Background: Dietary factors and smoking play a role in acne. Methods: CSA Santé conducted a survey in France in 2012. Each individual answered a questionnaire to report acne, with associated epidemiological variables. Data on subjects between 15 and 24 years of age were extracted. The characteristics of subjects reporting acne were compared to subjects reporting no acne, using univariate and multivariate analysis. Results: The daily consumption of chocolate and sweets was independently and highly associated with acne, with an odds ratio of 2.38 (95% CI: 1.31-4.31). Smoking more than 10 cigarettes a day was highly associated with no acne, with an odds ratio of 0.44 (95% CI: 0.30-0.66). The regular use of cannabis was associated with acne, with an odds ratio of 2.88 (95% CI: 1.55-5.37). Conclusion: Chocolate, sweets and cannabis smoking are associated with acne. We found tobacco to be protective. We failed to investigate the respective roles of sugar, lipids and milk.

1.
Di Landro A, Cazzaniga S, Parazzini F, Ingordo V, Cusano F, Atzori L, Cutri FT, Musumeci ML, Zinetti C, Pezzarossa E, Bettoli V, Caproni M, Lo Scocco G, Bonci A, Bencini P, Naldi L: Family history, body mass index, selected dietary factors, menstrual history, and risk of moderate to severe acne in adolescents and young adults. J Am Acad Dermatol 2012;67:1129-1135.
2.
Ismail NH, Manaf ZA, Azizan NZ: High glycemic load diet, milk and ice cream consumption are related to acne vulgaris in Malaysian young adults: a case control study. BMC Dermatol 2012;12:13.
3.
Aksu AE, Metintas S, Saracoglu ZN, Gurel G, Sabuncu I, Arikan I, Kalyoncu C: Acne: prevalence and relationship with dietary habits in Eskisehir, Turkey. J Eur Acad Dermatol Venereol 2012;26:1503-1509.
4.
Jung JY, Yoon MY, Min SU, Hong JS, Choi YS, Suh DH: The influence of dietary patterns on acne vulgaris in Koreans. Eur J Dermatol 2010;20:768-772.
5.
Melnik BC, Schmitz G: Role of insulin, insulin-like growth factor-1, hyperglycaemic food and milk consumption in the pathogenesis of acne vulgaris. Exp Dermatol 2009;18:833-841.
6.
Ghodsi SZ, Orawa H, Zouboulis CC: Prevalence, severity, and severity risk factors of acne in high school pupils: a community-based study. J Invest Dermatol 2009;129:2136-2141.
7.
Tsai MC, Chen W, Cheng YW, Wang CY, Chen GY, Hsu TJ: Higher body mass index is a significant risk factor for acne formation in schoolchildren. Eur J Dermatol 2006;16:251-253.
8.
Firooz A, Sarhangnejad R, Davoudi SM, Nassiri-Kashani M: Acne and smoking: is there a relationship? BMC Dermatol 2005;5:2.
9.
Chuh AA, Zawar V, Wong WC, Lee A: The association of smoking and acne in men in Hong Kong and in India: a retrospective case-control study in primary care settings. Clin Exp Dermatol 2004;29:597-599.
10.
Thiboutot DM, Strauss JS: Diet and acne revisited. Arch Dermatol 2002;138:1591-1592.
11.
Schafer T, Nienhaus A, Vieluf D, Berger J, Ring J: Epidemiology of acne in the general population: the risk of smoking. Br J Dermatol 2001;145:100-104.
12.
Poli F, Dreno B, Verschoore M: An epidemiological study of acne in female adults: results of a survey conducted in France. J Eur Acad Dermatol Venereol 2001;15:541-545.
13.
Goulden V, McGeown CH, Cunliffe WJ: The familial risk of adult acne: a comparison between first-degree relatives of affected and unaffected individuals. Br J Dermatol 1999;141:297-300.
14.
Hogewoning AA, Koelemij I, Amoah AS, Bouwes Bavinck JN, Aryeetey Y, Hartgers F, Yazdanbakhsh M, Willemze R, Boakye DA, Lavrijsen AP: Prevalence and risk factors of inflammatory acne vulgaris in rural and urban Ghanaian schoolchildren. Br J Dermatol 2009;161:475-477.
15.
Burris J, Rietkerk W, Woolf K: Relationships of self-reported dietary factors and perceived acne severity in a cohort of New York young adults. J Acad Nutr Diet 2014;114:384-392.
16.
Adebamowo CA, Spiegelman D, Berkey CS, Danby FW, Rockett HH, Colditz GA, Willett WC, Holmes MD: Milk consumption and acne in teenaged boys. J Am Acad Dermatol 2008;58:787-793.
17.
Razanamahefa L, Lafay L, Oseredczuk M, Thiebaut A, Laloux L, Gerber M, Astorg P, Berta JL: Dietary fat consumption of the French population and quality of the data on the composition of the major food groups. Bull Cancer 2005;92:647-657.
18.
Samara A, Herbeth B, Ndiaye NC, Fumeron F, Billod S, Siest G, Visvikis-Siest S: Dairy product consumption, calcium intakes, and metabolic syndrome-related factors over 5 years in the STANISLAS study. Nutrition 2013;29:519-524.
19.
Verger EO, Mariotti F, Holmes BA, Paineau D, Huneau JF: Evaluation of a diet quality index based on the probability of adequate nutrient intake (PANDiet) using national French and US dietary surveys. PLoS One 2012;7:e42155.
20.
Revuz JE, Canoui-Poitrine F, Wolkenstein P, Viallette C, Gabison G, Pouget F, Poli F, Faye O, Roujeau JC, Bonnelye G, Grob JJ, Bastuji-Garin S: Prevalence and factors associated with hidradenitis suppurativa: results from two case-control studies. J Am Acad Dermatol 2008;59:596-601.
21.
Adebamowo CA, Spiegelman D, Danby FW, Frazier AL, Willett WC, Holmes MD: High school dietary dairy intake and teenage acne. J Am Acad Dermatol 2005;52:207-214.
22.
Karciauskiene J, Valiukeviciene S, Gollnick H, Stang A: The prevalence and risk factors of adolescent acne among schoolchildren in Lithuania: a cross-sectional study. J Eur Acad Dermatol Venereol 2014;28:733-740.
23.
Skroza N, Tolino E, Semyonov L, Proietti I, Bernardini N, Nicolucci F, La Viola G, Del Prete G, Saulle R, Potenza C, La Torre G: Mediterranean diet and familial dysmetabolism as factors influencing the development of acne. Scand J Public Health 2012;40:466-474.
24.
Klaz I, Kochba I, Shohat T, Zarka S, Brenner S: Severe acne vulgaris and tobacco smoking in young men. J Invest Dermatol 2006;126:1749-1752.
25.
Sommet A, Ferrieres N, Jaoul V, Cadieux L, Soulat JM, Lapeyre-Mestre M, Montastruc JL: Use of drugs, tobacco, alcohol and illicit substances in a French student population. Therapie 2012;67:429-435.
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.