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33

FEATURE

Q&A with Sarah Cenac Jackson, M.D.

So howmany of us were told by our parents that if we ate potato chips, or greasy

foods, or pizza and chocolate, we would get pimples. We spoke to Dr. Sarah

Cenac Jackson to get her insights on food and skin.Here, Jackson dispels some of

the biggest myths of skin care. Hint: Potato chips do not cause acne.

How does what you eat affect your skin?

Most doctors would agree that a healthy diet and staying hydrated

is good for your entire body, and therefore good for your skin.There

is some compelling research suggesting you should avoid processed

sugar,enriched grains,and other high glycemic simple carbohydrates,

which may worsen acne. For your overall health, you should eat a

diet high in omegas, such as fish and flaxseed oil, and antioxidants,

such as vitamin C, vitamin E, vitamin B, zinc, selenium, which all

promote healthy immune function. Other antioxidants like fennel

and allicin (from garlic) are natural antiseptics, which can help acne

patients fight bacteria.

What can teenagers and their parents do about acne?

Heightened hormone levels and oil production often trigger

acne in teens. Teens require expert skin care to understand their

unique issues. We generally recommend a visit to a board-certified

dermatologist to evaluate their skin and create an action plan. A

general at-home skin care regimen should include washing their

face twice a day and applying an oil-free sunscreen. Sunscreen

seems silly, but the right one will not cause breakouts and will help

reduce scarring and pigmentation problems. There are also some

over-the-counter treatments like salicylic acid and benzoyl peroxide

that can help destroy bacteria and clean out pores. Parents’ biggest

mistake is waiting too long to call the doctor.

Is there any evidence that specific foods make

eczema symptoms flare?

Various foods have been linked to eczema flairs.

If your child has eaten certain foods and it

flared their eczema, they should avoid that

food. Some common foods that can trigger

eczema symptoms include cow’s milk, eggs,

soy, wheat, fish, and nuts. However, eczema

is usually more influenced by substances

you come into contact with and less what

you consume.  Common triggers are animal

dander and saliva (when a pet licks you),

scratchy clothes (such as wool), sweating a lot, soaps,

household cleaning products, fruit juices, dust, a cough,

cold or the flu.

Can you eat your way to younger looking skin?

I think everyone over the age of 35 wants this

answer.

I wish! Common wrinkles of the face and neck are

the result of these habitual contractions. That is why

botox is so popular — it stops that habitual contraction,

and therefore the wrinkling. Eating healthier is a

common recommendation for people looking to

reduce their risk of heart disease, cancer, diabetes and

other medical concerns. Diets high in vitamin C and

linoleic acid (which is found in certain types of oils) and low in

fat and carbohydrates are associated with fewer wrinkles and less

age-related dryness and skin thinning. Reducing sugar intake

may protect elastin and collagen molecules in the skin. Research

has shown that a diet high in sugar can damage these molecules,

leading to wrinkles and sagging skin.

A new growing body of research is evaluating whether certain

dietary changes can impact the skin by reducing the signs of aging

and improving some skin conditions. Nutricosmetics — the use of

nutrition or nutritional supplements for skin health and beauty —

is popular abroad and may be the next frontier for improving skin

health and beauty in the United States. We do know that wearing

sunscreen every single day is the number one way to prevent the

signs of aging!

How does water affect your skin?

Drinking an adequate amount of water daily is important for overall

good health because water aids in digestion, circulation, absorption

and even excretion. If your skin is not getting the sufficient amount

of water, the lack of hydration will present itself by turning your skin

dry, tight or flaky. Dry skin has less resilience and is more prone to

wrinkling.

As water is lost every day, you need to replace it somehow. The

unfortunate truth about water and skin is that water will reach all

the other organs before it reaches the skin. So it’s important to

apply water to our skin — this will not only show a visible difference

in hydration, but it can prevent wrinkles, as well.

Apply a hydrating moisturizer within 2 minutes of

leaving the bath or shower. The skin is still

porous and is vulnerable to products that

are applied following the bath or

shower, allowing better absorption.

Apply a product containing

hyaluronic acid prior to your

moisturizer. It will attract

water to the skin and

hold it there.

Eat Right

with Rouses

THE GLYCEMIC INDEX

“Researchers use a glycemic index to measure how much a carbohydrate-

containing food raises your blood sugars, or glucose levels. Each food is given a

value based on how fast or how slow the food raises your blood glucose levels. In

addition to the glycemic index, the glycemic load allows you to know how quickly

the food makes glucose enter the blood stream and how much glucose it will

deliver, providing a more accurate measurement. Per Harvard Medical School,

the glycemic load is determined by multiplying the grams of a carbohydrate in a

serving by the glycemic index, then dividing by 100. A glycemic load of 10 or below

is considered low; 20 or above is considered high.”

—Esther, Rouses Dietitian