Dietary patterns of patients with psoriasis at a public healthcare institution in Brazil

Tatiana Cristina Figueira Polo,José Eduardo Corrente,Luciane Donida Bartoli Miot,Silvia Justina Papini,Hélio Amante Miot

doi:10.1016/j.abd.2020.02.002

Tatiana Cristina Figueira Polo, José Eduardo Corrente + Show 3 more

Open Access

https://doi.org/10.1016/j.abd.2020.02.002

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Abstract

BackgroundPsoriasis is a chronic inflammatory disease with systemic repercussions and an association with comorbidities such as metabolic syndrome, cardiovascular diseases, and obesity. Psoriasis patients have a higher prevalence of obesity compared to the general population. Diet is a relevant environmental factor, since malnutrition, inadequate body weight, and metabolic diseases, in addition to the direct health risk, impair the treatment of psoriasis. ObjectivesTo evaluate food intake patterns, anthropometric, and metabolic syndrome-related aspects in psoriasis patients. MethodsCross-sectional study through anthropometric assessment and food frequency questionnaire. Food frequency questionnaire items were evaluated by exploratory factor analysis and identified dietary patterns were analyzed by multivariate methods. ResultsThis study evaluated 94 patients, 57% female, with a mean age of 54.9 years; the prevalence of obesity was 48% and of metabolic syndrome, 50%. Factor analysis of the food frequency questionnaire identified two dietary patterns: Pattern 1 – predominance of processed foods; Pattern 2 – predominance of fresh foods. Multivariate analysis revealed that Patterns 1 and 2 showed inverse behaviors, and greater adherence to Pattern 2 was associated with females, eutrophic individuals, absence of lipid and blood pressure alterations, and lower waist-to-hip ratio and skin disease activity. Study limitationsMonocentric study conducted at a public institution, dependent on dietary memory. ConclusionTwo dietary patterns were identified in a Brazilian sample of psoriasis patients. The prevalence of obesity and metabolic syndrome were greater than in the adult Brazilian population. The fresh diet was associated with lower indicators of metabolic syndrome in this sample.

Highlights

Psoriasis is a chronic, genetically based, and immunologically mediated inflammatory disease
There is a higher prevalence of obesity (34%) among patients with psoriasis when compared with the general population (18%); the higher the body mass index (BMI), the greater the risk of developing psoriasis.[5]
There is an association between the increase in abdominal circumference (AC) and hip circumference (HC) and the onset of psoriasis, which corroborates its association with metabolic syndrome (MS)

Summary

Introduction

Genetically based, and immunologically mediated inflammatory disease It has systemic repercussions and is associated with comorbidities, such as metabolic syndrome (MS), arterial hypertension (AH), dyslipidemia, diabetes mellitus (DM), cardiovascular disease, malignant neoplasia, and affective disorders.[1,2]. It affects about 1.31% of the Brazilian population and, despite not being contagious and having a benign course, it has an important economic impact, as well as an impact on the quality of life of patients.[3]. Food frequency questionnaire items were evaluated by exploratory factor analysis and identified dietary patterns were analyzed by multivariate methods. Multivariate analysis revealed that Patterns 1 and 2 showed inverse behaviors, and greater adherence to Pattern 2 was associated with females, eutrophic individuals, absence of lipid and blood pressure alterations, and lower waistto-hip ratio and skin disease activity

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