Forum for Science, Industry and Business

Sponsored by:     3M 
Search our Site:

 

Extremely obese children have higher prevalence of psoriasis, higher heart disease risk

19.05.2011
Electronic health records used to study 711,000 children

Children who are overweight or obese have a significantly higher prevalence of psoriasis, and teens with psoriasis, regardless of their body weight, have higher cholesterol levels, according to a Kaiser Permanente study published online in the Journal of Pediatrics. The study findings suggest that higher heart disease risk for patients with psoriasis starts in childhood in the form of higher cholesterol levels.

Psoriasis is a chronic inflammatory disease of the skin that often starts early in life and, according to the National Psoriasis Foundation, affects more than 7 million Americans.

"This study suggests a link between obesity and psoriasis in children," said study lead author Corinna Koebnick, PhD, a research scientist at the Kaiser Permanente Southern California's Department of Research & Evaluation in Pasadena, Calif. "But our study findings also suggest that the higher heart disease risk for patients with psoriasis starts in childhood in the form of higher cholesterol levels. We may need to monitor youth with psoriasis more closely for cardiovascular risk factors, especially if they are obese."

Researchers used electronic health records to study 710,949 racially and ethnically diverse children and found that obese children were almost 40 percent more likely to have psoriasis than normal weight children. Extremely obese children were almost 80 percent more likely to have psoriasis than normal weight children. Additionally, among youth with psoriasis, it was four times more likely that the psoriasis would be severe or more widespread in obese youth than what was seen in normal weight children. Additionally, teens with psoriasis had 4 to16 percent higher cholesterol levels and liver enzymes, regardless of their weight, than youth without this condition.

"Very little is known about psoriasis in children where the disease is mostly viewed and treated as a burdensome skin condition and less considered a metabolic disease," adds Dr. Koebnick.

"Psoriasis may also put children at risk for metabolic disease, as seen in adults, so studies such as these are extremely important in helping primary care providers learn the best way to care for these children," notes co-author Amy Porter, MD, Southern California Permanente Medical Group's regional physician lead for weight management, and pediatrician at Kaiser Permanente's Baldwin Park Medical Center.

Epidemiologic studies in adults have shown that patients with psoriasis are at a higher risk of developing metabolic conditions such as diabetes, hypertension, heart attack and stroke. In adults, obesity has also been linked to a higher risk of developing psoriasis, and obesity, like psoriasis, is also associated with an increased risk of cardiovascular disease, metabolic syndrome and diabetes.

"Both conditions are characterized by a chronic low-level inflammation," notes Dr. Koebnick. "Yet, we know little to nothing about the metabolic risk of psoriasis, especially when combined with obesity in children." Psoriasis in children may increase blood cholesterol levels, and this may additionally be triggered by the presence of obesity. While the present study has limitations due to its cross-sectional design where both body weight and information on psoriasis were assessed at the same time, future studies based on this cohort will address these issues.

"It has been well described that adults with psoriasis have increased cardiovascular risk factors, but we have now examined these issues in children. As we follow these patients over 30-40 years, we will be able to determine if these increased cardiovascular risk factors in turn increase the risk for major adverse cardiac events," said study senior author, Jashin J. Wu, M.D., director of clinical research and the associate residency program, and director for the department of dermatology at Kaiser Permanente Los Angeles Medical Center.

This study is part of the Kaiser Permanente Southern California Children's Health Study, Kaiser Permanente's ongoing work to identify and treat childhood obesity through research and community programs.

In February 2010, Kaiser Permanente announced that it was a founding partner of the Partnership for a Healthier America (www.ahealthieramerica.org), a nonprofit, nonpartisan foundation created to catalyze and increase support around First Lady Michelle Obama's campaign to curb childhood obesity in a generation.

Other study authors included: Mary Helen Black, MS, PhD, Ning Smith, MS, and Steven J. Jacobsen, MD, PhD, from the Kaiser Permanente Department of Research & Evaluation in Pasadena, Calif.; Amy H. Porter, MD, from the Kaiser Permanente Baldwin Park Medical Center; and Jack K. Der-Sarkissian, MD, and Jashin J Wu, MD from the Kaiser Permanente Medical Center, Los Angeles.

