Chronic skin disease and levels of physical activity in 17 777 Spanish adults: a cross-sectional study.


Journal

Clinical and experimental dermatology
ISSN: 1365-2230
Titre abrégé: Clin Exp Dermatol
Pays: England
ID NLM: 7606847

Informations de publication

Date de publication:
Apr 2021
Historique:
revised: 21 08 2020
received: 19 06 2020
accepted: 31 08 2020
pubmed: 11 9 2020
medline: 30 10 2021
entrez: 10 9 2020
Statut: ppublish

Résumé

To date there is limited literature on the prevalence of chronic skin conditions and its association with levels of physical activity (PA) in Spain. To determine the prevalence of chronic skin disease and to compare levels of PA between people with and without chronic skin disease in a large representative sample of Spanish adults aged 15-69 years. Data from the Spanish National Health Survey 2017 were analysed. Chronic skin disease was assessed using a yes/no question. PA was measured using the short form of the International Physical Activity Questionnaire. Total PA metabolic equivalent of task min/week were calculated, and PA was included in the analyses as a continuous and a five-category variable. This cross-sectional study included 17 777 adult participants (52.0% women; mean ± SD age 45.8 ± 14.1 years), of whom 940 (5.3%) had chronic skin disease. After adjusting for several potential confounders, there was a negative association between chronic skin disease and PA (OR = 0.87, 95% CI 0.76-1.00, P = 0.05), which was significant for men (OR = 0.76, 95% CI 0.62-0.93, P = 0.01) but not for women (OR = 0.97, 95% CI 0.81-1.16, P = 0.72). In this large representative sample of Spanish adults, the prevalence of chronic skin disease was low. Levels of PA were lower in men with than in men without chronic skin conditions, but this association was not seen in women.

Sections du résumé

BACKGROUND BACKGROUND
To date there is limited literature on the prevalence of chronic skin conditions and its association with levels of physical activity (PA) in Spain.
AIM OBJECTIVE
To determine the prevalence of chronic skin disease and to compare levels of PA between people with and without chronic skin disease in a large representative sample of Spanish adults aged 15-69 years.
METHODS METHODS
Data from the Spanish National Health Survey 2017 were analysed. Chronic skin disease was assessed using a yes/no question. PA was measured using the short form of the International Physical Activity Questionnaire. Total PA metabolic equivalent of task min/week were calculated, and PA was included in the analyses as a continuous and a five-category variable.
RESULTS RESULTS
This cross-sectional study included 17 777 adult participants (52.0% women; mean ± SD age 45.8 ± 14.1 years), of whom 940 (5.3%) had chronic skin disease. After adjusting for several potential confounders, there was a negative association between chronic skin disease and PA (OR = 0.87, 95% CI 0.76-1.00, P = 0.05), which was significant for men (OR = 0.76, 95% CI 0.62-0.93, P = 0.01) but not for women (OR = 0.97, 95% CI 0.81-1.16, P = 0.72).
CONCLUSIONS CONCLUSIONS
In this large representative sample of Spanish adults, the prevalence of chronic skin disease was low. Levels of PA were lower in men with than in men without chronic skin conditions, but this association was not seen in women.

Identifiants

pubmed: 32909628
doi: 10.1111/ced.14443
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

516-524

Informations de copyright

© 2020 British Association of Dermatologists.

