Macronutrient intakes and associations with psoriasis severity: a cross-sectional analysis of the asking people with psoriasis about lifestyle and eating (APPLE) study

Springate DA, Parisi R, Kontopantelis E, Reeves D, Griffiths CEM, Ashcroft DM (2017) Incidence, prevalence and mortality of patients with psoriasis: a U.K. population-based cohort study. Br J Dermatol 176(1):650–658. https://doi.org/10.1111/bjd.15021

Article  CAS  PubMed  Google Scholar 

Miller IM, Ellervik C, Yazdanyar S, Jemec GBE (2013) Meta-analysis of psoriasis, cardiovascular disease, and associated risk factors. J Am Acad Dermatol 69(6):1014–1024. https://doi.org/10.1016/j.jaad.2013.06.053

Article  PubMed  Google Scholar 

Lagström H, Stenholm S, Akbaraly T, Pentti J, Vahtera J, Kivimäki M et al (2020) Diet quality as a predictor of cardiometabolic disease-free life expectancy: the Whitehall II cohort study. Am J Clin Nutr 111(4):787–794. https://doi.org/10.1093/ajcn/nqz329

Article  PubMed  PubMed Central  Google Scholar 

National Institute for Health and Care Excellence [NICE] (2023) Cardiovascular disease: risk assessment and reduction, including lipid modification [NG238] [Internet]. 2023 [cited 2024 Jun 18]. Available from: https://www.nice.org.uk/guidance/ng238/resources/cardiovascular-disease-risk-assessment-and-reduction-including-lipid-modification-pdf-66143902851781

National Institute for Health and Care Excellence [NICE] (2023) Type 2 diabetes in adults: management [NG28] [Internet]. [cited 2024 Jun 18]. Available from: https://www.nice.org.uk/guidance/ng28/resources/type-2-diabetes-in-adults-management-pdf-2830067254213

Majeed-Ariss R, McPhee M, McAteer H, Griffiths CEM, Young H (2019) The top 10 research priorities for psoriasis in the U.K.: results of a James Lind Alliance psoriasis Priority Setting Partnership. Br J Dermatol 181(1):871–873. https://doi.org/10.1111/bjd.18209

Article  CAS  PubMed  PubMed Central  Google Scholar 

Ko SH, Chi CC, Yeh ML, Wang SH, Tsai YS, Hsu MY (2019) Lifestyle changes for treating psoriasis. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD011972.pub2

Article  PubMed  PubMed Central  Google Scholar 

National Institute for Health and Care Excellence [NICE] (2017) Psoriasis: assessment and management [Internet]. [cited 2024 Jan 5]. Available from: https://www.nice.org.uk/guidance/cg153/resources/psoriasis-assessment-and-management-pdf-35109629621701

Johnson JA, Ma C, Kanada KN, Armstrong AW (2014) Diet and nutrition in psoriasis: analysis of the National Health and Nutrition Examination Survey (NHANES) in the United States. J Eur Acad Dermatol Venereol 28(3):327–332. https://doi.org/10.1111/jdv.12105

Article  CAS  PubMed  Google Scholar 

Yamashita H, Morita T, Ito M, Okazaki S, Koto M, Ichikawa Y et al (2019) Dietary habits in Japanese patients with psoriasis and psoriatic arthritis: Low intake of meat in psoriasis and high intake of vitamin A in psoriatic arthritis. J Dermatol 46:759–760. https://doi.org/10.1111/1346-8138.15032

Article  CAS  PubMed  Google Scholar 

Barrea L, Emidio Macchia P, Tarantino G, Somma CD, Pane E, Balato N et al (2015) Nutrition: a key environmental dietary factor in clinical severity and cardio-metabolic risk in psoriatic male patients evaluated by a 7-day food-frequency questionnaire. J Transl Med 13:303. https://doi.org/10.1186/s12967-015-0658-y

Article  CAS  PubMed  PubMed Central  Google Scholar 

Yazdanpanah MJ, Vahabi-Amlashi S, Nematy M, Shaelaei N, Mohajeri SAR, Tafazzoli Z (2021) Association of serum lipid profiles and dietary intakes of vitamin E and fiber with psoriasis severity. Casp J Intern Med 12(4):606–612. https://doi.org/10.22088/cjim.12.4.606

Article  Google Scholar 

Zanesco S (2024) The APPLE study survey. Internet. [cited 2025 May 28] pp. 1–61. Available from: https://osf.io/c59n4

Zanesco S, Maruthappu T, Griffiths CEM, Dalrymple KV, Gibson R, Hall WL (2025) Associations between diet quality indices and psoriasis severity: results from the asking people with psoriasis about lifestyle and eating (APPLE) cross-sectional study. Br J Nutr. https://doi.org/10.1017/S0007114525000340

Article  PubMed  PubMed Central  Google Scholar 

Lachat C, Hawwash D, Ocké MC, Berg C, Forsum E, Hörnell A et al (2016) Strengthening the reporting of observational studies in epidemiology—nutritional epidemiology (STROBE-nut): an extension of the STROBE statement. Nutr Bull 41(3):240–251. https://doi.org/10.1111/nbu.12217

Article  CAS  PubMed  PubMed Central  Google Scholar 

Eysenbach G (2004) Improving the quality of web surveys: the checklist for reporting results of internet E-surveys (CHERRIES). J Med Internet Res. https://doi.org/10.2196/jmir.6.3.e34

Article  PubMed  PubMed Central  Google Scholar 

Zanesco S (2025) The APPLE study flyer. Internet. 2025 [cited 2025 May 28]. Available from: https://osf.io/pgc84

