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| nutrition | ARTICLE


TheeffecT of DieT anDnuTriTion


onThe Skin


Howard A. Epstein reviews the literature and evidence available to reveal the impact that nutrition can have on the overall health of the skin, and especially with regard to ageing


ABSTRACT There is a great deal of epidemiologic evidence in the literature, which reveals the correlation between a higher intake of certain foods—including fruits, vegetables, legumes, and other antioxidant-containing foods—with a lower incidence of skin wrinkling. Clinical evidence also supports the benefits of foods containing antioxidants. This article aims to review of variety of clinical studies which suggest that the health benefits of nutrition are not directly related to antioxidant activity. Indeed, the link between malnutrition, vitamin deficiency, and the appearance of the skin is well established, and the correct choice of nutrients can help to improve skin appearance and general health by preventing disorders, such as wrinkles, uneven skin tone, and atopic dermatitis.


I


n 1775 sCuRvy, A dEfICIEnCy of vITAmIn C, was described as a disease, which exhibited a change in facial skin colour to a pale and bloated complexion, accompanied by bleeding of the gums; spots appear on the skin, ultimately developing into large blotches which ulcerate1


origin to the browning of vegetable matter on bruising or cutting. Szent-Györgyi observed that just before the Addison’s disease patient’s life is extinguished, there appears a brown pigmentation, similar to that of certain fruits (apples, pears, bananas, etc), which in withering assumes a brown colour1


. He hypothesised that the cause


of this colour was from a compound in the adrenal gland which undergoes an alternate oxidation and reduction reaction that functions as a hydrogen carrier. isolated from the adrenal gland was a novel sugar identified as hexuronic acid. A similar substance was also isolated from oranges and a range of vegetables. in 1932 there was a simultaneous discovery in Hungary and the united States that this substance would cure the scurvy of guinea pigs. the name of the substance was changed to ascorbic acid1


. in 1902 a disease occurred in the united States that .


The juices of oranges, lemons and limes were found to cure the disease. Scurvy resurfaced during the 1848 California Gold


rush and 1854 Siege of Paris, when in both cases fruit and vegetables were not available for consumption1


. Scurvy


was not connected with the lack of an essential dietary component until 1907. At that time, Axel Holst discovered that guinea pigs on a restricted diet of grain — without fruit or vegetables — developed symptoms similar to human scurvy. the symptoms disappeared when the animals were fed fruit or green vegetables. in 1928, Albert Szent-Györgyi, a research-oriented


physician, was investigating oxidative reactions. inspired by the observation that the bronzing or darkening of a patient’s skin with Addison’s disease might have a similar


became epidemic in states south of the Potomac and ohio rivers. three million cases were reported, with typical symptoms being a spectrum of cutaneous lesions. the disease became known as pellagra. in 1927, after 13 years of research, Joseph Goldberger convinced the American red Cross to distribute dried yeast to Mississippi flood victims, preventing a further outbreak of the disease. it was later determined that nicotinic acid and its derivatives were the effective agents in yeast. niacinamide, a derivative of nicotinic acid, is an essential constituent of the oxidoreduction of the coenzyme constituent nicotinamide adenine dinucleotide (nAD+


)


and nicotinamide adenine dinucleotide phosphate (nADP+


). During cell metabolism, nAD+ is reduced to


nADH in the mitochondria of the cell. it is believed that aged fibroblasts have reduced nicotinamide coenzymes, resulting in decreased collagen production. increased


KEYWORDS antioxidants, diet, nutrition, skin, UV-mediated immunosuppression, gene expression


prime-journal.com | September 2011 ❚ 47


email: howard.epstein@ merckgroup.com


HOWARD A. EPSTEINPhD is Director of Technology and Business Development at EMD Chemicals Inc., an affiliate of Merck KGaA. He holds a doctorate in pharmacognasy.


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