Double-blinded, placebo-controlled trial of green tea extracts in the clinical and histologic appearance of photoaging skin
Abstract
BACKGROUND: Green tea extracts have gained popularity as ingredients in topical skin care preparations to treat aging skin. Green tea polyphenolic compounds have significant antioxidant and anti-inflammatory activities, and studies suggest that these extracts help mediate ultraviolet radiation damage. OBJECTIVE: To evaluate the effects of a combination regimen of topical and oral green tea supplementation on the clinical and histologic characteristics of photoaging. METHODS: Forty women with moderate photoaging were randomized to either a combination regimen of 10% green tea cream and 300 mg twice-daily green tea oral supplementation or a placebo regimen for 8 weeks. RESULTS: No significant differences in clinical grading were found between the green tea-treated and placebo groups, other than higher subjective scores of irritation in the green tea-treated group. Histologic grading of skin biopsies did show significant improvement in the elastic tissue content of treated specimens (p<.05). CONCLUSION: Participants treated with a combination regimen of topical and oral green tea showed histologic improvement in elastic tissue content. Green tea polyphenols have been postulated to protect human skin from the cutaneous signs of photoaging, but clinically significant changes could not be detected. Longer supplementation may be required for clinically observable improvements.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In a double-blind placebo trial in 40 women, a 10-percent green tea cream applied together with 300 mg twice-daily green tea oral supplementation showed significant improvements in elastic tissue content, but no significant clinical changes.
“Histological examination showed significant improvements in elastic tissue content, but no significant changes were demonstrated clinically.”
From Bioactive Compounds for Skin Health: A Review (2021) · cites this paper as [214]
Green tea polyphenols exhibit anti-inflammatory and antioxidant properties and the ability to scavenge free radicals.
“GTPs also exhibit anti-inflammatory and antioxidant properties and the ability to scavenge free radicals [214].”
From Bioactive Compounds for Skin Health: A Review (2021) · cites this paper as [214]
A clinically perceptible improvement might require a longer period of green tea polyphenol administration.
“The authors concluded that a clinically perceptible improvement might require a longer period of GTP administration.”
From Bioactive Compounds for Skin Health: A Review (2021) · cites this paper as [214]
Cites
Mechanisms of photoaging and chronological skin aging
Fisher, G. J., Kang, S., Varani, J., Bata-Csorgo, Z., Wan, Y., Datta, S., & Voorhees, J. J. (2002) · Archives of Dermatology · doi:10.1001/archderm.138.11.1462 · Cited by 1,849 · see citing works
Ichihashi, M., Ueda, M., Budiyanto, A., Bito, T., Oka, M., Fukunaga, M., Tsuru, K., & Horikawa, T. (2003) · Toxicology · doi:10.1016/s0300-483x(03)00150-1 · Cited by 970 · see citing works
Inhibition of Carcinogenesis by Tea
Yang, C. S., Maliakal, P. P., & Meng, X. (2002) · The Annual Review of Pharmacology and Toxicology · doi:10.1146/annurev.pharmtox.42.082101.154309 · Cited by 939 · see citing works
Tea polyphenols: prevention of cancer and optimizing health
Mukhtar, H., & Ahmad, N. (2000) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/71.6.1698s · Cited by 904 · see citing works
Cutaneous photodamage, oxidative stress, and topical antioxidant protection
