Atopic dermatitis in children and adolescents with obesity and overweight: clinical, anthropometric data, psycho-emotional status and predictors of effective treatment
Abstract
The results of a comprehensive analysis of clinical, anthropometric data and an assessment of the psycho-emotional status of 62 children and adolescents (mean age 11.8 ± 3.0 years) with atopic dermatitis and overweight or varying degrees of obesity (the main group) are presented. The control group included 60 patients (mean age 10.1 ± 3.6 years) with atopic dermatitis and body weight corresponding to age and gender standards. In the main group, 45.2% were children and adolescents with overweight, and with first-, second- and third-degree obesity were 25.8, 11.3 and 17.7% respectively. The severe course of dermatosis in the main group was recorded 1.4 times more often than in the control group. With the aid of univariate analysis of the treatment efficacy predictors, it was revealed that weight loss and improvement in psycho-emotional state can significantly increase the treatment efficacy of atopic dermatitis in children and adolescents with overweight and obesity, which indicates the advisability of interaction between a dermatologist, endocrinologist and psychotherapist in the treatment of this category of patients.
About the Authors
O. B. Nemchaninova
Novosibirsk State Medical University
Russian Federation
Russian Federation
Nemchaninova Olga B. — Dr. Sci. (Med.), Professor, Head, Department of Dermatovenereology and Cosmetology
Novosibirsk
M. Yu. Dolgikh
Juventus, Center for Reproductive Health of Adolescents
Russian Federation
Russian Federation
Dolgikh Mariya Yu. — Dermatovenerologis
55, Lеnina str., Novosibirsk, 630004
T. B. Reshetnikova
Novosibirsk State Medical University
Russian Federation
Russian Federation
Reshetnikova Tatyana B. — Dr. Sci. (Med.), Professor, Department of Dermatovenereology and Cosmetology
Novosibirsk
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Review
For citations:
Nemchaninova O.B., Dolgikh M.Yu., Reshetnikova T.B. Atopic dermatitis in children and adolescents with obesity and overweight: clinical, anthropometric data, psycho-emotional status and predictors of effective treatment. Journal of Siberian Medical Sciences. 2021;(2):4-14. (In Russ.)
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