Acne is a widespread skin condition that impacts countless individuals globally, regardless of age or gender. While various factors contribute to acne, including genetics, hormones, and skincare habits, diet plays a significant role1 in the development and management of acne. Research suggests that certain foods can either exacerbate or alleviate acne symptoms, making dietary modifications a promising approach for achieving clear and healthy skin.
Understanding the causes and triggers of acne
Acne occurs when hair follicles become clogged with dead skin cells and oil2, leading to the formation of different types of acne: blackheads, whiteheads, cysts, and pimples.
Several factors contribute to this process, including:
- Excess sebum production: The sebaceous glands produce sebum, an oily substance which helps lubricate the skin. That said, excessive sebum production can lead to acne breakouts and clogged pores.
- Bacterial overgrowth: Propionibacterium acnes (P. acnes) is a type of bacteria that thrives in the hair follicles and contributes to the development of acne. When P. acnes multiply excessively, they can trigger inflammation and acne lesions.
- Inflammation: Inflammation plays a crucial role in the pathogenesis of acne. When the skin becomes inflamed, it can worsen existing acne lesions and contribute to the formation of new ones.
- Hormonal fluctuations: Hormonal changes, such as those that occur during menstruation, puberty, menopause, and pregnancy, can influence sebum production and contribute to acne flare-ups.
- Dietary factors: Certain foods have been linked to acne development, either directly or indirectly, by influencing sebum production, inflammation, and hormonal balance.
The role of diet in acne management
As mentioned, mounting evidence suggests that diet plays a significant role in the development and management of acne1. Certain foods have been shown to exacerbate acne symptoms, while others may help alleviate them. By adopting an acne-friendly diet rich in skin-supportive nutrients, individuals can address underlying imbalances and promote clearer, healthier skin.
Research indicates that high-glycemic-index (GI) foods3, such as refined carbohydrates and sugary snacks, can worsen acne by increasing insulin levels and promoting inflammation. Additionally, dairy products, particularly skim milk, have been associated with an increased risk of acne development due to their hormone content and potential to stimulate sebum production.
Conversely, studies indicate that incorporating low-glycemic, high-protein foods4 into your diet can greatly benefit acne-prone skin. Therefore, it’s advisable to begin with a nutritious base, such as a diet abundant in vibrant fruits and vegetables.
4 foods for clear and healthy skin
1. Kale
Kale distinguishes itself among the cabbage family for being the most nutrient-dense, earning its reputation as an acne-fighting food. Loaded with vitamins A, B-6, C, and K, as well as minerals like manganese, calcium, copper, potassium, and magnesium5, this low-calorie superfood is also rich in fibre. Its potent blend of antioxidants, vitamins, and minerals plays a significant role in diminishing hyperpigmentation, thereby contributing to a more even skin tone. Moreover, vitamin C, found abundantly in kale5, facilitates collagen production, which aids in accelerating the healing process of acne scars through increased cellular turnover.
Incorporating kale into your daily routine is effortless and rewarding. Whether added to your morning smoothie for a nutritional boost or lightly sautéed to accompany your lunch or dinner, integrating a cup of kale into your meals can enhance both the flavour and the health benefits of your diet, supporting skin health and overall well-being.
2. Pumpkin
Rich in fruit enzymes, zinc, and alpha hydroxy acids, pumpkin possesses properties that can effectively soften the skin and restore its pH balance, making it a common ingredient in various masks and exfoliating products5. Furthermore, the internal consumption of pumpkin provides additional advantages, particularly due to its high fibre content and zinc content. Zinc plays a crucial role in regulating oil production, which is instrumental in managing acne and promoting clearer, healthier skin.
Moreover, research6 indicates that incorporating zinc-rich foods into your diet may serve as a beneficial strategy for both preventing and treating acne. Zinc, a vital dietary mineral, plays a crucial role in skin development, metabolism regulation, and hormone balance. In a study published6 exploring the correlation between blood zinc levels and acne severity, the findings revealed a significant association between lower zinc levels and more pronounced cases of acne. Consequently, the researchers suggest that increasing dietary zinc intake could be a viable approach for managing severe acne conditions. By enhancing zinc levels through dietary modifications, you may potentially alleviate the severity of acne symptoms and support overall skin health.
