Dietary Behaviors in Psoriasis: Patient-Reported Outcomes from a U.S. National Survey
Dietary Behaviors in Psoriasis: Patient-Reported Outcomes from a U.S. National Survey
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DOI：
10.1007/s13555-017-0183-4
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发表时间：
2017-06-01
影响因子：
3.4
通讯作者：
Liao, Wilson
中科院分区：
文献类型：
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作者：
Afifi, Ladan;Danesh, Melissa J.;Liao, Wilson
简介：银屑病患者对饮食对皮肤状况的作用表现出高度兴趣。然而，缺乏数据来描述银屑病患者的饮食干预和相关结果。本研究旨在确定银屑病患者的常见饮食习惯、干预措施和认知，并检查患者对这些干预措施的皮肤结果。我们向国家银屑病基金会成员进行了一项61个问题的调查，询问银屑病患者的饮食习惯、修改、皮肤反应和认知。共有1206名银屑病患者回答了这项调查。与年龄和性别匹配的对照组相比，银屑病患者摄入的糖、全麦纤维、乳制品和钙显著减少（p < 0.001），而摄入的水果、蔬菜和豆类更多（p < 0.01）。86%的受访者报告使用了饮食调整。在减少酒精（53.8%）、麸质（53.4%）、茄属植物（52.1%）以及添加鱼油/欧米茄-3（44.6%）、蔬菜（42.5%）和口服维生素D（41%）后，报告皮肤改善的患者比例最大。大多数患者报告皮肤反应良好的特定饮食是Pagano（72.2%），纯素（70%）和旧石器时代（68.9%）。此外，41.8%的牛皮癣受访者报告说，尝试改变饮食的动机是为了改善整体健康。这项全国性调查是第一次报告牛皮癣患者的饮食行为。从这个大型队列中提供的数据可能会使患者和临床医生受益，因为他们讨论了饮食在治疗银屑病和相关心脏代谢合并症中的作用。
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.We administered a 61-question survey to the National Psoriasis Foundation membership asking psoriasis patients about dietary habits, modifications, skin responses, and perceptions.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.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.