Badawy Yousria A, Almakrami Ahmed H, Alata Abdullah J, Abujamea Emad Z, Khaliifa Louai M
Family Medicine, Ibn Sina National College for Medical Studies, Jeddah, SAU.
Medicine and Surgery, Ibn Sina National College for Medical Studies, Jeddah, SAU.
Cureus. 2024 May 15;16(5):e60327. doi: 10.7759/cureus.60327. eCollection 2024 May.
Background Numerous clinical signs and symptoms are thought to be associated with insulin resistance. The purpose of this study was to examine the prevalence of insulin resistance among male medical students attending a private Saudi Arabian institution, based on clinical indications. Methods A convenient non-probability sample consisting of 241 male medical students was used to conduct cross-sectional research. Each participant had an in-person interview as well as anthropometric measurements. The interview consisted of a questionnaire that was used to assess demographic data and clinical manifestations related to insulin resistance. Results The study demonstrated the connection between a few dermatological symptoms and waist circumference as an indicator of insulin resistance. In both the high and normal waist circumference groups, acne was the most common symptom. There was no correlation found between waist circumference and psoriasis, hidradenitis suppurativa, androgenic alopecia, alopecia areata, or vitiligo. Nevertheless, as an indicator of insulin resistance, waist circumference was statistically significantly correlated with both skin tags and acanthosis nigricans. Most students had excessive day sleep, foggy brains, struggled with planning and solving problems, and had a memory that became worse in the past few years. In addition, many students feel hungry even after eating some sweets and usually have extreme thirst. Conclusion Among medical students, skin tags, acanthosis nigricans, and acne were the most prevalent dermatological manifestations. Clinicians need to be aware that skin conditions, sleep difficulties throughout the day, changes in cognition, and food cravings might all be indicators of internal changes and/or illnesses such as diabetes and prediabetes.
背景 许多临床体征和症状被认为与胰岛素抵抗有关。本研究的目的是根据临床指征，调查在沙特阿拉伯一所私立机构就读的男医学生中胰岛素抵抗的患病率。方法 采用由241名男医学生组成的便利非概率样本进行横断面研究。每位参与者都进行了面对面访谈以及人体测量。访谈包括一份问卷，用于评估与胰岛素抵抗相关的人口统计学数据和临床表现。结果 该研究表明了一些皮肤症状与作为胰岛素抵抗指标的腰围之间的联系。在高腰围组和正常腰围组中，痤疮都是最常见的症状。未发现腰围与银屑病、化脓性汗腺炎、雄激素性脱发、斑秃或白癜风之间存在相关性。然而，作为胰岛素抵抗的一个指标，腰围与皮肤赘生物和黑棘皮病在统计学上显著相关。大多数学生白天睡眠过多、头脑不清醒、在规划和解决问题方面存在困难，并且在过去几年中记忆力变差。此外，许多学生即使吃了一些甜食后仍感到饥饿，并且通常极度口渴。结论 在医学生中，皮肤赘生物、黑棘皮病和痤疮是最常见的皮肤表现。临床医生需要意识到，皮肤状况、白天睡眠困难、认知变化和食物渴望都可能是内部变化和/或疾病（如糖尿病和糖尿病前期）的指标。
