Study of nutritional parameters and physical activity in psoriasis patients attended at a reference center in Northeastern Brazil / Estudo de parâmetros nutricionais e atividade física em pacientes com psoríase atendidos em um centro de referência no Nordeste do Brasil

Authors

  • Roberta Eduarda Torres Brazilian Journals Publicações de Periódicos, São José dos Pinhais, Paraná
  • Cláudio Roberto Bezerra dos Santos

DOI:

https://doi.org/10.34117/bjdv7n12-734

Keywords:

Psoriasis. Comorbidity. Nutrition. Physical activity.

Abstract

Psoriasis is defined as an immune-mediated disease, which has a chronic and relapsing nature, multifactorial etiology, strong participation of genetic, immunological and environmental factors. Studies show the association of psoriasis with risk factors for cardiovascular diseases. An adequate diet combined with the practice of physical activity is capable of positively influencing the prognosis of the disease. The present study aimed to assess the nutritional status and physical activity practice of patients diagnosed with psoriasis seen at the Reference, Support and Treatment Center for Psoriasis Patients of the University Hospital Lauro Wanderley (HULW), in João Pessoa, Paraiba state from October to December 2018. Patients were evaluated by means of a semi-structured questionnaire to collect information such as identification data, skin color, family history of the disease, previous pathological history, life habits and feeding. High BMI prevailed in 80% of the patients, being 35% overweight and 45% obese. The result showed that 45% of the patients had a diagnosis of type 2 DM and 60% of SAH. When asked about the diagnosis of dyslipidemia, 25% of the patients reported having high cholesterol and/or triglyceride and 10% of the patients did not know how to report. With regard to the practice of physical activity, 65% of patients reported performing physical activities, of which 84.6% performed it at a frequency of 1 to 3 times a week and 15.4%, from 4 to 7 times. This preliminary study allowed us to identify the nutritional profile and the practice of physical activity of individuals with psoriasis treated at a Reference Center. The results showed the coexistence of psoriasis and comorbidities related to the metabolic syndrome in the majority of patients evaluated, with a predominance of obesity, systemic arterial hypertension and type 2 diabetes mellitus.

References

ABRAHÃO‐MACHADO, E. C. F. et al. Analysis of cardiovascular risk and carotid intima-media thickness in patients with psoriasis. Anais Brasileiros de Dermatologia (Portuguese), v. 95, n. 2, p. 150-157, 2020.

ADIŞEN, E. et al. Prevalence of smoking, alcohol consumption and metabolic syndrome in patients with psoriasis. Anais brasileiros de dermatologia, v. 93, p. 205-211, 2018.

ARMSTRONG, A. W. et al. From the Medical Board of the National Psoriasis Foundation: treatment targets for plaque psoriasis. Journal of the American Academy of Dermatology, v. 76, n. 2, p. 290-298, 2017.

BARREA, L. et al. Nutrition and psoriasis: is there any association between the severity of the disease and adherence to the Mediterranean diet? Journal of translational medicine, v. 13, n. 1, p. 1-10, 2015.

BARREA, L. et al. Very low-calorie ketogenic diet (VLCKD) in patients with psoriasis and obesity: An update for dermatologists and nutritionists. Critical reviews in food science and nutrition, p. 1-17, 2020.

BRAZIL. Ministry of Health. Portaria Conjunta nº 18, de 14 de outubro de 2021. Aprova o Protocolo Clínico e Diretrizes Terapêuticas da Psoríase. Diário Oficial da União, 2021.

DIBONAVENTURA, M. et al. The association between psoriasis and health-related quality of life, work productivity, and healthcare resource use in Brazil. Anais brasileiros de dermatologia, v. 93, p. 197-204, 2018.

FRIEDER, J. et al. The impact of biologic agents on health-related quality of life outcomes in patients with psoriasis. Expert review of clinical immunology, v. 14, n. 1, p. 1-19, 2018.

HAN, J. H. et al. Increased risk of psoriasis in subjects with abdominal obesity: A nationwide population‐based study. The Journal of dermatology, v. 46, n. 8, p. 695-701, 2019.

