Frontiers in endocrinology

Social and mental health challenges in children with fatty liver disease

Updated

Abstract

Children with metabolic dysfunction-associated steatotic liver disease (MASLD) experience significant mental health challenges, including elevated rates of depression and anxiety.

  • MASLD is linked to obesity and insulin resistance, making it the most common chronic liver disease in children.
  • Affected children often face a mental health burden that includes disordered eating and impaired quality of life.
  • Bidirectional mechanisms connect metabolic dysfunction with psychological distress, involving neuroendocrine and inflammatory processes.
  • Social determinants and systemic barriers influence health outcomes for children with MASLD.
  • Emerging treatments may have implications for psychological health that require careful monitoring.
  • Recognizing MASLD as a biopsychosocial condition could enhance both liver and mental health management.

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