Ann Dermatol.  2012 Feb;24(1):11-15. 10.5021/ad.2012.24.1.11.

Analysis of Cardiovascular Risk Factors and Metabolic Syndrome in Korean Patients with Psoriasis

Affiliations
  • 1Department of Dermatology, School of Medicine, Pusan National University, Busan, Korea. drkmp@hanmail.net
  • 2Medical Research Institute, Pusan National University, Busan, Korea.
  • 3Department of Beauty Care, College of Health, Social Welfare and Education, Tongmyung University, Busan, Korea.

Abstract

BACKGROUND
In previous studies, psoriasis has been reported to be associated with metabolic syndrome.
OBJECTIVE
The purpose of this study was to evaluate risk factors for metabolic syndrome in psoriasis patients and to compare the prevalence of metabolic syndrome in psoriasis and control groups.
METHODS
All patients (n=490) and controls (n=682) were investigated for cardiovascular risk factors, including central obesity, hypertension, fasting plasma glucose levels, and blood levels of triglycerides and high-density lipoprotein (HDL).
RESULTS
We found no statistical association between psoriasis and the prevalence of metabolic syndrome when controlling for age and gender. Among individual components of metabolic syndrome, only increased triglyceride levels was significantly prevalent in patients psoriasis. The incidence of other factors such as central obesity, hypertension, fasting plasma glucose and HDL in the psoriasis group were similar to or lower than those in the control group. Although psoriasis patients with metabolic syndrome had severe and large plaque-type psoriasis, the association of metabolic syndrome with the severity or clinical subtype of psoriasis was not significant after adjusting for age and gender.
CONCLUSION
Our results suggest that there is no close correlation between psoriasis and metabolic syndrome in Korean patients.

Keyword

Cardiovascular risk; Metabolic syndrome; Psoriasis

MeSH Terms

Fasting
Glucose
Humans
Hypertension
Incidence
Lipoproteins
Obesity, Abdominal
Plasma
Prevalence
Psoriasis
Risk Factors
Triglycerides
Glucose
Lipoproteins
Triglycerides

Cited by  2 articles

An Observational Study on the Obesity and Metabolic Status of Psoriasis Patients
Cho Rok Kim, Joo-Heung Lee
Ann Dermatol. 2013;25(4):440-444.    doi: 10.5021/ad.2013.25.4.440.

The Association between Psoriasis Area and Severity Index and Cardiovascular Risk Factor in Korean Psoriasis Patients
Sang Hyeon Ku, Won Joo Kwon, Eun Byul Cho, Eun Joo Park, Kwang Ho Kim, Kwang Joong Kim
Ann Dermatol. 2016;28(3):360-363.    doi: 10.5021/ad.2016.28.3.360.


