Clinical pediatrics · 2011
Screening obese students for acanthosis nigricans and other diabetes risk factors in the urban school-based health center.
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Rafalson Lisa, Eysaman Jill, Quattrin Teresa
Аннотация
OBJECTIVE: To determine the prevalence of acanthosis nigricans (AN) and other diabetes risk factors in urban school health clinics.
METHODS: During the period 2006-2009 nurse practitioners (NPs) screened students who had a BMI ≥ 95th percentile and 1 additional diabetes risk factor. Blood glucose (BG) was measured by finger stick. NPs were trained on how to ascertain the presence of AN on the neck area.
RESULTS: NPs screened 854 students (mean age 11.4 years, 60.5% female, and 73.3% black). AN and elevated BG were found among 26% and 6.4% of students, respectively. Females and minorities were respectively 50% and 4 times more likely to have AN. Youth with AN were twice as likely to have elevated glucose.
CONCLUSION: AN can be easily identified by trained health care professionals even in busy school-based clinic settings. Checking for AN and appropriate education and counseling should become a routine part of electronic documentation in overweight youth.
METHODS: During the period 2006-2009 nurse practitioners (NPs) screened students who had a BMI ≥ 95th percentile and 1 additional diabetes risk factor. Blood glucose (BG) was measured by finger stick. NPs were trained on how to ascertain the presence of AN on the neck area.
RESULTS: NPs screened 854 students (mean age 11.4 years, 60.5% female, and 73.3% black). AN and elevated BG were found among 26% and 6.4% of students, respectively. Females and minorities were respectively 50% and 4 times more likely to have AN. Youth with AN were twice as likely to have elevated glucose.
CONCLUSION: AN can be easily identified by trained health care professionals even in busy school-based clinic settings. Checking for AN and appropriate education and counseling should become a routine part of electronic documentation in overweight youth.