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Atopic dermatitis is more severe in children over the age of two who have an increased body mass index
Author(s) -
Koutroulis Ioannis,
Magnelli Laura,
Gaughan John,
Weiner Evan,
Kratimenos Panagiotis
Publication year - 2015
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.12970
Subject(s) - scorad , atopic dermatitis , medicine , body mass index , percentile , odds ratio , obesity , logistic regression , severity of illness , eczema area and severity index , pediatrics , dermatology , disease , dermatology life quality index , statistics , mathematics
Aim Childhood obesity increases the risk of developing atopic dermatitis, but no objective measuring tool has been used to determine whether it also affects the severity. Our aim was to determine whether an association existed between increased body mass index ( BMI ) or weight for length and severity of atopic dermatitis, as measured by the SCOR ing Atopic Dermatitis ( SCORAD ) index. Methods Children with atopic dermatitis who presented to the emergency department at an urban children's hospital (n = 104) were assessed using the SCORAD index. We assessed the relationship between BMI percentile or weight for length percentile, based on age, and atopic dermatitis severity, using single‐variable multinomial logistic regression with odds ratios. Results A significant association was found between BMI >24 and atopic dermatitis severity for children older than 2 years. When analysed separately, a significant association between BMI percentile and SCORAD severity was found in boys but not in girls. Conclusion These data suggest that the severity of atopic dermatitis is associated with increased BMI percentile in children older than 2 years, although this association was not apparent in younger ages using weight for length. Our results indicate the need for new avenues in the prevention and treatment of these entities.