{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T17:26:42Z","timestamp":1786987602510,"version":"build-2736575974"},"reference-count":64,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100013126","name":"the Psoriasis Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013126","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,8,17]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Lifestyle factors have the potential to enhance wellbeing and quality of life (QoL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To identify lifestyle patterns among UK-based adults with psoriasis and examine associations with QoL.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a cross-sectional analysis of the Asking People with Psoriasis about Lifestyle and Eating (APPLE) study (n = 353). QoL, body mass index (BMI) and physical activity were assessed using the Dermatology Life Quality Index (DLQI), self-reported weight and height, and the International Physical Activity Questionnaire.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participant demography was: 82% women; mean (SD) age of all participants was\u00a041 (13) years; and BMI was 27 (7) kg m\u20132. When fully adjusted for age, sex, smoking and alcohol use, compared with individuals in the highest BMI tertile [35 (5) kg m\u20132], those in the lowest tertile [21 (2) kg m\u20132] reported a 71% reduced likelihood of QoL impairments (odds ratio 0.29, 95% confidence interval 0.14\u20130.59; adjusted P &amp;lt; 0.01). Dairy-free, gluten-free and pescatarian diets were more frequently adopted by individuals reporting healthy BMIs (\u2248 24\u2005kg m\u20132; adjusted P &amp;lt; 0.05). Higher levels of physical activity [2932 (1509) metabolic equivalent of task min per week], and adequate sleep duration [7 (0) h daily] were associated with lower odds of QoL impairments, although attenuated by multiple testing. Participants affected by embarrassment or self-\u00adconsciousness related to their psoriasis engaged in less vigorous-intensity and walking activities compared with those who were less affected (adjusted P &amp;lt; 0.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Assessing weight status and physical activity in individuals reporting high DLQI scores may help identify modifiable behaviours contributing to poorer QoL and thereby shape interventions.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ced\/llag117","type":"journal-article","created":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T12:22:49Z","timestamp":1773058969000},"page":"1629-1643","source":"Crossref","is-referenced-by-count":1,"title":["Associations between lifestyle factors and life quality in people living with psoriasis: results of the Asking People with Psoriasis about Lifestyle and Eating (APPLE) cross-sectional study"],"prefix":"10.1093","volume":"51","author":[{"given":"Sylvia","family":"Zanesco","sequence":"first","affiliation":[{"name":"Department of Nutritional Sciences, King\u2019s College London , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher E M","family":"Griffiths","sequence":"additional","affiliation":[{"name":"Department of Dermatology, King\u2019s College Hospital, King\u2019s College London , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathryn V","family":"Dalrymple","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences, King\u2019s College London , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruotong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences, King\u2019s College London , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5823-6468","authenticated-orcid":false,"given":"Rachel","family":"Gibson","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences, King\u2019s College London , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thiviyani","family":"Maruthappu","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences, King\u2019s College London , London ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1634-6930","authenticated-orcid":false,"given":"Wendy L","family":"Hall","sequence":"additional","affiliation":[{"name":"Department of Nutritional Sciences, King\u2019s College London , London 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