PDF(Pubmed)
Abstract：
Background Numerous clinical signs and symptoms are thought to be associated with insulin resistance. The purpose of this study was to examine the prevalence of insulin resistance among male medical students attending a private Saudi Arabian institution, based on clinical indications. Methods A convenient non-probability sample consisting of 241 male medical students was used to conduct cross-sectional research. Each participant had an in-person interview as well as anthropometric measurements. The interview consisted of a questionnaire that was used to assess demographic data and clinical manifestations related to insulin resistance. Results The study demonstrated the connection between a few dermatological symptoms and waist circumference as an indicator of insulin resistance. In both the high and normal waist circumference groups, acne was the most common symptom. There was no correlation found between waist circumference and psoriasis, hidradenitis suppurativa, androgenic alopecia, alopecia areata, or vitiligo. Nevertheless, as an indicator of insulin resistance, waist circumference was statistically significantly correlated with both skin tags and acanthosis nigricans. Most students had excessive day sleep, foggy brains, struggled with planning and solving problems, and had a memory that became worse in the past few years. In addition, many students feel hungry even after eating some sweets and usually have extreme thirst. Conclusion Among medical students, skin tags, acanthosis nigricans, and acne were the most prevalent dermatological manifestations. Clinicians need to be aware that skin conditions, sleep difficulties throughout the day, changes in cognition, and food cravings might all be indicators of internal changes and/or illnesses such as diabetes and prediabetes.
摘要：
背景许多临床体征和症状被认为与胰岛素抵抗有关。这项研究的目的是检查在沙特阿拉伯私立机构就读的男性医学生中胰岛素抵抗的患病率，根据临床适应症。方法采用由241名男医学生组成的方便非概率样本进行横断面研究。每个参与者都进行了面对面的采访以及人体测量。访谈包括一份问卷，用于评估与胰岛素抵抗相关的人口统计学数据和临床表现。结果该研究证明了一些皮肤病学症状与腰围之间的联系，作为胰岛素抵抗的指标。在高腰围和正常腰围组中，痤疮是最常见的症状。腰围与银屑病无相关性,化脓性汗腺炎,雄激素性脱发,斑秃,或者白癜风.然而，作为胰岛素抵抗的指标，腰围与皮肤标签和黑棘皮病有统计学意义。大多数学生白天睡眠不足，雾蒙蒙的大脑，努力规划和解决问题，记忆在过去几年变得更糟。此外,许多学生感到饥饿，即使吃了一些甜食，通常有极度的口渴。结论在医学生中,皮肤标签,黑棘皮病,痤疮是最常见的皮肤病学表现。临床医生需要意识到皮肤状况，全天睡眠困难，认知的变化，和食物的渴望可能都是内部变化和/或疾病如糖尿病和糖尿病前期的指标。
