Skin Disorders Associated with Overweight and Obesity among Children in Alexandria, Egypt

Tayel, Dalia I.; Carmen, Carmen; El-Hameed, Reham Saeed Abd

doi:10.14206/canad.j.clin.nutr.2020.01.02

Cited by 2 publications

(14 citation statements)

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“…29 Although studies report an association between features of hyperandrogenism such as acne, hirsutism, androgenic alopecia, with obesity, a biological reason for this relationship has never been found. 7,8,10,13 We did not find a significant relationship between these diseases and obesity.…”

Section: Discussioncontrasting

confidence: 65%

“…Keratosis pilaris has been associated with obesity in many studies. 6,7,13 In the present study, keratosis pilaris was significantly more frequent in children with obesity (32.9%). Interestingly, we found that 7.3% of children with obesity exhibited clinically identifiable facial erythema.…”

Section: Discussionsupporting

confidence: 55%

“…5,29 The frequency of acrochordons has been reported to be 16%-40% in children with obesity. 13,14,21 In the current study, acrochordons were observed significantly more frequently in the obese group (17.1%) than in the control group. In addition, we found a close relationship between the presence of acrochordons and AN.…”

Section: Discussionsupporting

confidence: 46%

“…We found that the most prevalent skin manifestation in children with obesity was StrD (72%). Similarly, Ali et al 13 showed that the most common skin manifestation in obese children (ages 7-15)…”

Section: Discussionmentioning

confidence: 89%

“…Acanthosis nigricans is among the most common skin manifestations in children with obesity, and its prevalence ranges from 12% to 67.6% in studies involving children or adolescents with obesity. 13,14,20,21 Many studies have shown a highly significant correlation between the degree of obesity and the prevalence of AN in obese/overweight children. 6,[22][23][24] Consistent with previous findings, our study showed that AN in children with obesity is common (63.4%) and is correlated with BMI percentile.…”

Section: Discussionmentioning

confidence: 99%

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Cutaneous manifestations of obesity in Turkish children: A comparative study

Güven

Anık

Ünüvar

et al. 2022

Pediatric Dermatology

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Background Cutaneous changes in obese adults have been investigated in numerous studies, but this issue has not been adequately investigated in children. Objectives We aimed to determine the prevalence of skin manifestations in children with obesity by comparing them to normal‐weight children. Methods A cross‐sectional study was conducted between June 2017 and January 2019 in which 82 children with obesity and 86 normal‐weight healthy control children were enrolled. Study participants had detailed full‐body skin examinations performed by the same dermatologist; mycological and Wood's lamp examinations were performed when necessary. Sociodemographic and anthropometric measurements of the participants were recorded. Results Striae distensae were the most common skin manifestation in children with obesity; striae were significantly higher in the obese than in the control group (72% vs. 26.7%, p < .001). The anatomical distribution of the striae distensae in the groups differed significantly. Striae distensae were most commonly observed on the buttocks in the control group, while the thighs were the most common site in the obese group. Acanthosis nigricans (63.4% vs. 3.5%, p < .001), acrochordons (17.1% vs. 1.2%, p < .001), keratosis pilaris (32.9% vs. 17.4%, p = .021), intertrigo (11% vs. 0%, p = .001), folliculitis (31.7% vs. 5.8%, p < .001), seborrheic dermatitis (12.2% vs. 3.5%, p = .035) and facial erythema (7.3% vs. 0%, p = .012) were found to be statistically significantly more common in the obese group compared to the control group. Conclusions Obesity in children is associated with numerous cutaneous manifestations. Further study is needed to identify whether weight loss can reduce skin manifestations in obese children.

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Section: Discussioncontrasting

confidence: 65%

Section: Discussionsupporting

confidence: 55%

Section: Discussionsupporting

confidence: 46%

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Cutaneous manifestations of obesity in Turkish children: A comparative study

Güven

Anık

Ünüvar

et al. 2022

Pediatric Dermatology

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Pediatric obesity and skin disease: cutaneous findings and associated quality-of-life impairments in 103 children and adolescents with obesity

Hasse

Jamiolkowski

Reschke

et al. 2023

Endocrine Connections

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Objective: Little is known about specific cutaneous findings in children and adolescents with overweight and obesity. This study assessed the association of skin signs with pivotal auxological and endocrinological parameters and their influence on the quality of life of young people with obesity. Study design: All patients initially recruited for a tertiary hospital's weight control program were offered participation in this interdisciplinary, single-centre, cross-sectional study. All participants underwent a detailed dermatological examination, anthropometric measurements and laboratory examinations. Quality of life was assessed with validated questionnaires. Results: A total of 103 children and adolescents (age 11.6 ±2.5 years, 41% female, 25% prepubertal, BMI SDS 2.6 ±0.5, HOMA score 3.3 ±4.2; mean ± SD) were recruited in a 12-month study period. Skin affections were linearly associated with increasing BMI and higher age. The most common skin findings were [%] striae distensae (71.0), keratosis pilaris (64.7), acanthosis nigricans (45.0), acne vulgaris (39.2), acrochordons (25.5) and plantar hyperkeratosis (17.6). The HOMA score was associated with acanthosis nigricans (p=0.047), keratosis pilaris (p=0.019) and acne vulgaris (p<0.001). The general mean quality of life score, as assessed by the WHO-5, was 70 out of 100. A total of 38.9% of participants reported impaired dermatological QoL. Conclusions: This study shows the high prevalence of skin lesions in children and adolescents with obesity. The association between skin lesions and the HOMA score indicates that skin manifestations are a marker of insulin resistance. To prevent secondary diseases and improve QoL, thorough skin examinations and interdisciplinary cooperation are necessary.

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Skin Disorders Associated with Overweight and Obesity among Children in Alexandria, Egypt

Cited by 2 publications

References 0 publications

Cutaneous manifestations of obesity in Turkish children: A comparative study

Cutaneous manifestations of obesity in Turkish children: A comparative study

Pediatric obesity and skin disease: cutaneous findings and associated quality-of-life impairments in 103 children and adolescents with obesity

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