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... the 8 skin disorder groups, disorders of pigmentation were signifi cantly less common in the obese patients (10.48%) compared with non-obese (19.47%) (P=0.02). Otherwise, there were no signifi cant differences between the two groups regarding other cutaneous disorder categories (Table 2). Moreover, it was shown that the prevalence of pigmentation disorders decreases with increasing BMI with lowest risk in obese class II/III (OR=0.49, ...
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... In the present study, tinea corporis (Figure 3) was the most common infection and second most common skin manifestation (39.3%) followed by intertrigo (1.9%) and furunculosis (1.9%). In the study by Abdel Maguid et al [12] , 30.65% of obese patients had skin infections with tinea being the most common (15%) followed by furunculosis (6.8%). Sivakumar & Banupriya [10] in their study also observed the incidence of tinea and intertrigo was 16% and 8% respectively. ...
... In the present study, acrochordons were the third most common skin manifestation observed among obese subjects found in 26.2% subjects. Comparatively, the prevalence of skin tags in the study by Abdel Maguid et al [12] was 13.3% with significant association with obesity (p<0.05). Other skin condition seen were hirsutism (4.7%) ( Figure. ...
Obesity is a medical condition in which excess body fat has accumulated to the extent that it may have an adverse effect on health, leading to reduced life expectancy and/or increased health problems". A hospital-based cross-sectional study was conducted in the Department of Dermatology, Venereology & Leprosy, central west part of India. The aim was to study various dermatological manifestations of obesity. A total of 107 subjects with clinical evidence of obesity were included (BMI>25 or waist circumference Men: >90 cm, women>80 cm). After taking consent, demographic details, height, weight, waist circumference, and cutaneous examination findings were recorded. Investigations like fasting plasma glucose level, post prandial plasma glucose level, serum lipid profile, and fasting serum insulin level were also performed. The mean age of the study subjects was 38.27 years with over half of the subjects (55.1%) being 40 years or below. Female predominance was seen among study subjects with 79.4% females to 20.6% males. Out of total 107 subjects, 39.3% had a sedentary lifestyle. As per BMI criteria, 5.6% were normal and 27.1% were overweight. While 26.2%, 27.1% and 14% were in obesity category I, II and II respectively. All female respondents had abdominal girth above 80 cm, while 44.7% had abdominal girth above 100 cm. All male respondents had abdominal girth above 90 cm, while 9.1% and 13.6% had abdominal girth above 100 cm and 110 cm respectively. Out of total 107 cases, 34 (31.8%) were vegetarians while remaining 73 (68.2%) were on mixed diet. Associated co-morbidities among study subjects included diabetes (5.6%), hypertension (4.7%), PCOS (1.9%) and hypothyroidism (0.9%). On investigation, raised fasting insulin was seen in 36.4% while diabetes as per fasting and post-prandial criteria was observed in 17.8% and 34.6% subjects. High total cholesterol, triglycerides, LDL and VLDL levels were seen in 71%, 33.6%, 59.8% and 47.7% while low HDL levels were seen in 77.6%. Insulin resistance as per raised HOMA-IR levels was seen in 69.2% subjects. In 69.2% cases, skin manifestations developed gradually while International Clinical and Medical Case Reports Journal Research Article (ISSN: 2832-5788) Int Clinc Med Case Rep Jour (ICMCRJ) 2023 | Volume 2 | Issue 9 acute onset was seen in 30.8% cases. The most common site involved was the neck (65.4%), followed by groin (15%) and axilla region (10.3%). The most common skin manifestation of obesity seen in present study was acanthosis nigricans (61.7%), followed by tinea corporis (39.3%) and acrochordons (26.2%). Other skin condition seen were hirsutism (4.7%), intertrigo (1.9%), furuncle (1.9%), striae (1.9%), acne (1.9%) and adiposis dolorosa (0.9%).
... Similar results were found in a study done in Kwara State, Nigeria were about 25% of the participants had overnutrition [8]. It also falls within the range concluded as prevalence of over nutrition in Africa according to a review but lower than values gotten from Egypt [10]. However values from Bangladesh are lower than those in this present study but lower than prevalence of United States where 33% of men and 39% of women are obese [11,12]. ...
Aims: The aim of the study is to highlight that cutaneous lesion can be markers of nutritional status in the elderly. Study Design: This is a cross-sectional descriptive study. Place and Duration of Study: This study took place within the wards of University of Port Harcourt Teaching Hospital over a 3 month period. Methodology: A sample of 126 elderly patients were calculated as the sample size to be assessed for cutaneous lesions, of which 122 were fit enough to have their BMI assessed using standardized protocol of measuring height and weight. The BMI was calculated using the formula -BMI = kg/m2. Results: Out of the total, 55 of them representing 45.1% had normal BMI, 13 representing 10.7% were underweight, 33 (27%) over weight and 21(17.2%) obese. Underweight elderly patients were more likely than those with normal weight to have xerosis, itching, wrinkles, idiopathic guttate hypomelanosis and ulcers. The elderly with overweight and obesity were more likely to have dermatosis papulosa nigra, signs of post-bleaching syndrome and surgical scars. Conclusion: Complaints or observance of cutaneous lesions in elderly should be a reason to investigate nutrition and the solution may lie in nutrition based treatment. More research is however needed to further evaluate the association between cutaneous lesions and body mass index.
... It has become a major public health problem in Egypt, with a marked rise over the past 30 years. With nearly 70% of its adult population overweight or obese, Egypt is the fattest African country and is the 14 th fattest country in the world [2]. ...
... (47.3years)87 and higher than that reported by Abdel 10 Maguid EM et al. (36.38 years). ...
Background: Obesity is a global epidemic. Obesity is associated with a number of dermatoses, including acanthosis nigricans, skin tag, keratosis pilaris, hyperandrogenism and hirsutism, striae distensae, and adiposis dolorosa. Objective: To elucidate the various skin changes in obesity and to determine if it is considered as an obesity marker. Methodology: 100 patients, aged 18 years or above satisfying the inclusion and exclusion criteria were drawn for a period of 18 months. Results: Out of 100 patients 54% were female, in their third and fourth decade. By occupation most of the females were housewives (40%) and the majority of males were farmers (14%). Type 2 diabetes mellitus was the most common systemic illness (24%). Pseudoacanthosis nigricans was the most prevalent skin change. 51% of patients had skin tags. 48% had striae distensae as a skin change. 10.86% male and 14.81% female patients had stasis dermatitis, 6% had leg venulectasias and 2% had leg ulcer. 26% had plantar hyperkeratosis. 41% of our patients had one or other types of fungal infections. Bacterial infections were detected in 15% cases, folliculitis being the commonest. Conclusion: Obesity is strongly related to several skin alterations that could be considered as markers of excessive weight. The dermatoses that showed a statistically significant relationship with obesity were Pseudo acanthosis nigricans, Skin tag, Striae, Plantar hyperkeratosis and Fungal infections. Prevention of obesity is important to prevent these dermatoses and dermatologists must work with primary care physicians and patients to reduce the harmful effects of obesity on the skin.
... In the current study, several dermatoses were found to have significantly different frequencies among obese than in normal weight control. This finding has been previously reported by Mena-Ramírez et al., (4) in Mexican children and among the adult obese Egyptians by Abdel Maguid et al., (5). ...
