Vol 9, No 2 (2023)
Review paper
Published online: 2023-03-10
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Correlation between the components of the metabolic syndrome and psoriasis

Adam Wełniak1, Aleksandra Nowicka1, Rafał Czajkowski2
·
Forum Dermatologicum 2023;9(2):56-60.
Affiliations
  1. Student’s Scientific Circle of Dermatology, Department of Dermatology and Venerology Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland
  2. Department of Dermatology and Venerology Faculty of Medicine, Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, Poland

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Vol 9, No 2 (2023)
REVIEW ARTICLES
Published online: 2023-03-10

Abstract

Psoriasis (Ps) is a chronic inflammatory skin condition affecting 2% of the world’s population. These people have a higher risk of developing metabolic syndrome (MS) up to one-third of patients. According to current criteria, the diagnosis of MS is made on the basis of a diagnosis of obesity and two out of three: elevated blood pressure, abnormal glucose metabolism, or atherogenic dyslipidemia. The correlation between the MS and Ps is probably due to shared genetic factors; the expression of common genes leads to the development of both diseases. Moreover, in the course of Ps, there is systemic inflammation that prompts the development of components of the MS. The psoriatic lesions negatively affect the patient’s well-being leading to social withdrawal and diminishing tendency to exercise, directing to overweight and hypertension independently of the systemic inflammation. Current evidence suggests that the development of Ps is most influenced by obesity, but the risk of development is greatest when all elements of the MS are present. Appropriate prevention and lifestyle changes are important, as they significantly reduce the risk of developing MS and minimize the symptoms of Ps, while also reducing the cardiovascular risk which both diseases lead to its increment independently.

Abstract

Psoriasis (Ps) is a chronic inflammatory skin condition affecting 2% of the world’s population. These people have a higher risk of developing metabolic syndrome (MS) up to one-third of patients. According to current criteria, the diagnosis of MS is made on the basis of a diagnosis of obesity and two out of three: elevated blood pressure, abnormal glucose metabolism, or atherogenic dyslipidemia. The correlation between the MS and Ps is probably due to shared genetic factors; the expression of common genes leads to the development of both diseases. Moreover, in the course of Ps, there is systemic inflammation that prompts the development of components of the MS. The psoriatic lesions negatively affect the patient’s well-being leading to social withdrawal and diminishing tendency to exercise, directing to overweight and hypertension independently of the systemic inflammation. Current evidence suggests that the development of Ps is most influenced by obesity, but the risk of development is greatest when all elements of the MS are present. Appropriate prevention and lifestyle changes are important, as they significantly reduce the risk of developing MS and minimize the symptoms of Ps, while also reducing the cardiovascular risk which both diseases lead to its increment independently.

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Keywords

psoriasis, metabolic syndrome, obesity, hyperglycemia, hypertension

About this article
Title

Correlation between the components of the metabolic syndrome and psoriasis

Journal

Forum Dermatologicum

Issue

Vol 9, No 2 (2023)

Article type

Review paper

Pages

56-60

Published online

2023-03-10

Page views

2406

Article views/downloads

36

DOI

10.5603/FD.a2023.0007

Bibliographic record

Forum Dermatologicum 2023;9(2):56-60.

