title: Nursing care in childcare services: Acantose nigricans as a marker for metabolic risk.
abstract: OBJECTIVE
  to analyze the association between the presence of Acantose nigricans and metabolic changes in overweight adolescents, so as to ascertain the relevance of the identification of this marker in the nursing consultation.
  
  
  METHODS
  a cross-sectional study undertaken between April 2009 and April 2010 with 118 adolescents who were service users of the Center for Child Obesity in Campina Grande in the Brazilian State of Paraíba (PB). The presence of Acantose nigricans, and the subjects' anthropometric measurements, were investigated. The following exams were made: insulin, triglycerides, HDL-Cholesterol, Glucose and the homeostatic model of assessment (HOMA-IR).
  
  
  RESULTS
  there was association between the presence of Acantose nigricans and participants with insulin resistance (p=0.008), metabolic syndrome (p=0.031), elevated triglycerides (p=0.045) and altered HDL (p=0.002).
  
  
  CONCLUSIONS
  the suggestion is supported that the detection/identification of Acantose nigricans may be used in the nursing consultation as a tool for identifying overweight adolescents with greater risk of metabolic changes.
authors.affiliation: Universidade Federal do Rio Grande do Norte, NatalRN, Brazil.
authors.forename: Caroline Evelin Nascimento Kluczynik
authors.initials: CE
authors.lastname: Vieira
authors.affiliation: Universidade Federal do Rio Grande do Norte, NatalRN, Brazil.
authors.forename: Larissa Soares
authors.initials: LS
authors.lastname: Mariz
authors.affiliation: Departamento de Enfermagem, Universidade Estadual da Paraíba, Campina GrandePB, Brazil.
authors.forename: Carla Campos Muniz
authors.initials: CC
authors.lastname: Medeiros
authors.affiliation: Universidade Federal do Rio Grande do Norte, NatalRN, Brazil.
authors.forename: Bertha Cruz
authors.initials: BC
authors.lastname: Enders
authors.affiliation: Departamento de Enfermagem, Universidade Estadual da Paraíba, Campina GrandePB, Brazil.
authors.forename: Alexsandro Silva
authors.initials: AS
authors.lastname: Coura
mesh_terms: D000052:Acanthosis Nigricans / Q000150:complications / Q000175:diagnosis*; D000293:Adolescent; D002648:Child; D002662:Child Health Services; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D024821:Metabolic Syndrome / Q000150:complications / Q000175:diagnosis*; D009733:Nursing Diagnosis; D050177:Overweight / Q000150:complications / Q000175:diagnosis*; D012307:Risk Factors