Reference

1. Neimann AL, Shin DB, Wang X, Margolis DJ, Troxel AB, Gelfand JM. Prevalence of cardiovascular risk factors in patients with psoriasis. J Am Acad Dermatol. 2006. 55:829–835.
2. Mallbris L, Ritchlin CT, Ståhle M. Metabolic disorders in patients with psoriasis and psoriatic arthritis. Curr Rheumatol Rep. 2006. 8:355–363.
Article
3. Henseler T, Christophers E. Disease concomitance in psoriasis. J Am Acad Dermatol. 1995. 32:982–986.
Article
4. Wakkee M, Thio HB, Prens EP, Sijbrands EJ, Neumann HA. Unfavorable cardiovascular risk profiles in untreated and treated psoriasis patients. Atherosclerosis. 2007. 190:1–9.
Article
5. Gelfand JM, Neimann AL, Shin DB, Wang X, Margolis DJ, Troxel AB. Risk of myocardial infarction in patients with psoriasis. JAMA. 2006. 296:1735–1741.
Article
6. Mallbris L, Akre O, Granath F, Yin L, Lindelöf B, Ekbom A, et al. Increased risk for cardiovascular mortality in psoriasis inpatients but not in outpatients. Eur J Epidemiol. 2004. 19:225–230.
Article
7. Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults. Executive summary of the third report of the national cholesterol education program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (Adult Treatment Panel III). JAMA. 2001. 285:2486–2497.
8. Wilson PW, D'Agostino RB, Parise H, Sullivan L, Meigs JB. Metabolic syndrome as a precursor of cardiovascular disease and type 2 diabetes mellitus. Circulation. 2005. 112:3066–3072.
Article
9. Lakka HM, Laaksonen DE, Lakka TA, Niskanen LK, Kumpusalo E, Tuomilehto J, et al. The metabolic syndrome and total and cardiovascular disease mortality in middle-aged men. JAMA. 2002. 288:2709–2716.
Article
10. Molin L. Psoriasis. A study of the course and degree of severity, joint involvement, socio-medical conditions, general morbidity and influences of selection factors among previously hospitalized psoriatics. Acta Derm Venereol Suppl (Stockh). 1973. 53:1–125.
11. Youn JI, Jo SJ. Clinical Study on 3, 123 Psoriatic Patients: Observation of the patients registered for the past 20 years (1982-2002)at Seoul National University Hospital Psoriasis Clinic. Korean J Dermatol. 2004. 42:1536–1542.
12. Gisondi P, Tessari G, Conti A, Piaserico S, Schianchi S, Peserico A, et al. Prevalence of metabolic syndrome in patients with psoriasis: a hospital-based case-control study. Br J Dermatol. 2007. 157:68–73.
Article
13. Sommer DM, Jenisch S, Suchan M, Christophers E, Weichenthal M. Increased prevalence of the metabolic syndrome in patients with moderate to severe psoriasis. Arch Dermatol Res. 2006. 298:321–328.
Article
14. Prodanovich S, Kirsner RS, Kravetz JD, Ma F, Martinez L, Federman DG. Association of psoriasis with coronary artery, cerebrovascular, and peripheral vascular diseases and mortality. Arch Dermatol. 2009. 145:700–703.
Article
15. Lindegård B. Diseases associated with psoriasis in a general population of 159,200 middle-aged, urban, native Swedes. Dermatologica. 1986. 172:298–304.
Article
16. Azfar RS, Gelfand JM. Psoriasis and metabolic disease: epidemiology and pathophysiology. Curr Opin Rheumatol. 2008. 20:416–422.
Article
17. Wakkee M, Herings RM, Nijsten T. Psoriasis may not be an independent risk factor for acute ischemic heart disease hospitalizations: results of a large population-based Dutch cohort. J Invest Dermatol. 2010. 130:962–967.
Article
18. Chen YJ, Wu CY, Shen JL, Chu SY, Chen CK, Chang YT, et al. Psoriasis independently associated with hyperleptinemia contributing to metabolic syndrome. Arch Dermatol. 2008. 144:1571–1575.
Article
19. Lim S, Lee EJ, Koo BK, Cho SI, Park KS, Jang HC, et al. Increasing trends of metabolic syndrome in Korea -based on Korean national health and nutrition examination surveys-. J Korean Diabetes Assoc. 2005. 29:432–439.
20. Lym YL, Hwang SW, Shim HJ, Oh EH, Chang YS, Cho BL. Prevalence and risk factors of the metabolic syndrome as defined by NCEP-ATP III. J Korean Acad Fam Med. 2003. 24:135–143.
21. Cohen AD, Sherf M, Vidavsky L, Vardy DA, Shapiro J, Meyerovitch J. Association between psoriasis and the metabolic syndrome. A cross-sectional study. Dermatology. 2008. 216:152–155.
Article
22. Akhyani M, Ehsani AH, Robati RM, Robati AM. The lipid profile in psoriasis: a controlled study. J Eur Acad Dermatol Venereol. 2007. 21:1330–1332.
Article
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