Jun 11, 2025

Public workspaceIs Atopic Dermatitis associated with systemic metabolic dis-turbances? – the systematic review.

  • Mateusz Matwiejuk1,
  • Hanna Mysliwiec1,
  • Agnieszka Miklosz1,
  • Adrian Chabowski1,
  • Iwona Flisiak1
  • 1Medical University of Bialystok
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Protocol CitationMateusz Matwiejuk, Hanna Mysliwiec, Agnieszka Miklosz, Adrian Chabowski, Iwona Flisiak 2025. Is Atopic Dermatitis associated with systemic metabolic dis-turbances? – the systematic review.. protocols.io https://dx.doi.org/10.17504/protocols.io.kxygxq684v8j/v1
Manuscript citation:
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License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License,  which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: June 10, 2025
Last Modified: June 11, 2025
Protocol Integer ID: 219880
Keywords: atopic dermatitis; metabolic syndrome; hypertension; hypertriglyceridemia; high-density lipo-protein; obesity; diabetes mellitus; hyperglycemia
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Abstract
Atopic dermatitis (AD) is a chronic, complex, and immunologically mediated skin disease. Its exact cause remains complex, multifaceted and yet to be discovered, but is likely related to a combination of immunological, genetic and environmental factors. Metabolic syndrome (MetS) is a cluster of common metabolic abnormalities including  hypertension,  insulin resistance,  abdominal obesity, reduced high-density lipoprotein (HDL)-cholesterol levels and elevated triglyceride levels. In both atopic dermatitis and metabolic syndrome, chronic inflammation plays a key role in the development and progression of both conditions. High waist cirumference  is  positivly correlated with the risk of atopic dermatitis, but there is no a significant correlation between adult-onset atopic dermatitis and hypertension. Some evidence suggests an association between AD and hypertension, however only in patients with severe AD. On the other hand, the relationship between AD and hyperglycemia or AD and cholesterol levels seems inconclusive. The aim of this review is to present the current knowledge on the association between atopic dermatitis and metabolic syndrome, including each of the components of metabolic syndrome.
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Materials
A medical literature search of PubMed (1992–present), Google Schoolar, Embabse conducted in the autumn and winter of 2024, was performed using appropriate terms without date limitations. The main object of the research was to identify the association between atopic dermatitis and components of metabolic syndrome. Medical subject headline terms included “atopic dermatitis and hypertension”, “atopic dermatitis and cardiovascular diseases”, “atopic dermatitis and high blood pressure”, “atopic dermatitis and obesity”, “atopic dermatitis and dyslipidaemia”, “atopic dermatitis and hypercholesterolemia”, “atopic dermatitis and hyperglycemia”, “atopic dermatitis and diabetes mellitus”.
Identification of records. Databases (n = 3) Pubmed Google Scbolar Embase
Screening of records Records screened (n = 1143)
Reports sought for retrieval (n=496)
Reports assessed for eligibility
(n = 397)
Reports of included studies
(n = 87)
Protocol references
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