Akne Vulgarisli Bireylerde Diyetle İlgili Risk Faktörlerinin Değerlendirilmesi

Abstract

The aim of this study was to determined, dietary risk factors for acne vulgaris (AV). Patients that were between 18-30 years old and diagnosed with mild to severe AV in Bodrum Public Hospital between April 2018 – September 2018. Overall 48 patients were enrolled which 24 patients with mild/severe AV and 24 control patients that did not have AV. During the interviews, general information as well as, information about their personal habits, family history, AV history, nutritional habits, physical activity levels, menstrual cycle, and food frequency questionnaire was obtained. Anthropometric measurements of the participants (body weight, height, waist circumference, hip circumference, body mass index (BMI), fat ratio, body fat amount, body muscle amount, waist/ hip ratio, waist / height ratio) were performed. Body weight, BKİ, body fat percentage, body fat mass, and body muscle mass were measured by bioelectrical impedance analysis (BIA). Dietary record was taken from the participants for three consecutive days. The mean daily energy and nutrient intake, dietary glycemic index and glycemic load were calculated from the food consumption records. Results suggests that, there was a strong correlation between mild/severe AV and existent AV in first degree relatives (OR: 11.67 %95 GA: 2.696-50.490, p<0.01). No significant difference was found between AV and alcohol-tobacco consumption, physical activity levels, and anthropometric measurements. Stress was increase AV symptoms in mild/severe AV female patients compared to mild/severe Av male patients (p<0.05). According to food frequency questionnaire, mild/severe AV female patient consumed significantly more whole and half skimmed milk, honey, jam, molasses, cookies and cakes than control groups. Also, in female, the consumption of leafy green vegetables were found significantly higher in control group than mild/severe AV patients (p<0.05). In female, according to three days food consumption record, daily total vegetables and fruits consumption were higher in control group, also sweet consumption were higher in mild/severe AV patients (p<0,05). It was found that, patients which consumed higher glycemic index diets (GI >70) had a higher risk for AV (OR:17.5, %95 GA:1.223-250.357). Glycemic load of diet was significantly higher of mild/severe AV patients than control group in females (p> 0.05). No significant relationship was observed between ODS and AV. Although family history is the most effective factor in the formation of acne vulgaris, it is determined that the diet of the individual may also be effective. Low glycemic index foods could be beneficial to a alleviate the symptoms of AV.