FULL SUPPLEMENT: Obesity: The Impact on Biologic Selection

January 2025 | Volume 24 | Issue 1 | 491710s1 | Copyright © January 2025


Published online December 31, 2024

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Abstract
Obesity is a multifactorial disease with a rapidly increasing global prevalence. Its etiology is driven by a chronic imbalance between energy intake and energy expenditure. Excess energy is stored in adipocytes, which undergo hyperplasia and hypertrophy over time. The resulting excess fat stores contribute to a myriad of pathologies in different organ systems.
In this supplement
 
Psoriasis Is a Systemic Disease
 
Obesity in the US is a significant public health concern. According to the CDC, 22 states have an adult obesity prevalence of 35 percent or higher. Obesity is a proinflammatory state and is associated with increased risk for cardiovascular disease, diabetes mellitus, certain malignancies, musculoskeletal diseases, and liver disease, as well as psychiatric effects and decreased life expectancy.
 
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Psoriasis and Obesity: Optimizing Pharmacologic Treatment

Obesity is a metabolic disease that is marked by excessive fat accumulation and is objectively defined as a body mass index (BMI) greater than or equal to 30 kg/m2. Obesity is associated with several other comorbidities, including psoriasis, which is a chronic autoimmune skin disease. Adipocytes produce pro-inflammatory signaling molecules, namely adipokines and classic cytokines, that drive increased inflammation and may contribute to the pro-inflammatory pathways driving psoriasis disease pathogenesis.