The Role of Diet in Children with Psoriasis: Emerging Evidence and Current Issues

Edoardo De Simoni1, Giulio Rizzetto1, Elisa Molinelli1

  • 1Clinic of Dermatology, Department of Clinical and Molecular Sciences, Polytechnic University of Marche, 60126 Ancona, Italy.

Nutrients
|April 13, 2023
PubMed

Insights

Pediatric psoriasis, a chronic inflammatory disease, may benefit from specific diets like Mediterranean, gluten-free, or low-calorie. These diets can positively impact associated conditions such as psychological stress, celiac disease, and obesity.

Area of Science:

  • Dermatology
  • Pediatrics
  • Nutrition Science

Background:

  • Psoriasis is a chronic, immune-mediated inflammatory disease with skin involvement.
  • It affects 22-33% of cases during childhood and is linked to increased cardiovascular risk and metabolic comorbidities.
  • Diet significantly influences inflammatory diseases, including psoriasis.

Purpose of the Study:

  • To explore the potential benefits of Mediterranean, gluten-free, and low-calorie diets in managing pediatric psoriasis.
  • To assess the impact of these diets on comorbidities associated with childhood psoriasis, such as psychological stress, celiac disease, and obesity.
  • To emphasize the need for a multidisciplinary approach in developing personalized dietary strategies for children with psoriasis.

Main Methods:

  • Review of existing literature on dietary interventions in adult and pediatric psoriasis.
  • Analysis of the relationship between specific diets and comorbidities in pediatric psoriasis.
  • Discussion on the role of healthcare professionals in tailoring dietary plans.

Main Results:

  • Mediterranean, gluten-free, and low-calorie diets have shown positive effects on disease control in adult psoriasis patients.
  • These dietary regimens may also benefit children with psoriasis by positively influencing associated psychological stress, celiac disease, and obesity.
  • Tailored dietary strategies are crucial for ensuring adequate growth and addressing the pro-inflammatory profile and cardiovascular risk in pediatric psoriasis.

Conclusions:

  • Specific dietary interventions show promise for managing pediatric psoriasis and its associated comorbidities.
  • A collaborative approach involving gastroenterologists, nutritionists, pediatricians, and dermatologists is essential for effective management.
  • Personalized nutrition plans are key to improving health outcomes and reducing cardiovascular risk in children with psoriasis.

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