Psoriasis is a chronic inflammatory skin disease. Immunological, genetic, and environmental factors, including diet, play a part in the pathogenesis of psoriasis. Metabolic syndrome or its components are frequent co-morbidities in persons with psoriasis. A change of eating habits can improve the quality of life of patients by relieving skin lesions and by reducing the risk of other diseases. A low-energy diet is recommended for patients with excess body weight. Persons suffering from psoriasis should limit the intake of saturated fatty acids and replace them with polyunsaturated fatty acids from the omega-3 family, which have an anti-inflammatory effect. In diet therapy for persons with psoriasis, the introduction of antioxidants such as vitamin A, vitamin C, vitamin E, carotenoids, flavonoids, and selenium is extremely important. Vitamin D supplementation is also recommended. Some authors suggest that alternative diets have a positive effect on the course of psoriasis. These diets include: a gluten-free diet, a vegetarian diet, and a Mediterranean diet. Diet therapy for patients with psoriasis should also be tailored to pharmacological treatment. For instance, folic acid supplementation is introduced in persons taking methotrexate. The purpose of this paper is to discuss in detail the nutritional recommendations for persons with psoriasis.

Low spot urinary creatinine concentration (SUCR) is a marker of muscle wasting and clinical outcome. The risk factors for low SUCR in heart failure (HF) remain poorly understood. We explored the risk factors for low SUCR related to poor outcomes. In 721 HF patients (age: 52.3 ± 11 years, female: 14%, NYHA: 2.7 ± 0.7) SUCR and Dexa body composition scans were performed. BMI prior HF-onset, weight loss, and appendicular muscle mass were obtained. Each patient was classified as malnutrition or normal by GLIM criteria and three other biochemical indices (CONUT, PNI, and GRNI). Sarcopenia index (SI) as creatinine to cystatin C ratio was also calculated. Within 1 year, 80 (11.1%) patients died. In ROC curve we identified a SUCR value of 0.628 g/L as optimally discriminating surviving from dead. In low SUCR group more advanced HF, higher weight loss and catabolic components of weight trajectory (CCWT), more frequent under-nutrition by GLIM, and lower SI were observed. In multivariate analysis the independent predictors of low SUCR were SI, CCWT, and GNRI score. In conclusion: the risk of low SUCR was associated with a worse outcome. Low SUCR was associated with greater catabolism and sarcopenia but not with biochemical indices of malnutrition.

Cel pracyGłównym celem pracy była ocena wpływu izolacji społecznej i rodzinnej z powodu COVID19 na samopoczucie psychiczne pacjentów przebywających w zakładzie opiekuńczo-leczniczym oraz ocena skuteczności podjętych działań terapeutycznych.MetodaBadanie przeprowadzono wśród chorych przebywających w zakładzie opiekuńczo-leczniczym (58 chorych). Do oceny stopnia nasilenia zaburzeń depresyjnych zastosowano krótką formę Geriatrycznej Skali Oceny Depresji. Porównano również liczbę interwencji medycznych i psychologicznych w poszczególnych miesiącach izolacji.WynikiW lutym 2020 roku, kiedy nie było żadnej izolacji, 87,9% badanej grupy nie cierpiało na depresję w porównaniu z 72,4% w okresie pełnej izolacji. Po wprowadzeniu metod kontrolowanego kontaktu z najbliższymi, liczba osób bez objawów depresyjnych ponownie wzrosła. W okresie pełnej izolacji wykonano średnio 1,76 interwencji medycznych i 0,23 interwencji psychologicznych na jednego pacjenta.WnioskiLiczba interwencji medycznych i psychologicznych była większa w okresie pełnej izolacji w porównaniu z miesiącami, w których nie wprowadzono ograniczeń związanych z pandemią COVID19. Po wprowadzeniu pełnej izolacji wyniki w GDS były istotnie wyższe, co oznacza, że pacjenci byli w większym stopniu narażeni na zaburzenia depresyjne niż w miesiącach bez izolacji.

Endometriosis is a chronic, painful, estrogen-related inflammatory disease that affects approximately 10% of the female population. Endometriosis has a significant negative impact on quality of life. Nutrition may be involved in the development and severity of endometriosis. The purpose of this paper is to discuss in detail the nutritional recommendations for patients with endometriosis. This article discusses the importance of nutrients such as polyphenols, vitamins C, D and E, PUFAs, and iron in the development of endometriosis. Alternative diets, such as the Mediterranean, anti-inflammatory, vegetarian, low-nickel and low-FODMAP diets, have also been presented in the context of their potential beneficial effects on the course of endometriosis.

Background. Eating disorders are an increasingly common health problem that is a major therapeutic challenge. For many years, the basic form of therapy used to be psychiatric and psychotherapeutic treatment, but now it is postulated that the dietetician should also be part of the therapeutic teams. Objective. The main purpose of the study is to assess nutrition knowledge of people with eating disorders with consideration to their age, place of living, education, BMI, type of disease, participation in dietary consultations and in therapy. Material and methods. Nutrition knowledge of the respondents was assessed by means of an author’s survey questionnaire. The questionnaire was published in one of the social portals in the “Eating disorders – tackling” group gathering people with different types of eating disorders. The survey questionnaire consisted in 33 questions. Arithmetic mean and standard deviation for the number of correct answers provided by the respondents by the selected criteria. Results. In terms of age, the least nutrition knowledge was attributable to the persons below 20 years of age (25.24 points in average). When considering the place of living, the least nutrition knowledge was revealed among the subjects living in medium cities (between 20 and 100 thousand of population) i.e. 25.31 points. In terms of education, the least nutrition knowledge was recorded in people with vocational education (24.83 points). When classifying the respondents by BMI, the highest average score was gained by the respondents with normal body mass index (BMI) (26.42 points). Conclusions. The study on the level of nutrition knowledge among the people with eating disorders demonstrated that this knowledge was selective and insufficient to provide rational nutrition. It aimed at teaching the rules of healthy lifestyle and nutrition and thorough discussing of all nutrients, their functions and effect on the body.