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A healthy diet in women is associated with less facial wrinkles in a large Dutch population-based cohort - 12/04/19

Doi : 10.1016/j.jaad.2018.03.033 
Selma Mekić, MD a, , Leonie C. Jacobs, MD, PhD a, Merel A. Hamer, MD a, M. Arfan Ikram, MD, PhD b, Josje D. Schoufour, PhD b, David A. Gunn, PhD c, Jessica C. Kiefte-de Jong, PhD b, d, Tamar Nijsten, MD, PhD a,
a Department of Dermatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands 
b Department of Epidemiology, Erasmus MC University Medical Center, Rotterdam, The Netherlands 
c Unilever Research and Development, Colworth Science Park, Bedfordshire, United Kingdom 
d Leiden University College, The Hague, The Netherlands 

Correspondence to: Tamar Nijsten, MD, PhD, Department of Dermatology, Erasmus MC University Medical Center, PO Box 2040, 3000 CA, Rotterdam, The Netherlands.Department of DermatologyErasmus MC University Medical CenterPO Box 2040Rotterdam3000 CAThe Netherlands∗∗Reprint requests: Selma Mekić, MD, Department of Dermatology, Erasmus MC University Medical Center, PO Box 2040, 3000 CA, Rotterdam, The Netherlands.Department of DermatologyErasmus MC University Medical CenterPO Box 2040Rotterdam3000 CAThe Netherlands

Abstract

Background

Little is known about the effects of different dietary patterns on facial wrinkling.

Objective

We aimed to investigate the association between diet and facial wrinkles in a population-based cohort of 2753 elderly participants of the Rotterdam study.

Methods

Wrinkles were measured in facial photographs by digitally quantifying the area wrinkles occupied as a percentage of total skin area. Diet was assessed by the Food Frequency Questionnaire. Adherence to the Dutch Healthy Diet Index (DHDI) was calculated. In addition, we used principal component analysis (PCA) to extract relevant food patterns in men and women separately. All food patterns and the DHDI were analyzed for an association with wrinkle severity using multivariable linear regression.

Results

Better adherence to the Dutch guidelines was significantly associated with less wrinkles among women but not in men. In women, a red meat and snack–dominant PCA pattern was associated with more facial wrinkles, whereas a fruit-dominant PCA pattern was associated with fewer wrinkles.

Limitations

Due to the cross-sectional design of our study, causation could not be proven. Other health-conscious behaviors of study participants could have influenced the results.

Conclusion

Dietary habits are associated with facial wrinkling in women. Global disease prevention strategies might benefit from emphasizing that a healthy diet is also linked to less facial wrinkling.

Le texte complet de cet article est disponible en PDF.

Key words : diet, Dutch Healthy Diet Index, facial wrinkling, healthy lifestyle, nutrition, principal component analysis, Rotterdam study, skin aging

Abbreviations used : CI, DHDI, IQR, PCA, UV


Plan


 Funding sources: Supported by restricted research grant from Unilever (to Dr Nijsten and Drs Mekić). The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript.
 Conflicts of interest: Although no products were tested, it is possible that this manuscript could promote products or foods that reduce the appearance of wrinkles, which could lead to financial gain for Unilever of whom Dr Gunn is an employee.


© 2018  American Academy of Dermatology, Inc. Tous droits réservés.
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Vol 80 - N° 5

P. 1358 - mai 2019 Retour au numéro
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