The Effect of Weight Loss in Obese Patients with Chronic Stable Plaque-Type Psoriasis

Background. Chronic plaque psoriasis is frequently associated with obesity. The effect of a low-calorie diet on psoriasis has not been investigated. Objective. The objective was to investigate whether moderate weight loss increases the therapeutic response to topical treatment in obese patients with...

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Main Authors: Wanjarus Roongpisuthipong, Marinya Pongpudpunth, Chulaporn Roongpisuthipong, Natta Rajatanavin
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Dermatology Research and Practice
Online Access:http://dx.doi.org/10.1155/2013/795932
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author Wanjarus Roongpisuthipong
Marinya Pongpudpunth
Chulaporn Roongpisuthipong
Natta Rajatanavin
author_facet Wanjarus Roongpisuthipong
Marinya Pongpudpunth
Chulaporn Roongpisuthipong
Natta Rajatanavin
author_sort Wanjarus Roongpisuthipong
collection DOAJ
description Background. Chronic plaque psoriasis is frequently associated with obesity. The effect of a low-calorie diet on psoriasis has not been investigated. Objective. The objective was to investigate whether moderate weight loss increases the therapeutic response to topical treatment in obese patients with chronic stable plaque-type psoriasis. Material and Method. A 24-week clinical trial was conducted in 10 patients. The efficacy of a low-calorie diet with topical treatment was compared with baseline in obese patients with chronic stable plaque-type psoriasis. The primary measure of clinical response was the Psoriasis Area and Severity Index at weeks 12 and 24. Results. At week 12, the mean reduction in body weight was 9.6 percent. There was an improvement from baseline of 50 percent or more in the Psoriasis Area and Severity Index in 50 percent of the patients. The responses as measured by improvements in the Psoriasis Area and Severity Index were paralleled by improvements in global assessments by the physician and the patients and in the Dermatology Life Quality Index. Conclusion. Obese patients with chronic stable plaque-type psoriasis increase their response to a low-calorie diet. Lifestyle modifications, including a low-calorie diet, may supplement the pharmacologic treatment of obese psoriasis patients.
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spelling doaj-art-6c843ebb240f4d1a8c42993d6bc0960d2025-08-20T03:34:09ZengWileyDermatology Research and Practice1687-61051687-61132013-01-01201310.1155/2013/795932795932The Effect of Weight Loss in Obese Patients with Chronic Stable Plaque-Type PsoriasisWanjarus Roongpisuthipong0Marinya Pongpudpunth1Chulaporn Roongpisuthipong2Natta Rajatanavin3Division of Dermatology, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, ThailandDivision of Dermatology, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, ThailandDivision of Nutrition and Biochemical Medicine, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, ThailandDivision of Dermatology, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, ThailandBackground. Chronic plaque psoriasis is frequently associated with obesity. The effect of a low-calorie diet on psoriasis has not been investigated. Objective. The objective was to investigate whether moderate weight loss increases the therapeutic response to topical treatment in obese patients with chronic stable plaque-type psoriasis. Material and Method. A 24-week clinical trial was conducted in 10 patients. The efficacy of a low-calorie diet with topical treatment was compared with baseline in obese patients with chronic stable plaque-type psoriasis. The primary measure of clinical response was the Psoriasis Area and Severity Index at weeks 12 and 24. Results. At week 12, the mean reduction in body weight was 9.6 percent. There was an improvement from baseline of 50 percent or more in the Psoriasis Area and Severity Index in 50 percent of the patients. The responses as measured by improvements in the Psoriasis Area and Severity Index were paralleled by improvements in global assessments by the physician and the patients and in the Dermatology Life Quality Index. Conclusion. Obese patients with chronic stable plaque-type psoriasis increase their response to a low-calorie diet. Lifestyle modifications, including a low-calorie diet, may supplement the pharmacologic treatment of obese psoriasis patients.http://dx.doi.org/10.1155/2013/795932
spellingShingle Wanjarus Roongpisuthipong
Marinya Pongpudpunth
Chulaporn Roongpisuthipong
Natta Rajatanavin
The Effect of Weight Loss in Obese Patients with Chronic Stable Plaque-Type Psoriasis
Dermatology Research and Practice
title The Effect of Weight Loss in Obese Patients with Chronic Stable Plaque-Type Psoriasis
title_full The Effect of Weight Loss in Obese Patients with Chronic Stable Plaque-Type Psoriasis
title_fullStr The Effect of Weight Loss in Obese Patients with Chronic Stable Plaque-Type Psoriasis
title_full_unstemmed The Effect of Weight Loss in Obese Patients with Chronic Stable Plaque-Type Psoriasis
title_short The Effect of Weight Loss in Obese Patients with Chronic Stable Plaque-Type Psoriasis
title_sort effect of weight loss in obese patients with chronic stable plaque type psoriasis
url http://dx.doi.org/10.1155/2013/795932
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