Department of Toxicology and Health Protection, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, 41-902 Bytom, Poland.
Department of Human Nutrition, Faculty of Health Sciences in Bytom, Medical University of Silesia in Katowice, 41-808 Zabrze, Poland.
Nutrients. 2021 Dec 28;14(1):119. doi: 10.3390/nu14010119.
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.
银屑病是一种慢性炎症性皮肤病。免疫、遗传和环境因素,包括饮食,在银屑病的发病机制中起作用。代谢综合征或其成分是银屑病患者常见的合并症。饮食习惯的改变可以通过缓解皮肤损伤和降低其他疾病的风险来提高患者的生活质量。对于超重的患者,建议采用低能量饮食。银屑病患者应限制饱和脂肪酸的摄入,并用具有抗炎作用的欧米伽-3 族多不饱和脂肪酸代替。在银屑病患者的饮食治疗中,引入抗氧化剂如维生素 A、维生素 C、维生素 E、类胡萝卜素、类黄酮和硒是极其重要的。也建议补充维生素 D。一些作者认为,替代饮食对银屑病的病程有积极影响。这些饮食包括:无麸质饮食、素食和地中海饮食。银屑病患者的饮食治疗也应根据药物治疗进行调整。例如,在服用甲氨蝶呤的患者中补充叶酸。本文的目的是详细讨论银屑病患者的营养建议。
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