Keywords

psoriasis
metabolic syndrome
obesity
hyperglycemia
hypertension

Authors

Adam Wełniak
Aleksandra Nowicka
Rafał Czajkowski

References (50)
  1. Fu Y, Lee CH, Chi CC. Association of psoriasis with inflammatory bowel disease: a systematic review and meta-analysis. JAMA Dermatol. 2018; 154(12): 1417–1423.
  2. Korkmaz S, Güçlü H, Hatipoğlu EŞ, et al. Metabolic syndrome may exacerbate macular and retinal damage in psoriasis vulgaris. Ocul Immunol Inflamm. 2019; 27(5): 798–804.
  3. Tas B, Kabeloglu V. Prevalence of metabolic syndrome and its parameters and their correlations with psoriasis duration, severity, and sleep quality in psoriasis patients: a cross-sectional study. Dermatol Pract Concept. 2021; 11(3): e2021049.
  4. Fernández-Armenteros JM, Gómez-Arbonés X, Buti-Soler M, et al. Psoriasis, metabolic syndrome and cardiovascular risk factors. A population-based study. J Eur Acad Dermatol Venereol. 2019; 33(1): 128–135.
  5. Polic MV, Miskulin M, Smolic M, et al. Psoriasis severity-a risk factor of insulin resistance independent of metabolic syndrome. Int J Environ Res Public Health. 2018; 15(7): 1486.
  6. Wen S, Liu C, Li Y, et al. Psoriasis exacerbates the state of insulin resistance in patients with type 2 diabetes. Diabetes Metab Syndr Obes. 2021; 26(14): 2389–2397.
  7. Brazzelli V, Maffioli P, Bolcato V, et al. Psoriasis and diabetes, a dangerous association: evaluation of insulin resistance, lipid abnormalities, and cardiovascular risk biomarkers. Front Med (Lausanne). 2021; 23(8): 605691.
  8. Miao C, Li J, Li Y, et al. Obesity and dyslipidemia in patients with psoriasis: A case-control study. Medicine (Baltimore). 2019; 98(31): e16323.
  9. Botelho KP, Pontes MA, Rodrigues CE, et al. Prevalence of metabolic syndrome among patients with psoriasis treated with TNF inhibitors and the effects of anti-tnf therapy on their lipid profile: a prospective cohort study. Metab Syndr Relat Disord. 2020; 18(3): 154–160.
  10. Holmannova D, Borska L, Andrys C, et al. The impact of psoriasis and metabolic syndrome on the systemic inflammation and oxidative damage to nucleic acids. J Immunol Res. 2020: 7352637.
  11. Snekvik I, Nilsen TIL, Romundstad PR, et al. Metabolic syndrome and risk of incident psoriasis: prospective data from the HUNT Study, Norway. Br J Dermatol. 2019; 180(1): 94–99.
  12. Budu-Aggrey A, Brumpton B, Tyrrell J, et al. Evidence of a causal relationship between body mass index and psoriasis: A mendelian randomization study. PLoS Med. 2019; 16(1): e1002739.
  13. Adışen E, Uzun S, Erduran F, et al. Prevalence of smoking, alcohol consumption and metabolic syndrome in patients with psoriasis. An Bras Dermatol. 2018; 93(2): 205–211.
  14. Dobrowolski P, Prejbisz A, Kuryłowicz A, et al. Metabolic syndrome — a new definition and management guidelines. Arterial Hypertension. 2022; 26(3): 99–121.
  15. Kyriakou A, Patsatsi A, Sotiriadis D, et al. Serum leptin, resistin, and adiponectin concentrations in psoriasis: a meta-analysis of observational studies. Dermatology. 2017; 233(5): 378–389.
  16. Gable DR, Hurel SJ, Humphries SE. Adiponectin and its gene variants as risk factors for insulin resistance, the metabolic syndrome and cardiovascular disease. Atherosclerosis. 2006; 188(2): 231–244.
  17. Kim HN, Han K, Park YG, et al. Metabolic syndrome is associated with an increased risk of psoriasis: A nationwide population-based study. Metabolism. 2019; 99: 19–24.
  18. Sondermann W, Djeudeu Deudjui DA, Körber A, et al. Psoriasis, cardiovascular risk factors and metabolic disorders: sex-specific findings of a population-based study. J Eur Acad Dermatol Venereol. 2020; 34(4): 779–786.
  19. Amin M, Lee EB, Bhutani T, et al. Do psoriasis patients engage in vigorous physical activity? Cutis. 2018; 101(3): 198–200.
  20. Ko SH, Chi CC, Yeh ML, et al. Lifestyle changes for treating psoriasis. Cochrane Database Syst Rev. 2019; 7(7): CD011972.
  21. Alotaibi HA. Effects of weight loss on psoriasis: a review of clinical trials. Cureus. 2018; 10(10): e3491.
  22. Chi CC, Lee CY, Liu CY, et al. Effects of antidiabetic drugs on psoriasis: A meta-analysis. Eur J Clin Invest. 2021; 51(2): e13377.
  23. Patrick MT, Stuart PE, Zhang H, et al. Causal relationship and shared genetic loci between psoriasis and type 2 diabetes through trans-disease meta-analysis. J Invest Dermatol. 2021; 141(6): 1493–1502.
  24. Polic MV, Miskulin M, Smolic M, et al. Psoriasis severity-a risk factor of insulin resistance independent of metabolic syndrome. Int J Environ Res Public Health. 2018; 15(7): 1486.
