Severe Quantitative Scale of Acanthosis Nigricans in Neck is Associated with Abdominal Obesity, HOMA-IR, and Hyperlipidemia in Obese Children from Mexico City: A Cross-Sectional Study

Background. Acanthosis nigricans (AN) is a clinical sign that commonly occurs in obesity; however, its specificity and sensitivity have been controversial. It is unknown if AN severity degree can be a useful marker for cardiometabolic disorders screening. We suggest that the stratified analysis of A...

Full description

Saved in:
Bibliographic Details
Main Authors: Ana I. Burguete-García, Alan Gilberto Ramírez Valverde, Meztli Espinoza-León, Isaac Sánchez Vázquez, Evelyn Yazmín Estrada Ramírez, Itzel Maldonado-López, Alfredo Lagunas Martínez, Cinthya Estefhany Diaz Benítez, Roberto Karam Araujo, Diana Fernández-Madinaveitia, Adriana E. Anides Fonseca, Miguel Cruz, José de Jesús Peralta Romero
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Dermatology Research and Practice
Online Access:http://dx.doi.org/10.1155/2022/2906189
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849409288797159424
author Ana I. Burguete-García
Alan Gilberto Ramírez Valverde
Meztli Espinoza-León
Isaac Sánchez Vázquez
Evelyn Yazmín Estrada Ramírez
Itzel Maldonado-López
Alfredo Lagunas Martínez
Cinthya Estefhany Diaz Benítez
Roberto Karam Araujo
Diana Fernández-Madinaveitia
Adriana E. Anides Fonseca
Miguel Cruz
José de Jesús Peralta Romero
author_facet Ana I. Burguete-García
Alan Gilberto Ramírez Valverde
Meztli Espinoza-León
Isaac Sánchez Vázquez
Evelyn Yazmín Estrada Ramírez
Itzel Maldonado-López
Alfredo Lagunas Martínez
Cinthya Estefhany Diaz Benítez
Roberto Karam Araujo
Diana Fernández-Madinaveitia
Adriana E. Anides Fonseca
Miguel Cruz
José de Jesús Peralta Romero
author_sort Ana I. Burguete-García
collection DOAJ
description Background. Acanthosis nigricans (AN) is a clinical sign that commonly occurs in obesity; however, its specificity and sensitivity have been controversial. It is unknown if AN severity degree can be a useful marker for cardiometabolic disorders screening. We suggest that the stratified analysis of AN severity degree in neck by Burke’s scale could be a useful tool in the screening of cardiometabolic alterations in obese children. Objective. The aim of this study was the association of AN severity degree in neck by Burke’s scale with anthropometric, biochemical, and inflammatory parameters in obese school-age children from Mexico City. Methods. A cross-sectional study was conducted, including 95 obese school-age children stratified by AN severity degree in neck by Burke’s scale. Anthropometric and fasting biochemical measurements were determined. Variables were compared by x2 test for frequencies and one-way ANOVA with Bonferroni posttest for continuous variables. Linear regression analysis adjusted by gender, BMI, and age was performed to evaluate the association between AN severity degree and cardiometabolic alterations. Statistical significance was set at p<0.05. Results. As AN severity degree in neck by Burke’s scale increased, diastolic blood pressure (p=0.001) and triglycerides (p=0.02) significantly increased and adiponectin significantly decreased (p=0.02). Positive associations between grade 3 AN and waist circumference, HOMA-IR, triglycerides, total cholesterol, and LDL cholesterol were observed. Conclusion. Our findings could be used to identify an easier clinical tool to prevent obesity progression and its complications in pediatrics. There are no similar studies.
