Effect of the glycemic index of carbohydrates on acne vulgaris
Open accessAbstract
Acne vulgaris may be improved by dietary factors that increase insulin sensitivity. We hypothesized that a low-glycemic index diet would improve facial acne severity and insulin sensitivity. Fifty-eight adolescent males (mean age ± standard deviation 16.5 ± 1.0 y and body mass index 23.1 ± 3.5 kg/m2) were alternately allocated to high or low glycemic index diets. Severity of inflammatory lesions on the face, insulin sensitivity (homeostasis modeling assessment of insulin resistance), androgens and insulin-like growth factor-1 and its binding proteins were assessed at baseline and at eight weeks, a period corresponding to the school term. Forty-three subjects (n = 23 low glycemic index and n = 20 high glycemic index) completed the study. Diets differed significantly in glycemic index (mean ± standard error of the mean, low glycemic index 51 ± 1 vs. high glycemic index 61 ± 2, p = 0.0002), but not in macronutrient distribution or fiber content. Facial acne improved on both diets (low glycemic index −26 ± 6%, p = 0.0004 and high glycemic index −16 ± 7%, p = 0.01), but differences between diets did not reach significance. Change in insulin sensitivity was not different between diets (low glycemic index 0.2 ± 0.1 and high glycemic index 0.1 ± 0.1, p = 0.60) and did not correlate with change in acne severity (Pearson correlation r = −0.196, p = 0.244). Longer time frames, greater reductions in glycemic load or/and weight loss may be necessary to detect improvements in acne among adolescent boys.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
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?
All interventional trials included examined the effect of GI/glycemic load on acne.
“All the interventional trials included examined the effect of GI/glycemic load on acne (Table IV).47, 48, 49, 50, 51, 52”
From Diet and acne: A systematic review (2022) · cites this paper as [50]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Matthews, D. R., Hosker, J. P., Rudenski, A. S., Naylor, B. A., Treacher, D. F., & Turner, R. C. (1985) · Diabetologia · doi:10.1007/bf00280883 · Cited by 31,502 · see citing works
Flagged first, then by citations
Research works printed but not linked: 40
- [1]Cordain L. Implications for the role of diet in acne Semin. Cutan. Med. Surg. 2005 24 84 91 16092796
- [2]Smith R.N. Mann N.J. Braue A. Mäkeläinen H. Varigos G.A. 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 J. Am. Acad. Dermatol. 2007 57 247 256 17448569
- [3]Chew I. Brand J.C. Thorburn A.W. Truswell A.S. Application of glycemic index to mixed meals Am. J. Clin. Nutr. 1988 47 53 56 3276136
- [4]Bjorck I. Liljeberg H. Ostman E. Low glycaemic-index foods Br. J. Nutr. 2000 83 S149 S155 Suppl. 1 10889806
- [5]Cunliffe W. Simpson N.B. Disorders of the Sebaceous Glands Blackwell Scientific Publications Oxford, England, UK 1998
- [6]Shoelson S.E. Lee J. Goldfine A.B. Inflammation and insulin resistance J. Clin. Invest. 2006 116 1793 1801 16823477 PMC1483173
- [7]Moran A. Jacobs D.R. Jr. Steinberger J. Hong C.P. Prineas R. Luepker R. Sinaiko A.R. Insulin resistance during puberty: results from clamp studies in 357 children Diabetes 1999 48 2039 2044 10512371
- [8]Preziosi P. Barrett-Connor E. Papoz L. Roger M. Saint-Paul M. Nahoul K. Simon D. Interrelation between plasma sex hormone-binding globulin and plasma insulin in healthy adult women: the telecom study J. Clin. Endocrinol. Metab. 1993 76 283 287 8432770
- [9]Holly J.M. Smith C.P. Dunger D.B. Howell R.J. Chard T. Perry L.A. Savage M.O. Cianfarani S. Rees L.H. Wass J.A. Relationship between the pubertal fall in sex hormone binding globulin and insulin-like growth factor binding protein-I. A synchronized approach to pubertal development? Clin. Endocrinol. (Oxf.) 1989 31 277 284 2482797
- [10]Deplewski D. Rosenfield R.L. Role of hormones in pilosebaceous unit development Endocr. Rev. 2000 21 363 392 10950157
- [11]Aizawa H. Niimura M. Elevated serum insulin-like growth factor-1 (IGF-1) levels in women with postadolescent acne J. Dermatol. 1995 22 249 252 7608381
