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19.05.2017 | Original Research | Ausgabe 2/2017 Open Access

Dermatology and Therapy 2/2017

Dietary Behaviors in Psoriasis: Patient-Reported Outcomes from a U.S. National Survey

Zeitschrift:
Dermatology and Therapy > Ausgabe 2/2017
Autoren:
Ladan Afifi, Melissa J. Danesh, Kristina M. Lee, Kevin Beroukhim, Benjamin Farahnik, Richard S. Ahn, Di Yan, Rasnik K. Singh, Mio Nakamura, John Koo, Wilson Liao
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1007/​s13555-017-0183-4) contains supplementary material, which is available to authorized users.

Enhanced content

To view enhanced content for this article go to http://​www.​medengine.​com/​Redeem/​E128F060166C6BD7​.

Abstract

Introduction

Psoriasis patients demonstrate high interest in the role of diet on their skin condition. However, data are lacking to describe dietary interventions among psoriasis patients and associated outcomes. This study aims to identify common dietary habits, interventions and perceptions among patients with psoriasis, and to examine patient-reported skin outcomes in response to these interventions.

Methods

We administered a 61-question survey to the National Psoriasis Foundation membership asking psoriasis patients about dietary habits, modifications, skin responses, and perceptions.

Results

A total of 1206 psoriasis patients responded to the survey. Compared to age- and sex-matched controls, psoriasis patients consumed significantly less sugar, whole grain fiber, dairy, and calcium (p < 0.001), while consuming more fruits, vegetables, and legumes (p < 0.01). Eighty-six percent of respondents reported use of a dietary modification. The percentage of patients reporting skin improvement was greatest after reducing alcohol (53.8%), gluten (53.4%), nightshades (52.1%), and after adding fish oil/omega-3 (44.6%), vegetables (42.5%), and oral vitamin D (41%). Specific diets with the most patients reporting a favorable skin response were Pagano (72.2%), vegan (70%), and Paleolithic (68.9%). Additionally, 41.8% of psoriasis respondents reported that a motivation for attempting dietary changes was to improve overall health.

Conclusion

This national survey is among the first to report the dietary behaviors of patients with psoriasis. The data provided from this large cohort may benefit patients and clinicians as they discuss the role of diet in managing both psoriasis and associated cardiometabolic comorbidities.
Zusatzmaterial
Supplementary material 1 (DOCX 29 kb)
13555_2017_183_MOESM1_ESM.docx
Supplementary material 2 (PDF 328 kb)
13555_2017_183_MOESM2_ESM.pdf
Supplementary material 3 (XLSX 65 kb)
13555_2017_183_MOESM3_ESM.xlsx
Supplementary material 4 (XLSX 66 kb)
13555_2017_183_MOESM4_ESM.xlsx
Literatur
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