Skin manifestations in pediatric obesity: A prospective cohort study

Al-Baghdadi, M.; Dossi, María Teresa; Grewal, Preeti; Hamilton, J. R.; Pope, Elena; Lara‐Corrales, Irene

doi:10.1111/pde.15048

Cited by 1 publication

(11 citation statements)

References 12 publications

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“…In individuals with obesity, intertrigo is due to unusually deep skin folds facilitating transpiration, skin irritation and fungal infections ( 15 , 31 ). We detected a prevalence of intertrigo of 10.7%, which is in line with previous investigations ( 15 , 37 ) but has not been investigated in other similar studies ( 14 , 16 ).…”

Section: Discussionsupporting

confidence: 93%

“…In contrast, the prevalence of warts was low in the present study population (10.7%). The prevalence of folliculitis in this study was similar to that in a recent Canadian investigation ( 16 ) and markedly lower than that in a Turkish study in children with similar BMI SDS values ( 15 ). In addition to ethnic influences, climatic influences or differences in health care systems, e.g., access to topical antimicrobial therapy or dermatological care, may account for this difference in folliculitis prevalence.…”

Section: Discussionsupporting

confidence: 84%

“…Accordingly, the prevalence of tinea pedis (12%) is markedly elevated in children with obesity compared to schoolchildren in the general population, in whom the prevalence ranges from 2.69% ( 32 ) to 5.7% ( 33 ). While dermatomycosis occurred substantially more frequently in Egyptian children (21.9%), the results of other previous studies are comparable to the general population ( 15 , 16 ). Similarly, in another German study examining minors with diabetes mellitus, tinea pedis was observed only in 1.6% of the participants ( 34 ).…”

Section: Discussionsupporting

confidence: 71%

“…Compared to a recent study including 82 pediatric patients with overweight and obesity, the mean BMI SDS values were similar (2.74 ± 0.72 vs 2.60 ± 0.5) ( 15 ). Furthermore, four studies with a similar dermatological focus and >80 included patients ( n = 82 ( 14 ), n = 100 ( 26 ), n = 510 ( 27 ), n = 91 ( 16 )) did not report the BMI SDS values of the recruited patients.…”

Section: Discussionmentioning

confidence: 99%

“…While some specific entities, such as acanthosis nigricans (AN), have been studied in individuals with childhood obesity ( 11 , 12 ), structured investigations of skin abnormalities in pediatric patients with obesity are still scarce. Moreover, the impact of cutaneous afflictions on the general well-being and skin-related QoL of children with obesity has not been extensively studied thus far ( 13 , 14 , 15 , 16 ). Similarly, associations of skin diseases with anthropometric data and metabolic parameters have not yet been described.…”

Section: Introductionmentioning

confidence: 99%

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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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