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From: christkimp on 10 Sep 2008 07:32
On Sep 8, 8:29 am, maur...(a)nohost.com (Maureen) wrote:
> http://www.msnbc.msn.com/id/26529310
>
> Heavy teens run risk of severe liver damage
> Although disease is becoming more common in obese kids, few are tested
> The Associated Press
> updated 12:07 p.m. MT, Sun., Sept. 7, 2008
>
> TRENTON, N.J. - In a new and disturbing twist on the obesity epidemic, some
> overweight teenagers have severe liver damage caused by too much body fat,
> and a handful have needed liver transplants.
>
> Many more may need a new liver by their 30s or 40s, say experts warning
> that pediatricians need to be more vigilant. The condition, which can lead
> to cirrhosis and liver failure or liver cancer, is being seen in kids in
> the United States, Europe, Australia and even some developing countries,
> according to a surge of recent medical studies and doctors interviewed by
> The Associated Press.
>
> The American Liver Foundation and other experts estimate 2 percent to 5
> percent of American children over age 5, nearly all of them obese or
> overweight, have the condition, called nonalcoholic fatty liver disease.
>
> "It's clearly the most common cause of liver disease," said Dr. Ronald
> Sokol, head of public policy at the liver foundation and a liver specialist
> at Children's Hospital and University of Colorado Denver.
>
> Few given necessary test
> Some experts think as many as 10 percent of all children and half of those
> who are obese may suffer from it, but note that few are given the simple
> blood test that can signal its presence. A biopsy is the only sure way to
> diagnose this disease.
>
> As fat builds up, the liver can become inflamed and then scarred over time,
> leading to cirrhosis, a serious condition, which in years past was mostly
> caused by hepatitis or drinking too much alcohol. Liver failure or liver
> cancer can follow, but if cirrhosis has not yet developed, fatty liver
> disease can be reversed through weight loss.
>
> The disease is most common in overweight children with belly fat and
> certain warning signs, such as diabetes or cholesterol or heart problems.
> However, it's been seen in a few children of normal weight.
>
> Genetics, diet and exercise level all play a role. It is most prevalent
> among Hispanics, relatively rare among African-Americans, and more common
> among boys than girls.
>
> "There are people in their 30s or early 40s that will require a liver
> transplant" from developing the condition as a kid, predicts Dr. JosDe
> Derdoy, head of liver transplants at Cardinal Glennon Children's Medical
> Center in St. Louis. He's treated a 15-year-old, 530-pound boy and many
> others with the condition.
>
> 'There aren't enough livers to go around'
> Experts blame obesity, with about two-thirds of all Americans overweight.
> With fatty liver disease becoming more common in adults, many experts
> predict it will become the top cause of liver transplants by 2020.
>
> "There aren't enough livers to go around," says Dr. Philip Rosenthal of the
> University of California-San Francisco Children's Hospital.
>
> His patient, Irving Shaffino, a 15-year-old Mexican-American who lives
> outside Lubbock, Texas, was lucky to get a transplant a year ago. He was in
> end-stage cirrhosis and, at 5-feet-4, weighed 180 pounds.
>
> Irving had been fat since age 6, thanks to a high-starch, high-fat diet of
> Mexican food, pizza and burgers, said his mother, Guadelupe Shaffino. At
> age 8, she said, he had a distended stomach and by his early teens,
> breathing problems kept him tethered to an oxygen tank at home.
>
> Without health insurance, the family couldn't find a local hospital that
> would do a transplant.
>
> "My son begged me, 'Don't let me die, Mommy,' so I did everything in my
> power to find a place to help him. Thanks be to God, we found a way," said
> Guadelupe Shaffino, a restaurant cook.
>
> UCSF Children's Hospital, with money from a state health program, agreed to
> do the transplant. Rosenthal, who oversees the hospital's pediatric liver
> transplant program, took over care of Irving. The doctor said without a new
> liver Irving would have died, maybe within months.
>
> "He was in bad shape," said Rosenthal.
>
> Soon after tests were completed and Irving got on a transplant waiting
> list, an organ was found.
>
> "It felt like a miracle, because people say you could be on the transplant
> list for years," Irving said.
>
> Within a couple of months of the July 26, 2007 operation, Irving had weaned
> himself from the oxygen tank and could go on walks, although he got winded
> quickly.
>
> Back home in Texas, his medications are down from 11 to four and Irving
> said he's replaced soda and fast food with fruit, vegetables and whole
> grains.
