jsmsJournal of Siberian Medical SciencesJournal of Siberian Medical Sciences2542-1174Federal state budgetary educational institution of higher education "Novosibirsk state medical university" of Ministry of Health of the Russian Federation (FSBEI HE NSMU MOH Russia)10.31549/2542-1174-2019-2-61-70jsms-550Research ArticleОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯORIGINAL RESEARCHESСтруктура дерматологической патологии у детей и подростков с избыточной массой тела и ожирениемStructure of dermatological pathology in children and adolescents with overweight and obesityНемчаниноваО. Б.NemchaninovaO. B.

Немчанинова Ольга Борисовна — доктор медицинских наук, профессор, заведующий кафедрой дерматовенерологии и косметологии

Новосибирск

Nemchaninova Оlga Вarisovna — Dr. Sci. (Med.), Professor, Head of the Department of Dermatovenereology and Cosmetology

Novosibirsk

ДолгихМ. Ю.DolgikhM. Yu.

Долгих Мария Юрьевна — врач-дерматовенеролог ГБУЗ НСО «Центр охраны репродуктивного здоровья подростков «Ювентус», соискатель кафедры дерматовенерологии и косметологии ФГБОУ ВО «Новосибирский государственный медицинский университет» Минздрава России  

630004, г. Новосибирск, ул. Ленина, 55

Dolgikh Mariya Yuryevna — Dermatovenereologist, Center of Protection of Adolescents’ Reproductive Health of “Juventus”; Aspirant of the Department of Dermatovenereology and Cosmetology, Novosibirsk State Medical University  

55, Lenina Str, Novosibirsk, 630004

dolgikhmari@mail.ruФГБОУ ВО «Новосибирский государственный медицинский университет» Минздрава РоссииРоссияNovosibirsk State Medical UniversityRussian FederationГБУЗ НСО «Центр охраны репродуктивного здоровья подростков «Ювентус»РоссияCenter of Protection of Adolescents’ Reproductive Health “Juventus”Russian Federation201924072019026170Copyright © Немчанинова О.Б., Долгих М.Ю., 20192019Немчанинова О.Б., Долгих М.Ю.Nemchaninova O.B., Dolgikh M.Y.This work is licensed under a Creative Commons Attribution 4.0 License.https://jsms.elpub.ru/jour/article/view/550

Проанализирована структура дерматозов у 270 детей и подростков 5–17 лет с избыточной массой тела или ожирением. В исследуемой группе избыточная масса тела или ожирение I степени регистрировались в 2.2 раза чаще, чем ожирение II и III степени. Наиболее часто диагностировались стрии (24.8 %), атопический дерматит (23.0 %), акне (17.8 %), черный акантоз (11.9 %), фолликулярный кератоз (10.7 %), бородавки и контагиозный моллюск (18.5 %). У ряда пациентов диагностировано более, чем одно заболевание кожи: у детей и подростков с избыточной массой тела количество случаев дерматологической патологии в 1.2 раза превышало численность группы, при ожирении I степени — в 1.4 раза, при ожирении II степени — в 1.5 раза, при ожирении III степени — в 2.0 раза.

The analysis of structure of dermatosis among 5–17 year old children and adolescents having various degree of obesity are provided. In the study group, the excess body weight or obesity of the I degree was registered 2.2 times more often than obesity of the II and the III degrees. Striae (24.8 %), atopic dermatitis (23.0 %), acne (17.8 %), acanthosis nigricans (11.9 %), keratosis pilaris (10.7 %), warts and molluscum contagiosum (18.5 %) were diagnosed most often. In a number of patients more, than one disease of skin were diagnosed: in children and adolescents with excess body weight the quantity of cases of dermatological pathology exceeded group number by 1.2 times, with obesity of the I degree — by 1.4 times, with obesity of the II degree — by 1.5 times, of the III degree — twice.

