Cutaneous manifestations in overweight and obese children and adolescent

Background: Obesity currently is regarded as universal disease of epidemic prevalence and known as the evil of the twentieth century. The last 3 decades we have seen an unprecedented increase in the prevalence of obesity throughout the world including India. Overweight and obesity are the fifth leading risks of global deaths worldwide. However, despite all above mentioned problems, the impact of obesity on the skin has received minimal attention though it can be a window for obesity markers.Methods: It was a cross-sectional descriptive observational study. A total of 131 patients of age 5 to 18 years with BMI greater than 85 percentiles for age and sex and those willing to give consent for participation in the study were selected.Results: Maximum number of patients were obese with their BMI (body mass index) range falling between 95-99 percentile; according to IAP guidelines obese were 83 (63.35%), followed by overweight 27 (20.61%) and 21(16.03%) patients were severely obese. Acanthosis nigricans was the major cutaneous finding seen in 100% cases. Other common manifestations were striae distensae, acrocordons, hyperhidrosis, miliaria, frictional dermatitis and intertrigo, acne vulgaris, atopic dermatitis and hypertrichosis.Conclusions: Obesity is associated significantly with certain dermatoses in children as well as in adults. Skin care of obese patients deserves particular attention, not only because of the high prevalence of cutaneous alteration but mainly because many of these disorders are preventable and could be treated which may improve patient’s quality of life.

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Psychosocial Impact of Acne: A Community Based Cross Sectional Study

COJ Nursing & Healthcare ◽

10.31031/cojnh.2018.03.000570 ◽

2018 ◽

Vol 3 (4) ◽

Author(s):

Mohammad Sarwar Mir

Keyword(s):

Quality Of Life ◽

Social Impact ◽

Acne Vulgaris ◽

Clinical Severity ◽

Age Group ◽

Cross Sectional ◽

Severe Acne ◽

Number Of Patients ◽

The Impact

Background: It is well-known that acne vulgaris is a common malady of adolescence and is easily recognized Objective: To evaluate the level of impact among acne patients on their quality of life. Methods: A total of 200 patients studied. Acne severity was graded using Global Acne Grading System (GAGS) after the clinical diagnosis. All the patients went through self-administered questionnaire of Cardiff Acne Disability Index (CADI) to fill out, to assess the reflection of patients’ experiences and perceptions. Result: Out of 200 patients, 114(57.0%) were females and 86(43.0%) were males. The maximum number of patients was in the age group of 16-20 years (142/200, 71%). Out of total 86 males, 50 (58.3%) had moderate to severe acne, whereas 62(54.38%) females had such a severe acne. 50.87% (58/114) of females had high CADI scores in comparison to only 27.9(24/86) of males. The impact on quality of life was more in the age-group of 21-30 years even though in this age group clinical severity of acne was mild to moderate only. Conclusion: Study found that individuals with acne had profound emotional, as well as, social impact on their quality of life.

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Quality of life in patients with acne vulgaris in a tertiary care centre: a cross sectional study

International Journal of Research in Dermatology ◽

10.18203/issn.2455-4529.intjresdermatol20191770 ◽

2019 ◽

Vol 5 (2) ◽

pp. 406

Author(s):

Hafsa Eram ◽

Vinma H. Shetty ◽

Saumya Goel ◽

Amita Murali Babu

Keyword(s):

