Hidradenitis suppurativa and daily lifestyle

Hidradenitis suppurativa (HS) is a chronic, relapsing inflammatory skin disorder that significantly impairs quality of life. While its pathogenesis involves genetic, immunologic, and environmental components, emerging evidence highlights the substantial impact of modifiable lifestyle factors on dise...

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Main Authors: Natsuko Saito-Sasaki, Yu Sawada
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1627638/full
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author Natsuko Saito-Sasaki
Yu Sawada
author_facet Natsuko Saito-Sasaki
Yu Sawada
author_sort Natsuko Saito-Sasaki
collection DOAJ
description Hidradenitis suppurativa (HS) is a chronic, relapsing inflammatory skin disorder that significantly impairs quality of life. While its pathogenesis involves genetic, immunologic, and environmental components, emerging evidence highlights the substantial impact of modifiable lifestyle factors on disease onset and progression. This review summarizes the current understanding of how lifestyle-related elements interact with the inflammatory milieu in HS. Beneficial factors, such as short-chain fatty acids (SCFAs), omega-3 fatty acids, and vitamin D, play a protective role by suppressing proinflammatory cytokines, enhancing antimicrobial responses, and promoting the growth of beneficial gut microbiota. Diets rich in vegetables, fruits, chicken, and fish are supportive in maintaining immune balance. Conversely, detrimental factors, including smoking, alcohol consumption, obesity, and sleep disorders, are associated with heightened inflammatory responses, increased disease severity, and higher recurrence rates. Understanding these lifestyle-related influences provides a foundation for non-pharmacologic, adjunctive interventions aimed at mitigating disease burden. Comprehensive management of HS should therefore include lifestyle modification as a key component to improve patient outcomes.
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spelling doaj-art-d726a170141c4f0cb932306aaa545f952025-08-20T02:35:30ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-06-011610.3389/fimmu.2025.16276381627638Hidradenitis suppurativa and daily lifestyleNatsuko Saito-SasakiYu SawadaHidradenitis suppurativa (HS) is a chronic, relapsing inflammatory skin disorder that significantly impairs quality of life. While its pathogenesis involves genetic, immunologic, and environmental components, emerging evidence highlights the substantial impact of modifiable lifestyle factors on disease onset and progression. This review summarizes the current understanding of how lifestyle-related elements interact with the inflammatory milieu in HS. Beneficial factors, such as short-chain fatty acids (SCFAs), omega-3 fatty acids, and vitamin D, play a protective role by suppressing proinflammatory cytokines, enhancing antimicrobial responses, and promoting the growth of beneficial gut microbiota. Diets rich in vegetables, fruits, chicken, and fish are supportive in maintaining immune balance. Conversely, detrimental factors, including smoking, alcohol consumption, obesity, and sleep disorders, are associated with heightened inflammatory responses, increased disease severity, and higher recurrence rates. Understanding these lifestyle-related influences provides a foundation for non-pharmacologic, adjunctive interventions aimed at mitigating disease burden. Comprehensive management of HS should therefore include lifestyle modification as a key component to improve patient outcomes.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1627638/fullhidradenitis suppurativalifestyle factorssmokingdietphysical activity
spellingShingle Natsuko Saito-Sasaki
Yu Sawada
Hidradenitis suppurativa and daily lifestyle
Frontiers in Immunology
hidradenitis suppurativa
lifestyle factors
smoking
diet
physical activity
title Hidradenitis suppurativa and daily lifestyle
title_full Hidradenitis suppurativa and daily lifestyle
title_fullStr Hidradenitis suppurativa and daily lifestyle
title_full_unstemmed Hidradenitis suppurativa and daily lifestyle
title_short Hidradenitis suppurativa and daily lifestyle
title_sort hidradenitis suppurativa and daily lifestyle
topic hidradenitis suppurativa
lifestyle factors
smoking
diet
physical activity
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1627638/full
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