- [12]Edmondson S.R. Thumiger S.P. Werther G.A. Wraight C.J. Epidermal homeostasis: the role of the growth hormone and insulin-like growth factor systems Endocr. Rev. 2003 24 737 764 14671001
- [13]Atkinson F.S. Foster-Powell K. Brand-Miller J.C. International tables of glycemic index and glycemic load values: 2008 Diabetes Care 2008 31 2281 2283 18835944 PMC2584181
- [15]Baxter R.C. Martin J.L. Wood M.H. Two immunoreactive binding proteins for insulin-like growth factors in human amniotic fluid: relationship to fetal maturity J. Clin. Endocrinol. Metab. 1987 65 423 431 2442186
- [16]Baxter R.C. Martin J.L. Radioimmunoassay of growth hormone-dependent insulinlike growth factor binding protein in human plasma J. Clin. Invest. 1986 78 1504 1512 2431001 PMC423906
- [17]Seaton E.D. Charakida A. Mouser P.E. Grace I. Clement R.M. Chu A.C. Pulsed-dye laser treatment for inflammatory acne vulgaris: randomised controlled trial Lancet 2003 362 1347 1352 14585635
- [18]McLeod L.D. Fehnel S.E. Brandman J. Symonds T. Evaluating minimal clinically important differences for the acne-specific quality of life questionnaire Pharmacoeconomics 2003 21 1069 1079 14596626
- [19]Mauras N. Rogol A.D. Haymond M.W. Veldhuis J.D. Sex steroids, growth hormone, insulin-like growth factor-1: neuroendocrine and metabolic regulation in puberty Horm. Res. 1996 45 74 80 8742123
- [20]Thiboutot D. Gilliland K. Light J. Lookingbill D. Androgen metabolism in sebaceous glands from subjects with and without acne Arch. Dermatol. 1999 135 1041 1045 10490108
- [21]Cappel M. Mauger D. Thiboutot D. Correlation between serum levels of insulin-like growth factor 1, dehydroepiandrosterone sulfate, and dihydrotestosterone and acne lesion counts in adult women Arch. Dermatol. 2005 141 333 338 15781674 10.1001/archderm.141.3.333 · DOI · Paper page
- [22]Downing D.T. Stewart M.E. Wertz P.W. Strauss J.S. Essential fatty acids and acne J. Am. Acad. Dermatol. 1986 14 221 225 2936775
- [23]Katsuta Y. Iida T. Inomata S. Denda M. Unsaturated fatty acids induce calcium influx into keratinocytes and cause abnormal differentiation of epidermis J. Invest. Dermatol. 2005 124 1008 1013 15854043
- [24]Smith K.R. Thiboutot D.M. Thematic review series: skin lipids. Sebaceous gland lipids: friend or foe? J. Lipid. Res. 2008 49 271 281 17975220
- [25]Bowen J. Noakes M. Trenerry C. Clifton P.M. Energy intake, ghrelin, and cholecystokinin after different carbohydrate and protein preloads in overweight men J. Clin. Endocrinol. Metab. 2006 91 1477 1483 16434457 10.1210/jc.2005-1856 · DOI
- [26]Rigaud D. Ryttig K.R. Leeds A.R. Bard D. Apfelbaum M. Effects of a moderate dietary fibre supplement on hunger rating, energy input and faecal energy output in young, healthy volunteers. A randomized, double-blind, cross-over trial Int. J. Obes. 1987 11 73 78 Suppl. 1 3032828
- [27]Chandalia M. Garg A. Lutjohann D. von Bergmann K. Grundy S.M. Brinkley L.J. Beneficial effects of high dietary fiber intake in patients with type 2 diabetes mellitus N. Engl. J. Med. 2000 342 1392 1398 10805824
- [28]Frid A.H. Nilsson M. Holst J.J. Björck I.M. Effect of whey on blood glucose and insulin responses to composite breakfast and lunch meals in type 2 diabetic subjects Am. J. Clin. Nutr. 2005 82 69 75 16002802
- [29]Brand-Miller J.C. Liu V. Petocz P. Baxter R.C. The glycemic index of foods influences postprandial insulin-like growth factor-binding protein responses in lean young subjects Am. J. Clin. Nutr. 2005 82 350 354 16087978
- [30]Slayden S.M. Moran C. Sams W.M. Jr. Boots L.R. Azziz R. Hyperandrogenemia in patients presenting with acne Fertil. Steril. 2001 75 889 892 11334899
- [31]Lucky A.W. Biro F.M. Huster G.A. Leach A.D. Morrison J.A. Ratterman J. Acne vulgaris in premenarchal girls. An early sign of puberty associated with rising levels of dehydroepiandrosterone Arch. Dermatol. 1994 130 308 314 8129408
- [32]Berrino F. Bellati C. Secreto G. Camerini E. Pala V. Panico S. Allegro G. Kaaks R. Reducing bioavailable sex hormones through a comprehensive change in diet: the diet and androgens (DIANA) randomized trial Cancer Epidemiol. Biomarkers Prev. 2001 10 25 33 11205485
