title: Association between psoriasis and leisure-time physical activity: findings from the National Health and Nutrition Examination Survey.
abstract: Despite evidence that physical activity can reduce the cardiometabolic risk of patients with psoriasis, these patients may engage in less physical activity than those without psoriasis. The aim of this study was to examine the association of the extent of psoriatic skin lesions with the likelihood of participating in leisure-time moderate to vigorous physical activity (MVPA) and metabolic equivalent task (MET)-minutes of MVPA amongst those who participated. The National Health and Nutrition Examination Survey (NHANES) is a population-based survey among U.S. adults. A total of 6549 persons aged 20-59 years responded to the 2003-2006 NHANES dermatology questionnaires, which asked about participation in leisure-time MVPA and MET-minutes of MVPA amongst those who participated. Compared with individuals without psoriasis, those with psoriasis were less likely to have engaged in leisure MVPA in the past 30 days, although this association was not statistically significant. Amongst those who participated in leisure-time MVPA, MET-minutes of leisure-time MVPA were lower on average for patients currently having few to extensive cutaneous lesions (but not for those currently having little or no psoriatic patches), relative to individuals never diagnosed with psoriasis by approximately 30%. Clinicians should encourage patients with psoriasis, especially those with more severe disease, to be more physically active; they should help identify and address possible psychological and physical barriers to their patients' physical activity.
authors.affiliation: Department of Health Policy and Management, Seoul National University College of Medicine, Seoul, Korea; Institute of Health Policy and Management, Seoul National University Medical Research Center, Seoul, Korea.
authors.forename: Young Kyung
authors.initials: YK
authors.lastname: Do
authors.forename: Naheed
authors.initials: N
authors.lastname: Lakhani
authors.forename: Rahul
authors.initials: R
authors.lastname: Malhotra
authors.forename: Brian
authors.initials: B
authors.lastname: Halstater
authors.forename: Colin
authors.initials: C
authors.lastname: Theng
authors.forename: Truls
authors.initials: T
authors.lastname: Østbye
mesh_terms: D000328:Adult; D015444:Exercise; D006801:Humans; D007899:Leisure Activities; D055686:Metabolic Equivalent; D009749:Nutrition Surveys; D005082:Physical Exertion / Q000502:physiology; D011565:Psoriasis / Q000523:psychology; D012720:Severity of Illness Index; D014481:United States
keywords: cardiometabolic risk; epidemiology; physical activity; psoriasis; public health