Evidence map›Paper›PMID 42614647›Full record

ReviewJournal of nutrition and metabolism2026

Nutrition in Pediatric Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD).

Dieudonne Nonga, Jonathan Gisser, Eileen Chaves, Angel DiPangrazio, April Lehman, Sindhu Pandurangi, Sara Hassan, Christopher Chu, Alvaro Flores

Abstract readReview
In one paragraph

Review in Journal of nutrition and metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Dieudonne NongaDepartment of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Nationwide Children's Hospital, The Ohio State University, Columbus, Ohio, USA, osu.edu.ORCID https://orcid.org/0009-0001-7686-3414
Jonathan GisserDepartment of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Nationwide Children's Hospital, The Ohio State University, Columbus, Ohio, USA, osu.edu.
Eileen ChavesDepartment of Pediatrics, Division of Pediatric Psychology and Neuropsychology, Nationwide Children's Hospital, The Ohio State University, Columbus, Ohio, USA, osu.edu.
Angel DiPangrazioCenter for Healthy Weight and Nutrition, Nationwide Children's Hospital, Columbus, Ohio, USA, nationwidechildrens.org.
April LehmanDivision of Genetic and Genomic Medicine, Nationwide Children's Hospital, Columbus, Ohio, USA, nationwidechildrens.org.
Sindhu PandurangiDepartment of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Children's Medical Center, University of Texas at Southwestern, Dallas, Texas, USA.ORCID https://orcid.org/0000-0003-3426-2845
Sara HassanDepartment of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Children's Medical Center, University of Texas at Southwestern, Dallas, Texas, USA.
Christopher ChuDepartment of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Rady Children's Hospital, University of California San Diego College of Medicine, San Diego, California, USA, rchsd.org.
Alvaro FloresDepartment of Pediatrics, Division of Gastroenterology, Hepatology and Nutrition, Children's Nebraska, University of Nebraska Medical Center, Omaha, Nebraska, USA, unmc.edu.ORCID https://orcid.org/0000-0001-7627-4188

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Lifestyle change, including weight loss in children with overweight and obesity, through intensive health behavior and lifestyle treatment (IHBLT) is one of the main pillars in the management of pediatric metabolic dysfunction-associated steatotic liver disease (MASLD). Approximately 10% of school-aged children in the United States-and an even higher percentage of children with obesity-are affected by MASLD. The stigma, combined with peer and society pressure to maintain a "healthy" weight, as it pertains to MASLD, has led a percentage of affected children to adapt restrictive patterns of eating that have culminated in malnutrition, nutrient deficiencies, disordered eating, anxiety and mood, and eating disorders. Prompt recognition through screening and targeted interventions is needed to address this crisis. Our paper offers a concise review and approach to the nutrition evaluation and assessment of malnutrition and nutrition deficiencies in children with pediatric obesity and MASLD and addresses interventions considered to mitigate this health outcome. We reviewed the literature pertaining to pediatric MASLD and malnutrition, nutrient deficiencies, eating behaviors, eating disorders, disordered eating, and food insecurity in the pediatric population. We focused on the evaluation, assessment, and management of malnutrition and nutrition and behavioral interventions recommended in pediatric MASLD. Overall, IHBLT alone has not been sufficient to curb the pediatric obesity and MASLD epidemic, and there has been a growing interest in specific pediatric MASLD pharmacotherapies and their related nutritional and behavioral side effects. Ultimately, assessing and addressing nutrient deficiencies, mood disturbances, and disordered eating behaviors is critical to mitigating the long-term consequences of this disease, while improving food access and distribution can further optimize metabolic health outcomes through high-quality nutrition.

Indexed as

disordered eatingeating disorderfood access and distributionmalnutritionmonitoringnutrient deficienciesnutritionpediatric MASLDscreening

Identifiers

PMID42614647
PMCPMC13482174

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.