“…In the studies of Lakshman et al ,34 it was further shown that feeding a high carbohydrate, fat-free diet compared with a normal chow diet caused a marked decrease in ADH activity. Furthermore, in diabetic rats, ADH activity was found to be reduced by approximately 53% when compared with control animals 34. In the present study, fasting blood ethanol levels of children were strongly associated with markers of insulin resistance (eg, HOMA-IR, leptin, TG levels) and liver damage (eg, ALT levels) suggesting that alterations in insulin signalling (eg, beginning insulin resistance) may contribute to the increased ethanol levels found in fasting plasma of children suffering from early signs of NAFLD.…”