format Article
id doaj-art-7e115742ec824fc0aa6df84ffc4f6d59
institution Kabale University
issn 1687-6113
language English
publishDate 2022-01-01
publisher Wiley
record_format Article
series Dermatology Research and Practice
spelling doaj-art-7e115742ec824fc0aa6df84ffc4f6d592025-08-20T03:35:33ZengWileyDermatology Research and Practice1687-61132022-01-01202210.1155/2022/2906189Severe Quantitative Scale of Acanthosis Nigricans in Neck is Associated with Abdominal Obesity, HOMA-IR, and Hyperlipidemia in Obese Children from Mexico City: A Cross-Sectional StudyAna I. Burguete-García0Alan Gilberto Ramírez Valverde1Meztli Espinoza-León2Isaac Sánchez Vázquez3Evelyn Yazmín Estrada Ramírez4Itzel Maldonado-López5Alfredo Lagunas Martínez6Cinthya Estefhany Diaz Benítez7Roberto Karam Araujo8Diana Fernández-Madinaveitia9Adriana E. Anides Fonseca10Miguel Cruz11José de Jesús Peralta Romero12Departamento de Infecciones Crónicas y CáncerUnidad de Investigación Médica en BioquímicaUnidad de Investigación Médica en BioquímicaUnidad de Investigación Médica en BioquímicaUnidad de Investigación Médica en BioquímicaUnidad de Investigación Médica en BioquímicaDepartamento de Infecciones Crónicas y CáncerDepartamento de Infecciones Crónicas y CáncerDepartamento de Prestaciones Económicas y Sociales Del Instituto Mexicano del Seguro SocialUnidad de DermatologíaUnidad de DermatologíaUnidad de Investigación Médica en BioquímicaUnidad de Investigación Médica en BioquímicaBackground. Acanthosis nigricans (AN) is a clinical sign that commonly occurs in obesity; however, its specificity and sensitivity have been controversial. It is unknown if AN severity degree can be a useful marker for cardiometabolic disorders screening. We suggest that the stratified analysis of AN severity degree in neck by Burke’s scale could be a useful tool in the screening of cardiometabolic alterations in obese children. Objective. The aim of this study was the association of AN severity degree in neck by Burke’s scale with anthropometric, biochemical, and inflammatory parameters in obese school-age children from Mexico City. Methods. A cross-sectional study was conducted, including 95 obese school-age children stratified by AN severity degree in neck by Burke’s scale. Anthropometric and fasting biochemical measurements were determined. Variables were compared by x2 test for frequencies and one-way ANOVA with Bonferroni posttest for continuous variables. Linear regression analysis adjusted by gender, BMI, and age was performed to evaluate the association between AN severity degree and cardiometabolic alterations. Statistical significance was set at p<0.05. Results. As AN severity degree in neck by Burke’s scale increased, diastolic blood pressure (p=0.001) and triglycerides (p=0.02) significantly increased and adiponectin significantly decreased (p=0.02). Positive associations between grade 3 AN and waist circumference, HOMA-IR, triglycerides, total cholesterol, and LDL cholesterol were observed. Conclusion. Our findings could be used to identify an easier clinical tool to prevent obesity progression and its complications in pediatrics. There are no similar studies.http://dx.doi.org/10.1155/2022/2906189
spellingShingle Ana I. Burguete-García
Alan Gilberto Ramírez Valverde
Meztli Espinoza-León
Isaac Sánchez Vázquez
Evelyn Yazmín Estrada Ramírez
Itzel Maldonado-López
Alfredo Lagunas Martínez
Cinthya Estefhany Diaz Benítez
Roberto Karam Araujo
Diana Fernández-Madinaveitia
Adriana E. Anides Fonseca
Miguel Cruz
José de Jesús Peralta Romero
Severe Quantitative Scale of Acanthosis Nigricans in Neck is Associated with Abdominal Obesity, HOMA-IR, and Hyperlipidemia in Obese Children from Mexico City: A Cross-Sectional Study
