Association between smoking habits and acne. A case-control study and a systematic review and meta-analysis

<p><strong>Background: </strong>Smoke increases the development of many diseases. Previous studies about its role in the pathogenesis of acne shows contradictory results.</p><p><strong>Methods:</strong> A questionnaire was administrated to each participant,...

Full description

Saved in:
Bibliographic Details
Main Authors: Alice Mannocci, Leda Semyonov, Rosella Saulle, Nevena Skroza, Concetta Potenza, Ersilia Tolino, Antonio Boccia, Giuseppe La Torre
Format: Article
Language:English
Published: Milano University Press 2015-02-01
Series:Epidemiology, Biostatistics and Public Health
Online Access:http://ebph.it/article/view/10987
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849738600991686656
author Alice Mannocci
Leda Semyonov
Rosella Saulle
Nevena Skroza
Concetta Potenza
Ersilia Tolino
Antonio Boccia
Giuseppe La Torre
author_facet Alice Mannocci
Leda Semyonov
Rosella Saulle
Nevena Skroza
Concetta Potenza
Ersilia Tolino
Antonio Boccia
Giuseppe La Torre
author_sort Alice Mannocci
collection DOAJ
description <p><strong>Background: </strong>Smoke increases the development of many diseases. Previous studies about its role in the pathogenesis of acne shows contradictory results.</p><p><strong>Methods:</strong> A questionnaire was administrated to each participant, to assess the association acne - smoke. <strong>For the systematic review, a</strong> bibliographic search on electronic databases was performed (Pubmed, Scopus and Google Scholar). Only case-control studies in English-language from 1966 to 2010 were included. All publications were analyzed by two researchers. Data regarded acneic patients in current and never smokers. Quality assessment was performed using a score for observational study.</p><p><strong>Results:</strong> Of 93 cases of the case-control study, 6 patients had severe acne, 19 moderate acne and 68 had a mild acne, according to classification of Global Alliance to improve outcomes in acne. No one of the smokers had severe acne, only one smoker had moderate acne and 11 had mild acne. Systematic review considered five population studies. First meta-analysis, with all investigations, showed a OR=2.03 (95% CI: 0.63–6.58). The sensitivity analyses include meta-analyses stratified by gender, and quality (score&gt;6). Results for males were: OR=1.89 (95%CI:1.25-2.87); for female OR=1.84 (95%CI:0.36-9.51). The analysis using quality score reported OR=3.48, (95%CI: 1.58-7.68).</p><p><strong>Conclusions: </strong>In conclusions, smokers have higher risk to develop acne, especially males. Conclusions are not robust, because of heterogeneity definitions of smokers and acne grading.</p><p><strong>Keywords: </strong>Acne; Smoke; Tobacco; Nicotine; Cigarettes.</p>
format Article
id doaj-art-ee3ae7df13f04bb2b9da5d79c037aae0
institution DOAJ
issn 2282-0930
language English
publishDate 2015-02-01
publisher Milano University Press
record_format Article
series Epidemiology, Biostatistics and Public Health
spelling doaj-art-ee3ae7df13f04bb2b9da5d79c037aae02025-08-20T03:06:31ZengMilano University PressEpidemiology, Biostatistics and Public Health2282-09302015-02-0112110.2427/1098710353Association between smoking habits and acne. A case-control study and a systematic review and meta-analysisAlice Mannocci0Leda Semyonov1Rosella Saulle2Nevena Skroza3Concetta Potenza4Ersilia Tolino5Antonio Boccia6Giuseppe La Torre7Clinical Medicine and Public Health, Department of Public Health and Infectious Diseases, Sapienza University of RomeClinical Medicine and Public Health, Department of Public Health and Infectious Diseases, Sapienza University of RomeClinical Medicine and Public Health, Department of Public Health and Infectious Diseases, Sapienza University of RomeDermatology Unit “D. Innocenzi”, Polo Pontino, Sapienza University of RomeDermatology Unit “D. Innocenzi”, Polo Pontino, Sapienza University of RomeDermatology Unit “D. Innocenzi”, Polo Pontino, Sapienza University of RomeClinical Medicine and Public Health, Department of Public Health and Infectious Diseases, Sapienza University of RomeClinical Medicine and Public Health, Department of Public Health and Infectious Diseases, Sapienza University of Rome<p><strong>Background: </strong>Smoke increases the development of many diseases. Previous studies about its role in the pathogenesis of acne shows contradictory results.