Omega-3 fatty acids (ω-3 FA), like eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), are important fatty acids with anti-inflammatory exercise. A latest examine printed in The Journal of Beauty Dermatology examines the efficacy of ω-3 FA in pimples.
Examine: Exploring the potential of omega-3 fatty acids in pimples sufferers: A potential intervention examine. Picture Credit score: BLACKDAY / Shutterstock.com
How does diet have an effect on pimples?
Extremely-processed meals wealthy in refined sugars, dairy merchandise, and saturated fat might trigger sebum overproduction and extreme keratin accumulation inside hair follicles within the dermis. The ensuing irritation and bacterial colonization of the follicles can set off or worsen pimples.
Dietary interventions to modulate the incidence and severity of pimples haven’t been totally explored. Nonetheless, the anti-inflammatory exercise of ω-3 FA makes them promising dietary elements for finding out their therapeutic potential in opposition to pimples.
Alpha-linolenic acid (ALA) is a vital fatty acid that can’t be endogenously produced in people regardless of its significance in meals digestion. EPA and DHA are synthesized in minute quantities from ALA; thus, ALA, EPA, and DHA have to be consumed in enough portions to keep up wholesome ranges.
Fashionable Western diets usually promote irritation, as they comprise as much as 20 occasions as a lot pro-inflammatory ω-6 FA as anti-inflammatory ω-3 FA. Restoration of this steadiness is important to cut back irritation.
Consequently, many enzymes are affected by ω-3 FA and are concerned in several pathways that affect pimples. With ω-3 FA supplementation, decreased sebum synthesis, inflammatory cytokine ranges, and follicular acne-inducing bacterium Corynebacterium acnes, in addition to improved pores and skin integrity and elevated antioxidant operate, could also be achieved.
In regards to the examine
The present examine was motivated by the necessity to present extra direct proof that ω-3 FA can mitigate pimples. To this finish, 60 sufferers with a imply age of 26 who weren’t on any prescription remedy for pimples have been included within the examine.
Thirty-seven examine individuals had papulopustular pimples (AP), whereas 23 had comedonal pimples (AC). About 64% of the examine cohort have been dissatisfied with their enchancment after earlier therapy or its unintended effects.
All examine individuals have been suggested to devour a Mediterranean weight-reduction plan, together with ω-3 FA supplementation from algae. Every affected person acquired oral dietary supplements containing 600 mg DHA/300 mg EPA for the primary eight weeks of the intervention, adopted by 800 mg DHA/400 mg EPA for the following eight weeks.
The examine individuals attended 4 visits to observe EPA, DHA, and ALA blood ranges, in addition to calculate the HS-omega-3 index. The HS omega-3 index displays the share of EPA/DHA inside pink blood cells (RBCs).
The goal index worth was between eight and 11%, with values beneath 8% and 4% indicative of a deficit and extreme deficit, respectively. These values have been in contrast with the responses to standardized questionnaires and medical findings.
What did the examine present?
At baseline, over 98% of the sufferers have been in EPA/DHA deficit, 40 and 18 of whom have been in extreme deficit and deficit, respectively.
On the baseline go to (V1), the typical HS-omega 3 index was 5%. By the fourth go to (V4), it had considerably improved to eight%. Nonetheless, one in 18 individuals remained in extreme deficit and deficit, respectively.
Each inflammatory and non-inflammatory lesions decreased all through the examine interval. By the tip of the examine, 42 sufferers had AC, and 11 had AP, as in comparison with 23 and 37 at V1, respectively.
At baseline, 32 sufferers had intermediate extreme pimples, and 29 had gentle pimples. By V4, 45 had gentle pimples, and eight had intermediate severity, with two sufferers exhibiting no non-inflammatory lesions at V4. Moreover, 42 people reported lower than ten non-inflammatory lesions in comparison with eight sufferers at baseline.
One affected person reported 26-50 lesions by V4 in comparison with 20 sufferers at baseline. Between V1 and V4, 27 and eight sufferers reported 10-25 lesions at V1, respectively.
Full clearance of inflammatory pimples was noticed in 13 sufferers at V4, whereas 33 had lower than ten lesions as in comparison with 23 at V1. A major discount was noticed from 28 people at V1, reporting 10-20 lesions to seven people at V4. No affected person had over 20 lesions by the tip of the examine in comparison with 9 at baseline.
Whereas nearly 80% of the examine cohort reported improved pimples, 8% of sufferers felt it had worsened. General, the sufferers reported a greater high quality of life regardless of the persistence of pimples, with these enhancements significantly evident within the AP group, which skilled essentially the most important change in HS-omega 3 index values.
Perceived meals triggers had a larger affect on pimples prevalence and flare-ups than meals like nuts, fruits, greens, and complete grains that have been perceived as wholesome. Sure meals like milk, fries, and chips have been extra continuously consumed within the AP group than these with AC. In the course of the examine interval, most sufferers decreased their consumption of dairy merchandise.
Conclusions
Though the present potential examine didn’t use a management group, most pimples sufferers have been in ω-3 FA deficit. These findings are much like earlier stories wherein HS-omega 3 index values have been beneath 5.5% and eight% in German and European research, respectively.
These deficits will be corrected by consuming a Mediterranean weight-reduction plan coupled with algae-derived ω-3 FA. By recovering the ω-3 FA deficit via supplementation and dietary intervention, most sufferers within the present examine skilled a big enchancment within the severity of their pimples. The protection, acceptability, and high quality of life enhancements with this therapy method assist its potential position as an intervention alone or together with prescription remedy.
Journal reference:
- Guertler, A., Neu, Ok., Clanner-Engelshofen, B., et al. (2024). Exploring the potential of omega-3 fatty acids in pimples sufferers: A potential intervention examine. Journal of Beauty Dermatology. doi:10.1111/jocd.16434, https://onlinelibrary.wiley.com/doi/10.1111/jocd.16434