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Esteatose hepática em mulheres obesas

Several liver histologic abnormalities are discribed in obese patients. One hundred thirty three assymptomatic obese women, were submitted to liver ultrasonography (USG). They were divided in group 1 (n = 68), obese women with image compatible with liver steatosis and group 2 (n = 64) obese women without steatosis. The groups were matched for age and body mass index (BMI = weight/ height²). The mean age ± SD of two groups were 35.3 ± 7.2 years and 34.7 ± 9.0 years respectively, group 1 and group 2. The mean BMI ± in group 1 was 40.5 ± 5.6 kg/m² and group 2 was 39.5 ± 7.1 kg/m². Blood samples were taken for biochemical and liver function test determination. The results showed that triglycerides and uric acid were higher in group 1 than group 2 (p<0,05). Plasma glucose, total cholesterol, HDL-cholesterol, alanine aminotransferase, aspartate aminotransferase and gamaglutamil transpeptidase levels were similar. We conclude that metabolic abnormalites are more frequent in obese women with steatosis than in those without steatosis.

Ultrasonography; Liver; Obesity; Steatosis


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