Effects on the System Development for Detecting Nonalcoholic Fatty Liver Disease and Treatment Outcomes in Overweight and Obese Children in Mueang Chaiyaphum District, Chaiyaphum Province

Abstract

This action research aimed to develop screening system for nonalcoholic fatty liver and outcomes in overweight and obese children in Mueang Chaiyaphum District, Chaiyaphum Province. Samples consisted of 27 personnel and 764 children aged 7-18 years. The research tool was a questionnaire. Analysis using descriptive statistics, Chi-square tests, paired t-test and logistic regression.

The results revealed that the screening system for non-alcoholic fatty liver disease in overweight and obese children were as follows: history taking, ultrasound examination, and health protection program to prevent fatty liver disease. After development, the overall of fatty liver disease screening increased from 48.1% to 92.6%. Causal factors of fatty liver disease were significantly (p<0.05) included age, symptoms, genetics, having obese family members, body mass index, waist circumference, and blood pressure. Children's overall behaviors to prevent fatty liver disease increased from 71.5% to 80.5%. Five of the 12 factors (41.7%) were statistically significant predictors of fatty liver disease (p<0.05), sorted by adjusted OR values ​​as follows: genetics-fatty liver 2.64 times (OR=2.64), family members being obese 2.28 times (OR=2.28), Body mass index was 1.73 times (OR=1.73), age 7-14 years was 0.58 times (OR=0.58), and children with moderate fatty liver disease prevention behaviors were 0.56 times (OR=0.56), respectively. Prevalence of fatty liver disease was found to be 77.9%. Therefore, personnel could deploy to screen for fatty liver disease in children.