>
> "I want to get into sports again," he said. "I want to get down to maybe
> 150" pounds.
>
> Sadly, however, Irving has made little progress in losing weight. While
> he's grown an inch and a half since his operation, he's still obese and his
> weight was up to 219 at the start of August.
>
> Specialists say many kids diagnosed with fatty liver disease come to
> subsequent checkups heavier, and at best, just one in four loses
> significant weight, the only treatment known to stop and even reverse the
> disease.
>
> "My patients that are successful, the whole family has bought in,"
> increasing exercise and changing diet, said Dr. Stephanie Abrams, a liver
> and obesity specialist at Texas Children's Hospital. "The problem is that
> we aren't changing society in favor of becoming lean."
>
> The scope of the disease has only been realized in recent years. Just a
> handful of cases were reported in medical journals in the 1980s, and in the
> past, many adult patients were thought to be lying when they denied
> drinking alcohol.
>
> 'More commonplace'
> Only three liver transplants on American children with nonalcoholic fatty
> liver disease were recorded from 1990 through 2002; two were done last
> year.
>
> "It really has been only in the last two or three years that this has
> become more commonplace," said Dr. Ann Scheimann, a pediatric
> gastroenterologist at Johns Hopkins Children's Center. "It is scary."
>
> Like heart disease, liver disease is silent. Kids may feel fine for years..
> Any early symptoms, like fatigue and loss of appetite, are vague and
> usually eclipsed by more conspicuous problems, from diabetes to high blood
> pressure.
>
> "The majority of children with this still go undiagnosed," said Dr. Jeffrey
> Schwimmer, head of the Fatty Liver Clinic at Rady Children's Hospital in
> San Diego. "Some kids have died."
>
> The number of patients at his clinic has roughly tripled over its six
> years, and he's seen one with cirrhosis just 8 years old.
>
> "Many of these children, their parents have it (fatty liver disease) and
> don't know it," said Schwimmer.
>
> Early intervention is key
> Experts say the best way to combat the problem is to intervene early, while
> it can still be reversed, with a medical team working with the whole
> family, including liver and hormone specialists, a dietitian and
> counselors.
>
> This spring, the American Academy of Pediatrics recommended doctors do a
> blood test of liver enzymes every two years on obese children and
> overweight ones with high blood pressure or cholesterol or family history
> of heart disease. A trade group for children's hospitals last year gave
> similar advice.
>
> Within the last several months, there's been an explosion of research
> published on it and the role genes may play.
>
> Surprisingly, some research comes from countries not known for high obesity
> rates: China, India and Iran. More reports come from Australia, England,
> Greece, Ireland, Israel, Italy and Japan. Doctors say globalization has
> given even poor countries fast food chains and sedentary pastimes: TV,
> Internet, video games.
>
> Scientists now are seeking the best ways to treat it.
>
> A small study in Rome showed weight loss helped. The U.S. government is
> testing the diabetes drug metformin and vitamin E and is funding about 20
> other studies, including one that aims to determine how the disease
> progresses and who is most likely to develop cirrhosis or liver failure.
>
> When her son was diagnosed with advanced liver disease three years ago,
> Susan Siegfried recalls being "devastated." Curtis, then 12, was just over
> 5-feet-5 and weighed 179 pounds. About 40 percent of his liver was scarred.
>
> Her husband, Mike, decreed the whole family would change its diet, and all
> high-fat and junk food was removed from their home in Chester, Ill.
>
> Susan Siegfried said her son went from being the "sit-in-front-of-the-TV,
> play-video-games kind of kid," tired and sickly, to full of energy and very
> active. He now bales hay and does other chores on his uncles' nearby farm..
> Initially, he dropped about 20 pounds. He's shot up 4 inches but only
> gained 8 pounds in the past two years.
>
> A new liver biopsy last fall showed huge improvement in his liver.
>
> "I'm definitely a lot thinner than I would have been if I hadn't done
> anything," said Curtis, who found exercising and cutting out sugar and fat
> wasn't that hard. "If you stick with it, you'll get used to it



Thanks for the great reading! I really apreciated your efforts.
krac(a)live.co.uk
krac(a)live.co.uk
From: christkimp on 10 Sep 2008 07:33
On Sep 10, 8:32 pm, christkimp <christoper....(a)gmail.com> wrote:
> On Sep 8, 8:29 am, maur...(a)nohost.com (Maureen) wrote:
>
>
>
>
>
> >http://www.msnbc.msn.com/id/26529310
>
> > Heavy teens run risk of severe liver damage
> > Although disease is becoming more common in obese kids, few are tested
> > The Associated Press
> > updated 12:07 p.m. MT, Sun., Sept. 7, 2008
>
> > TRENTON, N.J. - In a new and disturbing twist on the obesity epidemic, some
> > overweight teenagers have severe liver damage caused by too much body fat,
> > and a handful have needed liver transplants.