Références

Karimkhani C, Dellavalle RP, Coffeng LEet al. Global skin disease morbidity and mortality: an update from the global burden of disease study 2013. JAMA Dermatol 2017; 153: 406-12.
Svensson A, Ofenloch RF, Bruze M et al. Prevalence of skin disease in a population-based sample of adults from five European countries. Br J Dermatol 2018; 178: 1111-18.
Hay RJ, Johns NE, Williams HC et al. The global burden of skin disease in 2010: an analysis of the prevalence and impact of skin conditions. J Invest Dermatol 2014; 134: 1527-34.
Sicras-Mainar A, Navarro-Artieda R, Armario-Hita JC. Severe atopic dermatitis in Spain: a real-life observational study. Ther Clin Risk Manag 2019; 15: 1393-401.
Wolkenstein P, Machovcová A, Szepietowski JC et al. Acne prevalence and associations with lifestyle: a cross-sectional online survey of adolescents/young adults in 7 European countries. J Eur Acad Dermatol 2018; 32: 298-306.
Tanda G. Total body skin temperature of runners during treadmill exercise: a pilot study. J Therm Anal Calorim 2018; 131: 1967-77.
Silverberg JI, Greenland P. Eczema and cardiovascular risk factors in 2 US adult population studies. J Allergy Clin Immunol 2015; 135: 721-8.e6.
Reiner M, Niermann C, Jekauc D, Woll A. Long-term health benefits of physical activity - a systematic review of longitudinal studies. BMC Public Health 2013; 13: 813.
Tuomilehto J, Lindström J, Eriksson JG et al. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med 2001; 344: 1343-50.
Aldana SG, Sutton LD, Jacobson BH, Quirk MG. Relationships between leisure time physical activity and perceived stress. Percept Mot Skills 1996; 82: 315-21.
Kwa MC, Silverberg JI. Association between inflammatory skin disease and cardiovascular and cerebrovascular co-morbidities in US adults: analysis of nationwide inpatient sample data. Am J Clin Dermatol 2017; 18: 813-23.
Yosipovitch G, Goon ATJ, Wee J et al. Itch characteristics in Chinese patients with atopic dermatitis using a new questionnaire for the assessment of pruritus. Int J Dermatol 2002; 41: 212-16.
Evers AWM, Lu Y, Duller P et al. Common burden of chronic skin diseases? Contributors to psychological distress in adults with psoriasis and atopic dermatitis. Br J Dermatol 2005; 152: 1275-81.
Lambert J, Bostoen J, Geusens B et al. A novel multidisciplinary educational programme for patients with chronic skin diseases: Ghent pilot project and first results. Arch Dermatol Res 2011; 303: 57-63.
Ferketich AK, Binkley PF. Psychological distress and cardiovascular disease: results from the 2002 national health interview survey. Eur Heart J 2005; 26: 1923-9.
Hoffman-Goetz L, Pedersen BK. Exercise and the immune system: a model of the stress response? Immunol Today 1994; 15: 382-7.
Woods JA, Wilund KR, Martin SA, Kistler BM. Exercise, inflammation and aging. Aging Dis 2012; 3: 130-40.
Georgescu SR, Caruntu C, Sarbu MI et al. Advances in understanding the immunological pathways in psoriasis. Int J Mol Sci 2019; 20: 739.
Ministerio de Sanidad. Servicios Sociales e Igualdad & Instituto Nacional de Estadística: Spanish National Health Survey 2017: Methodology. 2017. https://www.mscbs.gob.es/estadEstudios/estadisticas/encuestaNacional/encuestaNac2017/ENSE17_Metodologia.pdf (accessed 17 March 2020).
IPAQ Group. Guidelines for data processing and analysis of the International Physical Activity Questionnaire (IPAQ). 2019. https://sites.google.com/site/theipaq/scoring-protocol (accessed 17 March 2020).
Craig CL, Marshall AL, Sjöström M et al. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 2003; 35: 1381-95.
López Sánchez GF, González Víllora S, Díaz Suárez A. Level of habitual physical activity in children and adolescents from the region of Murcia (Spain). SpringerPlus 2016; 5: 386.
Sánchez Castillo S, Smith L, Díaz Suárez A, López Sánchez GF. Physical activity behaviour in people with COPD residing in spain: a cross-sectional analysis. Lung 2019; 197: 769-75.
Guida B, Nino M, Perrino N et al. The impact of obesity on skin disease and epidermal permeability barrier status. J Eur Acad Dermatol 2010; 24: 191-5.
R Core Team. R: a language and environment for statistical computing. Vienna, Austria: R Foundation for Statistical Computing, 2020. https://www.R-project.org/. Accessed July 27, 2020.
Hägg D, Sundström A, Eriksson M et al. Severity of psoriasis differs between men and women: a study of the clinical outcome measure psoriasis area and severity index (PASI) in 5438 Swedish register patients. Am J Clin Dermatol 2017; 18: 583-90.
Mina S, Jabeen M, Singh S, Verma R. Gender differences in depression and anxiety among atopic dermatitis patients. Indian J Dermatol 2015; 60: 211.
Azevedo MR, Araújo CLP, Reichert FF et al. Gender differences in leisure-time physical activity. Int J Public Health 2007; 52: 8-15.
Robinson JK. Sun exposure, sun protection, and vitamin D. JAMA 2005; 294: 1541-3.
Wulf HC. The relation between skin disorders and vitamin D: commentaries. Br J Dermatol 2012; 166: 471-2.
Naidoo K, Birch-Machin M. Oxidative stress and ageing: the influence of environmental pollution, sunlight and diet on skin. Cosmetics 2017; 4: 4.
Fortes C, Mastroeni S, Melchi F et al. A protective effect of the Mediterranean diet for cutaneous melanoma. Int J Epidemiol 2008; 37: 1018-29.
Sargen MR, Hoffstad O, Margolis DJ. Warm, humid, and high sun exposure climates are associated with poorly controlled eczema: PEER (pediatric eczema elective registry) cohort, 2004-12. J Invest Dermatol 2014; 134: 51-7.
Davidovici BB, Sattar N, Jörg PC et al. Psoriasis and systemic inflammatory diseases: potential mechanistic links between skin disease and co-morbid conditions. J Invest Dermatol 2010; 130: 1785-96.
Pedersen BK, Hoffman-Goetz L. Exercise and the immune system: regulation, integration, and adaptation. Physiol Rev 2000; 80: 1055-81.
Kim A, Silverberg JI. A systematic review of vigorous physical activity in eczema. Br J Dermatol 2016; 174: 660-2.

