Efficacy of food supplement to improve metabolic syndrome parameters in patients affected by moderate to severe psoriasis during anti-TNFα treatment

G Ital Dermatol Venereol. 2013 Dec;148(6):661-5.

Abstract

Aim: Psoriasis is a systemic inflammatory immune-mediated skin disease. Recently a relationship with metabolic syndrome in terms of psoriasis severity and response to therapy was observed.

Methods: We performed an open-label randomized controlled study to evaluate the role of a nutraceutical containing Q10 coenzyme, Krill-oil, lipoic acid, resveratrol, Vitis vinifera seed oil, vitamin E and selenium in addition to etanercept therapy for patients affected by psoriasis and metabolic syndrome. Forty patients were enrolled and divided into two arms, one receiving only etanercept, one other receiving also the neutraceutical. After a period of 3 months (T1) a second evaluation of the considered parameters was performed.

Results: At T1 statistically significant differences were detected in HDL cholesterol and triglycerides values both comparing the two arms and in the nutraceutical arm.

Conclusion: Our results show that the dietary addiction of the nutraceutical to the etanercept therapy in patients affected by both psoriasis and metabolic syndrome could help to restore the normal lipid profile.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Animals
  • Antioxidants / administration & dosage
  • Biomarkers / blood
  • Body Mass Index
  • Cholesterol, HDL / blood
  • Dietary Fats, Unsaturated / administration & dosage
  • Dietary Supplements*
  • Etanercept
  • Euphausiacea
  • Female
  • Follow-Up Studies
  • Humans
  • Immunoglobulin G / therapeutic use*
  • Immunosuppressive Agents / administration & dosage
  • Immunosuppressive Agents / therapeutic use*
  • Male
  • Metabolic Syndrome / blood
  • Metabolic Syndrome / complications
  • Metabolic Syndrome / drug therapy*
  • Middle Aged
  • Psoriasis / blood
  • Psoriasis / complications
  • Psoriasis / drug therapy*
  • Receptors, Tumor Necrosis Factor / therapeutic use*
  • Resveratrol
  • Seeds
  • Selenium / administration & dosage
  • Severity of Illness Index
  • Stilbenes / administration & dosage
  • Thioctic Acid / administration & dosage
  • Treatment Outcome
  • Triglycerides / blood
  • Tumor Necrosis Factor-alpha / antagonists & inhibitors*
  • Ubiquinone / administration & dosage
  • Ubiquinone / analogs & derivatives
  • Vitamin E / administration & dosage
  • Vitis

Substances

  • Antioxidants
  • Biomarkers
  • Cholesterol, HDL
  • Dietary Fats, Unsaturated
  • Immunoglobulin G
  • Immunosuppressive Agents
  • Receptors, Tumor Necrosis Factor
  • Stilbenes
  • Triglycerides
  • Tumor Necrosis Factor-alpha
  • Ubiquinone
  • Vitamin E
  • Thioctic Acid
  • coenzyme Q10
  • Selenium
  • Etanercept
  • Resveratrol