Quality Of Life ◽

Acne Vulgaris ◽

Psychological Impact ◽

Cross Sectional ◽

Female Ratio ◽

Number Of Patients ◽

The Mean ◽

The Impact ◽

Score Range

Background: Acne vulgaris is a chronic inflammatory disease of pilosebaceous units which has great psychological impact and causes depression, anxiety, and low self-esteem.Methods: It was a hospital-based, cross-sectional, prestructured, questionnaire-based study done in 120 individuals in the age group 12-30 years using two specific HRQoL indices-Cardiff Acne Disability Index (CADI) and Acne-speciﬁc Quality of Life (Acne-QOL) to understand the impact of acne on the quality of life.Results: Male to female ratio was 2:3. The mean age was 19.23±1.7. The mean CADI score was 5.3. Majority of the patients had grade 2 acne. Based on the CADI questionnaire, the number of males (61.7%) and females (60.2%) was maximum in the medium score. Grade 1 acne had maximum number of patients showing low score followed by grade 2 acne. Based on the acne-QoL questionnaire, maximum patients were in the 11-20 score range, followed by the 21-30 score range.Conclusions: Acne is not only a cosmetic problem, but also has significant psychological impact. Hence, impact of acne on QoL must be considered in the management of facial acne.

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Prevalence of obesity among stroke patients in five Brazilian cities: a cross-sectional study

Arquivos de Neuro-Psiquiatria ◽

10.1590/0004-282x20180053 ◽

2018 ◽

Vol 76 (6) ◽

pp. 367-372 ◽

Cited By ~ 2

Author(s):

Vanessa Speckhahn Vicente ◽

Norberto Luiz Cabral ◽

Vivian Nagel ◽

Vanessa V Guesser ◽

Juliana Safanelli

Keyword(s):

Cross Sectional Study ◽

Overweight And Obesity ◽

The Body ◽

Obesity Prevalence ◽

Sectional Study ◽

Stroke Patients ◽

Cross Sectional ◽

Middle Income ◽

Number Of Patients ◽

Prevalence Of Obesity

ABSTRACT Objective There is gap in knowledge about obesity prevalence in stroke patients from low- and middle-income countries. Therefore, we aimed to measure the prevalence of overweight and obesity status among patients with incident stroke in Brazil. Methods In a cross-sectional study, we measured the body mass index (BMI) of ischemic and hemorrhagic stroke patients. The sample was extracted in 2016, from the cities of Sobral (CE), Sertãozinho (SP), Campo Grande (MS), Joinville (SC) and Canoas (RS). Results In 1,255 patients with first-ever strokes, 64% (95% CI, 62–67) were overweight and 26% (95%CI, 24–29) were obese. The obesity prevalence ranged from 15% (95%CI, 9–23) in Sobral to 31% (95%CI, 18–45) in Sertãozinho. Physical inactivity ranged from 53% (95%CI, 43-63) in Sobral to 80% (95%CI, 73–85) in Canoas. Conclusions The number of overweight patients with incident stroke is higher than the number of patients with stroke and normal BMI. Although similar to other findings in high-income countries, we urgently need better policies for obesity prevention.

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A study on the Relationship of the weight pattern with the socioeconomic status among adolescents school going children in an Indian Metropolitan City

Research in Pharmacy and Health Sciences ◽

10.32463/rphs.2017.v03i02.12 ◽

2017 ◽

Vol 3 (2) ◽

pp. 320-323

Author(s):

Samar Hossain ◽

Sharma Priyanka ◽

Talib Hossain ◽

Surendra Mohan Mathur

Keyword(s):

Socioeconomic Status ◽

Socioeconomic Development ◽

Economic Status ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

Cross Sectional ◽

Socio Economic Status ◽

Obesity And Overweight ◽

Prevalence Of Obesity ◽

Development Levels

Objective: The last two decades have witnessed an increase in health care costs due to obesity and related issues among children and adolescents. Childhood obesity is a global phenomenon affecting all socio-economic groups, irrespective of age, sex or ethnicity. The study was done to find the the prevalence of obesity and overweight and their association with socioeconomic status (SES) and the risk factors. Materials and Methods: School based cross sectional study carried out over a period of 4 months in three schools of East Delhi. The study was carried out in 629 school children of 10–18 years of age and belonging to different socioeconomic statuses in schools in East Delhi. The obesity and overweight were considered using an updated body mass index reference. A pre-tested questionnaire was used to determine the Socio-economic status and life style factors. Results: The prevalence of overweight among children was higher in middle socioeconomic status groups as compared to high socioeconomic class in both boys and girls whereas the prevalence of obesity was higher in high Socio economic status group as compared to middle socioeconomic group. The prevalence of obesity as well as overweight in low SES group was the lowest as compared to other group. Conclusion: The findings of this study suggest that the prevalence of overweight and obesity varies remarkably with different socioeconomic development levels.

