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Association of metabolic syndrome with pediatric psoriasis: a case-control study in Kabul, Afghanistan
Ahmad Khalid Aalemi1,2, Abdul Ghafar Hamdard3, Hongxiang Chen1
1Department of Dermatology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Insights
Children with psoriasis face a higher risk of metabolic syndrome and cardiovascular issues. This study highlights the importance of monitoring these metabolic risks in pediatric psoriasis patients.
Area of Science:
- Dermatology
- Pediatrics
- Metabolic Health
Background:
- Pediatric psoriasis is increasingly recognized, yet its association with metabolic syndrome remains understudied.
- Limited research exists on the prevalence of metabolic syndrome and obesity in children with psoriasis, particularly in Afghanistan.
Purpose of the Study:
- To investigate the association between pediatric psoriasis and the risk of developing metabolic syndrome.
- To assess the prevalence of obesity and cardiovascular risk factors in children with psoriasis compared to controls.
Main Methods:
- A case-control study involving 113 children with psoriasis and 113 controls under 18 years old.
- Measurements included height, weight, waist circumference, blood pressure, and fasting serum levels of glucose, triglycerides, cholesterol, and HDL.
- Statistical analyses utilized Chi-square and independent t-tests, with odds ratios and 95% confidence intervals calculated.
Main Results:
- Children with psoriasis showed significantly higher rates of overweight/obesity (27.4% vs. 12.4%) and central adiposity (23% vs. 9.7%).
- The prevalence of metabolic syndrome was substantially greater in the pediatric psoriasis group (13.3% vs. 2.3%).
- A family history of skin disorders was also more common in children with psoriasis (23.0% vs. 13.7%).
Conclusions:
- Pediatric psoriasis is significantly associated with an increased risk of metabolic syndrome.
- Children diagnosed with psoriasis exhibit a higher likelihood of presenting with cardiovascular risk factors and obesity.
Background:
Limited studies have assessed the risk of metabolic syndrome in pediatric psoriasis. This study was aimed to investigate the association of obesity and metabolic syndrome with pediatric psoriasis in Afghanistan.
Methods:
A case-control study was conducted from March to December 2018 at the dermatology department of Maiwand Teaching Hospital in Kabul city. Participants were children aged less than 18 years; 113 children with psoriasis and 113 children without psoriasis were compared. Height, weight, waist circumference, and blood pressure were measured. Blood samples were taken following overnight fasting to test serum levels of glucose, triglyceride, cholesterol, and high-density lipoprotein cholesterol. Analyses were done using Chi-square test and independent t test. Odds ratio and 95% confidence interval were calculated.
Results:
The mean age was 13.9 ± 3.7 and 13.4 ± 3.4 years in the psoriasis and control groups, respectively. Males comprised 54.9% of the psoriasis group and 41.6% of the control group. Family history of skin disorders was higher among children with psoriasis compared to the control group (23.0% vs. 13.7%; P < 0.001). Children with psoriasis were more likely to be overweight/obese (27.4% vs. 12.4%, OR = 2.67; P = 0.005), to have central adiposity with waist-height ratio of 0.5 or greater (23% vs. 9.7%, OR = 2.77; P = 0.007), and to have metabolic syndrome (13.3% vs. 2.3%, OR = 5.23; P = 0.005).
Conclusion:
The study revealed that children with psoriasis were more likely to have metabolic syndrome and cardiovascular risk factors compared to children without psoriasis.
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