comparing the group of patients without liver steatose with the group that presented the illness, all the alterations of the evaluated parameters and the presence of dislipidemia had been more frequent in the last group (p<0,05). Conclusion: The hepática prevalence of esteatose identified to the abdominal USG was of 53.5%, being related to the insulin resistance in 51.9% of the cases and hiperlipidemia in 77.8%, both statically significant; the levels of AST and ALT had been normal in patients with steatose, however this group presented more alterations in aminotransferases than the group of patients without the illness. The AST/ALT ratio in patients with liver steatose was 1,360,45. The present research calls attention to active searches for liver steatose in children that have excess of weight.Acesso AbertoObesidade infantilEsteatose hepáticaUltrassonografia abdominalInfantile obesityLiver steatoseAbdominal ultrasoundCNPQ::CIENCIAS DA SAUDE::MEDICINATrabalho de Curso - Graduação - Monografia