{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T04:23:12Z","timestamp":1790742192701,"version":"4.1.0"},"reference-count":25,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:00:00Z","timestamp":1745971200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:00:00Z","timestamp":1745971200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Cosmetic Dermatology"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intertrigo is often underdiagnosed in obesity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To investigate the incidence of intertrigo in obesity and assess the efficacy of a moisture\u2010wicking fabric (MWF) with antimicrobial silver.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Intertrigo symptoms were evaluated in patients with severe obesity, and the effect of MWF application was assessed in a subset of these patients after 5 or 10\u2009days of use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In inpatients with obesity (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20092.778, mean age 63.9\u2009\u00b1\u200913.3\u2009years, BMI 43.4\u2009\u00b1\u20096.8\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ), intertrigo lesions were found in 15.9% under the breast (37.4%), abdomen (19.0%), and inguinal area (9.6%). It was more prevalent in women (12.3%), especially among patients older than 65\u2009years (50.9%), with a mean BMI of 46.4\u2009\u00b1\u20097.3\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      , waist circumference of 129.6\u2009\u00b1\u200915.2\u2009cm, and mean fat mass of 51.1%\u2009\u00b1\u20096.2%. A subset of 40 patients with intertrigo was randomly divided into two groups: one treated with MWF (mean age 57.0\u2009\u00b1\u200914.2\u2009years, BMI 46.4\u2009\u00b1\u20098.2\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ) and the other with traditional treatment (mean age 62.0\u2009\u00b1\u200914.1\u2009years, BMI 49.9\u2009\u00b1\u20097.5\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ). The MWF treatment resulted in significantly faster symptom resolution (6.0\u2009\u00b1\u20092.4\u2009days for MWF vs. 11.0\u2009\u00b1\u20093.9\u2009days in control group;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>We underline the need for intertrigo screening in patients with obesity, especially in those with risk factors, such as female, older, and higher BMI. The use of a novel MWF effectively alleviates symptoms within a short treatment period and should be considered as an optional intertrigo treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocd.70161","type":"journal-article","created":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T06:36:14Z","timestamp":1745994974000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Intertrigo in Severe Obesity: Clinical Insights and Outcomes With a New Antimicrobial Silver\u2010Infused Breathable Fabric"],"prefix":"10.1111","volume":"24","author":[{"given":"Franca","family":"Pera","sequence":"first","affiliation":[{"name":"Department of Metabolic and Functional Rehabilitation IRCCS Istituto Auxologico Italiano  Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilla","family":"Suman","sequence":"additional","affiliation":[{"name":"Department of Metabolic Medicine IRCCS Istituto Auxologico Italiano  Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mioara","family":"Cosma","sequence":"additional","affiliation":[{"name":"Department of Metabolic and Functional Rehabilitation IRCCS Istituto Auxologico Italiano  Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Silvia","family":"Mazza","sequence":"additional","affiliation":[{"name":"Department of Metabolic Medicine IRCCS Istituto Auxologico Italiano  Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3059-544X","authenticated-orcid":false,"given":"Amelia","family":"Brunani","sequence":"additional","affiliation":[{"name":"Department of Metabolic and Functional Rehabilitation IRCCS Istituto Auxologico Italiano  Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8192-009X","authenticated-orcid":false,"given":"Raffaella","family":"Cancello","sequence":"additional","affiliation":[{"name":"Obesity Unit and Laboratory of Nutrition and Obesity Research Department of Endocrine and Metabolic Diseases, IRCCS Istituto Auxologico Italiano  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,4,30]]},"reference":[{"issue":"26","key":"e_1_2_10_2_1","first-page":"689","article-title":"Evaluation of Discomfort and Complications in a Population of 18,102 Patients Overweight or Obese Patients","volume":"32","author":"Lecerf J. 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