Prevalence and factors associated with gynoid lipodystrophy in Brazilian adolescent girls: a cross‐sectional study

Background Gynoid lipodystrophy (GLD), or female cellulitis, is a chronic multifactorial disorder characterized by the irregular appearance of the skin surface on the thighs and gluteal regions, which affects 80–90% of women after puberty. No curative treatments are available, and there is a paucity...

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Bibliographic Details
Published in:International journal of dermatology 2022-07, Vol.61 (7), p.861-866
Main Authors: Soares, Juliana L. M., Rocha, Vanessa A., Sanudo, Adriana, Miot, Hélio Amante, Bagatin, Ediléia
Format: Article
Language:English
Subjects:
Adolescents
Body composition
Body mass
Body mass index
Body size
Carbohydrates
Cellulitis
Cross-sectional studies
Diet
Epidemiology
Girls
Lipodystrophy
Menarche
Menstruation
Nutrition
Nutrition research
Puberty
Quality of life
Risk analysis
Risk factors
Water consumption
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Summary:Background Gynoid lipodystrophy (GLD), or female cellulitis, is a chronic multifactorial disorder characterized by the irregular appearance of the skin surface on the thighs and gluteal regions, which affects 80–90% of women after puberty. No curative treatments are available, and there is a paucity of epidemiological studies related to its prevalence, quality of life impact, and risk factors. We aimed to identify the prevalence and factors associated with the development of GLD in Brazilian adolescent girls. Methods A cross‐sectional study examined adolescent girls from São Paulo, Brazil. The explored factors were grouped: familial history, gynecological and hormonal characteristics, exercise practice, nutrition and diet, anthropometric measures, body mass index, and body composition, according to GLD severity assessed through multivariate hierarchic statistics. Results In total, 184 girls, aged from 12 to 18 years, were included in the study. The overall prevalence of GLD was 77.7% (CI 95% 71.7–82.1%); moderate and severe categories of GLD occurred in 56.5% (CI 95% 48.9–62.5%) of the sample. An impact on the quality of life was identified in 39.7% of the girls. GLD was independently associated with higher body mass index, early menarche, higher carbohydrate intake, lower water consumption, menstrual irregularity, familial report of GLD, and less exercise practice. Conclusion Gynoid lipodystrophy is a multifactorial disorder; its onset in adolescent girls is associated with familial occurrence, body composition, diet habits, exercise, and hormonal factors. These results support further interventions for GLD prevention and treatment.
ISSN:0011-9059
1365-4632
DOI:10.1111/ijd.16061