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Jul 11, 2026

Inulin-type fructans in psoriasis: body composition, carbohydrate metabolism and energy expenditure — INGUTSKIN RCT

Supplementation with 15 g/day of inulin-type fructans for 8 weeks stabilized fasting glucose in mild psoriasis patients, while the placebo group showed a significant increase.

Evidence levelBRandomized clinical trial
Study typerct
Sample56
Effect directionFavorable
CertaintyModerate
Clinical applicabilityModerate
Overinterpretation risk1/5 · Low
PICO
Population
Intervention
Comparator
Outcome

What the study showed

Psoriasis patients had higher BMI, visceral fat, and abnormal carbohydrate metabolism parameters compared to healthy controls at baseline. After 8 weeks, the ITF group maintained stable fasting glucose versus an undesirable rise in the placebo group (Δglucose = +5.7 mg/dL; p < 0.01). Energy expenditure findings were not fully disclosed in the available abstract.

How it was done

Double-blind, placebo-controlled RCT; 56 mild psoriasis patients randomized to chicory-derived ITF (15 g/day, n=29) or placebo (n=27) for 8 weeks, with a healthy reference group (n=32).

Risk of bias

The abstract is truncated, precluding assessment of energy expenditure and body composition outcomes. Small sample size and short duration (8 weeks) limit conclusions about sustained effects or clinical relevance of the glycemic difference.

Interpretation limit

What this study does NOT prove

It cannot be concluded that ITFs improve clinical psoriasis outcomes, reduce systemic inflammation, or produce clinically meaningful changes in body composition based solely on this abstract.

In clinical practice

The glycemic stabilization finding has moderate clinical interest, but the small magnitude (5.7 mg/dL) and incomplete data prevent immediate practical recommendation. Full publication is required.

Limitations

The abstract is truncated, precluding assessment of energy expenditure and body composition outcomes. Small sample size and short duration (8 weeks) limit conclusions about sustained effects or clinical relevance of the glycemic difference.

Technical appendix

Version history

  • 1.0 · 2026-07-11 — Auto-generated under Evidence Standard v1.0
Source: DOI 10.3390/nu18121843 · 2026

Paid access: structured summary from public metadata; consult the original study at the source.

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