Association between psoriasis and cardiometabolic comorbidities in a racially and ethnically diverse low-income

Nora Rudd1, Nathaly Gonzalez2, Michael A Kohn3

  • 1University of California, San Francisco (UCSF) - School of Medicine, San Francisco, CA, USA.

Insights

Psoriasis links to obesity, diabetes, high cholesterol, and hypertension. These risks were similar across racial/ethnic groups in a diverse, low-income population, highlighting the need for interventions.

Area of Science:

  • Dermatology
  • Cardiology
  • Public Health

Background:

  • Psoriasis is linked to cardiometabolic diseases like obesity, diabetes, hyperlipidaemia, and hypertension.
  • Previous studies often excluded diverse or low-income populations, potentially limiting generalizability.

Purpose of the Study:

  • To investigate if psoriasis risk for cardiometabolic comorbidities differs across racial/ethnic minority groups.
  • To assess the role of race/ethnicity as an effect modifier in psoriasis-associated cardiometabolic conditions.

Main Methods:

  • Cross-sectional analysis of 56,987 low-income patients.
  • Stratified analysis by race/ethnicity to compare comorbidity prevalence in patients with and without psoriasis.
  • Statistical assessment for effect modification by race/ethnicity.

Main Results:

  • Psoriasis showed a significant association with obesity, diabetes, hyperlipidaemia, and hypertension.
  • No significant difference in these associations was observed across racial/ethnic groups, indicating no effect modification.
  • The study population exhibited a very high baseline prevalence of cardiometabolic comorbidities.

Conclusions:

  • Psoriasis is associated with significant cardiometabolic comorbidities across diverse racial/ethnic groups.
  • Interventions targeting modifiable risk factors are crucial, especially for vulnerable, low-income populations.
  • Further research is needed to understand the high comorbidity burden in these populations.

Related Concept Videos

Coronary Artery Disease I: Introduction01:30

Coronary Artery Disease I: Introduction

Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
17
Psychoneuroimmunology: Cardiovascular Disease01:27

Psychoneuroimmunology: Cardiovascular Disease

Psychoneuroimmunology (PNI) is a multidisciplinary field that examines how psychological factors, particularly stress, interact with the immune system and impact physical health. Research in PNI has shown that chronic or traumatic stress can disrupt both the hypothalamic-pituitary-adrenal axis and the sympathetic nervous system. These disruptions contribute to serious health conditions, including cardiovascular diseases.
A key area of focus in PNI is the relationship between stress and coronary...
33
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies

The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
37
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
14
Rheumatic Heart Disease I: Introduction01:23

Rheumatic Heart Disease I: Introduction

Rheumatic heart disease or RHD is a chronic condition that results from rheumatic fever, causing permanent damage to the heart valves.Etiology and Risk FactorsIt primarily arises from rheumatic fever, an inflammatory disease that can develop after untreated or inadequately treated group A streptococcal (GAS) pharyngitis. Streptococcus spreads through direct contact with oral or respiratory secretions. While the bacteria are the causative agents, factors like malnutrition, overcrowding, poor...
14
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
14