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Can the right diet get rid of acne?

Updated: May 25, 2023


A photo of a man with acne papules
Acne Diet St. Louis

At Mid-County Dermatology in Saint Louis, we understand the frustrations and insecurities that come with struggling with acne. It's a common skin condition that affects millions of people worldwide, and there are numerous theories about its causes and treatments. One popular belief is that diet plays a significant role in the development and severity of acne. In this article, our St. Louis dermatologists explore the relationship between diet and acne, separating fact from fiction based on the latest scientific research.


Debunking the Myth: Greasy Foods and New Pimples

You may have heard the advice to avoid greasy fries and burgers to prevent new pimples from appearing. While there may be a connection between diet and acne, it is not as straightforward as simply blaming greasy foods. The true impact of diet on acne is more complex and multifactorial, as supported by extensive research in the field.


The Low-Glycemic Diet Approach

One dietary approach that has gained attention in recent years is the low-glycemic diet. This eating plan focuses on consuming foods that have a minimal impact on blood sugar levels. Studies have indicated that following a low-glycemic diet may reduce acne symptoms for some individuals.


High-glycemic foods, such as white bread, cornflakes, sugary drinks, and potato chips, cause a rapid increase in blood sugar levels. This, in turn, triggers inflammation throughout the body and stimulates excess sebum production, which can contribute to acne. By adopting a low-glycemic diet that includes fresh vegetables, fruits, beans, and steel-cut oats, some individuals have reported improvements in their acne.


Scientific Evidence: Low-Glycemic Diet and Acne Reduction

Numerous studies have investigated the relationship between a low-glycemic diet and acne reduction. Here are some notable findings:

  1. In a study conducted in the USA, 2,258 patients were placed on a low-glycemic diet to facilitate weight loss. Notably, 87% of the patients reported a decrease in acne, and 91% reported a reduced need for acne medication.

  2. In Australia, 43 male participants aged 15 to 25 years switched to a low-glycemic diet for 12 weeks. At the study's conclusion, those who followed the low-glycemic diet exhibited significantly less acne compared to those who maintained their normal diet.

  3. Similarly, a study in Korea involved 32 patients aged 20 to 27 years who followed either a normal or low-glycemic diet for 10 weeks. The group on the low-glycemic diet experienced a significant reduction in acne compared to the control group.

  4. A food log study in Turkey involving 86 patients, 50 of whom had acne, found that individuals with more severe acne tended to consume a high-glycemic diet.

While these studies suggest a positive correlation between a low-glycemic diet and reduced acne symptoms, it's important to note that not all research has found the same association. Further studies are required to establish a definitive link between a high-glycemic diet and acne.


The Cow's Milk Controversy: Exploring its Connection to Acne


Studies on Cow's Milk and Acne

  1. Study with Adult Women: A study conducted in the USA, involving 47,355 adult women, found that drinking two or more glasses of skim milk per day increased the likelihood of acne by 44% compared to those who consumed less milk [^5].

  2. Study with Girls aged 9 to 15 Years: Another study in the USA, with 6,094 girls aged 9 to 15 years, revealed that the consumption of cow's milk (whole, low-fat, or skim) was associated with a higher prevalence of acne [^6].

  3. Study with Boys aged 9 to 15 Years: Similarly, a study involving 4,273 boys aged 9 to 15 years in the USA reported a link between the consumption of skim milk and a higher incidence of acne [^7].

  4. Study in Italy: In a study involving 205 patients aged 10 to 24 years in Italy, it was found that individuals with moderate to severe acne consumed significantly more cow's milk compared to those with little to no acne [^8].

  5. Study in Malaysia: A study in Malaysia, involving 88 patients aged 18 to 30 years, discovered that individuals with acne consumed more cow's milk and high-glycemic foods compared to those without acne [^9].

While these studies suggest a potential association between cow's milk consumption and acne, it is crucial to interpret the findings with caution. The exact mechanisms underlying this relationship are still unclear. Some theories propose that hormones present in cow's milk, such as insulin-like growth factor 1 (IGF-1) and androgens, may contribute to the development of acne by increasing sebum production and promoting inflammation.


However, it is worth noting that not all studies have found a significant correlation between cow's milk and acne. Some research indicates that the association may be influenced by individual susceptibility, genetic factors, or other dietary components consumed alongside milk. Further investigation is necessary to fully understand the potential impact of cow's milk on acne.


Other Dietary Considerations

While the connection between diet and acne is still being explored, certain dietary factors have been suggested to potentially influence skin health:

  1. Omega-3 Fatty Acids: Including omega-3 fatty acids in your diet, found in fatty fish (such as salmon and mackerel), flaxseeds, and walnuts, can potentially contribute to healthier skin. Omega-3 fatty acids have anti-inflammatory properties that may help reduce acne-related inflammation.

  2. Antioxidant-Rich Foods: Consuming foods rich in antioxidants can be beneficial for skin health. Colorful fruits and vegetables, green tea, dark chocolate, and nuts are examples of antioxidant-rich foods that help combat oxidative stress and inflammation in the body.

  3. Probiotics: Maintaining a healthy gut microbiome through the consumption of probiotic-rich foods, such as yogurt and fermented vegetables, may have a positive impact on skin conditions like acne. Probiotics promote a balanced immune response and reduce inflammation.

  4. Hydration: While not directly linked to acne, proper hydration plays a crucial role in overall skin health. Drinking an adequate amount of water helps maintain skin elasticity, flush out toxins, and support a healthy complexion.

In conclusion, Mid-County Dermatology, your trusted resource for skincare in St. Louis, emphasizes the important link between diet and acne. By understanding the impact of diet choices on acne breakouts, you can take control of your skin health. Visit our dermatology center at Missouri Baptist Medical Center to find ways to combat acne and achieve a healthier complexion.

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