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Prevalence of obesity and its risk factors among school children in Karachi, Pakistan

Tropical Doctor ◽

10.1177/0049475518786664 ◽

2018 ◽

Vol 48 (4) ◽

pp. 266-269 ◽

Cited By ~ 1

Author(s):

Naveed Mansoori ◽

Nighat Nisar ◽

Naveen Shahid ◽

Syed Muhammad Mubeen ◽

Shahid Ahsan

Keyword(s):

Risk Factors ◽

School Children ◽

Dietary Habits ◽

Overweight And Obesity ◽

Growth Chart ◽

Sociodemographic Characteristics ◽

Cross Sectional ◽

Factors Influencing ◽

Private And Public ◽

Prevalence Of Obesity

A cross-sectional questionnaire study was conducted during 2012 in private and public-sector schools of Karachi to determine the prevalence and factors influencing overweight and obesity among school children (aged 11–15 years). Sociodemographic characteristics and dietary habits were explored. The CDC Growth Chart was used to record height and weight. Of a total of 887 children, being overweight and frankly obese was found in 169 (19.1%) and 96 (10.8%), respectively. Of these, 176 (66.4%) were from private schools, and significant associations were found in 202 (76.2%) who were spending > 2 h/day watching television and 139 (52.5%) sleeping > 8 h/day.

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Prevalence of thinness, overweight and obesity among Tibetan adolescents aged 12-17 years

Public Health Nutrition ◽

10.1017/s1368980021000215 ◽

2021 ◽

pp. 1-17

Author(s):

Yunfei Zhang ◽

Jiahong Sun ◽

Min Zhao ◽

Costan G. Magnussen ◽

Xi Bo

Keyword(s):

Sampling Method ◽

Total Sample ◽

Overweight And Obesity ◽

Cluster Sampling ◽

Cross Sectional Survey ◽

Clear Trend ◽

Cross Sectional ◽

Significant Difference ◽

Prevalence Of Obesity ◽

Study Participants

Abstract Objective: To estimate the prevalence of thinness, overweight and obesity among Tibetan adolescents aged 12-17 years. Design: Cross-sectional survey. Setting: Shigatse city of Tibet municipality, with an average altitude of more than 4000 m. Subjects: Study participants included 2,642 adolescents aged 12-17 years selected from 6 schools using a convenient cluster sampling method. Results: The prevalence of thinness/overweight/obesity among Tibetan adolescents was 9.4%/5.4%/1.4% (China definition), 14.7%/4.4%/0.7% (IOTF definition), and 2.8%/5.7%/0.9% (WHO definition). The prevalence of thinness and overweight was significantly different between both sexes based on each of three BMI classification criteria (P <0.001). There was no significant difference in the prevalence of obesity between both sexes according to each of three BMI criteria. There was no clear trend in the prevalence of thinness across ages according to the China or IOTF definition (both P >0.05), whereas an upward trend was observed for thinness in boys according to the IOTF definition (P for trend <0.05). In contrast, the prevalence of thinness tended to decrease with increasing age in girls according to the IOTF definition, and in total sample according to the WHO definition (P for trend <0.05). Conclusions: Among Tibetan adolescents, the prevalence of overweight and obesity is relatively low, while the prevalence of thinness is high, especially in boys. These data suggest urgent attention is needed to control adolescent thinness in Tibet.

