Can Diet And Stress Make Psoriasis Worse? Experts Explain The Connection

Psoriasis is far more than a skin condition. It’s a chronic, immune-driven disorder that affects millions worldwide, often taking both physical and emotional tolls. What many don’t realise is that psoriasis doesn’t just show up on the skin; it can silently impact other organs, including the heart and metabolic health. The good news? With the right balance of medical care, lifestyle choices, and stress management, living well with psoriasis is entirely possible.

The Diet-Skin Connection

“Psoriasis is driven by inflammation, so a diet rich in anti-inflammatory foods can be beneficial,” says Dr. Sai Lahari Rachumallu, Associate Consultant – Dermatology, Manipal Hospital, Bhubaneshwar. She recommends loading up on fruits, vegetables, whole grains, nuts, seeds, and fatty

fish like salmon, while limiting processed foods, red meat, high-fat dairy, and alcohol.

While there’s no one-size-fits-all diet, many patients notice that certain foods trigger flare-ups. “It’s important to listen to your body and identify triggers,” she adds. Hydration, antioxidants, and nutrient-rich meals can go a long way in calming inflammation from within.

Stress: A Hidden Trigger

Psoriasis flare-ups often intensify during stressful times. “Stress activates the immune system and increases inflammation, which can worsen psoriasis,” explains Dr. Rachumallu. She advises mindfulness, meditation, regular physical activity, yoga, and adequate sleep as effective ways to manage stress.

Beyond the mind-skin connection, stress can also impact medication adherence and overall immunity – making relaxation not just a luxury, but part of treatment.

Beyond The Surface: Psoriasis And Heart Health

“Psoriasis isn’t only about skin. It also has a metabolic component, often linked to diabetes and cardiovascular disease,” notes Dr. Shrinath Shetty, Consultant Endocrinologist, KMC Hospital, Mangalore. Research shows that people with psoriasis have a 50% higher risk of heart disease compared to the general population.

“Psoriasis triggers inflammation in fat tissue, which releases chemicals called adipokines. These further stiffen arteries and increase cardiovascular risk,” explains Dr. Shetty. He recommends maintaining a BMI below 25, exercising for at least 30 minutes a day, six days a week, and following a diet low in fat and refined carbohydrates to manage both skin and heart health.

Chronic Inflammation And The Heart

Adding to this, Dr. M Sudhakar Rao, Consultant – Cardiology, Manipal Hospital, Sarjapur Road, Bengaluru, says, “In psoriasis, chronic inflammation has direct and indirect effects on the vasculature, leading to hypertension, diabetes, and obesity.” He stresses regular screening for cardiovascular risk factors, close monitoring of medications, and choosing psoriasis treatments that may also support heart health.

Skincare That Heals

Daily skincare habits also play a vital role. Fragrance-free moisturisers, mild cleansers, and avoiding long, hot showers can reduce irritation. Gentle sun exposure, avoiding skin injuries, and staying consistent with treatment can make a visible difference over time.

Managing psoriasis means caring for the whole body – not just the skin. By focusing on an anti-inflammatory diet, reducing stress, adopting a heart-healthy lifestyle, and following consistent skincare, patients can significantly reduce flare-ups and improve overall well-being. Small, steady steps can help transform psoriasis from a daily battle into a manageable journey toward holistic health.