Evidence map›Paper›PMID 38019566›Full record

ReviewJMIR dermatology2023

Clinical Efficacy of Nutritional Supplements in Atopic Dermatitis: Systematic Review.

Isaac Weber, Emily Woolhiser, Noah Keime, Margaret Wasvary, Madeline J Adelman, Torunn E Sivesind, Robert P Dellavalle

Open access · diamondAbstract readReview
In one paragraph

Review in JMIR dermatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Anti-Inflammation and Anti-Hypersensitivity Effects ofPreventive nutrition and food science · 2025
    Article
  3. Review
  4. The skin microbiome in dermatologic disease.Journal of the American Academy of Dermatology · 2025
    Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Isaac WeberMercy Hospital St Louis, St Louis, MO, United States.ORCID https://orcid.org/0000-0002-4274-4708
Emily WoolhiserKansas City University College of Osteopathic Medicine, Kansas City, MO, United States.ORCID https://orcid.org/0009-0000-2631-5551
Noah KeimeSchool of Medicine, University of Colorado, Aurora, CO, United States.ORCID https://orcid.org/0000-0003-3825-8712
Margaret WasvaryWayne State University School of Medicine, Detroit, MI, United States.ORCID https://orcid.org/0000-0002-5458-7199
Madeline J AdelmanDepartment of Dermatology, University of Colorado, Aurora, CO, United States.ORCID https://orcid.org/0000-0002-7816-8220
Torunn E SivesindDepartment of Dermatology, University of Colorado, Aurora, CO, United States.ORCID https://orcid.org/0000-0003-4805-0632
Robert P DellavalleDepartment of Dermatology, University of Colorado, Aurora, CO, United States.ORCID https://orcid.org/0000-0001-8132-088X
University of Colorado Anschutz Medical Campus · USColorado School of Public Health · USKansas City University · USMercy Hospital · USWayne State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAtopic dermatitis (AD), also known as eczema, is a chronic inflammatory skin condition that presents with symptoms of intense pruritus, dryness, and erythema. Dissatisfaction with first-line therapies for AD, the desire to avoid steroids, and the extreme cost of effective biologics have created a demand for alternative treatment options such as oral vitamins and nutritional supplements.

objectiveThe purpose of this review was to assess the effectiveness of oral nutritional supplements, pre- and probiotics, and vitamin deficiencies and supplements on AD symptomology and clinical course.

methodsWe searched Scopus, PubMed, and MEDLINE (Ovid interface) for English-language articles published between 1993 and 2023. The final search was conducted on June 22, 2023. The search terms comprised the following: "(Atopic Dermatitis or Atopic Eczema) AND (supplement OR vitamin OR mineral OR micronutrients OR Fish Oil OR Omega Fatty Acid OR Probiotics OR Prebiotics OR apple cider vinegar OR collagen OR herbal OR fiber)."

resultsA total of 18 studies-3 (17%) evaluating vitamins, 4 (22%) evaluating herbal medicine compounds, 2 (11%) evaluating single-ingredient nutritional supplements, and 9 (50%) evaluating pre- and probiotics-involving 881 patients were included in this review.

conclusionsOverall, there is weak evidence to support any one nutritional supplement intervention for the alleviation of AD symptoms. Multiple trials (4/18, 22%) showed promise for supplements such as Zemaphyte, kefir, and freeze-dried whey with Cuscuta campestris Yuncker extract. The most evidence was found on the effectiveness of probiotics on the clinical course of AD. Lactiplantibacillus plantarum, Ligilactobacillus salivarius, and Lactobacillus acidophilus specifically showed evidence of efficacy and safety across multiple studies (6/18, 33%). However, larger, more extensive randomized controlled trials are needed to determine the true effectiveness of these supplements on the broader population.

trial registrationPROSPERO CRD42023470596; https://tinyurl.com/4a9477u7.

Indexed as

atopic dermatitisdermatologydietary supplementeczemanutritionoral supplementover the counterprobioticvitamin

Identifiers

PMID38019566
PMCPMC10719823
OpenAlexW4388146225

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.