Nilesh Veer | Maharastra University Of Health Sciences (original) (raw)

Conference Presentations by Nilesh Veer

Research paper thumbnail of Acne: The Role of Medical Nutrition Therapy

Jennifer Burris, MS, RD; William Rietkerk, MD, MBA; Kathleen Woolf, PhD, RD, FACSM, 2013

A CNE IS RELATIVELY COMMON DISEASE, AFFECTING more than 17 million Americans and approximately 80... more A CNE IS RELATIVELY COMMON DISEASE, AFFECTING more than 17 million Americans and approximately 80% to 90% of American adolescents. 1 Although acne incidence peaks during adolescence, the condition frequently continues into adulthood with the mean age of treatment approximately 24 years of age. 2 Although stereotypes suggest acne is a trivial, self-limiting, cosmetic disorder, acne is not an insignificant problem. 3 The social, psychological , and emotional effects are reported to be similar to patients diagnosed with asthma, arthritis, epilepsy, and diabetes. 4 Acne has substantial effects on quality of life, including social withdrawal, anxiety, and depression, making treatment important. 5,6 The role of medical nutrition therapy (MNT) to help manage acne is not new. Early research reported an association between diet and acne, particularly chocolate, sugar, and fat. 7,8 Consequently, health care providers routinely restricted these foods as a part of acne treatment. 9 However, during the latter half of the 20th century, diet was not believed to play a role in acne development. This change occurred because of the results of two important research studies that are repeatedly cited in the literature and popular culture as evidence to refute the association between diet and acne. 10,11 More recently , dermatologists and registered dietitians have revisited the diet-acne relationship and become increasingly interested in the role of MNT in acne treatment. This reversal is based on several thought-provoking studies examining the role of diet and acne, and on relatively new evidence elucidating the influence of diet on the endocrine and immune responses involved in acne pathogenesis. Thus, the history of diet and acne can be categorized in three distinct phases: early history, the rise of the diet-acne myth, and recent research. The purpose of this review is to review these phases to evaluate the evidence for diet and acne. We conducted a literature search between January 1, 2012, and July 1, 2012, using PubMed MeSH terms Acne Vulgaris and Diet or Nutrition Therapy or Glycemic Index or Dairy Products or Milk or Fatty Acids, Omega-3 or Dietary Fats. The search was limited to human research published in the English language. Articles were excluded if the primary intervention included a vitamin, mineral, or herbal supplement. Research design was not a reason for exclusion, due to the high number of studies with methodologic limitations, small sample sizes, unclear or ABSTRACT Acne is a common disease in Westernized nations, particularly among adolescents and young adults. Acne has substantial effects on quality of life, making treatment essential. Medical nutrition therapy as a potential treatment for acne is not new, although the literature examining diet and acne during the past 100 years is mixed. During the late 1800s and early 1900s, diet was commonly used as an adjunct treatment for acne. During the 1960s, however, the diet-acne connection fell out of favor. In recent years, dermatologists and registered dietitians have revisited the idea and become increasingly interested in the role of medical nutrition therapy in acne treatment. This article reviews the history and existing literature examining the association between diet and acne. Although the total number of studies conducted within the past 40 years is relatively small, the growing body of epidemiologic and experimental evidence suggests a relationship between diet and acne. Compared with other dietary factors, more research examines dietary glycemic load. The evidence is more convincing for high glycemic load diets, compared with other dietary factors. To date there are no randomized controlled trials investigating the relationship between frequent dairy or milk consumption and acne. Similarly, the number of research studies examining the relationship between dietary fat and/or n-3 fatty acids is sparse and the evidence is less robust. Taken together, several methodologic limitations need to be addressed, and additional research, preferably randomized controlled trials, is warranted before comprehensive evidence-based guidelines can be established. While dermatologists and registered dietitians continue to debate and research the potential relationship between diet and acne, the best dietary approach is to address each acne patient individually, carefully considering the possibility of dietary counseling.

Research paper thumbnail of Acne: The Role of Medical Nutrition Therapy

Jennifer Burris, MS, RD; William Rietkerk, MD, MBA; Kathleen Woolf, PhD, RD, FACSM, 2013

A CNE IS RELATIVELY COMMON DISEASE, AFFECTING more than 17 million Americans and approximately 80... more A CNE IS RELATIVELY COMMON DISEASE, AFFECTING more than 17 million Americans and approximately 80% to 90% of American adolescents. 1 Although acne incidence peaks during adolescence, the condition frequently continues into adulthood with the mean age of treatment approximately 24 years of age. 2 Although stereotypes suggest acne is a trivial, self-limiting, cosmetic disorder, acne is not an insignificant problem. 3 The social, psychological , and emotional effects are reported to be similar to patients diagnosed with asthma, arthritis, epilepsy, and diabetes. 4 Acne has substantial effects on quality of life, including social withdrawal, anxiety, and depression, making treatment important. 5,6 The role of medical nutrition therapy (MNT) to help manage acne is not new. Early research reported an association between diet and acne, particularly chocolate, sugar, and fat. 7,8 Consequently, health care providers routinely restricted these foods as a part of acne treatment. 9 However, during the latter half of the 20th century, diet was not believed to play a role in acne development. This change occurred because of the results of two important research studies that are repeatedly cited in the literature and popular culture as evidence to refute the association between diet and acne. 10,11 More recently , dermatologists and registered dietitians have revisited the diet-acne relationship and become increasingly interested in the role of MNT in acne treatment. This reversal is based on several thought-provoking studies examining the role of diet and acne, and on relatively new evidence elucidating the influence of diet on the endocrine and immune responses involved in acne pathogenesis. Thus, the history of diet and acne can be categorized in three distinct phases: early history, the rise of the diet-acne myth, and recent research. The purpose of this review is to review these phases to evaluate the evidence for diet and acne. We conducted a literature search between January 1, 2012, and July 1, 2012, using PubMed MeSH terms Acne Vulgaris and Diet or Nutrition Therapy or Glycemic Index or Dairy Products or Milk or Fatty Acids, Omega-3 or Dietary Fats. The search was limited to human research published in the English language. Articles were excluded if the primary intervention included a vitamin, mineral, or herbal supplement. Research design was not a reason for exclusion, due to the high number of studies with methodologic limitations, small sample sizes, unclear or ABSTRACT Acne is a common disease in Westernized nations, particularly among adolescents and young adults. Acne has substantial effects on quality of life, making treatment essential. Medical nutrition therapy as a potential treatment for acne is not new, although the literature examining diet and acne during the past 100 years is mixed. During the late 1800s and early 1900s, diet was commonly used as an adjunct treatment for acne. During the 1960s, however, the diet-acne connection fell out of favor. In recent years, dermatologists and registered dietitians have revisited the idea and become increasingly interested in the role of medical nutrition therapy in acne treatment. This article reviews the history and existing literature examining the association between diet and acne. Although the total number of studies conducted within the past 40 years is relatively small, the growing body of epidemiologic and experimental evidence suggests a relationship between diet and acne. Compared with other dietary factors, more research examines dietary glycemic load. The evidence is more convincing for high glycemic load diets, compared with other dietary factors. To date there are no randomized controlled trials investigating the relationship between frequent dairy or milk consumption and acne. Similarly, the number of research studies examining the relationship between dietary fat and/or n-3 fatty acids is sparse and the evidence is less robust. Taken together, several methodologic limitations need to be addressed, and additional research, preferably randomized controlled trials, is warranted before comprehensive evidence-based guidelines can be established. While dermatologists and registered dietitians continue to debate and research the potential relationship between diet and acne, the best dietary approach is to address each acne patient individually, carefully considering the possibility of dietary counseling.