ArticleFrontiers in public health2026
The cumulative effect of multiple high-sugar and high-fat dietary patterns on acne vulgaris in school aged children: a cross-sectional study in Shanghai.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: Acne vulgaris is highly prevalent among adolescents, and diet is considered a significant modifiable associated factor. However, evidence regarding the association between popular modern beverages and adolescent acne remains limited. This study aimed to investigate the prevalence of acne and to explore the influence of the cumulative effect of multiple high-sugar and high-fat dietary patterns on acne vulgaris in school aged children in Shanghai. Methods: A cross-sectional study was conducted in 2025 in shanghai, involving 1,299 students (aged 11-16 years) among five junior high schools. Data were collected via questionnaires and onsite clinical skin examinations. A Dietary Exposure Index (DEI), ranging from 0 to 5, based on the cumulative score of five dietary items, was constructed to quantify dietary exposure to high-sugar and high-fat patterns. Statistical analyses included univariate analysis and multivariate logistic regression, and a Results: The overall prevalence of acne was 64.43% ( Conclusion: Consumption of sugar-sweetened beverages, milk tea, and coffee was associated with an increased risk of adolescent acne, and cumulative exposure to high-sugar and high-fat dietary items significantly strengthened this association. Dietary intervention strategies targeting dietary patterns in younger adolescents is important for acne prevention.
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