Pinnell, S. R. (2003) · Journal of the American Academy of Dermatology · doi:10.1067/mjd.2003.16 · Cited by 544 · see citing works
Katiyar, S. K., Afaq, F., Perez, A., & Mukhtar, H. (2001) · Carcinogenesis · doi:10.1093/carcin/22.2.287 · Cited by 399 · see citing works
Cutaneous photoprotection from ultraviolet injury by green tea polyphenols
Elmets, C. A., Singh, D., Tubesing, K., Matsui, M., Katiyar, S., & Mukhtar, H. (2001) · Journal of the American Academy of Dermatology · doi:10.1067/mjd.2001.112919 · Cited by 365 · see citing works
Green tea polyphenolic antioxidants and skin photoprotection (Review)
Katiyar, S. K., & Elmets, C. A. (2001) · International Journal of Oncology · doi:10.3892/ijo.18.6.1307 · Cited by 246 · see citing works
Afaq, F., Adhami, V. M., Ahmad, N., & Mukhtar, H. (2003) · Oncogene · doi:10.1038/sj.onc.1206206 · Cited by 236 · see citing works
Inhibition of tyrosinase by green tea components
No, J. K., Soung, D. Y., Kim, Y. J., Shim, K. H., Jun, Y. S., Rhee, S., Yokozawa, T., & Chung, H. Y. (1999) · Life Sciences · doi:10.1016/s0024-3205(99)00492-0 · Cited by 236 · see citing works
Katiyar, S. K., Ahmad, N., & Mukhtar, H. (2000) · Archives of Dermatology · doi:10.1001/archderm.136.8.989 · Cited by 204 · see citing works
An, K. P., Athar, M., Tang, X., Katiyar, S. K., Russo, J., Beech, J. A., Aszterbaum, M., Kopelovich, L., Epstein, E. H., Mukhtar, H., et al. (2002) · Photochemistry and Photobiology · doi:10.1562/0031-8655(2002)0760073ceimah2.0.co2 · Cited by 193 · see citing works
Green Tea Polyphenols Induce Differentiation and Proliferation in Epidermal Keratinocytes
Hsu, S., Bollag, W. B., Lewis, J. B., et al. (2003) · Journal of Pharmacology and Experimental Therapeutics · doi:10.1124/jpet.103.049734 · Cited by 171 · see citing works
Dual mechanisms of green tea extract‐induced cell survival in human epidermal keratinocytes
Chung, J. H., Han, J. H., Hwang, E. J., Seo, J. Y., Cho, K. H., Kim, K. H., Youn, J. I., & Eun, H. C. (2003) · The FASEB Journal · doi:10.1096/fj.02-0914fje · Cited by 164 · see citing works
Skin Photoprotection by Green Tea: Antioxidant and Immunomodulatory Effects
Katiyar, S. K. (2003) · Current Drug Targets - Immune Endocrine & Metabolic Disorders · doi:10.2174/1568008033340171 · Cited by 144 · see citing works
Protective effects of (−)-epigallocatechin-3-gallate on UVA- and UVB-induced skin damage
Kim, J., Hwang, J.-S., Cho, Y.-K., Han, Y., Jeon, Y.-J., & Yang, K.-H. (2001) · Skin Pharmacology and Physiology · doi:10.1159/000056329 · Cited by 134 · see citing works
Tobi, S., Gilbert, M., PAUL, N. D., & McMillan, T. J. (2002) · International Journal of Cancer · doi:10.1002/ijc.10730 · Cited by 111 · see citing works
Preventive effect of antioxidant on ultraviolet-induced skin cancer in mice
Ichihashi, M., Ahmed, N. U., Budiyanto, A., Wu, A., Bito, T., Ueda, M., & Osawa, T. (2000) · Journal of Dermatological Science · doi:10.1016/s0923-1811(00)00083-9 · Cited by 93 · see citing works
Green tea polyphenols: DNA photodamage and photoimmunology
Katiyar, S. K., Bergamo, B. M., Vyalil, P. K., & Elmets, C. A. (2001) · Journal of Photochemistry and Photobiology B Biology · doi:10.1016/s1011-1344(01)00248-2 · Cited by 88 · see citing works
Trompezinski, S., Denis, A., Schmitt, D., et al. (2003) · Archives of Dermatological Research · doi:10.1007/s00403-003-0402-y · Cited by 85 · see citing works
Green Tea Protects Against Psoralen Plus Ultraviolet A-Induced Photochemical Damage to Skin1
Zhao, J. F., Jin, X. H., Athar, M., Bickers, D. R., Wang, Z. Y., Zhang, Y. J., & Santella, R. M. (1999) · Journal of Investigative Dermatology · doi:10.1046/j.1523-1747.1999.00806.x · Cited by 74 · see citing works