INSTITUTO BRASILEITO DE GEOGRAFIA E ESTATÍSTICA – IBGE (Brasil), Coordenação de Trabalho e Rendimento. Pesquisa de orçamentos familiares 2017-2018: avaliação nutricional da disponibilidade domiciliar de alimentos no Brasil. Rio de Janeiro, RJ, 2020. 61 p.

KAUFMAN, B. P.; ALEXIS, A.F. Psoriasis in Skin of Color: Insights into the Epidemiology, Clinical Presentation, Genetics, Quality-of-Life Impact, and Treatment of Psoriasis in Non-White Racial/Ethnic Groups. American Journal Clinical of Dermatology, v. 19, p. 405–423, 2018.

KANDA, N.; HOASHI, T.; SAEKI, H. Nutrition and psoriasis. International Journal of Molecular Sciences, v. 21, n. 15, p. 5405, 2020.

MADDEN, S. K.; FLANAGAN, K. L.; JONES, G. How lifestyle factors and their associated pathogenetic mechanisms impact psoriasis. Clinical Nutrition, v. 39, n. 4, p. 1026-1040, 2020.

MIAO, C. et al. Obesity and dyslipidemia in patients with psoriasis. Medicine (United States), v. 98, n. September, 2019.

MORAES, L. G. A. et al. Impact of psoriasis in special areas on quality of life and the prospect of the most promising treatments: a narrative review. Brazilian Journal of Development, Curitiba, v.7, n.9, p. 92332-92350, 2021

ODIERNO, K. F.; COELHO, B. E. H. B.; MATOS, C. H. Nutritional profile and consumption of inflammatory and anti-inflammatory foods of patients treated at the psoriasis clinic of a teaching health unit in Itajaí, SC. DEMETRA: Alim., Nut. & Saúde, v.10, n.4, p.1017-30, 2015.

PASSOS, C. M. et al. Association between the price of ultra-processed foods and obesity in Brazil. Nutrition, Metabolism and Cardiovascular Diseases, v. 30, n. 4, p. 589-598, 2020.

POLO, T. C. F. et al. Dietary patterns of patients with psoriasis in a public health institution in Brazil. Anais Brasileiros de Dermatologia (Portuguese), v. 95, n. 4, p. 452-458, 2020.

SANTOS, V. P. et al. Coexistence of psoriasis and comorbidities related to metabolic syndrome. Rev Soc Bras Clin Med, v.14, n.2, p.95-100, 2016.

SILVEIRA, M. E. B.; NETO, G. P.; FERREIRA, F. R. Epidemiological profile and quality of life in psoriasis. Rev Soc Bras Clín Méd, v.15, n.4, p.246-51, 2017.

VASCONCELOS, H. G. et al. Psoríase como fator de risco para doenças cardiovasculares: uma revisão da literatura. Brazilian Journal of Development, v. 7, n. 10, p. 99130-99142, 2021.

VIDEIRA, I. F. S. et al. Psoriasis and cardiovascular risk factors: observational study in an urban population in the North of Portugal. Revista Portuguesa de Medicina Geral e Familiar, v. 33, n. 6, p. 386-92, 2017.

WORLD HEALTH ORGANIZATION. Physical status: the use and interpretation of anthropometry. Report of a WHO expert committee. Geneva, 1995.

YANG, H.; ZHENG, J. Influence of stress on the development of psoriasis. Clinical and experimental dermatology, v. 45, n. 3, p. 284-288, 2020.

Downloads

Published

2021-12-31

How to Cite

Torres, R. E., & Santos, C. R. B. dos. (2021). Study of nutritional parameters and physical activity in psoriasis patients attended at a reference center in Northeastern Brazil / Estudo de parâmetros nutricionais e atividade física em pacientes com psoríase atendidos em um centro de referência no Nordeste do Brasil. Brazilian Journal of Development, 7(12), 121044–121054. https://doi.org/10.34117/bjdv7n12-734

Issue

Section

Original Papers