BSPGHAN 2021 Virtual Annual Meeting

27- 29 April 2021

DO NAFLD PATIENTS ENGAGE WITH ADDITIONAL WEIGHT MANAGEMENT SUPPORT BETWEEN APPOINTMENTS?

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Christine Spray
Christine Spray
3 months ago

Thank you for a clear poster. Please can the author explain who was in the initial clinic and who did the follow up contact. Could the authors explain the referral pattern for their patients. Although small numbers were involved, was there any ethnic differences? Can the author comment on family history of obesity? Please can you tell me what was advised to the family as to how to achieve weight loss? Does the clinic provide written information leaflets?

Helen Mortimer
Helen Mortimer
2 months ago

Many thanks for your interest in our poster. The patients had an initial review with the paediatric hepatologist and then a separate dietetic review, it is the dietitian who followed up. This cohort of patients are referred for investigation after a finding of fatty liver. Investigations for possible causes of the fatty liver are carried out and provided the diagnosis is determined as NAFLD they are then typically reviewed every 6-12 months in a Consultant lead clinic. I will often refer to local dietitians as 6-12 months is generally too long between dietetic interventions.

In terms of what advice is given typically we will discuss SMART goals around diet and lifestyle which are patient specific, we may also consider a meal plan if appropriate. A range of written information is used if deemed useful and indicated.

For this audit we did not include data on ethnicity or family history.