TY - JOUR
T1 - Aggressive weight-loss program with a ketogenic induction phase for the treatment of chronic plaque psoriasis
T2 - A proof-of-concept, single-arm, open-label clinical trial
AU - Castaldo, Giuseppe
AU - Rastrelli, Luca
AU - Galdo, Giovanna
AU - Molettieri, Paola
AU - Rotondi Aufiero, Felice
AU - Cereda, Emanuele
PY - 2020/6
Y1 - 2020/6
N2 - Objectives: A very low-calorie ketogenic diet (VLCKD) has been associated with a significant reduction in visceral adipose tissue and ketone bodies that likely possess antiinflammatory properties. We evaluated the efficacy of an aggressive weight-loss (WL) program with a ketogenic induction phase as first-line treatment for chronic plaque psoriasis. Methods: Adult patients who were overweight or obese and drug-naïve (i.e., never treated, excluding the use of topical emollients; n = 37; 30% men; age: 43.1 ± 13.8 y) with stable chronic plaque psoriasis underwent a 10-wk, 2-phase WL program consisting of a 4-wk protein-sparing, VLCKD (<500 kcal/d; 1.2 g of protein/kg of ideal body weight/d) and 6-wk balanced, hypocaloric (25-30 kcal/kg of ideal body weight/d), Mediterranean-like diet. The primary endpoint was the reduction in Psoriasis Area and Severity Index (PASI) score at wk 10. Major secondary endpoints included PASI score responses of ≥50% and ≥75%, reduction in body surface area involved, improvement in itch severity (visual analogue scale), and Dermatology Life Quality Index score at wk 10. Results: With a mean body weight reduction of 12.0% (–10.6 kg), the dietary intervention resulted in a significant reduction in PASI (baseline score: 13.8 ± 6.9; range, 7–32), with a mean change of –10.6 (95% confidence interval, –12.8 to –8.4; P < 0.001). PASI score responses of ≥50% and ≥75% were recorded in 36 patients (97.3%) and 24 patients (64.9%), respectively. Treatment also resulted in a significant reduction (P < 0.001) in the body surface area involved (–17.4%) and an improvement in itch severity (–33.2 points) and Dermatology Life Quality Index score (–13.4 points). Conclusions: In drug-naïve adult overweight patients with stable chronic plaque psoriasis, an aggressive dietary WL program consisting of a VLCKD, followed by a balanced, hypocaloric, Mediterranean-like diet, appeared to be an effective first-line strategy to reduce disease severity.
AB - Objectives: A very low-calorie ketogenic diet (VLCKD) has been associated with a significant reduction in visceral adipose tissue and ketone bodies that likely possess antiinflammatory properties. We evaluated the efficacy of an aggressive weight-loss (WL) program with a ketogenic induction phase as first-line treatment for chronic plaque psoriasis. Methods: Adult patients who were overweight or obese and drug-naïve (i.e., never treated, excluding the use of topical emollients; n = 37; 30% men; age: 43.1 ± 13.8 y) with stable chronic plaque psoriasis underwent a 10-wk, 2-phase WL program consisting of a 4-wk protein-sparing, VLCKD (<500 kcal/d; 1.2 g of protein/kg of ideal body weight/d) and 6-wk balanced, hypocaloric (25-30 kcal/kg of ideal body weight/d), Mediterranean-like diet. The primary endpoint was the reduction in Psoriasis Area and Severity Index (PASI) score at wk 10. Major secondary endpoints included PASI score responses of ≥50% and ≥75%, reduction in body surface area involved, improvement in itch severity (visual analogue scale), and Dermatology Life Quality Index score at wk 10. Results: With a mean body weight reduction of 12.0% (–10.6 kg), the dietary intervention resulted in a significant reduction in PASI (baseline score: 13.8 ± 6.9; range, 7–32), with a mean change of –10.6 (95% confidence interval, –12.8 to –8.4; P < 0.001). PASI score responses of ≥50% and ≥75% were recorded in 36 patients (97.3%) and 24 patients (64.9%), respectively. Treatment also resulted in a significant reduction (P < 0.001) in the body surface area involved (–17.4%) and an improvement in itch severity (–33.2 points) and Dermatology Life Quality Index score (–13.4 points). Conclusions: In drug-naïve adult overweight patients with stable chronic plaque psoriasis, an aggressive dietary WL program consisting of a VLCKD, followed by a balanced, hypocaloric, Mediterranean-like diet, appeared to be an effective first-line strategy to reduce disease severity.
KW - chronic plaque psoriasis
KW - ketogenic diet
KW - Mediterranean diet
KW - PASI
KW - Weight loss
UR - http://www.scopus.com/inward/record.url?scp=85082590327&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85082590327&partnerID=8YFLogxK
U2 - 10.1016/j.nut.2020.110757
DO - 10.1016/j.nut.2020.110757
M3 - Article
C2 - 32222582
AN - SCOPUS:85082590327
VL - 74
JO - Nutrition International
JF - Nutrition International
SN - 0899-9007
M1 - 110757
ER -