  25. Patrick MT, Stuart PE, Zhang H, et al. Causal relationship and shared genetic loci between psoriasis and type 2 diabetes through trans-disease meta-analysis. J Invest Dermatol. 2021; 141(6): 1493–1502.
  26. Wang H, Wang Z, Rani PL, et al. Identification of PTPN22, ST6GAL1 and JAZF1 as psoriasis risk genes demonstrates shared pathogenesis between psoriasis and diabetes. Exp Dermatol. 2017; 26(11): 1112–1117.
  27. Ikumi K, Odanaka M, Shime H, et al. Hyperglycemia is associated with psoriatic inflammation in both humans and mice. J Invest Dermatol. 2019; 139(6): 1329–1338.e7.
  28. Chi CC, Lee CY, Liu CY, et al. Effects of antidiabetic drugs on psoriasis: A meta-analysis. Eur J Clin Invest. 2021; 51(2): e13377.
  29. Kim HN, Han K, Song SW, et al. Hypertension and risk of psoriasis incidence: An 11-year nationwide population-based cohort study. PLoS One. 2018; 13(8): e0202854.
  30. Svanström C, Lonne-Rahm SB, Nordlind K. Psoriasis and alcohol. Psoriasis (Auckl). 2019; 9: 75–79.
  31. ElGhareeb MI, Khater MH, Fakhr A, et al. Risk and severity of psoriasis vulgaris in relation to angiotensin II type 1 receptor gene polymorphism and metabolic syndrome. Clin Cosmet Investig Dermatol. 2019; 12: 683–690.
  32. Duan Xi, Liu J, Mu Y, et al. A systematic review and meta-analysis of the association between psoriasis and hypertension with adjustment for covariates. Medicine (Baltimore). 2020; 99(9): e19303.
  33. Kim HN, Han K, Song SW, et al. Hypertension and risk of psoriasis incidence: An 11-year nationwide population-based cohort study. PLoS One. 2018; 13(8): e0202854.
  34. Grundy SM, Stone NJ, Bailey AL, et al. 2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA guideline on the management of bood cholesterol: A report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2019; 139(25): e1082–e1143; Erratum in: Circulation. 2019 Jun 18;139(25):e1182-e1186.
  35. Morici N, Ferri LA, Alicandro G, et al. Psoriasis and the risk of acute coronary syndrome in the elderly. Int J Cardiol. 2018; 273: 44–46.
  36. Yazdanpanah MJ, Vahabi-Amlashi S, Nematy M, et al. Association of serum lipid profiles and dietary intakes of vitamin E and fiber with psoriasis severity. Caspian J Intern Med. 2021; 12(4): 606–612.
  37. Sobhan M, Seif Rabiei MA, Amerifar M. Correlation between lipid profile and acne vulgaris. Clin Cosmet Investig Dermatol. 2020; 13: 67–71.
  38. Trakaki A, Marsche G. High-Density lipoprotein (HDL) in allergy and skin diseases: focus on immunomodulating functions. Biomedicines. 2020; 8(12): 558.
  39. Lai CQ, Parnell LD, Smith CE, et al. Carbohydrate and fat intake associated with risk of metabolic diseases through epigenetics of CPT1A. Am J Clin Nutr. 2020; 112(5): 1200–1211.
  40. Li YY, Zhou YH, Gong Ge, et al. LPL gene Pvu II polymorphism and hypertriglyceridemia: a meta-analysis involving 1,640 subjects. Korean J Intern Med. 2017; 32(6): 1018–1024.
  41. Girisha BS, Thomas N. Metabolic syndrome in psoriasis among Urban South Indians: a case control study using SAM-NCEP criteria. J Clin Diagn Res. 2017; 11(2): WC01–WC04.
  42. Tollefson MM, Van Houten HK, Asante D, et al. Association of psoriasis with comorbidity development in children with psoriasis. JAMA Dermatol. 2018; 154(3): 286–292.
  43. Paiva-Lopes MJ, Delgado Alves J. Psoriasis-associated vascular disease: the role of HDL. J Biomed Sci. 2017; 24(1): 73.
  44. Ferraz-Amaro I, Hernández-Hernández MV, Armas-González E, et al. HDL cholesterol efflux capacity is related to disease activity in psoriatic arthritis patients. Clin Rheumatol. 2020; 39(6): 1871–1880.
  45. Ajala ON, Demler OV, Liu Y, et al. Anti-Inflammatory HDL function, incident cardiovascular events, and mortality: a secondary analysis of the JUPITER randomized clinical trial. J Am Heart Assoc. 2020; 9(17): e016507.
  46. Socha M, Pietrzak A, Grywalska E, et al. The effect of statins on psoriasis severity: a meta-analysis of randomized clinical trials. Arch Med Sci. 2020; 16(1): 1–7.
  47. Fisher DA, Elias PM, LeBoit PL. Exacerbation of psoriasis by the hypolipidemic agent, gemfibrozil. Arch Dermatol. 1988; 124(6): 854–855.
  48. Masson W, Lobo M, Molinero G, et al. Should all patients with psoriasis receive statins? Analysis according to different strategies. An Bras Dermatol. 2019; 94(6): 691–697.
  49. Wełniak A, Gryczka K, Kędziora-Kornatowska K. Stratification and management of cardiovascular risk among patients with psoriasis. J Health Study Med. 2021(4): 5–26.
  50. Nowowiejska J, Baran A, Flisiak I. Psoriasis and cardiometabolic disorders. Dermatology Review. 2020; 107(6): 508–520.

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