PDF(Pubmed)
Abstract：
Background Obesity is a medical condition characterized by the accumulation of excess fat that can negatively impact health, resulting in a decreased life expectancy and heightened health issues. Obese patients experience skin changes caused by skin infections, mechanical friction, and various skin hypertrophic conditions like fibromas and acanthosis nigricans. Approximately 60-70% of patients suffering from obesity exhibit a range of skin changes. Objective The main objective of the present study is to identify the various types of skin conditions linked to obesity and investigate their relationship with body mass index (BMI). Methodology This is a cross-sectional observational study. This study included obese patients with a BMI greater than 30 kg/m2 who visited the dermatology outpatient department at Saveetha Medical College and Hospital in Chennai, India. We enrolled 100 patients in this study. After obtaining consent, demographic information, height, weight, and cutaneous examination were conducted, and the results were documented. Statistical analysis was conducted using the chi-squared test, where P<0.05 was considered significant. The t-test for independent samples was done to analyze quantitative variables. Results The mean age at presentation was 39.3, and the standard deviation was 9.9. The average BMI was 34.3, and the standard deviation was 2.6. Of the total patients, 34% belonged to the 31-40-year age group, which was followed by 30% in the 41-50-year age group, 23% belonged to the 19-30-year age group, 11% belonged to the 51-60-year age group, and 2% belonged to the >60-year age group. Most patients (63%) had Class I obesity (BMI 30.00-34.99), 34% had Class II obesity (BMI 35.00-39.99), and 3% had Class III obesity (BMI >40.00). The most common cutaneous manifestation overall was acrochordons, followed by acanthosis nigricans, striae distensae, infections, and psoriasis. Conclusion Obesity is identified as a significant public health issue, and its association with skin problems is of practical importance for many clinicians.
摘要：
背景技术肥胖是一种医学状况，其特征是过量脂肪的积累会对健康产生负面影响。导致预期寿命下降和健康问题加剧。肥胖患者经历由皮肤感染引起的皮肤变化，机械摩擦,以及各种皮肤肥大状况，如纤维瘤和黑棘皮病。大约60-70%的患有肥胖症的患者表现出一系列的皮肤变化。目的本研究的主要目的是确定与肥胖相关的各种类型的皮肤状况，并探讨其与体重指数（BMI）的关系。方法学这是一项横断面观察性研究。这项研究包括BMI大于30kg/m2的肥胖患者，他们访问了钦奈Saveetha医学院和医院的皮肤科门诊部，印度。我们在这项研究中招募了100名患者。获得同意后，人口统计信息,高度,体重,进行了皮肤检查，并记录了结果。统计分析采用卡方检验，其中P<0.05被认为是显著的。对独立样本进行t检验以分析定量变量。结果出现时的平均年龄为39.3岁，标准差为9.9。平均BMI为34.3，标准差为2.6。在所有患者中，34%属于31-40岁年龄组，在41-50岁年龄组中紧随其后的是30%，23%属于19-30岁年龄组，11%属于51-60岁年龄组，2%属于>60岁年龄组。大多数患者（63％）患有I类肥胖（BMI30.00-34.99），34%患有II类肥胖（BMI35.00-39.99），3％的人患有III类肥胖（BMI>40.00）。总体上最常见的皮肤表现是顶索，其次是黑棘皮病，茎纹，感染,牛皮癣。结论肥胖被认为是一个重要的公共卫生问题，其与皮肤问题的关联对许多临床医生来说具有实际的重要性。
