Association between psoriasis and leisure‐time physical activity: Findings from the National Health and Nutrition Examination Survey

Abstract

Despite evidence that physical activity can reduce the cardiometabolic risk of patients with psoriasis, these patients may engage in less physical activity than those without psoriasis. The aim of this study was to examine the association of the extent of psoriatic skin lesions with the likelihood of participating in leisure-time moderate to vigorous physical activity (MVPA) and metabolic equivalent task (MET)-minutes of MVPA amongst those who participated. The National Health and Nutrition Examination Survey (NHANES) is a population-based survey among U.S. adults. A total of 6549 persons aged 20-59 years responded to the 2003-2006 NHANES dermatology questionnaires, which asked about participation in leisure-time MVPA and MET-minutes of MVPA amongst those who participated. Compared with individuals without psoriasis, those with psoriasis were less likely to have engaged in leisure MVPA in the past 30 days, although this association was not statistically significant. Amongst those who participated in leisure-time MVPA, MET-minutes of leisure-time MVPA were lower on average for patients currently having few to extensive cutaneous lesions (but not for those currently having little or no psoriatic patches), relative to individuals never diagnosed with psoriasis by approximately 30%. Clinicians should encourage patients with psoriasis, especially those with more severe disease, to be more physically active; they should help identify and address possible psychological and physical barriers to their patients' physical activity.

Environmental Risk Factors in Psoriasis: The Point of View of the Nutritionist

“…Sedentary lifestyle and psoriasis can also be closely connected [ 28 ]. Indeed, according to the 2003–2004 and 2005–2006 NHANES dermatology questionnaires [ 29 ], psoriatic patients are reluctant to engage in physical activities where their skin disease may be visible to others. Thus, in addition to genetic and immune-mediated mechanisms, behavioural factors may have an additional role in explaining the association between obesity and psoriasis.…”

Highlighting Interleukin-36 Signalling in Plaque Psoriasis and Pustular Psoriasis

“…The therapeutic guidelines include the use of topical steroids, topical vitamin D, systemic immunosuppressants and various biologics, such as antitumour necrosis factor (TNF) α, anti-interleukin (IL)-23 and anti-IL-17 antibodies (6)(7)(8)(9)(10)(11)(12)(13)(14). However, treatment adherence and the quality of life of the affected patients are generally very low (1,(15)(16)(17)(18)(19)(20). Recent genome-wide association studies have identified many susceptibility loci for psoriasis and pustular psoriasis, including HLA-C*06:02, LCE3D, IL23R, CARD14 and IL36RN (21)(22)(23)(24).…”

Soccer helps in controlling the development of psoriasis in Italian second league players

“…4 However, this topic still presents some controversial aspects since discrepant studies are available. 5,6 In order to obtain further evidences, we evaluated the impact of regular agonistic physical activity on psoriasis in soccer players of the Italian second league. Particularly, an observational cross-sectional investigation was conducted by analysing a group of 323 Italian second league soccer players (consecutively enrolled during medical check-up at training sessions) and 357 sex, age and body mass index matched controls (chaperones of patients attending the outpatient clinic of Department of Dermatology and Department of Allergy and Clinical Immunology, University of Naples Federico II) from July 2015 to May 2016.…”

“…Rossi, 2 A. Balato, 1 C. Matucci-Cerinic, 3 F. Braconaro, 4,5 F. Prignano, 3 G. Monfrecola, 1 N. Balato, 1 A. De Paulis 2,4 1 Department of Dermatology, University of Naples Federico II, Naples, Italy, 2 Department of Translational Medical Sciences (DiSMeT), University of Naples Federico II, Naples, Italy, 3 Section of Dermatology, Department of Surgery and Translational Medicine, University of Florence, Florence, Italy,4 Antidoping Federal Commission and Health Protection of "Federazione Italiana Giuoco Calcio", Rome, Italy,5 Medical and Scientific Commission of the National Professional League "Serie B", Rome, Italy Characteristics of Italian second league football players and control subjects…”