</p><p><strong>Methods:</strong> A questionnaire was administrated to each participant, to assess the association acne - smoke. <strong>For the systematic review, a</strong> bibliographic search on electronic databases was performed (Pubmed, Scopus and Google Scholar). Only case-control studies in English-language from 1966 to 2010 were included. All publications were analyzed by two researchers. Data regarded acneic patients in current and never smokers. Quality assessment was performed using a score for observational study.</p><p><strong>Results:</strong> Of 93 cases of the case-control study, 6 patients had severe acne, 19 moderate acne and 68 had a mild acne, according to classification of Global Alliance to improve outcomes in acne. No one of the smokers had severe acne, only one smoker had moderate acne and 11 had mild acne. Systematic review considered five population studies. First meta-analysis, with all investigations, showed a OR=2.03 (95% CI: 0.63–6.58). The sensitivity analyses include meta-analyses stratified by gender, and quality (score&gt;6). Results for males were: OR=1.89 (95%CI:1.25-2.87); for female OR=1.84 (95%CI:0.36-9.51). The analysis using quality score reported OR=3.48, (95%CI: 1.58-7.68).</p><p><strong>Conclusions: </strong>In conclusions, smokers have higher risk to develop acne, especially males. Conclusions are not robust, because of heterogeneity definitions of smokers and acne grading.</p><p><strong>Keywords: </strong>Acne; Smoke; Tobacco; Nicotine; Cigarettes.</p>http://ebph.it/article/view/10987
spellingShingle Alice Mannocci
Leda Semyonov
Rosella Saulle
Nevena Skroza
Concetta Potenza
Ersilia Tolino
Antonio Boccia
Giuseppe La Torre
Association between smoking habits and acne. A case-control study and a systematic review and meta-analysis
Epidemiology, Biostatistics and Public Health
title Association between smoking habits and acne. A case-control study and a systematic review and meta-analysis
title_full Association between smoking habits and acne. A case-control study and a systematic review and meta-analysis
title_fullStr Association between smoking habits and acne. A case-control study and a systematic review and meta-analysis
title_full_unstemmed Association between smoking habits and acne. A case-control study and a systematic review and meta-analysis
title_short Association between smoking habits and acne. A case-control study and a systematic review and meta-analysis
title_sort association between smoking habits and acne a case control study and a systematic review and meta analysis
url http://ebph.it/article/view/10987
work_keys_str_mv AT alicemannocci associationbetweensmokinghabitsandacneacasecontrolstudyandasystematicreviewandmetaanalysis
AT ledasemyonov associationbetweensmokinghabitsandacneacasecontrolstudyandasystematicreviewandmetaanalysis
AT rosellasaulle associationbetweensmokinghabitsandacneacasecontrolstudyandasystematicreviewandmetaanalysis
AT nevenaskroza associationbetweensmokinghabitsandacneacasecontrolstudyandasystematicreviewandmetaanalysis
AT concettapotenza associationbetweensmokinghabitsandacneacasecontrolstudyandasystematicreviewandmetaanalysis
AT ersiliatolino associationbetweensmokinghabitsandacneacasecontrolstudyandasystematicreviewandmetaanalysis
AT antonioboccia associationbetweensmokinghabitsandacneacasecontrolstudyandasystematicreviewandmetaanalysis
AT giuseppelatorre associationbetweensmokinghabitsandacneacasecontrolstudyandasystematicreviewandmetaanalysis