Nursing care in childcare services: Acantose nigricans as a marker for metabolic risk.
作者信息
Vieira Caroline Evelin Nascimento Kluczynik, Mariz Larissa Soares, Medeiros Carla Campos Muniz, Enders Bertha Cruz, Coura Alexsandro Silva
机构信息
Universidade Federal do Rio Grande do Norte, NatalRN, Brazil.
Departamento de Enfermagem, Universidade Estadual da Paraíba, Campina GrandePB, Brazil.
出版信息
Rev Lat Am Enfermagem. 2013 Nov-Dec;21(6):1220-7. doi: 10.1590/0104-1169.2870.2357.
OBJECTIVE
to analyze the association between the presence of Acantose nigricans and metabolic changes in overweight adolescents, so as to ascertain the relevance of the identification of this marker in the nursing consultation.
METHOD
a cross-sectional study undertaken between April 2009 and April 2010 with 118 adolescents who were service users of the Center for Child Obesity in Campina Grande in the Brazilian State of Paraíba (PB). The presence of Acantose nigricans, and the subjects' anthropometric measurements, were investigated. The following exams were made: insulin, triglycerides, HDL-Cholesterol, Glucose and the homeostatic model of assessment (HOMA-IR).
RESULTS
there was association between the presence of Acantose nigricans and participants with insulin resistance (p=0.008), metabolic syndrome (p=0.031), elevated triglycerides (p=0.045) and altered HDL (p=0.002).
CONCLUSIONS
the suggestion is supported that the detection/identification of Acantose nigricans may be used in the nursing consultation as a tool for identifying overweight adolescents with greater risk of metabolic changes.
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