What lifestyle modifications can I recommend to patients with chronic plaque psoriasis to improve their condition?

For patients with chronic plaque psoriasis, several lifestyle modifications can be recommended to help improve their condition and reduce the risk of exacerbations ¹,². These include:

• Smoking cessation: Advise patients to stop smoking if appropriate ¹,².
• Alcohol consumption: Encourage patients to drink alcohol within recommended limits ¹,².
• Weight management: Recommend weight loss for patients who are overweight or obese ¹,². Low-quality evidence suggests that obese individuals may experience a greater reduction in psoriasis severity with strict caloric restriction ¹. Dietary intervention in obese patients with psoriasis has been shown to improve dermatology quality-of-life scores and reduce BMI ¹. A dietary intervention combined with an exercise programme may also improve psoriasis severity, though results are inconclusive ¹.
• Stress and mental well-being: Assess for and manage associated stress, distress, anxiety, and/or depression ¹,².
• Physical activity: Offer preventative advice and healthy lifestyle information, including support for increased physical activity ².

This lifestyle advice should be tailored to the individual's needs and circumstances ².