Association Between Diet and Acne Severity: A Cross-sectional Study in Thai Adolescents and Adults


  • Katewadee Roengritthidet
  • Nanticha Kamanamool
  • Montree Udompataikul
  • Salinee Rojhirunsakool
  • Saranya Khunket
  • Silada Kanokrungsee Graduate school, Srinakharinwirot University, 114 Sukhumvit 21, Bangkok 10110, Thailand



acne, Asia, chocolate, diet, food


The association between diet and acne is of growing concern. Every country has its own food culture; however, only a few studies have surveyed the influence of Asian cuisine on acne. This study investigated the association between acne severity and diet/lifestyle factors in 2,467 Thai adolescents and adults. Data were collected via a validated semi-quantitative food frequency questionnaire. In Thai adolescents and adults, the prevalence of mild acne was 52%, moderate acne 22%, and severe acne 8%. No acne was found in 18% of participants. The dietary factors associated with increased severity of acne were consumption of chocolate >100 g/week (adjusted odds ratio (aOR) 1.29; 95% CI 1.07–1.56), oily and fried food >3 times/week (aOR 1.84; 95% CI 1.07–3.16) and white rice (aOR 1.80; 95% CI 1.24–2.63). Conversely, the factors associated with decreased severity of acne were consumption of sugar-free milk-free tea (aOR 0.61; 95% CI 0.43–0.87) and vegetables (aOR 0.74; 95% CI 0.62–0.89).


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How to Cite

Roengritthidet, K., Kamanamool, N., Udompataikul, M., Rojhirunsakool, S., Khunket, S., & Kanokrungsee, S. (2021). Association Between Diet and Acne Severity: A Cross-sectional Study in Thai Adolescents and Adults. Acta Dermato-Venereologica, 101(12), adv00611.