Acne Foods: Do's and Don'ts

Diet impacts acne and can flare or reduce pimples

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What foods are bad for acne? What foods help acne? This discussion has been around for ages. We asked our Dermveda panel of integrative medicine experts to weigh in on the do’s and don’ts of foods to reduce acne. 

 

Types of Food that Help Acne (The Do’s) 

Low Glycemic Index Foods

Glycemic index refers to how much a food can increase the blood sugar (glucose) levels. Low glycemic index foods lead to a slower increase in the blood glucose level and high glycemic index foods lead to a quicker increase in the blood glucose levels. When blood glucose levels rise, this triggers the body to secrete insulin. Therefore low glycemic index foods lead to lower increases in insulin, and high glycemic foods lead to a quicker and larger spike of insulin. 

Low glycemic index food based diets can be helpful for reducing acne.[1,2] Diets rich in vegetables, fruit, and dietary fiber are considered to be low glycemic diets. The fiber in low glycemic index foods slows digestion and slows the conversion of carbohydrates to glucose. This results in less insulin being secreted, so the pathways that lead to acne are not triggered as quickly. One recent study found that people who eat a Mediterranean diet are less likely to have acne.[3] Additionally, reduction of milk and dairy intake has been correlated with improved acne as these tend to be food items with high glycemic indices.[4,5]

Fermented Dairy

Fermented dairy products like kefir and yogurt have healthy probiotic bacteria and may have different effects on acne than non-fermented dairy such as milk. One study suggested that ingestion of fermented dairy may be helpful to combat acne.[6] Fermented milk may help reduce acne by altering the skin oils toward a more healthy balance.[7] Although promising, more studies are needed to understand how fermented dairy products influence acne. 

Omega 3 Fatty Acids 

Omega 3 fatty acids from fish such as salmon, sardines, and walnuts may be beneficial in reducing acne. A study from 2008 showed approximately 20% improvement in the acne after 10 weeks of supplementation with omega-3 fatty acids (500 mg of eicosapentaenoic acid and 500 mg of docosahexaenoic acid daily).[8] One theory is that omega-3 fatty acid supplementation replenishes the right balance of oils in the skin.[9] 

 

Foods to Avoid for Acne (The Don’ts): 

Diet has been long debated as a factor in causing acne. Greasy food and chocolate have been blamed anecdotally for decades! We now know it is true that what you eat does affect the formation of pimples and inflammation in the skin. 

High Glycemic Index Foods

High glycemic foods are simple carbohydrates and sugars which are quickly converted to glucose. The glucose is rapidly absorbed into the blood, resulting in a spike in insulin. Insulin spikes can trigger signals in the skin that are an important factor in the occurrence of acne.[10] This spike in insulin is not only bad for your acne but for your waistline too! 

Skim Milk and Whey Protein

Several studies have shown that milk intake, specifically skim milk, may be related to more severe acne.[11,12] As discussed above, this may be due to skim milk having a higher glycemic index than low fat or full fat dairy. Whey protein can spike insulin, and whey protein supplementation has also been observed to flare acne,[13] which can be important among those that use these supplements regularly such as bodybuilders and athletes. 

 

The Alternative Perspective on Acne and Food

Alternative medical systems, such as Traditional Chinese Medicine (TCM), Ayurveda, and Naturopathy, have long thought that what you eat will be reflected in your skin condition. The advice from diverse perspectives agree: plant based diets that have few fried foods and unfermented dairy are best for reducing acne.  

In Ayurveda, high glycemic load diets aggravate and increase kapha and can cause a flare in comedone (pimple) formation. Diets should focus on vegetables and fruits, with a low to moderate amount of dairy and refined sugars. Fried foods and meat, which have been associated with an increased presence of acne, can also aggravate kapha.[14] 

Naturopathic medicine frequently recommends diet as a first line approach to acne. The ideal diet would closely resemble a Paleolithic diet,[15-17] which focuses on increased vegetable, fruit, and fish intake, and avoidance of sugars.  