Auteurs

L Jacob (L)

Faculty of Medicine, University of Versailles Saint-Quentin-en-Yvelines, Montigny-le-Bretonneux, France.
Research and Development Unit, Parc Sanitari Sant Joan de Déu, Barcelona, Spain.

G F López-Sánchez (GF)

Faculty of Sport Sciences, University of Murcia, Murcia, Spain.

A Koyanagi (A)

Research and Development Unit, Parc Sanitari Sant Joan de Déu, Barcelona, Spain.
ICREA, Barcelona, Spain.

N Veronese (N)

National Research Council Neuroscience Institute Padua, Padua, Italy.

J Vioque-López (J)

CIBER de Epidemiología y Salud Pública (CIBERESP), Institute of Health Carlos III, Madrid, Spain.
Nutritional Epidemiology Unit, Universidad Miguel Hernández, ISABIAL-UMH, Alicante, Spain.

H Oh (H)

University of Southern California, Suzanne Dworak Peck School of Social Work, Los Angeles, CA, USA.

J I Shin (JI)

Department of Pediatrics, Yonsei University College of Medicine, Seoul, South Korea.

A Schnitzler (A)

Department of Physical Medicine and Rehabilitation, Raymond Poincaré Hospital, AP-HP, Garches, France.
EA4047, UFR des Sciences de la Santé Université Versailles Saint Quentin en Yvelines,, Montigny-le-Bretonneux, France.

C P Ilie (CP)

Queen Elizabeth Hospital Foundation Trust, King's Lynn, UK.

S Stefanescu (S)

Queen Elizabeth Hospital Foundation Trust, King's Lynn, UK.

C Gillvray (C)

Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.

M O Machado (MO)

Division of Dermatology, Department of Medicine, Women's College Hospital, Toronto, ON, Canada.

V Piguet (V)

Division of Dermatology, Department of Medicine, Women's College Hospital, Toronto, ON, Canada.

A Carvalho (A)

Department of Psychiatry, University of Toronto, Toronto, ON, Canada.

L Smith (L)

The Cambridge Centre for Sport and Exercise Sciences, Anglia Ruskin University, Cambridge, UK.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH