Results NAFLD was diagnosed in 8.5% of overweight and 24.9% of obese children. In obese children the prevalence of NAFLD was 22.3% for age group 6-11.9 years and 35.5% for age group 12-19 years. There was no significant difference between girls and boys (P= 0.521). Age was similar in children with and without NAFLD (P= 0.766). An increase of 10 U/L of ALT, AST and ALK increased the odds of NAFLD 6%, 5% and 3%, respectively. An increase of 10 mg/dl of triglycerides and glucose were associated with a 12% and 8% increase and one of TSH with a 15% increase in the odds of NAFLD. An increase of 1 unit of HOMA-IR was associated with a 21% increase in the odds of NAFLD. Conclusions ALT, AST, ALK and HOMA-IR can predict the progression of NAFLD. Findings emphasize on the importance of prevention of obesity and early intervention to prevent abnormalities among obese children.

prevalence of anemia was 90%. Only two patients received nutritional support. Conclusion Malnutrition in the hospital is common in Tunisia but remains under diagnosed and insufficiently supported. This entity deserves further study to determine its impact on health expenditures and to improve its screening and management.