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Most (78%) were treated with steroid therapy for an average of 52.6\u2009\u00b1\u200946.7\u2009months. Increased BMI\n                      <jats:italic>z<\/jats:italic>\n                      \u2010scores were noted in 41% of boys with DMD (19% obese, 22% overweight), with significant age\u2010related variation (\n                      <jats:italic>\u03c7<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200915.68,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.0035). USS revealed hepatomegaly in 56% and steatosis in 24% of patients; both were more frequent with age and higher BMI\n                      <jats:italic>z<\/jats:italic>\n                      \u2010score. Boys over 13\u2009years, with normal liver scan, had lower weight\/BMI\n                      <jats:italic>z<\/jats:italic>\n                      \u2010scores, CRP level and higher HDL\u2010C levels. Dyslipidemia was reported in 81% of patients, and insulin resistance in 13.9%, with insulin levels increasing with age.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Metabolic complexity in DMD calls for early targeted care; understanding the dystrophin role may be crucial.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijpo.70106","type":"journal-article","created":{"date-parts":[[2026,3,30]],"date-time":"2026-03-30T05:37:06Z","timestamp":1774849026000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Metabolic Complications and Ultrasound\u2010Detected Liver Abnormalities in Paediatric Patients With Duchenne Muscular Dystrophy"],"prefix":"10.1111","volume":"21","author":[{"given":"Karolina","family":"\u015aledzi\u0144ska","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Hematology, Oncology and Immunology Medical University of Gda\u0144sk  Gda\u0144sk Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kornelia","family":"Polat","sequence":"additional","affiliation":[{"name":"Student Scientific Circle Rare Diseases, Faculty of Medicine Medical University of Gda\u0144sk  Gda\u0144sk Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Agnieszka","family":"Kuchta","sequence":"additional","affiliation":[{"name":"Division of Clinical Chemistry Medical University of Gda\u0144sk  Gda\u0144sk Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f3zef","family":"Dulak","sequence":"additional","affiliation":[{"name":"Department of Medical Biotechnology, Faculty of Biochemistry, Biophysics and Biotechnology Jagiellonian 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