Cochrane · systematic review · CD011972
Lifestyle changes for treating psoriasis
Ko, SH, Chi, CC, Yeh, ML, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
SkinAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
10
current version
GRADE rated
7
No studies
3
Included studies
NR
No studies 3 · 30%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 20%Moderate 5 · 50%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Dietary intervention compared to usual care for treating psoriasis
Population: people with psoriasis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Severity of psoriasis PASI 75 (the proportion of participants achieving at least 75% improvement from baseline in the Psoriasis Area and Severity Index) Dietary intervention vs usual care | RR 1.66 [1.07, 2.58] | 2 studies · 323 participants | Low Downgraded: risk of bias, inconsistency |
Adherence to the intervention Dietary intervention vs usual care | RR 1.26 [0.76, 2.09] | 2 studies · 105 participants | Low Downgraded: risk of bias, inconsistency |
Quality of life Change in DLQI (scale from 0 to 30; lower DLQI scores represent improvement in quality of life) Dietary intervention vs usual care | no estimate extracted | 1 study · 36 participants | Moderate Downgraded: risk of bias |
Time to relapse Not measured Dietary intervention vs usual care | no estimate extracted | NR | No studies |
Reduction in comorbidities Change in BMI (lower BMI is beneficial) Dietary intervention vs usual care | no estimate extracted | 2 studies · 78 participants | Moderate Downgraded: risk of bias |
Dietary intervention and exercise programme compared to information only for treating psoriasis
Population: people with psoriasis
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Severity of psoriasis PASI 75 (the proportion of participants achieving at least 75% improvement from baseline in the Psoriasis Area and Severity Index) Dietary intervention and exercise programme vs information only | RR 1.28 [0.83, 1.98] | 1 study · 303 participants | Moderate Downgraded: risk of bias |
Adherence to the intervention Dietary intervention and exercise programme vs information only | RR 0.95 [0.89, 1.01] | 1 study · 303 participants | Moderate Downgraded: risk of bias |
Quality of life Not measured Dietary intervention and exercise programme vs information only | no estimate extracted | NR | No studies |
Time to relapse Not measured Dietary intervention and exercise programme vs information only | no estimate extracted | NR | No studies |
Reduction in comorbidities Change in BMI (lower BMI is beneficial) Dietary intervention and exercise programme vs information only | no estimate extracted | 1 study · 303 participants | Moderate Downgraded: risk of bias |