ожирениеизбыточная масса теладетиподросткичерный акантозфолликулярный кератозстрииатопический дерматитobesityexcess body weightchildrenadolescentsacanthosis nigricanskeratosis pilarisstriaeatopic dermatitisReferencesSatoshi N., Tetsuya H., Kenji K. Obesity and infl ammatory skin diseases // Trends in Immunotherapy. 2017. Vol. 1 (2). P. 67–74.Satoshi N., Tetsuya H., Kenji K. (2017). Obesity and infl ammatory skin diseases. Trends in Immunotherapy, 1, 2, 67–74.Shipman A.R., Millington G.W.M. Obesity and the skin // Br. J. Dermatol. 2011. Vol. 165 (4). Р. 743–750.Shipman A.R., Millington G.W.M. (2011). Obesity and the skin. Br. J. Dermatol., 165, 4, 743–750.Scheinfeld N. Obesity and dermatology // Clin. Dermatol. 2004. Vol. 22. P. 303–309.Scheinfeld N. (2004). Obesity and dermatology. Clin. Dermatol., 22, 303–309.Tobin A., Ahern T., Rogers S. et al. The dermatological consequences of obesity // Int. J. Dermatol. 2013. Vol. 52. P. 927–932.Tobin A., Ahern T., Rogers S. et al. (2013). The dermatological consequences of obesity. Int. J. Dermatol., 52, 927–932.Norum K. World Health Organization’s Global Strategy on diet, physical activity and health: the process behind the scenes // Scand. J. Nutr. 2005. Vol. 49 (2). P. 83–88.Norum K. (2005). World Health Organization’s Global Strategy on diet, physical activity and health: the process behind the scenes. Scand. J. Nutr., 49, 2, 83–88.Millington G.W.M. Obesity, genetics and the skin // Clin. Exp. Dermatol. 2013. Vol. 38 (1). P. 50–56.Millington G.W.M. (2013). Obesity, genetics and the skin. Clin. Exp. Dermatol., 38, 1, 50–56.Fowden A.L., Giussani D.A., Forhead A.J. Intrauterine programming of physiological systems: causes and consequences // Physiologist. 2006. Vol. 21. P. 29–37.Fowden A.L., Giussani D.A., Forhead A.J. (2006). Intrauterine programming of physiological systems: causes and consequences. Physiologist, 21, 29–37.Нетребенко О.К. Метаболическое программирование в антенатальном периоде // Вопросы гинекологии, акушерства и перинатологии. 2012. Т. 11, № 6. С. 58–64.Netrebenko O.K. (2012). Metabolic programming in the antenatal period. Gynecology, Obstetrics and Perinatology, 11, 6, 58–64.Drake A.J., Reynolds R.M. Impact of maternal obesity on offspring obesity and cardiometabolic disease risk // Reprod. (Camb., Engl.). 2010. Vol. 140 (3). P. 387–398.Drake A.J., Reynolds R.M. (2010). Impact of maternal obesity on offspring obesity and cardiometabolic disease risk. Reprod. (Camb., Engl.), 140, 3, 387– 398.Basu S., Haghiac M., Surace P. et al. Pregravid obesity associates with increased maternal endotoxemia and metabolic infl ammation // Obes. 2010. Vol. 19(3). P. 476–482.Basu S., Haghiac M., Surace P. et al. (2010). Pregravid obesity associates with increased maternal endotoxemia and metabolic infl ammation. Obesity, 19, 3, 476–482.Yosipovitch G., DeVore A., Dawn A. Obesity and the skin: skin physiology and skin manifestations of obesity // J. Am. Acad. Dermatol. 2007. Vol. 56. P. 901–916.Yosipovitch G., DeVore A., Dawn A. (2007). Obesity and the skin: skin physiology and skin manifestations of obesity. J. Am. Acad. Dermatol., 56, 901– 916.Loffl er H., Aramaki J.U., Effendy I. The infl uence of body mass index on skin susceptibility to sodium lauryl sulphate // Skin Res. Technol. 2002. Vol. 8. P. 19–22.Loffler H., Aramaki J.U., Effendy I. (2002). The influence of body mass index on skin susceptibility to sodium lauryl sulphate. Skin Res. Technol., 8, 19– 22.Nino M., Franzese A., Ruggiero Perrino N., Balato N. The effect of obesity on skin disease and epidermal permeability barrier status in children // Pediatr. Dermatol. 2012. Vol. 29 (5). P. 567–570.Nino M., Franzese A., Ruggiero Perrino N., Balato N. (2012). The effect of obesity on skin disease and epidermal permeability barrier status in children. Pediatr. Dermatol., 29, 5, 567–570.Paller A.S., Mercy K., Kwasny M.J. et al. Association of pediatric psoriasis severity with excess and central adiposity: an international cross-sectional study // JAMA Dermatol. 2013. Vol. 149 (2). P. 166–176Paller A.S., Mercy K., Kwasny M.J. et al. (2013). Association of pediatric psoriasis severity with excess and central adiposity: an international cross-sectional study. JAMA Dermatol., 149, 2, 166–176.Soltani-Arabshahi R., Wong B., Feny B.J. et al. Obesity in early adulthood as a risk factor for psoriatic arthritis // Arch. Dermatol. 2010. Vol. 146. P. 721–726.Soltani-Arabshahi R., Wong B., Feny B.J. et al. (2010). Obesity in early adulthood as a risk factor for psoriatic arthritis. Arch. Dermatol., 146, 721–726.Silverberg J.I., Kleiman E., Lev-Tov H. et al. Association between obesity and atopic dermatitis in childhood: A case-control study // J. Allergy Clin. Immunol. 2011. Vol. 127 (5). P. 1180–1186.Silverberg J.I., Kleiman E., Lev-Tov H. et al. (2011). Association between obesity and atopic dermatitis in childhood: A case-control study. J. Allergy Clin. Immunol., 127, 5, 1180–1186.Zhang A., Silverberg J.I. Association of atopic dermatitis with being overweight and obese: A systematic review and metaanalysis // J. Am. Acad. Dermatol. 2015. Vol. 72 (4). P. 606–616.Zhang A., Silverberg J.I. (2015). Association of atopic dermatitis with being overweight and obese: A systematic review and metaanalysis. J. Am. Acad. Dermatol., 72, 4, 606–616.Speiser P.W., Rudolf M.C., Anhalt H. et al. Childhood obesity // J. Clin. Endocrinol. Metab. 2005. Vol. 90 (3). P. 1871–1887.Speiser P.W., Rudolf M.C., Anhalt H. et al. (2005). Childhood obesity. J. Clin. Endocrinol. Metab., 90, 3, 1871–1887.

The authors declare that there are no conflicts of interest present.