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Physical activity is prospectively associated with adolescent nonalcoholic fatty liver disease

Lookup NU author(s): Professor Chris Day

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This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).


Abstract

© 2015 by European Society for Pediatric Gastroenterology, Hepatology, and Nutrition and North American Society for Pediatric Gastroenterology, Hepatology, and Nutrition. Objectives: The aim of the present study was to assess whether objectively measured physical activity at mean ages 12 and 14 years are prospectively associated with ultrasound scan liver fat and stiffness (alanine aminotransferase, aspartate aminotransferase [AST], and g-glutamyl transferase [GGT]) assessed at mean age 17.8 years. Methods: Participants were from the Avon Longitudinal Study of Parents and Children. Total physical activity (counts per minute) and minutes of moderate to vigorous physical activity (MVPA) were measured using ActiGraph accelerometers at mean ages 12 and 14 years. Results: Greater total physical activity and MVPA at ages 12 and 14 years were associated with lower odds of liver fat and lower GGT levels at mean age 17.8 years, such as per 15-minute increase in daily MVPA at age 12 years, the confounder adjusted odds ratio of liver fat was 0.47 (95% confidence interval [CI] 0.27-0.84). Associations attenuated after additional adjustment for fat mass as a potential confounder (eg, per 15-minute increase in daily MVPA at age 12 years, the odds ratio of liver fat attenuated to 0.65 [95% CI 0.35-1.21]) or a potential mediator (eg, per 15-minute increase in daily MVPA at age 12 years the odds ratio of liver fat attenuated to 0.59 [95% CI 0.32-1.09]). Results did not further attenuate after additional adjustment for insulin resistance. There was some evidence that greater total physical activity and MVPA at age 12 years were associated with the higher AST levels. Conclusions: Adolescents who were more active in childhood have lower odds of fatty liver and lower GGT levels. These findings are likely to be, at least in part, explained by adiposity.


Publication metadata

Author(s): Anderson EL, Fraser A, Howe LD, Callaway MP, Sattar N, Day C, Tilling K, Lawlor DA

Publication type: Article

Publication status: Published

Journal: Journal of Pediatric Gastroenterology and Nutrition

Year: 2016

Volume: 62

Issue: 1

Pages: 110-117

Print publication date: 01/01/2016

Acceptance date: 03/07/2015

Date deposited: 01/06/2018

ISSN (print): 0277-2116

ISSN (electronic): 1536-4801

Publisher: Lippincott Williams and Wilkins

URL: https://doi.org/10.1097/MPG.0000000000000904

DOI: 10.1097/MPG.0000000000000904

PubMed id: 26252921


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