Chung Mimi, Bartholomew Erin, Yeroushalmi Samuel, Hakimi Marwa, Bhutani Tina, Liao Wilson
The University of California, San Francisco, Department of Dermatology, San Francisco, CA, USA.
Psoriasis (Auckl). 2022 Jun 22;12:151-176. doi: 10.2147/PTT.S328581. eCollection 2022.
Nutrition is a complex topic encompassing diet and a variety of supplements including vitamins, fish oil, herbal products, and probiotics. Patients with psoriasis display high interest in understanding the potential impact of nutritional modifications on their psoriasis. In this review, we examine the evidence for nutritional interventions in psoriasis and summarize important concepts. We found that certain diets, such as low-calorie diets for obese patients, gluten-free diets for patients with comorbid celiac disease, and the Mediterranean diet, may have benefits for psoriasis patients. Supplements in general do not show strong evidence of benefit, though more studies are required given the heterogeneity of these trials. Finally, the gut microbiome has drawn considerable interest in recent years, with specific probiotics showing promising results for psoriasis patients and warranting further exploration.
营养是一个复杂的话题，涵盖饮食以及多种补充剂，包括维生素、鱼油、草药产品和益生菌。银屑病患者对了解营养调整对其银屑病的潜在影响表现出浓厚兴趣。在本综述中，我们研究了银屑病营养干预的证据并总结了重要概念。我们发现，某些饮食，如针对肥胖患者的低热量饮食、针对合并乳糜泻患者的无麸质饮食以及地中海饮食，可能对银屑病患者有益。一般来说，补充剂并未显示出有力的获益证据，不过鉴于这些试验的异质性，还需要更多研究。最后，肠道微生物群近年来引起了相当大的关注，特定益生菌对银屑病患者显示出有前景的结果，值得进一步探索。
