Children who are overweight or obese have a significantly higher prevalence of psoriasis, and teens with psoriasis, regardless of their body weight, have higher cholesterol levels, according to a Kaiser Permanente study published online in the Journal of Pediatrics. The study findings suggest that higher heart disease risk for patients with psoriasis starts in childhood in the form of higher cholesterol levels.
“This study suggests a link between obesity and psoriasis in children,” said study lead author Corinna Koebnick, PhD, a research scientist at the Kaiser Permanente Southern California’s Department of Research & Evaluation in Pasadena, Calif. “But our study findings also suggest that the higher heart disease risk for patients with psoriasis starts in childhood in the form of higher cholesterol levels. We may need to monitor youth with psoriasis more closely for cardiovascular risk factors, especially if they are obese.”
“Psoriasis may also put children at risk for metabolic disease, as seen in adults, so studies such as these are extremely important in helping primary care providers learn the best way to care for these children,” notes co-author Amy Porter, MD, Southern California Permanente Medical Group’s regional physician lead for weight management, and pediatrician at Kaiser Permanente’s Baldwin Park Medical Center.
Epidemiologic studies in adults have shown that patients with psoriasis are at a higher risk of developing metabolic conditions such as diabetes, hypertension, heart attack and stroke. In adults, obesity has also been linked to a higher risk of developing psoriasis, and obesity, like psoriasis, is also associated with an increased risk of cardiovascular disease, metabolic syndrome and diabetes.
“Both conditions are characterized by a chronic low-level inflammation,” notes Dr. Koebnick. “Yet, we know little to nothing about the metabolic risk of psoriasis, especially when combined with obesity in children.” Psoriasis in children may increase blood cholesterol levels, and this may additionally be triggered by the presence of obesity. While the present study has limitations due to its cross-sectional design where both body weight and information on psoriasis were assessed at the same time, future studies based on this cohort will address these issues.Go To free ayurveda Consultations