Chularojanamontri L, Griffiths CEM, Chalmers RJG (2013) The simplified psoriasis index (SPI): a practical tool for assessing psoriasis. J Invest Dermatol 133(8):1956–1962. https://doi.org/10.1038/jid.2013.138

Article  CAS  PubMed  Google Scholar 

Bush K, Kivlahan DR, Mcdonell MB, Fihn SD, Bradley KA (1998) The AUDIT alcohol consumption questions (AUDIT-C) an effective brief screening test for problem drinking. Arch Intern Med 158(16):1789–1795. https://doi.org/10.1001/archinte.158.16.1789

Article  CAS  PubMed  Google Scholar 

Sotos-Prieto M, Bhupathiraju SN, Mattei J, Fung TT, Li Y, Pan A et al (2015) Changes in diet quality scores and risk of cardiovascular disease among US men and women. Circulation 132(23):2212–2219. https://doi.org/10.1161/CIRCULATIONAHA.115.017158

Article  CAS  PubMed  PubMed Central  Google Scholar 

Teucher B, Skinner J, Skidmore PML, Cassidy A, Fairweather-Tait SJ, Hooper L et al (2007) Dietary patterns and heritability of food choice in a UK female twin cohort. Twin Res Hum Genet 10(5):734–748. https://doi.org/10.1375/twin.10.5.734

Article  PubMed  Google Scholar 

Zanesco S (2025) The APPLE study EPIC FFQ. Internet. pp 1–8 [cited 2025 Jun 1]. Available from: https://osf.io/ptcuw/files/osfstorage/67dec4451188f123255226ad

Public Health England (2021) McCance and Widdowson’s The Composition of Foods Integrated Dataset 2021 [Internet]. [Cited 2024 Jan 5]. Available from: https://www.gov.uk/government/publications/composition-of-foods-integrated-dataset-cofid

U.S. Department of Agriculture ARSBHNRCenter (2025) Internet. [cited 2025 Jun 1]. FoodDataCentral. Available from: https://fdc.nal.usda.gov/

Scientific Advisory Committee on Nutrition (SACN) (2015) Carbohydrates and health [Internet]. pp 1–305 [cited 2024 May 4]. Available from: https://assets.publishing.service.gov.uk/media/5a7f7cc3ed915d74e622ac2a/SACN_Carbohydrates_and_Health.pdf

Scientific Advisory Committee on Nutrition (SACN) (2019) Saturated fats and Health [Internet]. pp 1–442 [cited 2024 May 4]. Available from: https://assets.publishing.service.gov.uk/media/5d1f88af40f0b609dba90ddc/SACN_report_on_saturated_fat_and_health.pdf

Public Health England [PHE]. NDNS: results from years 9 to 11 (2016 to 2017 and 2018 to 2019). [Internet]. 2020 May [cited 2024 Jun 1]. Available from: https://www.gov.uk/government/statistics/ndns-results-from-years-9-to-11-2016-to-2017-and-2018-to-2019/ndns-results-from-years-9-to-11-combined-statistical-summary

Bernstein AM, Sun Q, Hu FB, Stampfer MJ, Manson JE, Willett WC (2010) Major dietary protein sources and risk of coronary heart disease in women. Circulation 122(9):876–883. https://doi.org/10.1161/CIRCULATIONAHA.109.915165

Article  CAS  PubMed  PubMed Central  Google Scholar 

Gibson R, Eriksen R, Chambers E, Gao H, Aresu M, Heard A et al (2019) Intakes and food sources of dietary fibre and their associations with measures of body composition and inflammation in UK adults: cross-sectional analysis of the airwave health monitoring study. Nutrients. https://doi.org/10.3390/nu11081839

Article  PubMed  PubMed Central  Google Scholar 

Public Health England [PHE]. National Diet and Nutrition Survey Years 9-11 (2016/17-2018/19) User Guide. [Internet]. 2020 May [cited 2024 Jun 1]. Available from: https://doc.ukdataservice.ac.uk/doc/6533/mrdoc/pdf/6533_ndns_rp_yr9-11_user_guide_final_v2.pdf

Ingkapairoj K, Chularojanamontri L, Chaiyabutr C, Silpa-archa N, Wongpraparut C, Bunyaratavej S (2022) Dietary habits and perceptions of psoriatic patients: Mediterranean versus Asian diets. J Dermatolog Treat 33(4):2290–2296. https://doi.org/10.1080/09546634.2021.1959500

Article  CAS  PubMed  Google Scholar 

Barrea L, Balato N, Di Somma C, Macchia PE, Napolitano M, Savanelli MC et al (2015) Nutrition and psoriasis: is there any association between the severity of the disease and adherence to the Mediterranean diet? J Transl Med 13(1):18. https://doi.org/10.1186/s12967-014-0372-1

Article  PubMed  PubMed Central  Google Scholar 

Aukan MI, Nymo S, Haagensli Ollestad K, Akersveen Boyesen G, DeBenedictis JN, Rehfeld JF et al (2022) Differences in gastrointestinal hormones and appetite ratings among obesity classes: gastrointestinal hormones and appetite in obesity. Appetite 1:171. https://doi.org/10.1016/j.appet.2022.105940

Article  Google Scholar 

Akhlaghi M (2024) The role of dietary fibers in regulating appetite, an overview of mechanisms and weight consequences. Crit Rev Food Sci Nutr 64(10):3139–3150. https://doi.org/10.1080/10408398.2022.2130160

Article  CAS  PubMed  Google Scholar 

Hardy H, Harris J, Lyon E, Beal J, Foey AD (2013) Probiotics, prebiotics and immunomodulation of gut mucosal defences: homeostasis and immunopathology. Nutrients 5(6):1869–1912. https://doi.org/10.3390/nu5061869

Article  CAS  PubMed  PubMed Central  Google Scholar 

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