Publication
Acanthosis nigricans as a clinical marker of insulin resistance among overweight adolescents
| dc.contributor.author | Videira-Silva, Antonio | |
| dc.contributor.author | Albuquerque, Carolina | |
| dc.contributor.author | Fonseca, Helena | |
| dc.date.accessioned | 2020-10-23T13:18:06Z | |
| dc.date.available | 2020-10-23T13:18:06Z | |
| dc.date.issued | 2019 | |
| dc.description | © 2019 Annals of Pediatric Endocrinology & Metabolism. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. | pt_PT |
| dc.description.abstract | Purpose: Acanthosis nigricans (AN) is a hyperpigmented dermatosis associated with obesity and insulin resistance (IR). There is no consensus whether AN extension scoring offers added value to the clinical estimation of IR. In this study we aimed to assess and score AN using both a short and an extended version of the scale proposed by Burke et al. and analyze the relationships of both versions with hyperinsulinemia and IR. Methods: We analyzed data from 139 overweight adolescents (body mass index ≥85th percentile) aged 12–18 with (n=67) or without (n=72) AN who were followed at a pediatric obesity clinic. Results: Adolescents with AN had higher levels of insulin (d=0.56, P=0.003) and HOMA-IR (d=0.55, P=0.003) compared to those without. Neither the short nor the extended versions of AN scores explained either hyperinsulinemia (β=1.10, P=0.316; β=1.15, P=0.251) or IR (β=1.07, P=0.422; β=1.10, P=0.374). The presence of AN alone predicted hyperinsulinemia and the presence of IR in 7.3% (β=2.68, P=0.008) and 7.1% (β=2.59, P=0.009) of adolescents, respectively. Conclusion: Screening for AN at the neck and axilla is a noninvasive and cost-effective way to identify asymptomatic overweight adolescents with or at risk of developing IR. | pt_PT |
| dc.description.sponsorship | AVS is supported by the Portuguese Foundation for Science and Technology (SFRH/BD/130193/2017). | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Ann Pediatr Endocrinol Metab 2019;24:99-103 | pt_PT |
| dc.identifier.doi | 10.6065/apem.2019.24.2.99 | pt_PT |
| dc.identifier.eissn | 2287-1292 | |
| dc.identifier.issn | 2287-1012 | |
| dc.identifier.uri | http://hdl.handle.net/10451/44649 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Korean Society of Pediatric Endocrinology | pt_PT |
| dc.relation | The effect of a physical activity consultation in the management of adolescent overweight, including anthropometry, physical activity levels, cardiorespiratory fitness, and endothelial health | |
| dc.relation.publisherversion | https://e-apem.org/ | pt_PT |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc/4.0/ | pt_PT |
| dc.subject | Adolescents | pt_PT |
| dc.subject | Acanthosis nigricans | pt_PT |
| dc.subject | Overweight | pt_PT |
| dc.subject | Hyperinsulinemia | pt_PT |
| dc.subject | Insulin resistance | pt_PT |
| dc.title | Acanthosis nigricans as a clinical marker of insulin resistance among overweight adolescents | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.awardTitle | The effect of a physical activity consultation in the management of adolescent overweight, including anthropometry, physical activity levels, cardiorespiratory fitness, and endothelial health | |
| oaire.awardURI | info:eu-repo/grantAgreement/FCT/OE/SFRH%2FBD%2F130193%2F2017/PT | |
| oaire.citation.endPage | 103 | pt_PT |
| oaire.citation.issue | 2 | pt_PT |
| oaire.citation.startPage | 99 | pt_PT |
| oaire.citation.title | Annals of Pediatric Endocrinology & Metabolism | pt_PT |
| oaire.citation.volume | 24 | pt_PT |
| oaire.fundingStream | OE | |
| person.familyName | Videira Silva | |
| person.familyName | Fonseca | |
| person.givenName | Antonio | |
| person.givenName | Helena | |
| person.identifier.ciencia-id | DD12-3E66-20BB | |
| person.identifier.ciencia-id | 3F17-A0D4-D0C6 | |
| person.identifier.orcid | 0000-0002-8209-1676 | |
| person.identifier.orcid | 0000-0003-0565-1403 | |
| project.funder.identifier | http://doi.org/10.13039/501100001871 | |
| project.funder.name | Fundação para a Ciência e a Tecnologia | |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |
| relation.isAuthorOfPublication | 3aa7bf17-683a-4293-b91c-6f31d56ab463 | |
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