2011, Number 4
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Gac Med Mex 2011; 147 (4)
Skin tags and Acanthosis nigricans: association with insulin resistance and overweight in Mexican children
Valdés RR, Moncada GB, Rivera RSP, Aradillas GC, Hernández-Rodríguez H, Torres ÁB
Language: Spanish
References: 25
Page: 297-302
PDF size: 79.10 Kb.
ABSTRACT
Background: Childhood overweight and obesity are a notorious health problem around the world that may lead to an increase in insulin resistance and metabolic syndrome.
Acanthosis nigricans (AC) and skin tags (ST) are skin markers that can help to obtain an early diagnose of these metabolic disorders.
Objective: To determine whether such skin markers (ST and AN), correlate with insulin resistance based on the assessment of the homeostasis model of insulin resistance (HOMA-IR), and also with overweight and obesity.
Methods: Weight, height and body mass index were obtained and accordingly to CDC based on percentiles, and classification was made as follows: underweight, healthy weight, overweight and obesity. Beside insulin, glucose, and HOMA-IR were assessed.
Results: We included 186 patients age range 6-14 yr, 89 female, 97 male, 10 with underweight, 148 healthy weight, 18 overweight, 10 obese; 18 children presented ST and 29 AN. We found a relationship between the presence of ST and AN with higher BMI and insulin resistance.
Conclusions: The presence of skin tags and
Acanthosis nigricans correlates with the presence of insulin resistance in children even in healthy weight patients and higher BMI.
REFERENCES
Organización Mundial de la Salud. Aumento del sobrepeso y la obesidad infantiles [Internet]. Available from: http://www.who.int/dietphysicalactivity/childhood/es/ Se revisó en junio de 2010.
Rivera-Dommarco J, Cuevas-Nasu L, Shamah-Levy T, Villalpando- Hernández S, Ávila-Arcos MA, Jiménez-Aguilar A. Estado Nutricio. En: Encuesta Nacional de Salud y Nutrición 2006. Cuernavaca, México: Instituto Nacional de Salud Pública; 2006. p. 85-103.
Contento IR, Basch C, Zybert P. Body image, weight, and food choices of latina women and their young children. J Nutr Educ Behav. 2003;35(5):236-48.
Kiess W, Galler A, Reich A, et al. Clinical aspects of obesity in childhood and adolescence. Obes Rev. 2001;2(1):29-36.
Pergher RN, De Melo ME, Halpern A, Mancini MC; Liga de Obesidad Infantil. Is a diagnosis of metabolic syndrome applicable to children?. J Pediatr (Rio J). 2010;86(2):101-8.
Steinberrg J. Diagnosis of the metabolic síndrome in children. Curr Opin Lipidol. 2003;14(6):555-9.
Franks PW, Hanson RL, Knowler WC, Sievers ML, Bennett PH, Looker HC. Childhood obesity, other cardiovascular risk factors, and premature death. N Engl J Med. 2010;362(6):485-93.
Gregg EW. Are children the future of type 2 diabetes prevention? N Engl J Med. 2010;362(6):548-50.
Moncada B, Andrade S, Torres-Álvarez B, Quevedo MA, Torres AB. Acrocordones: ¿Marcadores cutáneos de obesidad y/o Diabetes? Anual Meeting of American Federation for Clinical Research; 1994; Baltimore.
Sari R, Akman A, Alpsoy E, Balci MK. The metabolic profile in patients with skin tags. Clin Exp Med. 2010;10(3):193-7.
Erdog˘an BS, Aktan S, Rota S, Ergin S, Evliyaog˘lu D. Skin tags and atherosclerotic risk factors. J Dermatol. 2005;32(5):371-5.
Hermanns-Lê T, Scheen A, Piérard GE. Acanthosis nigricans associated with insulin resistance: pathophysiology and management. Am J Clin Dermatol. 2004;5(3):199-203.
Urrutia-Rojas X, Menchaca J, Wadley W, Ahmad N, Lacko A, Bae S. Cardiovascular risk factors in Mexican-American children at risk for type 2 diabetes mellitus (T2DM). J Adolesc Health. 2004;34(4):290-9.
Flegal KM, Ogden CL, Carroll MD. Prevalence and trends in overweight in Mexican-american adults and children. Nutr Rev. 2004;62(7 Pt 2):S144-8.
Fernández JR, Redden DT, Pietrobelli A, Allison DB. Waist circumference percentiles in nationally representative samples of African-American, European-American, and Mexican-American children and adolescents. J Pediatr. 2004;145(4):439-44.
Tyler DO. Overweight and perceived health in Mexican American children: a pilot study in a central Texas community. J Sch Nurs. 2004;20(5): 285-92.
Centers for Disease Control and Prevention. [Internet]. Available from: http://www.cdc.gov/healthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html. Se revisó en junio de 2010.
Siegel S, Castelan NJ. Dos muestras independientes. En: Estadística no paramétrica aplicada a la ciencia de la conducta. 4.ª Edición. México, D.F.: Editorial Trillas; 1995. p. 174-82.
García-Hidalgo L, Orozco-Topete R, González-Barranco J, Villa AR, Dalman JJ, Ortiz-Pedroza. Dermatoses in 156 obese adults. Obes Res. 1999;7(3):299-302.
Yamazaki H, Ito S, Yoshida H. Acanthosis nigricans is a reliable cutaneous marker of insulin resistance in obese Japanese children. Pediatr Int. 2003;45(6):701-5.
Stuart CA, Gilkison CR, Keenan BS, Nagamani M. Hyperinsulinemia and acanthosis nigricans in African Americans. J Natl Med Assoc. 1997; 89(8):523-7.
Kerem N, Guttmann H, Hochberg Z. The autosomal dominant trait of obesity, acanthosis nigricans, hypertension, ischemic heart disease and diabetes type 2. Horm Res. 2001;55(6):298-304.
Hermanns-Lê T, Hermanns JF, Piérard GE. Juvenile acanthosis nigricans and insulin resistance. Pediatr Dermatol. 2002;19(1):12-4.
Robert JJ. Hyperinsulinism syndromes caused by insulin resistance. Ann Pediatr (París). 1990;37(3):143-9.
Miura N, Ikezaki A, Iwama S, Matsuoka H, Ito K, Sugihara S. Genetic factors and clinical significance of acanthosis nigricans in obese Japanese children and adolescents. Acta Paediatr. 2006;95(2):170-5.