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Updated: Sep 30, 2025

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
Cutaneous manifestations of obesity in Turkish children: A comparative study
Münevver Güven1, Ahmet Anık2, Tolga Ünüvar2
1Department of Dermatology, Aydın Adnan Menderes University Faculty of Medicine, Aydın, Turkey.
Insights
Pediatric obesity is linked to various skin conditions, including striae distensae and acanthosis nigricans. These findings highlight the importance of addressing childhood obesity to improve skin health.
Area of Science:
- Dermatology
- Pediatrics
- Public Health
Background:
- Childhood obesity prevalence is rising globally.
- Cutaneous manifestations in obese children are understudied compared to adults.
- Skin conditions in obese children may impact quality of life and require specific management.
Purpose of the Study:
- To determine the prevalence of skin manifestations in children with obesity.
- To compare the frequency of skin conditions between obese children and normal-weight controls.
- To identify specific dermatological issues associated with pediatric obesity.
Main Methods:
- A cross-sectional study involving 82 obese children and 86 normal-weight children.
- Comprehensive full-body skin examinations conducted by a single dermatologist.
- Mycological and Wood's lamp examinations performed as needed, alongside sociodemographic and anthropometric data collection.
Main Results:
- Striae distensae were significantly more common in obese children (72% vs. 26.7%), with thighs being the most affected site.
- Obese children showed higher prevalence of acanthosis nigricans (63.4%), acrochordons (17.1%), folliculitis (31.7%), and intertrigo (11%).
- Other significantly increased conditions in obese children included keratosis pilaris (32.9%), seborrheic dermatitis (12.2%), and facial erythema (7.3%).
Conclusions:
- Pediatric obesity is associated with a wide range of cutaneous manifestations.
- The study identified specific skin conditions that are significantly more prevalent in obese children.
- Further research is warranted to explore the impact of weight loss on these skin conditions in children.
Background:
Cutaneous changes in obese adults have been investigated in numerous studies, but this issue has not been adequately investigated in children.
Objectives:
We aimed to determine the prevalence of skin manifestations in children with obesity by comparing them to normal-weight children.
Methods:
A cross-sectional study was conducted between June 2017 and January 2019 in which 82 children with obesity and 86 normal-weight healthy control children were enrolled. Study participants had detailed full-body skin examinations performed by the same dermatologist; mycological and Wood's lamp examinations were performed when necessary. Sociodemographic and anthropometric measurements of the participants were recorded.
Results:
Striae distensae were the most common skin manifestation in children with obesity; striae were significantly higher in the obese than in the control group (72% vs. 26.7%, p < .001). The anatomical distribution of the striae distensae in the groups differed significantly. Striae distensae were most commonly observed on the buttocks in the control group, while the thighs were the most common site in the obese group. Acanthosis nigricans (63.4% vs. 3.5%, p < .001), acrochordons (17.1% vs. 1.2%, p < .001), keratosis pilaris (32.9% vs. 17.4%, p = .021), intertrigo (11% vs. 0%, p = .001), folliculitis (31.7% vs. 5.8%, p < .001), seborrheic dermatitis (12.2% vs. 3.5%, p = .035) and facial erythema (7.3% vs. 0%, p = .012) were found to be statistically significantly more common in the obese group compared to the control group.
Conclusions:
Obesity in children is associated with numerous cutaneous manifestations. Further study is needed to identify whether weight loss can reduce skin manifestations in obese children.
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