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Prevalence and Predictors of Overweight and Obesity among Somalis in Norway and Somaliland: A Comparative Study

Journal of Obesity ◽

10.1155/2018/4539171 ◽

2018 ◽

Vol 2018 ◽

pp. 1-8 ◽

Cited By ~ 4

Author(s):

Soheir H. Ahmed ◽

Haakon E. Meyer ◽

Marte K. Kjøllesdal ◽

Ahmed A. Madar

Keyword(s):

Comparative Study ◽

Central Obesity ◽

Overweight And Obesity ◽

Cross Sectional ◽

Somali Immigrants ◽

High Prevalence ◽

Prevalence Of Obesity ◽

Study Population ◽

High Bmi

Background and Aim. The knowledge about the health status of Somalis in Norway and Somaliland is limited. This paper reports the results of a comparative study on the prevalence and predictors of overweight/obesity among Somalis in Norway and Somaliland. Method. We conducted two cross-sectional studies using the same tools and procedures, between 2015 and 2016. The study population was adults aged 20–69 years (n=1110 (Somaliland) and n=220 (Norway)). Results. The prevalence of obesity (body mass index (BMI) ≥30 kg/m2) was 44% and 31% in women in Norway and Somaliland, respectively. In contrast, the prevalence of obesity was low in men (9% in Norway; 6% in Somaliland). Although the prevalence of high BMI was higher in Somali women in Norway than women in Somaliland, both groups had the same prevalence of central obesity (waist circumference (WC) ≥ 88 cm). In men, the prevalence of central obesity (WC ≥ 102 cm) was lower in Somaliland than in Norway. For women in Somaliland, high BMI was associated with lower educational level and being married. Conclusion. The prevalence of overweight and obesity is high among Somali immigrants in Norway, but also among women in Somaliland. The high prevalence of overweight and obesity, particularly among women, calls for long-term prevention strategies.

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A cross-sectional study to determine the prevalence of obesity, overweight and weight awareness among the students of a private medical college in Khulna

Mediscope ◽

10.3329/mediscope.v7i2.49449 ◽

2020 ◽

Vol 7 (2) ◽

pp. 103-107

Author(s):

Md Abul Hasanat ◽

Silvia Paroi ◽

Arifa Begum ◽

Umme Salma ◽

Syeda Farzana Yeasmin

Keyword(s):

Medical Students ◽

Food Consumption ◽

Fast Food ◽

Cross Sectional Study ◽

Overweight And Obesity ◽

Sectional Study ◽

Cross Sectional ◽

Medical College ◽

Fast Food Consumption ◽

Prevalence Of Obesity

Background: Medical education is stressful throughout the whole course. Due to the medical curriculum and the examination pattern leads to psychological stress. Stressful condition leads to irregularity in diet, frequent fast food consumption & lack of exercise, each being considered as an important risk factor leading to overweight and obesity. Hence, this study was undertaken to determine the prevalence of obesity, overweight and weight awareness among the medical students. Objectives: Determination of BMI status of undergraduate medical students to evaluate their weight awareness, prevalence of overweight and obesity and also find out the relationship of the following risk factors with obesity & overweight; i) Opinion about self-image, ii) Physical activity and iii) Frequency of fast food consumption. Methods: A descriptive cross sectional study was conducted on 131 preclinical medical students of Ad-din Akij Medical College, Khulna from January 2018 to April 2018. Height and weight of 131 preclinical students were measured and Body Mass Index was calculated and categorized according to WHO criteria. Results: Out of 131 students 62% come under normal weight category, 21% come under overweight category, 10% come under obese category and 7% come under underweight category. Conclusion: Overweight is a rising problem among the medical students. Sedentary life style and frequency of fast food consumption was high among the overweight and obese students. This study itself created awareness about their weight and promote physical activity among the medical students. Mediscope Vol. 7, No. 2: July 2020, Page 103-107

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Body mass index status and peripheral airway obstruction in school-age children: a population-based cohort study

Thorax ◽

10.1136/thoraxjnl-2017-210716 ◽

2018 ◽

Vol 73 (6) ◽

pp. 538-545 ◽

Cited By ~ 12

Author(s):

Sandra Ekström ◽

Jenny Hallberg ◽

Inger Kull ◽

Jennifer L P Protudjer ◽

Per Thunqvist ◽

...

