Evaluation of food consumption in patients with acne vulgaris and its relationship with acne severity

Abstract

Background Acne vulgaris is one of the chronic skin diseases with bacterial and perifollicular inflammation in its etiology. In recent years, numerous studies have been conducted on hormones and food consumption, which are thought to affect this inflammation. Aims In this study, how effective various possible factors such as food consumption habits and anthropometric measurement are in the etiology and severity of acne was investigated in patients with acne. Materials and Methods A case‐control study was conducted including 53 acne vulgaris patients and 53 age‐, gender‐, and ethnicity‐matched controls. Each patient's acne score was calculated by a dermatologist ranging from 0‐44 points based on the Global Acne Grading System (GAGS) calculation. Dietary intake of milk and dairy products along with carbohydrate, fat, protein ratios and body mass index and body fat percentage were calculated. Statistical evaluation was carried out by calculating 95% confidence interval and prevalence rates between acne vulgaris and food categories. Results Cheese consumption was higher in the acne vulgaris group than in the control group, and there was a statistically significant difference.(P < .05) There was a statistically positive correlation between acne score and carbohydrate consumption (P < .01) and a statistically negative correlation between acne score and fat consumption. (P < .01). Conclusion In patients with acne vulgaris, it was observed that cheese consumption increased acne formation and carbohydrate consumption increased acne severity, while fat consumption did not increase acne severity.

Diet and acne: review of the evidence from 2009 to 2020

“…The majority of case‐control studies evaluated the link between acne and dietary pattern 15‐30 and one the effects of the consumption of dairy products 31 (Table 2).…”

“…Finally, Akpinar et al . enrolled adults with acne and determined that, unlike fat intake consumption (calculated on the base of Body Mass Index), 3 days/week (2 weekdays and 1 weekend day) of high GI/GL carbohydrate‐rich food and of dairy products (one glass of milk, one bowl of yogurt, and a matchbox size of cheese) were promoting or exacerbating factors 23 …”

“…The majority of case-control studies evaluated the link between acne and dietary pattern [15][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30] and one the effects of the consumption of dairy products 31 (Table 2). tion was more marked for skim than for whole milk.…”

Metabolic and Dietary Factors in Acne Vulgaris and Evaluation of the Acne Vulgaris Treatment with Oral Contraceptive-Based Therapies in Young Adult Women

“…They showed that cheese and carbohydrate intake was higher in the acne group compared to the control group ( p < 0.05). In addition, they observed that cheese consumption increased acne formation and carbohydrate consumption increased severity, while fat consumption was not significant [ 32 ]. In a cross-sectional analysis of a large cohort of 24,452 participants in the French NutriNet-Santé study, showed that the consumption of fatty and sugary foods, sweet drinks, and milk was associated with acne in adults.…”

The Association Between the Incidence of Acne Vulgaris and Lifestyle Factors Including Dietary Habits, Physical Activity, and Bathing Frequency

“…The relationship between acne and diet, especially dairy consumption and taking high-glycemic-load diets, has been studied in recent years. Among various foods, dairy products and foods with a high-glycemic index have been found to be associated with acne development (9,10). The relationship between dairy intake and acne in adolescents and young adults has been widely studied in different countries.…”