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Some of these triggers, such as stress, infections and drug exposure, have been identified.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To explore the role of early nutrition as a risk factor for the development of psoriasis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Parents in the All Babies in Southeast Sweden (ABIS) prospective birth cohort (n = 16 415) answered questionnaires at birth and when their children were aged 1 and 3\u2005years. A diagnosis of psoriasis was determined from the Swedish National Patient Register and National Drug Prescription Register. Statistical analyses were conducted using custom-written R scripts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Individuals breastfed for &amp;lt; 4\u2005months and who received infant formula before 4\u2005months of age had a higher risk of psoriasis [odds ratio (OR) 1.84 (P = 0.02) and OR 1.88 (P = 0.02), respectively]. At the 3-year follow-up, the increased consumption of fish, especially from the Baltic Sea, increased the risk of psoriasis (OR 9.61; P = 0.003). In addition, the risk of psoriasis increased following the consumption of a large volume of milk (OR 2.53; P = 0.04).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Our study underscores, for the first time, the impact of very early nutrition on the manifestation of psoriasis through early adulthood. Exclusive breastfeeding for 4\u2005months appears to be protective.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/bjd\/ljae043","type":"journal-article","created":{"date-parts":[[2024,1,31]],"date-time":"2024-01-31T15:48:23Z","timestamp":1706716103000},"page":"65-74","source":"Crossref","is-referenced-by-count":6,"title":["Breastfeeding decreases the risk of developing psoriasis through to early adulthood"],"prefix":"10.1093","volume":"191","author":[{"given":"Debojyoti","family":"Das","sequence":"first","affiliation":[{"name":"Division of Pediatrics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joana","family":"Thimjo","sequence":"additional","affiliation":[{"name":"Ingrid Asp Psoriasis Research Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Lebena","sequence":"additional","affiliation":[{"name":"Division of Pediatrics"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4635-1183","authenticated-orcid":false,"given":"Annie","family":"Guo","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg , Gothenburg ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charlotta","family":"Enerb\u00e4ck","sequence":"additional","affiliation":[{"name":"Ingrid Asp Psoriasis Research Centre"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johnny","family":"Ludvigsson","sequence":"additional","affiliation":[{"name":"Crown Princess Victoria Children\u2019s Hospital and Division of Pediatrics, Department of Biomedical and Clinical Sciences, Link\u00f6ping University , Link\u00f6ping ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,2,2]]},"reference":[{"key":"2026041404320211600_ljae043-B1","doi-asserted-by":"crossref","first-page":"12","DOI":"10.1016\/j.amjmed.2013.08.013","article-title":"Cardiovascular risk and psoriasis: beyond the traditional risk factors","volume":"127","author":"Coumbe","year":"2014","journal-title":"Am J Med"},{"key":"2026041404320211600_ljae043-B2","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1056\/NEJMra0804595","article-title":"Psoriasis","volume":"361","author":"Nestle","year":"2009","journal-title":"N Engl J Med"},{"key":"2026041404320211600_ljae043-B3","doi-asserted-by":"crossref","first-page":"1969","DOI":"10.1111\/jdv.18296","article-title":"Global prevalence of metabolic syndrome in patients with psoriasis in the past two decades: current evidence","volume":"36","author":"Liu","year":"2022","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"2026041404320211600_ljae043-B4","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1111\/jdv.18044","article-title":"Psoriasis and metabolic syndrome: implications for the management and treatment of psoriasis","volume":"36","author":"Wu","year":"2022","journal-title":"J Eur Acad Dermatol Venereol"},{"key":"2026041404320211600_ljae043-B5","doi-asserted-by":"crossref","first-page":"991","DOI":"10.1038\/ng.689","article-title":"Genome-wide association study identifies a psoriasis susceptibility locus at TRAF3IP2","volume":"42","author":"Ellinghaus","year":"2010","journal-title":"Nat Genet"},{"key":"2026041404320211600_ljae043-B6","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1038\/ng.311","article-title":"Genome-wide scan reveals association of psoriasis with IL-23 and NF-kappaB pathways","volume":"41","author":"Nair","year":"2009","journal-title":"Nat Genet"},{"key":"2026041404320211600_ljae043-B7","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1038\/ng.2827","article-title":"A large-scale screen for coding variants predisposing to psoriasis","volume":"46","author":"Tang","year":"2014","journal-title":"Nat Genet"},{"key":"2026041404320211600_ljae043-B8","doi-asserted-by":"crossref","first-page":"1341","DOI":"10.1038\/ng.2467","article-title":"Identification of 15 new psoriasis susceptibility loci highlights the role of innate immunity","volume":"44","author":"Tsoi","year":"2012","journal-title":"Nat Genet"},{"key":"2026041404320211600_ljae043-B9","doi-asserted-by":"crossref","first-page":"7","DOI":"10.4103\/0019-5154.48977","article-title":"Current concepts in the pathogenesis of psoriasis","volume":"54","author":"Das","year":"2009","journal-title":"Indian J Dermatol"},{"key":"2026041404320211600_ljae043-B10","doi-asserted-by":"crossref","first-page":"671","DOI":"10.1007\/s004030050260","article-title":"Induction of cutaneous lymphocyte-associated antigen expression by group A streptococcal antigens in psoriasis","volume":"289","author":"Baker","year":"1997","journal-title":"Arch Dermatol Res"},{"key":"2026041404320211600_ljae043-B11","doi-asserted-by":"crossref","first-page":"159","DOI":"10.2165\/00128071-200001030-00003","article-title":"Drug-induced psoriasis. 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