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.
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.
Authors: Ashley B Yamanaka; James D Davis; Lynne R Wilkens; Eric L Hurwitz; Marie K Fialkowski; Jonathan Deenik; Rachael T Leon Guerrero; Rachel Novotny Journal: Prev Chronic Dis Date: 2021-06-24 Impact factor: 4.354
Authors: Lisa Rafalson; Trang H Pham; Steven M Willi; Marsha Marcus; Ann Jessup; Tom Baranowski Journal: Obesity (Silver Spring) Date: 2013-03 Impact factor: 5.002
Authors: Soulmaz Fazeli Farsani; Marloes P van der Aa; Catherijne A J Knibbe; Anthonius de Boer; Marja M J van der Vorst Journal: Glob Pediatr Health Date: 2015-01-19