Obesity and Skin Health: Common Problems & Solutions

Skin problems related to obesity include stretch marks, bacterial and fungal infections in skin folds, varicose veins, acanthosis nigricans, irritation and skin breakdown caused by friction, and problems related to comorbidities such as diabetes.

Types

• Stretch marks, or striae, are bright red stripes caused by stretching of the skin. Erythrasma is a bacterial infection causing pink to brown patches of dry skin in skin folds. Jock itch, or tinea cruris, is a fungal infection which affects the groin, particularly near the tops of the thighs. Candida, or yeast infections, can be found in skin folds, particularly under the breasts.

Significance

• Many obese people do not seek care for skin problems; left untreated, skin problems can cause ulceration and secondary infection, and can be potentially life threatening.

Considerations

• Skin problems are caused by the increased amount of skin, increased perspiration, and difficulties in performing proper hygiene.

Prevention/Solution

• Clean and inspect the skin every day, especially in the folds. Using antibacterial soap may be helpful. If the skin rubs together, use an anti-chafing product, or wear clothing that prevents friction.

Warning

• Powder can actually have an abrasive effect and lead to skin breakdown. Oil-based lubricants (such as petroleum jelly) or those containing silicone work better.

Expert Insight

• Applying an antiperspirant in skin folds can help prevent perspiration, chafing and irritation. Use separate applicators for skin folds to avoid transferring any potential infections.