Acne and its association with modifiable factors amongst young adults of Islamabad - A cross sectional study
Keywords:
Acne Vulgaris, Diet, Menstruation, Smoking, Serum and Toners, BMI, Skin type, ExerciseAbstract
Objectives study aimed to assess the certain risk factors for acne to ultimately improve its management and quality of life of the affected by spreading awareness and modifying their behaviors.Method This cross-sectional study involving participants of age 16-25 years was carried out after Institutional Ethics Committee clearance. After written informed consent, participants filled an online questionnaire including demographic data, questions related to presence of Acne, grade of acne and type of skin. Along with other questions related to modifiable factors affecting acne including Diet, lifestyle, personal hygiene, BMI, Smoking and Menstruation. Statistical analysis was performed with the Statistical Package for Social Sciences (SPSS version 23.0), Chi-square test was used to assess the association between proportion of participants with acne and predefined modifiable factors.Results Out of total participants 50.36% (n=69) were female participants Acne was present in 54.74% of the participants. Out of those suffering from acne,56% were suffering from mild acne, 30.67% were suffering from moderate and 13.33% were suffering from severe acne. There was no association of frequency of occurrence of acne with Diet, Smoking (p-value=0.249), Body mass Index (BMI) (p-value=0.704) or Stress. However, there was significant association of frequency of Occurrence of Acne with Type of skin (p-value=0.032), Exercise (p-value=0.015), Menstruation (p-value=0.01) and use of Toners (p-value=0.005) and Serum (0.037).Conclusion Our study concludes that that No Exercise, menstrual cycle, use of toners and serums have statistically significant association with Acne vulgaris. Stress, BMI, Diet and Smoking showed statistically insignificant association in our study.References
Magin P, Pond D, Smith W, Watson A. A systematic review of the evidence for 'myths and misconceptions' in acne management: diet, face-washing and sunlight. Fam Pract. 2005;22(1):62-70.
Markovic M, Soldatovic I, Bjekic M, Sipetic-Grujicic S. Adolescents' self perceived acne-related beliefs: from myth to science. An Bras Dermatol. 2019;94(6):684-90.
<4 Diet-and-acne-a-review-of-the-evidence.pdf>.
Yosipovitch G, Tang M, Dawn AG, Chen M, Goh CL, Huak Y, et al. Study of psychological stress, sebum production and acne vulgaris in adolescents. Acta Derm Venereol. 2007;87(2):135-9.
Melnik BC. Linking diet to acne metabolomics, inflammation, and comedogenesis: an update. Clin Cosmet Investig Dermatol. 2015;8:371-88.
Machiwala AN, Kamath G, Vaidya TP. Knowledge, Belief, and Perception among Youths with Acne Vulgaris. Indian J Dermatol. 2019;64(5):389-91.
Al-Kubaisy W, Abdullah NN, Kahn SM, Zia M. Sociodemographic Characteristics of Acne among University Students in Damascus, Syria. Epidemiology Research International. 2014;2014:1-4.
Al Hussein SM, Al Hussein H, Vari CE, Todoran N, Al Hussein H, Ciurba A, et al. Diet, Smoking and Family History as Potential Risk Factors in Acne Vulgaris – a Community-Based Study. Acta Medica Marisiensis. 2016;62(2):173-81.
Kokandi AA. Acne Flares among University Female Students: The Role of Perceived Factors. Journal of Cosmetics, Dermatological Sciences and Applications. 2013;03(03):26-9.
Al-Natour SH. Acne vulgaris: Perceptions and beliefs of Saudi adolescent males. J Family Community Med. 2017;24(1):34-43.
Grossi E, Cazzaniga S, Crotti S, Naldi L, Di Landro A, Ingordo V, et al. The constellation of dietary factors in adolescent acne: a semantic connectivity map approach. J Eur Acad Dermatol Venereol. 2016;30(1):96-100.
<17 Emerging Issues in Adult Female Acne.pdf>.
Zeichner JA, Baldwin HE, Cook-Bolden FE, Eichenfield LF, Friedlander SF, Rodriguez DA. Emerging issues in adult female acne. The Journal of clinical and aesthetic dermatology. 2017;10(1):37.
<9 Evaluation of the association between acne and smoking_ systematic review and meta-analysis of cross-sectional studies.pdf>.
Ghosh S, Chaudhuri S, Jain VK, Aggarwal K. Profiling and hormonal therapy for acne in women. Indian J Dermatol. 2014;59(2):107-15.
Nasir U, Farooq Butt A, Choudry S. A Study to Evaluate the Lifestyle of Medical Students in Lahore, Pakistan. Cureus. 2019;