3. Probiotics
Incorporating oral probiotics into your daily routine can significantly contribute to maintaining an acne-free diet. Clinical trials have demonstrated the efficacy of probiotic strains like Lactobacillus acidophilus and Bifidobacterium bifidum in enhancing skin barrier function and mitigating the severity of acne. Research7 indicates that these beneficial bacteria, when taken orally, have the potential to decrease the number of acne lesions and enhance overall skin quality. By supporting a healthy balance of gut microflora, oral probiotics can help alleviate inflammatory responses within the body, subsequently reducing acne flare-ups and promoting clearer, healthier skin.
4. Dairy alternatives and plant-based milk
For those seeking alternatives to acne-inducing cow’s milk, goat’s milk presents several advantages over cow’s milk, primarily due to its composition8. With lower levels of lactose (the milk sugar responsible for spiking sugar and insulin levels), goat’s milk offers a gentler impact on blood sugar regulation. Additionally, it contains substantially less Alpha s1 Casein, the protein often implicated in milk allergies, making it a less allergenic option. Moreover, the smaller fat molecules in goat’s milk ease digestion, and its natural homogenization simplifies the process further. However, it’s essential to note that goats naturally produce hormones in their milk, potentially affecting individuals prone to acne. Opting for raw goat’s milk can mitigate this concern, as it’s typically well-tolerated even by those with acne sensitivities.
Alternatively, nut-based options like almond or cashew milk8 offer safer choices. These alternatives lack the sebum-producing hormones found in cow’s milk and are rich in antioxidants, such as vitamin E, which combat free radicals responsible for skin ageing. Almonds, in particular, boast omega-3 fatty acids with anti-inflammatory properties beneficial for acne-prone skin, alleviating redness and inflammation. However, it’s crucial to select sugar-free varieties to avoid exacerbating acne, as sugar consumption can trigger glycation, leading to collagen degradation and wrinkles. Choosing these nut-based milk alternatives can complement efforts toward healthier skin without compromising dietary goals.
Conclusion
Adopting an acne-free diet rich in skin-supportive foods can be an effective strategy for managing acne and promoting clear and healthy skin. However, it’s essential to remember that individual responses to dietary changes may vary, and it may take time to see noticeable improvements in acne symptoms. Additionally, maintaining a balanced diet, staying hydrated, and practising good skincare habits are crucial components of a comprehensive approach to acne management.
Consulting with a dermatologist from a certified dermatology clinic or registered dietitian can provide personalised guidance and recommendations tailored to your specific needs and skin concerns. Angeline Yong Dermatology offers expert dermatological care, including acne treatment and skin cancer screening in Singapore. Reach out to schedule an appointment and take proactive steps towards achieving clearer, healthier skin and maintaining your overall well-being!
References
Baldwin, H., & Tan, J. (2021). Effects of Diet on Acne and Its Response to Treatment. American journal of clinical dermatology, 22(1), 55–65. https://doi.org/10.1007/s40257-020-00542-y
Acne. Mayo Clinic. (2022, October 8). https://www.mayoclinic.org/diseases-conditions/acne/symptoms-causes/syc-20368047#:~:text=Acne%20is%20a%20skin%20condition,but%20acne%20can%20be%20persistent
Meixiong, J., Ricco, C., Vasavda, C., & Ho, B. K. (2022). Diet and acne: A systematic review. JAAD international, 7, 95–112. https://doi.org/10.1016/j.jdin.2022.02.012
Smith, R. N., Mann, N. J., Braue, A., Mäkeläinen, H., & Varigos, G. A. (2007). The effect of a high-protein, low glycemic-load diet versus a conventional, high glycemic-load diet on biochemical parameters associated with acne vulgaris: a randomized, investigator-masked, controlled trial. Journal of the American Academy of Dermatology, 57(2), 247–256. https://doi.org/10.1016/j.jaad.2007.01.046
Gabbara, P. (2020, July 31). 10 foods to reduce acne flare-ups, scars, and hyperpigmentation. Healthline. https://www.healthline.com/health/beauty-skin-care/anti-acne-foods
Cirino, E. (2023, February 14). Anti-acne diet: Get rid of acne by eating healthier. Healthline. https://www.healthline.com/health/anti-acne-diet
Alyoussef A. (2024). The Impact of Consuming Probiotics and Following a Vegetarian Diet on the Outcomes of Acne. Cureus, 16(1), e51563. https://doi.org/10.7759/cureus.51563
G., G. (2018, August 20). Milk causes acne. so now what? here are the best milk alternatives for acne prone skin. Babyface. https://babyfacestore.com/blogs/blog/what-are-the-best-milk-alternatives-for-acne-prone-skin