- 期刊
Colored Striae in Obese Children and Adolescents
肥胖兒童及青少年的有色皮紋
摘要
為證實肥胖兒童及青少年的皮紋特色,本文收集了89位來本院小兒營養諮詢門診的肥胖病人(56位男性，33位女性)，年齡介於3到19歲，平均9.6±3.0歲。肥胖的定義是重高指數大於1.2。結果顯示，89位病人當中的36位(40.4%)被發現有皮紋。一般來說，皮紋是呈現在身體的兩側，且對稱分佈(97.2%)；最常發生的部位是大腿(73%)，手臂(42%)和腹部(30%)，其次較少發生在背部、臀部和膝部。有皮紋病人當中，14(38.9%)位病人的皮紋發生在多處部位。有、無皮紋兩組病從之間，並沒有男女性別的差異。和無皮紋的一組相比較，有皮紋的這一級年級較大(11.5比8.2歲，P=0.0001)，且有較長時期的肥胖(7.1比5.0年，P=0.0002)，較肥胖的病人（重高指數大於1.8）較易發生皮紋。我們結論是皮紋可能和肥胖有關，且須考慮把皮紋當做是肥胖兒童及青少年的一種皮膚表徵。
並列摘要
To document the characteristics of the striae in obese children and adolescents, 89 obese patients (56 males, 33 females) with a mean age of 9.6±3.0 years and range of 3 to 19 years who came to our pediatric nutrition clinic were studied. Obesity was defined as a weight-for-length index (WLI) above 1.2 (range 1.39 to 2.68). Striae were identified in 36 (40.4%) of the 89 patients. Generally, striae were present over both sides of the body symmetrically. Striae most prominently located on the thighs (73%), the arms (42%), and the abdomen (30%), less frequently on the back, buttocks, and over the knees. In about 40% of the patients, multiple sites were involved. There is no sex difference between striae and non-striae groups. Compared with the non-striae group, striae occurred in older age patients (11.5 vs 8.2 years, p 0.0001), and more often in those with a longer duration of obesity (7.1 vs 5.0 years, p=0.0002). A high prevalence of striae was found in more obese patients (WLI＞1.8). We conclude that striae might be associated with obesity, and the interpretation of striae as a cutaneous manifestation of obese children and adolescents should be considered.