The incidence of acne in preadolescents was higher in girls than in boys, and was associated with higher BMI percentiles. DermTwitter
to identify all residents of Olmstead County, Minn., who were diagnosed with acne between the ages of 7 and 12 years during 2010-2018. They then randomly selected two age and sex-matched community controls in order to evaluate the relationship of preadolescent acne and BMI.
The median BMI percentile among children with acne was significantly higher than those without an acne diagnosis . They also were much more likely to be obese: 16.7% of the children with acne had a BMI in at least the 95th percentile, compared with 12.2% among controls with no acne diagnosis . The study also documents that"girls are more likely to present to the clinic with acne, and to do so at younger ages, which we've suspected and which makes physiologic sense since girls tend to go through puberty earlier than boys," said Dr. Lalor, assistant professor of dermatology and pediatrics at the Medical College of Wisconsin and the Children's Wisconsin Clinics, both in Milwaukee.
The investigators also found that use of systemic acne medications increased with increasing BMI . Approximately 5% of underweight or normal children were prescribed systemic acne medications, compared with 8.1% of overweight children, and 10.3% of those who were obese – data that suggest that most preadolescents with acne had mild to moderate disease and that more severe acne may be associated with increasing BMI percentiles, the authors wrote.
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