>
> > Many more may need a new liver by their 30s or 40s, say experts warning
> > that pediatricians need to be more vigilant. The condition, which can lead
> > to cirrhosis and liver failure or liver cancer, is being seen in kids in
> > the United States, Europe, Australia and even some developing countries,
> > according to a surge of recent medical studies and doctors interviewed by
> > The Associated Press.
>
> > The American Liver Foundation and other experts estimate 2 percent to 5
> > percent of American children over age 5, nearly all of them obese or
> > overweight, have the condition, called nonalcoholic fatty liver disease..
>
> > "It's clearly the most common cause of liver disease," said Dr. Ronald
> > Sokol, head of public policy at the liver foundation and a liver specialist
> > at Children's Hospital and University of Colorado Denver.
>
> > Few given necessary test
> > Some experts think as many as 10 percent of all children and half of those
> > who are obese may suffer from it, but note that few are given the simple
> > blood test that can signal its presence. A biopsy is the only sure way to
> > diagnose this disease.
>
> > As fat builds up, the liver can become inflamed and then scarred over time,
> > leading to cirrhosis, a serious condition, which in years past was mostly
> > caused by hepatitis or drinking too much alcohol. Liver failure or liver
> > cancer can follow, but if cirrhosis has not yet developed, fatty liver
> > disease can be reversed through weight loss.
>
> > The disease is most common in overweight children with belly fat and
> > certain warning signs, such as diabetes or cholesterol or heart problems.
> > However, it's been seen in a few children of normal weight.
>
> > Genetics, diet and exercise level all play a role. It is most prevalent
> > among Hispanics, relatively rare among African-Americans, and more common
> > among boys than girls.
>
> > "There are people in their 30s or early 40s that will require a liver
> > transplant" from developing the condition as a kid, predicts Dr. JosDe
> > Derdoy, head of liver transplants at Cardinal Glennon Children's Medical
> > Center in St. Louis. He's treated a 15-year-old, 530-pound boy and many
> > others with the condition.
>
> > 'There aren't enough livers to go around'
> > Experts blame obesity, with about two-thirds of all Americans overweight.
> > With fatty liver disease becoming more common in adults, many experts
> > predict it will become the top cause of liver transplants by 2020.
>
> > "There aren't enough livers to go around," says Dr. Philip Rosenthal of the
> > University of California-San Francisco Children's Hospital.
>
> > His patient, Irving Shaffino, a 15-year-old Mexican-American who lives
> > outside Lubbock, Texas, was lucky to get a transplant a year ago. He was in
> > end-stage cirrhosis and, at 5-feet-4, weighed 180 pounds.
>
> > Irving had been fat since age 6, thanks to a high-starch, high-fat diet of
> > Mexican food, pizza and burgers, said his mother, Guadelupe Shaffino. At
> > age 8, she said, he had a distended stomach and by his early teens,
> > breathing problems kept him tethered to an oxygen tank at home.
>
> > Without health insurance, the family couldn't find a local hospital that
> > would do a transplant.
>
> > "My son begged me, 'Don't let me die, Mommy,' so I did everything in my
> > power to find a place to help him. Thanks be to God, we found a way," said
> > Guadelupe Shaffino, a restaurant cook.
>
> > UCSF Children's Hospital, with money from a state health program, agreed to
> > do the transplant. Rosenthal, who oversees the hospital's pediatric liver
> > transplant program, took over care of Irving. The doctor said without a new
> > liver Irving would have died, maybe within months.
>
> > "He was in bad shape," said Rosenthal.
>
> > Soon after tests were completed and Irving got on a transplant waiting
> > list, an organ was found.
>
> > "It felt like a miracle, because people say you could be on the transplant
> > list for years," Irving said.
>
> > Within a couple of months of the July 26, 2007 operation, Irving had weaned
> > himself from the oxygen tank and could go on walks, although he got winded
> > quickly.
>
> > Back home in Texas, his medications are down from 11 to four and Irving
> > said he's replaced soda and fast food with fruit, vegetables and whole
> > grains.