Eating refined sugar, overly sweet foods, and dairy products lead to dampness in TCM. Dampness is a common cause of inflammatory acne. Chinese medicine also recommends eating less refined sugars and greater quantities of low glycemic foods.[17,18] 

In summary, both current western medicine perspectives and alternative medical practices show support for a healthy diet that takes into account the specific food types discussed in this article, which can help reduce the occurrence and severity of acne. 

 

* This Website is for general skin beauty, wellness, and health information only. This Website is not to be used as a substitute for medical advice, diagnosis or treatment of any health condition or problem. The information provided on this Website should never be used to disregard, delay, or refuse treatment or advice from a physician or a qualified health provider.

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References

  1. Cao H, Yang G, Wang Y, et al. Complementary therapies for acne vulgaris. Cochrane Database Syst Rev.2015;1:CD009436; PMID: 25597924 Link to research.
  2. Smith RN, Mann NJ, Braue A, et al. A low-glycemic-load diet improves symptoms in acne vulgaris patients: a randomized controlled trial. Am J Clin Nutr.2007;86(1):107-115; PMID: 17616769 Link to research.
  3. Skroza N, Tolino E, Semyonov L, et al. Mediterranean diet and familial dysmetabolism as factors influencing the development of acne. Scand J Public Health.2012;40(5):466-474; PMID: 22833557 Link to research.
  4. Melnik BC. Diet in acne: further evidence for the role of nutrient signalling in acne pathogenesis. Acta Derm Venereol.2012;92(3):228-231; PMID: 22419445 Link to research.
  5. Melnik B. Milk consumption: aggravating factor of acne and promoter of chronic diseases of Western societies. J Dtsch Dermatol Ges.2009;7(4):364-370; PMID: 19243483 Link to research.
  6. Kim J, Ko Y, Park YK, et al. Dietary effect of lactoferrin-enriched fermented milk on skin surface lipid and clinical improvement of acne vulgaris. Nutrition.2010;26(9):902-909; PMID: 20692602 Link to research.
  7. Puch F, Samson-Villeger S, Guyonnet D, et al. Consumption of functional fermented milk containing borage oil, green tea and vitamin E enhances skin barrier function. Exp Dermatol.2008;17(8):668-674; PMID: 18318715 Link to research.
  8. Jung JY, Kwon HH, Hong JS, et al. Effect of dietary supplementation with omega-3 fatty acid and gamma-linolenic acid on acne vulgaris: a randomised, double-blind, controlled trial. Acta Derm Venereol.2014;94(5):521-525; PMID: 24553997 Link to research.
  9. Ottaviani M, Camera E, Picardo M. Lipid mediators in acne. Mediators Inflamm.2010;2010PMID: 20871834 Link to research.
  10. Danby FW. Nutrition and acne. Clin Dermatol.2010;28(6):598-604; PMID: 21034984 Link to research.
  11. Bronsnick T, Murzaku EC, Rao BK. Diet in dermatology: Part I. Atopic dermatitis, acne, and nonmelanoma skin cancer. Journal of the American Academy of Dermatology.2014;71(6):1039.e1031-1039.e1012; PMID: Link to research.
  12. Grossi E, Cazzaniga S, Crotti S, et al. The constellation of dietary factors in adolescent acne: a semantic connectivity map approach. J Eur Acad Dermatol Venereol.2016;30(1):96-100; PMID: 25438834 Link to research.
  13. Silverberg NB. Whey protein precipitating moderate to severe acne flares in 5 teenaged athletes. Cutis.2012;90(2):70-72; PMID: 22988649 Link to research.
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  17. Melnik BC. Linking diet to acne metabolomics, inflammation, and comedogenesis: an update. Clin Cosmet Investig Dermatol.2015;8:371-388; PMID: 26203267 Link to research.
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