Czarnecka Anna, Purzycka-Bohdan Dorota, Zabłotna Monika, Nowicki Roman J, Rębała Krzysztof, Bohdan Michał, Gruchała Marcin, Wilkowska Alina, Szczerkowska-Dobosz Aneta
Department of Dermatology, Venereology and Allergology, Medical University of Gdańsk, 80-210 Gdańsk, Poland.
Department of Forensic Medicine, Medical University of Gdańsk, 80-210 Gdańsk, Poland.
Biomedicines. 2024 Feb 25;12(3):517. doi: 10.3390/biomedicines12030517.
This study aimed to comprehensively analyze the problem of overweight and obesity among psoriatic patients by investigating the influence of body mass composition, anhedonia and depression, environmental factors and gene polymorphisms.
The study enrolled 30 overweight or obese adult patients with chronic plaque psoriasis and 30 overweight or obese volunteers (northern Poland region, Caucasian population). Mood disorders, body mass composition by using bioelectrical impedance analysis (BIA) and gene polymorphisms (rs9939609, rs1558902) by tetra-primer amplification refractory mutation system PCR (T-ARMS-PCR) were assessed.
Results revealed significantly higher visceral adipose tissue levels in psoriatic patients (5.23 ± 2.29 [L] vs. 3.41 ± 1.86 [L]), = 0.001), especially among men, along with elevated rates of moderate and severe depression (26.67% vs. 6.67% and 13.33% vs. 3.33%, = 0.048 respectively). Additionally, gene polymorphisms correlated with waist-hip ratio differences in both groups.
The study highlights the importance of evaluating body composition beyond body mass index, recognizing its influence on psoriasis and associated conditions like depression. The gene may serve as a potential genetic link between psoriasis and obesity, warranting further research for validation. Adiposity emerges as a key and modifiable risk factor, underscoring the clinical implications of body composition complexities in psoriasis management.
本研究旨在通过调查身体成分、快感缺失与抑郁、环境因素和基因多态性的影响,全面分析银屑病患者超重和肥胖问题。
该研究招募了30名超重或肥胖的慢性斑块状银屑病成年患者和30名超重或肥胖志愿者(波兰北部地区,白种人群)。通过生物电阻抗分析(BIA)评估情绪障碍、身体成分,通过四引物扩增阻滞突变系统PCR(T-ARMS-PCR)评估基因多态性(rs9939609、rs1558902)。
结果显示,银屑病患者的内脏脂肪组织水平显著更高(5.23±2.29[L]对3.41±1.86[L],P = 0.001),尤其是男性,同时中重度抑郁发生率升高(分别为26.67%对6.67%和13.33%对3.33%,P = 0.048)。此外,两组中的基因多态性与腰臀比差异相关。
该研究强调了在体重指数之外评估身体成分的重要性,认识到其对银屑病及抑郁等相关病症的影响。该基因可能是银屑病与肥胖之间的潜在遗传联系,有待进一步研究验证。肥胖成为一个关键且可改变的风险因素,突显了身体成分复杂性在银屑病管理中的临床意义。