Introduction: Many studies suggest that dietary factors may significantly influence the development and severity of acne lesions. Objective: The aim of this study was to evaluate the effect of an anti-inflammatory diet on acne severity in patients with acne vulgaris. Methods: This study included 92 participants who followed an individualized dietary intervention tailored to their energy requirements. Acne severity was assessed at baseline and after four weeks of dietary intervention using the Investigator’s Static Global Assessment scale. Results: After four weeks, a reduction in acne severity was observed in 68 of 92 participants (73.91%). The mean acne severity score decreased from 3.3 ± 0.6 to 2.4 ± 0.7 points. The dietary intervention also resulted in statistically significant reductions in body weight (p < 0.0001), body mass index (p < 0.0001), fat mass (p < 0.0001), visceral fat (p = 0.0386), and metabolic age (p = 0.0004). Conclusions: The balanced diet characterized by a low glycemic index and anti-inflammatory properties, combined with reduced intake of saturated fatty acids, sugar, and salt, as well as the elimination of dairy products and highly processed and high glycemic index foods, presumably through the synergistic effect of all the components of the diet, was found to be effective in the reduction of acne severity in the study group. This study supports the feasibility of the applied dietary pattern and suggests possible benefit for patients with acne. Considering the promising results obtained in this study, further research conducted in larger patient populations would be valuable.
Daszkiewicz et al. (Wed,) studied this question.