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This is an archive article published on June 1, 2013

Western diet,dairy products may raise acne risk

Acne vulgaris,commonly called pimples,has anecdotally been attributed to diet.

Dairy and milk products have acquired a controversial status in the scientific community. There are several studies which favour dairy products but others have found dairy products to be linked to acne,auto-immune disturbances,high insulin levels,and cardiovascular disease.

Acne vulgaris,commonly called pimples,has anecdotally been attributed to diet. It is also referred to as a condition associated with modern western civilisation and is considered to be virtually non-existent in traditional societies. In fact,migration studies have demonstrated that as populations shifted towards a more westernised diet,the prevalence of acne increased. This trend was observed in Canadian Inuits,who increased their consumption of sweetened colas,beef,dairy products,and processed foods,as well as among Okinawan Japanese who moved to a typical western diet with high intake of animal food and refined starch.

The association between acne and diet was evaluated in 2009 with a review of 21 observational studies and six clinical trials. Observational studies,including two large controlled prospective trials,reported that intake of cow’s milk increased the prevalence of acne and its severity. Based on these findings,there exists convincing data supporting the role of dairy products and food high in glycemic-index in influencing hormonal and inflammatory factors,which can increase acne prevalence and severity.

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In 2005,a large study of more than 47,000 nurses,evaluated the association between milk and acne in the adolescents. Among participants,who had been diagnosed with severe acne as teenagers,those with the highest level of total milk intake ( more than three servings per day) reported having acne more frequently than compared with individuals with the lowest level of intake (less than one serving per week).

This association was strongest (a 44 per cent increase) for intake of skimmed milk,suggesting fat content was not the determining factor for acne risk. Researchers hypothesised that the hormones found in milk played a role in acne risk.

In addition,dairy products and the proteins in dairy like whey,seem to exert an exaggerated insulin response,despite having low glycemic index. In other words,they stimulate insulin secretion,which may be be responsible for positive association between dairy intake and acne.

However,according to the dermatologists at American Academy of Dermatology,dairy does appear to be weakly associated with acne. The exact mechanism behind this association remain unclear and more studies are needed in this area. The advice is to be your own detective and to determine if milk and milk products are the triggers.

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