Evidence map›Paper›PMID 39102684›Full record

SynthesisJMIR dermatology2024

Nutrition, Obesity, and Seborrheic Dermatitis: Systematic Review.

Emily Woolhiser, Noah Keime, Arya Patel, Isaac Weber, Madeline Adelman, Robert P Dellavalle

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in JMIR dermatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07433907 (A Prospective, Randomized, Split-Face Pilot Study Comparing the Efficacy of the Institute of Dermatology's Antioxidant Moisturizing Serum in Mild to Moderate Seborrheic Dermatitis), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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.

NCT07433907 nacompletednot on this mapstarted 2026, after this paper: background citation

A Prospective, Randomized, Split-Face Pilot Study Comparing the Efficacy of the Institute of Dermatology's Antioxidant Moisturizing Serum in Mild to Moderate Seborrheic Dermatitis

TypeinterventionalSponsorInstitute of Dermatology, ThailandRan2026 to 2026Enrolled13ConditionsSeborrheic Dermatitis on the FaceArmsAntioxidant moisturizing serum
3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
  4. Bibliometric Analysis of Traditional Chinese Medicine in Treating Eczema.Clinical, cosmetic and investigational dermatology · 2026
    Review
  5. Article
  6. Review
  7. 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

6 authors.

Emily WoolhiserCollege of Osteopathic Medicine, Kansas City University, Kansas City, MO, United States.ORCID 0009-0000-2631-5551
Noah KeimeSchool of Medicine, University of Colorado, Aurora, CO, United States.ORCID 0000-0003-3825-8712
Arya PatelSchool of Medicine, Case Western Reserve University, Cleveland, OH, United States.ORCID 0009-0005-5031-5179
Isaac WeberMercy Hospital St. Louis, St Louis, MO, United States.ORCID 0000-0002-4274-4708
Madeline AdelmanDepartment of Dermatology, University of Minnesota, Minneapolis, MN, United States.ORCID 0000-0002-7816-8220
Robert P DellavalleDepartment of Dermatology, University of Minnesota, Minneapolis, MN, United States.ORCID 0000-0001-8132-088X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPathogenesis of seborrheic dermatitis involves lipid secretion by sebaceous glands, Malassezia colonization, and an inflammatory response with skin barrier disruption. Each of these pathways could be modulated by diet, obesity, and nutritional supplements. Current treatment options provide only temporary control of the condition; thus, it is essential to recognize modifiable lifestyle factors that may play a role in determining disease severity.

objectiveThis study aimed to summarize published evidence on diet, nutritional supplements, alcohol, obesity, and micronutrients in patients with seborrheic dermatitis and to provide useful insights into areas of further research.

methodsA literature search of Scopus, PubMed, and MEDLINE (Ovid interface) for English language papers published between 1993 and 2023 was conducted on April 16, 2023. Case-control studies, cohort studies, and randomized controlled trials with 5 or more subjects conducted on adult participants (>14 years) were included, case reports, case series, and review papers were excluded due to insufficient level of evidence.

resultsA total of 13 studies, 8 case-control, 3 cross-sectional, and 2 randomized controlled trials, involving 13,906 patients were included. Seborrheic dermatitis was correlated with significantly increased copper, manganese, iron, calcium, and magnesium concentrations and significantly lower serum zinc and vitamin D and E concentrations. Adherence to the Western diet was associated with a higher risk for seborrheic dermatitis in female patients and an increased consumption of fruit was associated with a lower risk of seborrheic dermatitis in all patients. The prebiotic Triphala improved patient satisfaction and decreased scalp sebum levels over 8 weeks. Most studies find associations between regular alcohol use and seborrheic dermatitis, but the association between BMI and obesity on seborrheic dermatitis severity and prevalence is mixed.

conclusionsThis review sheds light on specific promising areas of research that require further study, including the need for interventional studies evaluating serum zinc, vitamin D, and vitamin E supplementation for seborrheic dermatitis. The negative consequences of a Western diet, alcohol use, obesity, and the benefits of fruit consumption are well known; however, to fully understand their specific relationships to seborrheic dermatitis, further cohort or interventional studies are needed.

trial registrationPROSPERO CRD42023417768; https://tinyurl.com/bdcta893.

Indexed as

Dermatitis, SeborrheicDietary SupplementsObesityAlcohol DrinkingDietHumansMicronutrientsNutritional StatusMicronutrientsalcoholBMIbody mass indexdermatitisdermatologydietmicronutrientmicronutrientsmineralmineralsnutrientnutrientsnutritionnutritionalnutritional supplementsobeseobesityreview methodologyreview methodsseborrheic dermatitisskinsupplementsupplementssystematic reviewvitaminvitaminsweight

Identifiers

PMID39102684
PMCPMC11333864

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.