<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0016-3813</journal-id>
<journal-title><![CDATA[Gaceta médica de México]]></journal-title>
<abbrev-journal-title><![CDATA[Gac. Méd. Méx]]></abbrev-journal-title>
<issn>0016-3813</issn>
<publisher>
<publisher-name><![CDATA[Academia Nacional de Medicina de México A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0016-38132025000400008</article-id>
<article-id pub-id-type="doi">10.24875/gmm.24000441</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Prevalencia de la sospecha de enfermedad por hígado graso no alcohólico en pacientes pediátricos]]></article-title>
<article-title xml:lang="en"><![CDATA[Prevalence of suspected non-alcoholic fatty liver disease in pediatric patients]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Méndez-Castro]]></surname>
<given-names><![CDATA[José de J.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Méndez-Castro]]></surname>
<given-names><![CDATA[Juan M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Yudovich-Virsub]]></surname>
<given-names><![CDATA[Martin]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sosa-Farias]]></surname>
<given-names><![CDATA[Irvin A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lezama-González]]></surname>
<given-names><![CDATA[Jacqueline]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Méndez-Olivares]]></surname>
<given-names><![CDATA[Roberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Serrano-Campos]]></surname>
<given-names><![CDATA[Flor A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rugerio-Tellez]]></surname>
<given-names><![CDATA[Mónica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ayón-Aguilar]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García-Flores]]></surname>
<given-names><![CDATA[Máximo A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Méndez-Martínez]]></surname>
<given-names><![CDATA[Socorro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Popular Autónoma del Estado de Puebla  Departamento de Investigación en Salud del Servicio Social]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Benemérita Universidad Autónoma de Puebla Departamento de Investigación en Salud del Servicio Social ]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,División de Enseñanza Clínica Baylor College of Medicine Departamento de Pediatría]]></institution>
<addr-line><![CDATA[Texas ]]></addr-line>
<country>Estados Unidos de América</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Universidad San Ángel Departamento de Investigación en Salud ]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Instituto Mexicano del Seguro Social  Coordinación Clínica de Educación e Investigación en Salud]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Departamento de Laboratorio ]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Instituto Mexicano del Seguro Social Coordinación de Planeación y Enlace Institucional ]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<volume>161</volume>
<numero>4</numero>
<fpage>419</fpage>
<lpage>425</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0016-38132025000400008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0016-38132025000400008&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0016-38132025000400008&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Antecedentes: La enfermedad del hígado graso no alcohólico (EHGNA) afecta al 9-18% de la población pediátrica general y al 41-53% de los obesos, con mayor riesgo en la población hispana.  Objetivo: Determinar la prevalencia de la sospecha de EHGNA en pacientes pediátricos.  Material y métodos: Estudio retrospectivo de expedientes pediátricos, que incluyó datos somatométricos y bioquímicos. La sospecha de EHGNA se realizó por el índice de masa corporal (IMC) para la edad, el índice de triglicéridos y glucosa (TyG), y el índice de esteatosis hepática (IEH).  Resultados: Se analizaron 240 expedientes. La prevalencia de sospecha de EHGNA por el IMC fue del 68.3%, por TyG del 62.5% y por IEH, evaluado en 32 pacientes con laboratorios completos, del 31%. La edad media era de 14 años (11-16), el 59.6% eran del sexo femenino, el peso era de 61 ± 17.4 kg, la altura de 156.0 ± 11.7 cm, el IMC de 24.7 ± 5.4 kg/m2 y el IMC/edad del 92.6% (69.5-97.1%). El 2.5% de los pacientes tuvieron bajo peso, el 34.2% peso normal, el 22.9% sobrepeso, el 25.4% obesidad y el 15% obesidad grave.  Conclusiones: Las prevalencias de sobrepeso y obesidad fueron del 22.9% y el 40.4%, respectivamente. La sospecha de EGHNA fue más alta que en otras cohortes.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Background: Non-alcoholic fatty liver disease (NAFLD) affects 9-18% of the general pediatric population, and 41-53% of obese children, with a higher risk in the Hispanic population.  Objective: To determine the prevalence of suspected NAFLD in pediatric patients.  Material and methods: A retrospective study of pediatric medical records, including anthropometric and biochemical data. Suspicion of NAFLD was assessed using body mass index (BMI) for age, the triglyceride-glucose (TyG) index, and the hepatic steatosis index (HSI).  Results: 240 medical records were analyzed. The prevalence of suspected NAFLD based on BMI was 68.3%, using TyG was 62.5%, and using HSI, evaluated in 32 patients with complete laboratory data, was 31%. The age was of 14 years-old (11-16), with 59.6% female patients, weight 61 ± 17.4 kg, height 156.0 ± 11.7 cm, BMI 24.7 ± 5.4 kg/m2, and BMI-for-age 92.6% (69.5-97.1%). 2.5% patients were underweighted, 34.2% had normal weight, 22.9% were overweight, 25.4% had obesity, and 15% had severe obesity.  Conclusions: The prevalence of overweight and obesity was 22.9% and 40.4%, respectively. The suspicion of NAFLD was higher than other cohorts.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Hígado graso]]></kwd>
<kwd lng="es"><![CDATA[Prevalencia]]></kwd>
<kwd lng="es"><![CDATA[Pediatría]]></kwd>
<kwd lng="es"><![CDATA[Tamizaje]]></kwd>
<kwd lng="en"><![CDATA[Fatty liver]]></kwd>
<kwd lng="en"><![CDATA[Prevalence]]></kwd>
<kwd lng="en"><![CDATA[Pediatrics]]></kwd>
<kwd lng="en"><![CDATA[Screening]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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