Dermatology Research and Practice
title Severe Quantitative Scale of Acanthosis Nigricans in Neck is Associated with Abdominal Obesity, HOMA-IR, and Hyperlipidemia in Obese Children from Mexico City: A Cross-Sectional Study
title_full Severe Quantitative Scale of Acanthosis Nigricans in Neck is Associated with Abdominal Obesity, HOMA-IR, and Hyperlipidemia in Obese Children from Mexico City: A Cross-Sectional Study
title_fullStr Severe Quantitative Scale of Acanthosis Nigricans in Neck is Associated with Abdominal Obesity, HOMA-IR, and Hyperlipidemia in Obese Children from Mexico City: A Cross-Sectional Study
title_full_unstemmed Severe Quantitative Scale of Acanthosis Nigricans in Neck is Associated with Abdominal Obesity, HOMA-IR, and Hyperlipidemia in Obese Children from Mexico City: A Cross-Sectional Study
title_short Severe Quantitative Scale of Acanthosis Nigricans in Neck is Associated with Abdominal Obesity, HOMA-IR, and Hyperlipidemia in Obese Children from Mexico City: A Cross-Sectional Study
title_sort severe quantitative scale of acanthosis nigricans in neck is associated with abdominal obesity homa ir and hyperlipidemia in obese children from mexico city a cross sectional study
url http://dx.doi.org/10.1155/2022/2906189
work_keys_str_mv AT anaiburguetegarcia severequantitativescaleofacanthosisnigricansinneckisassociatedwithabdominalobesityhomairandhyperlipidemiainobesechildrenfrommexicocityacrosssectionalstudy
AT alangilbertoramirezvalverde severequantitativescaleofacanthosisnigricansinneckisassociatedwithabdominalobesityhomairandhyperlipidemiainobesechildrenfrommexicocityacrosssectionalstudy
AT meztliespinozaleon severequantitativescaleofacanthosisnigricansinneckisassociatedwithabdominalobesityhomairandhyperlipidemiainobesechildrenfrommexicocityacrosssectionalstudy
AT isaacsanchezvazquez severequantitativescaleofacanthosisnigricansinneckisassociatedwithabdominalobesityhomairandhyperlipidemiainobesechildrenfrommexicocityacrosssectionalstudy
AT evelynyazminestradaramirez severequantitativescaleofacanthosisnigricansinneckisassociatedwithabdominalobesityhomairandhyperlipidemiainobesechildrenfrommexicocityacrosssectionalstudy
AT itzelmaldonadolopez severequantitativescaleofacanthosisnigricansinneckisassociatedwithabdominalobesityhomairandhyperlipidemiainobesechildrenfrommexicocityacrosssectionalstudy
AT alfredolagunasmartinez severequantitativescaleofacanthosisnigricansinneckisassociatedwithabdominalobesityhomairandhyperlipidemiainobesechildrenfrommexicocityacrosssectionalstudy
AT cinthyaestefhanydiazbenitez severequantitativescaleofacanthosisnigricansinneckisassociatedwithabdominalobesityhomairandhyperlipidemiainobesechildrenfrommexicocityacrosssectionalstudy
AT robertokaramaraujo severequantitativescaleofacanthosisnigricansinneckisassociatedwithabdominalobesityhomairandhyperlipidemiainobesechildrenfrommexicocityacrosssectionalstudy
AT dianafernandezmadinaveitia severequantitativescaleofacanthosisnigricansinneckisassociatedwithabdominalobesityhomairandhyperlipidemiainobesechildrenfrommexicocityacrosssectionalstudy
AT adrianaeanidesfonseca severequantitativescaleofacanthosisnigricansinneckisassociatedwithabdominalobesityhomairandhyperlipidemiainobesechildrenfrommexicocityacrosssectionalstudy
AT miguelcruz severequantitativescaleofacanthosisnigricansinneckisassociatedwithabdominalobesityhomairandhyperlipidemiainobesechildrenfrommexicocityacrosssectionalstudy
AT josedejesusperaltaromero severequantitativescaleofacanthosisnigricansinneckisassociatedwithabdominalobesityhomairandhyperlipidemiainobesechildrenfrommexicocityacrosssectionalstudy