- [33]Brand-Miller J. Hayne S. Petocz P. Colagiuri S. Low-glycemic index diets in the management of diabetes: a meta-analysis of randomized controlled trials Diabetes Care 2003 26 2261 2267 12882846
- [34]Yosipovitch G. Tang M. Dawn A.G. Chen M. Goh C.L. Huak Y. Seng L.F. Study of psychological stress, sebum production and acne vulgaris in adolescents Acta Derm. Venereol. 2008 87 135 139 17340019
- [35]Zouboulis C.C. Böhm M. Neuroendocrine regulation of sebocytes—a pathogenetic link between stress and acne Exp. Dermatol. 2004 13 31 35 Suppl. 4 15507110
- [36]Cordain L. Lindeberg S. Hurtado M. Hill K. Eaton S.B. Brand-Miller J. Acne vulgaris: a disease of Western civilization Arch. Dermatol. 2001 138 1584 1590 12472346
- [37]Calder P.C. Dietary modification of inflammation with lipids Proc. Nutr. Soc. 2002 61 345 358 12296294
- [38]Li Y. Seifert M.F. Ney D.M. Grahn M. Grant A.L. Allen K.G. Watkins B.A. Dietary conjugated linoleic acids alter serum IGF-I and IGF binding protein concentrations and reduce bone formation in rats fed (n-6) or (n-3) fatty acids J. Bone Miner. Res. 1999 14 1153 1162 10404015
- [39]Bhathena S.J. Berlin E. Judd J.T. Kim Y.C. Law J.S. Bhagavan H.N. Ballard-Barbash R. Nair P.P. Effects of omega 3 fatty acids and vitamin E on hormones involved in carbohydrate and lipid metabolism in men Am. J. Clin. Nutr. 1991 54 684 688 1832814
- [40]Reichrath J. Vitamin D and the skin: an ancient friend, revisited Exp. Dermatol. 2007 16 618 625 17576242
- [41]Adebamowo C.A. Spiegelman D. Danby F.W. Frazier A.L. Willett W.C. Holmes M.D. High school dietary dairy intake and teenage acne J. Am. Acad. Dermatol. 2005 52 207 214 15692464
Cited by
Sorted by citations
Guidelines of care for the management of acne vulgaris
Reynolds, R. V., Yeung, H., Cheng, C. E., Cook-Bolden, F., Desai, S. R., Druby, K. M., Freeman, E. E., Keri, J. E., Stein Gold, L. F., Tan, J. K. L., et al. (2024) · Journal of the American Academy of Dermatology · doi:10.1016/j.jaad.2023.12.017 · Cited by 518 · see citing works
Self-citationKwon, H., Yoon, J., Hong, J., Jung, J., Park, M., & Suh, D. (2012) · Acta Dermato Venereologica · doi:10.2340/00015555-1346 · Cited by 157 · see citing works
Diet and acne: A systematic review
Meixiong, J., Ricco, C., Vasavda, C., & Ho, B. K. (2022) · JAAD International · doi:10.1016/j.jdin.2022.02.012 · Cited by 108 · see citing works
Acne: The role of medical nutrition therapy
Burris, J., Rietkerk, W., & Woolf, K. (2013) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2012.11.016 · Cited by 82 · see citing works
- Authors
- Reynolds, R. C., Lee, S., Choi, J. Y. J., Atkinson, F. S., Stockmann, K. S., Petocz, P., & Brand-Miller, J. C.
- Affiliations
- The University of Sydney (AU)
- Macquarie University (AU)
- Corresponding author
- Reynolds, Rebecca C.
- Venue
- Nutrients
- Publisher
- MDPI AG
- Published
- 2010-10-18
- Volume
- 2
- Issue
- 10
- Pages
- 1060-1072
- ISSN
- 2072-6643 (ISSN-L)
- PMC
- PMC3257617
- OpenAlex
- W2124194755
- Cited by
- 64
- References
- 1
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 6 · 2023: 3 · 2022: 4 · 2021: 3 · 2020: 3 · 2019: 4 · 2018: 9 · 2017: 1 · 2016: 6 · 2015: 4 · 2014: 7 · 2013: 4 · 2012: 2
- FWCI
- 2.93
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Nutrients (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- UNSWorks (University of New South Wales, Sydney, Australia) (submittedVersion, cc-by-nc-nd)
- UNSWorks (UNSW Sydney) (submittedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Topics
- Health Sciences › Medicine › Dermatology › Acne and Rosacea Treatments and Effects
- Health Sciences › Medicine › Reproductive Medicine › Ovarian function and disorders
- Health Sciences › Medicine › Dermatology › Dermatology and Skin Diseases
- Keywords
- acne, glycemic index, low glycemic index diet, insulin sensitivity, insulin resistance, adolescent boys, dietary carbohydrates, androgens, insulin-like growth factor I, inflammatory acne lesions, glycemic load
- MeSH terms
- Acne Vulgaris, Adolescent, Diet, Dietary Carbohydrates, Humans, Insulin Resistance, Male, Glycemic Index
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