Keyword(s):

Body Mass Index ◽

Lung Function ◽

Airway Obstruction ◽

Body Mass ◽

Overweight And Obesity ◽

School Age Children ◽

Childhood And Adolescence ◽

Small Airways ◽

Cross Sectional ◽

The Impact

BackgroundFew large prospective studies have investigated the impact of body mass index (BMI) on lung function during childhood.MethodsUsing data collected between 2002 and 2013, we analysed associations between BMI status and lung function (assessed by spirometry) from 8 to 16 years, as well as cross-sectional associations with small airway function (impulse oscillometry) at 16 years in the BAMSE cohort (n=2889). At 16 years, cross-sectional associations with local and systemic inflammation were investigated by analysing FENO, blood eosinophils and neutrophils.ResultsOverweight and obesity at 8 years were associated with higher FVC, but lower FEV1/FVC ratio at 8 and 16 years. In boys, but not girls, obesity at 8 years was associated with a further reduction in FEV1/FVC between 8 and 16 years. In cross-sectional analyses, overweight and obesity were associated with higher frequency dependence of resistance (R5–20) and larger area under the reactance curve (AX0.5) at 16 years. Increased blood neutrophil counts were seen in overweight and obese girls, but not in boys. No association was found between BMI status and FENO. Persistent, but not transient, overweight/obesity between 8 and 16 years was associated with higher R5–20 and AX0.5 and lower FEV1/FVC (−2.8% (95% CI −4.1 to −1.2) in girls and −2.7% (95% CI −4.4 to −1.1) in boys) at 16 years, compared with persistent normal weight.ConclusionIn childhood and adolescence, overweight and obesity, particularly persistent overweight, were associated with evidence of airway obstruction, including the small airways.

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CLINICAL PROFILE OF OUTPATIENTS ATTENDING DERMATOLOGY DEPARTMENT DURING COVID-19 LOCKDOWN RELAXATION PERIOD IN A TERTIARY CARE CENTRE IN SOUTH INDIA – A CROSS-SECTIONAL ANALYTICAL STUDY

10.36106/ijsr/6906051 ◽

2021 ◽

pp. 13-16

Author(s):

Afthab Jameela Wahab ◽

Pavithra Gunasekaran ◽

P. Mohan ◽

V. Sudha ◽

L. Balamurugan ◽

...

Keyword(s):

South India ◽

Tertiary Care ◽

Care Centre ◽

Tertiary Care Centre ◽

Dermatology Department ◽

Cutaneous Manifestations ◽

Relaxation Period ◽

Number Of Patients ◽

Outpatient Practice ◽

The Impact

Background - The cutaneous manifestations of the novel coronavirus have been well documented. However, there are few studies that relate to the clinical prole of regular dermatology outpatients seeking treatment during the lockdown relaxation period braving the pandemic. With the Aim - view to determine the changes seen in dermatology outpatient practice, this study analysed the clinical prole of new patients attending the Dermatology Outpatient Department (OPD) during the COVID-19 lockdown relaxation period in a tertiary care centre in a metropolitan suburb in South India. New dermatology outpatients during the months of May, June, July and August Method - 2020 were included in the study. Outpatient data for this period was analysed and compared with corresponding data for the same period in the previous two years. There was a Result – decrease in the OP census, number of patients in the extremes of life as well as those with asymptomatic dermatoses. There was an increase in the number of patients with infections, particularly dermatophytosis. There was also a noteworthy absence of dermatological emergencies. Conclusion - In essence, our study shows the impact of COVID-19 pandemic on the routine dermatology outpatient services with signicant changes in the clinical prole of outpatient practice following lockdown relaxation.

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