Mediterranean diet, lifestyle and quality of life in Sardinian patients affected with Hidradenitis suppurativa

Background: Hidradenitis Suppurativa is a chronic inflammatory skin disease with a strong negative impact on physical and psychological health. Obesity, especially visceral adiposity, but also smoking or unhealthy nutritional habits, have been reported to be significantly associated with hidradenit...

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Autores principales: Fernanda Velluzzi, Jasmine Anedda, Silvia Pisanu, Massimo Dell'Antonia, Andrea Deledda, Alessandro Boi, Caterina Ferreli, Laura Atzori
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Publicado: PAGEPress Publications 2021
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spelling oai:doaj.org-article:bdabeb1de5ca4fc4a09f839eba06ddac2021-11-30T09:09:20ZMediterranean diet, lifestyle and quality of life in Sardinian patients affected with Hidradenitis suppurativa10.4081/jphr.2021.27062279-90282279-9036https://doaj.org/article/bdabeb1de5ca4fc4a09f839eba06ddac2021-11-01T00:00:00Zhttps://jphres.org/index.php/jphres/article/view/2706https://doaj.org/toc/2279-9028https://doaj.org/toc/2279-9036 Background: Hidradenitis Suppurativa is a chronic inflammatory skin disease with a strong negative impact on physical and psychological health. Obesity, especially visceral adiposity, but also smoking or unhealthy nutritional habits, have been reported to be significantly associated with hidradenitis suppurativa. Design and Method: Case-control study in 35 patients of both sexes affected with hidradenitis suppurativa, and 35 healthy subjects matched for sex, age, and geographic origin (Sardinia, Italy). Results: Several anthropometric measures (body mass index, waist circumference, body composition), lifestyle (Mediterranean diet adherence, and physical activity level), and the perceived physical and mental health status were evaluated in case and controls. Hidradenitis patients showed significantly higher values of body mass index, waist circumference, body composition, fat mass, and lower values of physical and mental health status compared to controls, while both groups showed a similar moderate physical activity level which can be assumed to counteract the negative effects of obesity or poor nutritional pattern in hidradenitis patients. However, none of the evaluated variables were correlated with the severity of the disease, assessed by means of the Hurley stage system or the Sartorius score. Instead, the Sartorius score showed a positive correlation with the duration of hidradenitis, mainly imputable to the diagnostic delay and the consequent long lasting inflammatory status. Conclusions: Although nutritional factors and lifestyle can be important and modifiable factors in the hidradenitis suppurativa course, the detrimental effect of chronic inflammation and delayed management are clearly prevalent and heavily influence the disease burden. Fernanda VelluzziJasmine AneddaSilvia PisanuMassimo Dell'AntoniaAndrea DeleddaAlessandro BoiCaterina FerreliLaura AtzoriPAGEPress PublicationsarticleMediterranean DietLifestylePhysical ActivityQuality of lifeHidradenitis SuppurativaObesityPublic aspects of medicineRA1-1270ENJournal of Public Health Research (2021)
institution DOAJ
collection DOAJ
language EN
topic Mediterranean Diet
Lifestyle
Physical Activity
Quality of life
Hidradenitis Suppurativa
Obesity
Public aspects of medicine
RA1-1270
spellingShingle Mediterranean Diet
Lifestyle
Physical Activity
Quality of life
Hidradenitis Suppurativa
Obesity
Public aspects of medicine
RA1-1270
Fernanda Velluzzi
Jasmine Anedda
Silvia Pisanu
Massimo Dell'Antonia
Andrea Deledda
Alessandro Boi
Caterina Ferreli
Laura Atzori
Mediterranean diet, lifestyle and quality of life in Sardinian patients affected with Hidradenitis suppurativa
description Background: Hidradenitis Suppurativa is a chronic inflammatory skin disease with a strong negative impact on physical and psychological health. Obesity, especially visceral adiposity, but also smoking or unhealthy nutritional habits, have been reported to be significantly associated with hidradenitis suppurativa. Design and Method: Case-control study in 35 patients of both sexes affected with hidradenitis suppurativa, and 35 healthy subjects matched for sex, age, and geographic origin (Sardinia, Italy). Results: Several anthropometric measures (body mass index, waist circumference, body composition), lifestyle (Mediterranean diet adherence, and physical activity level), and the perceived physical and mental health status were evaluated in case and controls. Hidradenitis patients showed significantly higher values of body mass index, waist circumference, body composition, fat mass, and lower values of physical and mental health status compared to controls, while both groups showed a similar moderate physical activity level which can be assumed to counteract the negative effects of obesity or poor nutritional pattern in hidradenitis patients. However, none of the evaluated variables were correlated with the severity of the disease, assessed by means of the Hurley stage system or the Sartorius score. Instead, the Sartorius score showed a positive correlation with the duration of hidradenitis, mainly imputable to the diagnostic delay and the consequent long lasting inflammatory status. Conclusions: Although nutritional factors and lifestyle can be important and modifiable factors in the hidradenitis suppurativa course, the detrimental effect of chronic inflammation and delayed management are clearly prevalent and heavily influence the disease burden.
format article
author Fernanda Velluzzi
Jasmine Anedda
Silvia Pisanu
Massimo Dell'Antonia
Andrea Deledda
Alessandro Boi
Caterina Ferreli
Laura Atzori
author_facet Fernanda Velluzzi
Jasmine Anedda
Silvia Pisanu
Massimo Dell'Antonia
Andrea Deledda
Alessandro Boi
Caterina Ferreli
Laura Atzori
author_sort Fernanda Velluzzi
title Mediterranean diet, lifestyle and quality of life in Sardinian patients affected with Hidradenitis suppurativa
title_short Mediterranean diet, lifestyle and quality of life in Sardinian patients affected with Hidradenitis suppurativa
title_full Mediterranean diet, lifestyle and quality of life in Sardinian patients affected with Hidradenitis suppurativa
title_fullStr Mediterranean diet, lifestyle and quality of life in Sardinian patients affected with Hidradenitis suppurativa
title_full_unstemmed Mediterranean diet, lifestyle and quality of life in Sardinian patients affected with Hidradenitis suppurativa
title_sort mediterranean diet, lifestyle and quality of life in sardinian patients affected with hidradenitis suppurativa
publisher PAGEPress Publications
publishDate 2021
url https://doaj.org/article/bdabeb1de5ca4fc4a09f839eba06ddac
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