Nursing care in childcare services: Acantose nigricans as a marker for metabolic risk

• Published in: Revista latino-americana de enfermagem Vol. 21; no. 6; pp. 1220 - 1227
• Main Authors: Vieira, Caroline Evelin Nascimento Kluczynik, Mariz, Larissa Soares, Medeiros, Carla Campos Muniz, Enders, Bertha Cruz, Coura, Alexsandro Silva
• Format: Journal Article
• Language: English
• Published: Brazil Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 01.12.2013; Universidade de São Paulo
• Subjects: Acanthosis Nigricans - complications; Acanthosis Nigricans - diagnosis; Acantosis Nigricans; Adolescent; Adolescente; Atención de Enfermería; Child; Child Health Services; Cross-Sectional Studies; Female; Humans; Male; Metabolic Syndrome - complications; Metabolic Syndrome - diagnosis; NURSING; Nursing Diagnosis; Obesidad; Overweight - complications; Overweight - diagnosis; Risk Factors; Nursing Care; Acantose Nigricans; Obesidad; Obesity; Atención de Enfermería; Adolescent; Cuidados de Enfermagem; Acanthosis Nigricans; Obesidade; Adolescente; Acantosis Nigricans
• ISSN: 0104-1169; 1518-8345; 1518-8345; 0104-1169
• DOI: 10.1590/0104-1169.2870.2357

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. 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). 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). 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.