>
> > "I want to get into sports again," he said. "I want to get down to maybe
> > 150" pounds.
>
> > Sadly, however, Irving has made little progress in losing weight. While
> > he's grown an inch and a half since his operation, he's still obese and his
> > weight was up to 219 at the start of August.
>
> > Specialists say many kids diagnosed with fatty liver disease come to
> > subsequent checkups heavier, and at best, just one in four loses
> > significant weight, the only treatment known to stop and even reverse the
> > disease.
>
> > "My patients that are successful, the whole family has bought in,"
> > increasing exercise and changing diet, said Dr. Stephanie Abrams, a liver
> > and obesity specialist at Texas Children's Hospital. "The problem is that
> > we aren't changing society in favor of becoming lean."
>
> > The scope of the disease has only been realized in recent years. Just a
> > handful of cases were reported in medical journals in the 1980s, and in the
> > past, many adult patients were thought to be lying when they denied
> > drinking alcohol.
>
> > 'More commonplace'
> > Only three liver transplants on American children with nonalcoholic fatty
> > liver disease were recorded from 1990 through 2002; two were done last
> > year.
>
> > "It really has been only in the last two or three years that this has
> > become more commonplace," said Dr. Ann Scheimann, a pediatric
> > gastroenterologist at Johns Hopkins Children's Center. "It is scary."
>
> > Like heart disease, liver disease is silent. Kids may feel fine for years.
> > Any early symptoms, like fatigue and loss of appetite, are vague and
> > usually eclipsed by more conspicuous problems, from diabetes to high blood
> > pressure.
>
> > "The majority of children with this still go undiagnosed," said Dr. Jeffrey
> > Schwimmer, head of the Fatty Liver Clinic at Rady Children's Hospital in
> > San Diego. "Some kids have died."
>
> > The number of patients at his clinic has roughly tripled over its six
> > years, and he's seen one with cirrhosis just 8 years old.
>
> > "Many of these children, their parents have it (fatty liver disease) and
> > don't know it," said Schwimmer.
>
> > Early intervention is key
> > Experts say the best way to combat the problem is to intervene early, while
> > it can still be reversed, with a medical team working with the whole
> > family, including liver and hormone specialists, a dietitian and
> > counselors.
>
> > This spring, the American Academy of Pediatrics recommended doctors do a
> > blood test of liver enzymes every two years on obese children and
> > overweight ones with high blood pressure or cholesterol or family history
> > of heart disease. A trade group for children's hospitals last year gave
> > similar advice.
>
> > Within the last several months, there's been an explosion of research
> > published on it and the role genes may play.
>
> > Surprisingly, some research comes from countries not known for high obesity
> > rates: China, India and Iran. More reports come from Australia, England,
> > Greece, Ireland, Israel, Italy and Japan. Doctors say globalization has
> > given even poor countries fast food chains and sedentary pastimes: TV,
> > Internet, video games.
>
> > Scientists now are seeking the best ways to treat it.
>
> > A small study in Rome showed weight loss helped. The U.S. government is
> > testing the diabetes drug metformin and vitamin E and is funding about 20
> > other studies, including one that aims to determine how the disease
> > progresses and who is most likely to develop cirrhosis or liver failure..
>
> > When her son was diagnosed with advanced liver disease three years ago,
> > Susan Siegfried recalls being "devastated." Curtis, then 12, was just over
> > 5-feet-5 and weighed 179 pounds. About 40 percent of his liver was scarred.
>
> > Her husband, Mike, decreed the whole family would change its diet, and all
> > high-fat and junk food was removed from their home in Chester, Ill.
>
> > Susan Siegfried said her son went from being the "sit-in-front-of-the-TV,
> > play-video-games kind of kid," tired and sickly, to full of energy and very
> > active. He now bales hay and does other chores on his uncles' nearby farm.
> > Initially, he dropped about 20 pounds. He's shot up 4 inches but only
> > gained 8 pounds in the past two years.
>
> > A new liver biopsy last fall showed huge improvement in his liver.
>
> > "I'm definitely a lot thinner than I would have been if I hadn't done
> > anything," said Curtis, who found exercising and cutting out sugar and fat
> > wasn't that hard. "If you stick with it, you'll get used to it
>
> Thanks for the great reading! I really apreciated your efforts.
> krac(a)live.co.uk
> krac(a)live.co.uk- Hide quoted text -
>
> - Show quoted text -

I wnated that to show monkey
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