About the Kaiser Permanente Department of Research & Evaluation

The Department of Research & Evaluation (R & E) conducts high quality, innovative research into disease etiology, prevention, treatment and care delivery. Investigators conduct epidemiology, health sciences, and behavioral research as well as clinical trials. Areas of interest include diabetes and obesity, cancer, HIV/AIDS, cardiovascular disease, aging and cognition, pregnancy outcomes, women's and children's health, quality and safety, and pharmacoepidemiology. Located in Pasadena, Calif., the department focuses on translating research to practice quickly to benefit the health and lives of Kaiser Permanente Southern California members and the general population. Visit www.kp.org/research.

About Kaiser Permanente

Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America's leading health care providers and not-for-profit health plans. Founded in 1945, our mission is to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve 8.6 million members in nine states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal physicians, specialists and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the art care delivery and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education and the support of community health. For more information, go to: www.kp.org/newscenter.

Danielle Cass | EurekAlert!
Further information:
http://www.kp.org

More articles from Health and Medicine:

nachricht Hot cars can hit deadly temperatures in as little as one hour
24.05.2018 | Arizona State University

nachricht 3D images of cancer cells in the body: Medical physicists from Halle present new method
16.05.2018 | Martin-Luther-Universität Halle-Wittenberg

All articles from Health and Medicine >>>

The most recent press releases about innovation >>>

Die letzten 5 Focus-News des innovations-reports im Überblick:

Im Focus: Powerful IT security for the car of the future – research alliance develops new approaches

The more electronics steer, accelerate and brake cars, the more important it is to protect them against cyber-attacks. That is why 15 partners from industry and academia will work together over the next three years on new approaches to IT security in self-driving cars. The joint project goes by the name Security For Connected, Autonomous Cars (SecForCARs) and has funding of €7.2 million from the German Federal Ministry of Education and Research. Infineon is leading the project.

Vehicles already offer diverse communication interfaces and more and more automated functions, such as distance and lane-keeping assist systems. At the same...

Im Focus: Molecular switch will facilitate the development of pioneering electro-optical devices

A research team led by physicists at the Technical University of Munich (TUM) has developed molecular nanoswitches that can be toggled between two structurally different states using an applied voltage. They can serve as the basis for a pioneering class of devices that could replace silicon-based components with organic molecules.

The development of new electronic technologies drives the incessant reduction of functional component sizes. In the context of an international collaborative...

Im Focus: LZH showcases laser material processing of tomorrow at the LASYS 2018

At the LASYS 2018, from June 5th to 7th, the Laser Zentrum Hannover e.V. (LZH) will be showcasing processes for the laser material processing of tomorrow in hall 4 at stand 4E75. With blown bomb shells the LZH will present first results of a research project on civil security.

At this year's LASYS, the LZH will exhibit light-based processes such as cutting, welding, ablation and structuring as well as additive manufacturing for...

Im Focus: Self-illuminating pixels for a new display generation

There are videos on the internet that can make one marvel at technology. For example, a smartphone is casually bent around the arm or a thin-film display is rolled in all directions and with almost every diameter. From the user's point of view, this looks fantastic. From a professional point of view, however, the question arises: Is that already possible?

At Display Week 2018, scientists from the Fraunhofer Institute for Applied Polymer Research IAP will be demonstrating today’s technological possibilities and...

Im Focus: Explanation for puzzling quantum oscillations has been found

So-called quantum many-body scars allow quantum systems to stay out of equilibrium much longer, explaining experiment | Study published in Nature Physics

Recently, researchers from Harvard and MIT succeeded in trapping a record 53 atoms and individually controlling their quantum state, realizing what is called a...

All Focus news of the innovation-report >>>

Anzeige

Anzeige

VideoLinks
Industry & Economy
Event News

In focus: Climate adapted plants

25.05.2018 | Event News

Save the date: Forum European Neuroscience – 07-11 July 2018 in Berlin, Germany

02.05.2018 | Event News

Invitation to the upcoming "Current Topics in Bioinformatics: Big Data in Genomics and Medicine"

13.04.2018 | Event News

 
Latest News

In focus: Climate adapted plants

25.05.2018 | Event News

Flow probes from the 3D printer

25.05.2018 | Machine Engineering

Less is more? Gene switch for healthy aging found

25.05.2018 | Life Sciences

VideoLinks
Science & Research
Overview of more VideoLinks >>>