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Letter to the Editor| Volume 68, ISSUE 4, P856-857, April 2018

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Energy drinks and adolescents – A hepatic health hazard?

Published:November 22, 2017DOI:https://doi.org/10.1016/j.jhep.2017.10.036
      We read with great interest the paper entitled “Serum uric acid concentrations and fructose consumption are independently associated with NASH in children and adolescents”, published by Mosca et al. in the Journal of Hepatology, 2017.
      • Mosca A.
      • Nobili V.
      • De Vito R.
      • Crudele A.
      • Scorletti E.
      • Villani A.
      • et al.
      Serum uric acid concentrations and fructose consumption are independently associated with NASH in children and adolescents.

      Linked Article

      • Serum uric acid concentrations and fructose consumption are independently associated with NASH in children and adolescents
        Journal of HepatologyVol. 66Issue 5
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          Non-alcoholic fatty liver disease (NAFLD) is now largely regarded as the hepatic manifestation of metabolic syndrome (MetS) and NAFLD represents the most frequent chronic liver disease in children in Western countries [1]. NAFLD begins with the development of liver lipid accumulation and the condition progresses over time with the development of liver inflammation and fibrosis (non-alcoholic steatohepatitis or NASH). Although it was initially thought that NAFLD was a relatively harmless condition in children and adolescents, recent evidence shows that NASH occurs in this young population [2].
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      • Reply to: “Energy drinks and adolescents – A hepatic health hazard?”
        Journal of HepatologyVol. 68Issue 4
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          We read with interest the letter by Robin et al. referring to our paper entitled “Serum uric acid concentrations and fructose consumption are independently associated with NASH in children and adolescents”.1,2 In their letter, the authors report the case of a 17-year-old-boy who developed NASH due to his unhealthy lifestyle and his consumption of energy drinks (EDs). Robin et al. also highlight that other components of the diet, such as niacin, xanthine, taurine and B vitamins, could contribute to liver damage.
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      References

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        • Nobili V.
        • De Vito R.
        • Crudele A.
        • Scorletti E.
        • Villani A.
        • et al.
        Serum uric acid concentrations and fructose consumption are independently associated with NASH in children and adolescents.
        J Hepatol. 2017; 66: 1031-1036
      1. NatCen Social Research, MRC Elsie Widdowson Laboratory UCLMS. National Diet and Nutrition Survey Years 1–6, 2008/09-2013/14. [data collection]. 8th Edition. UK Data Service. SN: 6533, doi: https://doi.org/10.5255/UKDA-SN-6533-7. 2017.

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