Serum bilirubin level is inversely associated with nonalcoholic steatohepatitis in children

Kanika Puri, Valerio Nobili, Katherine Melville, Claudia D. Corte, Maria R. Sartorelli, Rocio Lopez, Ariel E. Feldstein, Naim Alkhouri

Research output: Contribution to journalArticlepeer-review


OBJECTIVES: Oxidative stress has been implicated in the development of nonalcoholic fatty liver disease (NAFLD) and progression to the more severe form, nonalcoholic steatohepatitis (NASH), in children. We aimed to study the clinical correlation between bilirubin, a potent endogenous antioxidant with cytoprotective properties, and histopathological findings in pediatric patients with NAFLD. METHODS: We included consecutive children with biopsy-proven NAFLD and obtained demographic, clinical, and histopathological data. We performed logistic regression analysis to assess the clinical factors associated with the histological features of NASH or fibrosis. RESULTS: From a total of 302 biopsies, 67% (203) had evidence of NASH, whereas 64.2% had some degree of fibrosis (stage 1 in 51%, stage 2 in 6.3%, and stage 3 in 6.6%). Mean total bilirubin was significantly lower in the NASH group compared with the non-NASH group (0.65±0.24 vs 0.73±0.22 mg/dL, P=0.007). Higher total bilirubin levels were negatively correlated with the presence of steatosis and the NAFLD activity score (P

Original languageEnglish
Pages (from-to)114-118
Number of pages5
JournalJournal of Pediatric Gastroenterology and Nutrition
Issue number1
Publication statusPublished - Jul 2013


  • Antioxidant
  • Bilirubin
  • Children
  • Histology
  • Nonalcoholic fatty liver disease
  • Nonalcoholic steatohepatitis

ASJC Scopus subject areas

  • Gastroenterology
  • Pediatrics, Perinatology, and Child Health


Dive into the research topics of 'Serum bilirubin level is inversely associated with nonalcoholic steatohepatitis in children'. Together they form a unique fingerprint.

Cite this