Katiyar, S. K., Rupp, C. O., Korman, N. J., et al. (1995) · Journal of Investigative Dermatology · doi:10.1111/1523-1747.ep12321030 · Cited by 62 · see citing works
Song, D. U., Jung, Y. D., Chay, K.-O., Chung, M. A., Lee, K. H., Yang, S. Y., Shin, B. A., & Ahn, B. W. (2002) · Archives of Biochemistry and Biophysics · doi:10.1006/abbi.2001.2695 · Cited by 60 · see citing works
Protection by tea against UV‐A + B‐induced skin cancers in hairless mice
Record, I. R., & Dreosti, I. E. (1998) · Nutrition and Cancer · doi:10.1080/01635589809514721 · Cited by 27 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Bioactive compounds from natural resources against skin aging
Mukherjee, P. K., Maity, N., Nema, N. K., & Sarkar, B. K. (2011) · Phytomedicine · doi:10.1016/j.phymed.2011.10.003 · Cited by 545 · see citing works
Polyphenols as active ingredients for cosmetic products
Zillich, O. V., Schweiggert‐Weisz, U., Eisner, P., & Kerscher, M. (2015) · International Journal of Cosmetic Science · doi:10.1111/ics.12218 · Cited by 343 · see citing works
Bioactive Compounds for Skin Health: A Review
Michalak, M., Pierzak, M., Kręcisz, B., & Suliga, E. (2021) · Nutrients · doi:10.3390/nu13010203 · Cited by 345 · see citing works
Mechanisms and treatments of photoaging
Poon, F., Kang, S., & Chien, A. L. (2015) · Photodermatology, Photoimmunology & Photomedicine · doi:10.1111/phpp.12145 · Cited by 284 · see citing works
Heinrich, U., Moore, C. E., De Spirt, S., Tronnier, H., & Stahl, W. (2011) · The Journal of Nutrition · doi:10.3945/jn.110.136465 · Cited by 142 · see citing works
An overview about oxidation in clinical practice of skin aging
Silva, S. A. M. E., Michniak-Kohn, B., & Leonardi, G. R. (2017) · Anais Brasileiros de Dermatologia · doi:10.1590/abd1806-4841.20175481 · Cited by 134 · see citing works
Can dietary intake influence perception of and measured appearance? A systematic review
Pezdirc, K., Hutchesson, M., Whitehead, R., Ozakinci, G., Perrett, D., & Collins, C. E. (2015) · Nutrition Research · doi:10.1016/j.nutres.2014.12.002 · Cited by 19 · see citing works
Draelos, Z. D. (2012) · Evidence-Based Procedural Dermatology · doi:10.1007/978-0-387-09424-3_18 · Cited by 2 · see citing works
- Authors
- Chiu, A. E., Chan, J. L., Kern, D. G., Kohler, S., Rehmus, W. E., & Kimball, A. B.
- Affiliations
- Emory University (US)
- Stanford University (US)
- Nu Skin (United States) (US)
- Harvard University (US)
- Venue
- Dermatologic Surgery
- Published
- 2005-07
- Volume
- 31
- Issue
- s1
- Pages
- 855-860
- ISSN
- 1076-0512 (ISSN-L)
- OpenAlex
- W1981710223
- Cited by
- 147
- References
- 24
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 13 · 2023: 5 · 2022: 5 · 2021: 7 · 2020: 5 · 2019: 8 · 2018: 3 · 2017: 6 · 2016: 8 · 2015: 8 · 2014: 7 · 2013: 8 · 2012: 7
- FWCI
- 7.22
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Dermatologic Surgery (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Dermatology › Skin Protection and Aging
- Health Sciences › Medicine › Pathology and Forensic Medicine › Tea Polyphenols and Effects
- Health Sciences › Medicine › Biochemistry › Phytochemicals and Antioxidant Activities
- Keywords
- green tea extract, photoaging, green tea polyphenols, oral supplementation, elastic tissue, skin histology, UV damage, topical irritation, skin aging
- MeSH terms
- Administration, Oral, Administration, Topical, Dermatologic Agents, Double-Blind Method, Emollients, Female, Humans, Phototherapy, Pilot Projects, Plant Extracts, Skin Aging, Treatment Outcome, Dietary Supplements, Camellia sinensis
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review