top of page
Dette nettstedet ble designet med
.com
sin nettstedsbygger. Lag ditt nettsted i dag.Start nå

Psoriasis

Lifestyle modifications

NUTRITION

  • Obesity tends to worsen the condition. A hypocaloric diet may improve symptoms in overweight and obese individuals (BMI > 25)  (1). Compared to usual care, dietary intervention (strict caloric restriction) may lead to 75% or greater improvement from baseline (large uncertainty) in the Psoriasis Area and Severity Index (PASI 75) (2).

  • Alcohol: There is some/mixed evidence that alcohol may increase symptoms of psoriasis, but more studies are needed to determine whether alcohol can induce or worsen psoriasis (7,6,5,4,3)

  • Omega 3: Some evidence that it may improve symptoms alone, or in combination with standard treatment (10)


PHYSICAL ACTIVITY

  • Vigorous physical activity is associated with reduced risk of psoriasis (12)

  • More research is needed to determine whether physical activity may reduce symptoms (13)


SMOKING

  • Smoking is a risk factor for psoriasis (3, 4)


STRESS

  • There is mixed/weak evidence that preceeding psychological stress is associated with psoriasis exacerbation/onset (8,9)


SUNLIGHT

  • Exposure to natural sunlight and salt water bath improve the condition (1)


LIFESTYLE PREVENTION OF COMORBIDITIES

  • Psoriasis increases the risk of cardiovascular disease and diabetes type 2. Discuss cardiovascular risk factors with psoriasis patients, including hyperlipidemia, hypertension, smoking, alcohol use disorder, physical activity and diabetes type 2 prevention (11).

References

  1. https://www.uptodate.com/contents/treatment-of-psoriasis-in-adults

  2. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD011972.pub2/full

  3. https://academic.oup.com/bjd/article/187/5/684/6966369

  4. https://www.sciencedirect.com/science/article/abs/pii/S0190962218329049

  5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6709030/

  6. https://onlinelibrary.wiley.com/doi/full/10.1111/jdv.12164

  7. https://pubmed.ncbi.nlm.nih.gov/22568495/

  8. https://onlinelibrary.wiley.com/doi/full/10.1111/bjd.16116

  9. https://onlinelibrary.wiley.com/doi/abs/10.1111/ijd.14032

  10. https://www.jaad.org/article/S0190-9622(20)32288-X/fulltext#secsectitle0270

  11. https://www.nice.org.uk/guidance/cg153/chapter/1-Recommendations

  12. https://jamanetwork.com/journals/jamadermatology/article-abstract/1158558

  13. https://www.tandfonline.com/doi/full/10.2147/PTT.S349791

Resources

Evidence Pyramid

EXPLANATION TO EVIDENCE PRESENTATION

​

Evidence based on guidelines and evidence based Clinical Decision Systems is written in BOLD

​

Evidence based on meta analysis or systematic reviews is written in BOLD and CURSIVE

​

Evidence based on randomized controlled trials is written in plain font

​

Evidence based on observational / cohort studies is written in CURSIVE

Figure: Evidence pyramid

bottom of page