Did you know that not only genes influence the health of your skin? Environmental elements such as solar radiation, pollution levels, daily routines and even what you eat, can shape the condition of your skin. To encompass all non-genetic factors that influence the health of individuals, the term exposome is used. But, How the exposome influences the skin?
The exposome covers all the exposures that individuals will receive throughout their life. As we have mentioned previously, it is everything that can influence the health of the individuals that is not determined by genes.
In the case of the skin, there have been identified 7 external factors as the most influential for its health:
- Solar radiation
- Air pollution
- Lack of sleep
1. Solar radiation
Radiation from the sun has a direct effect on the skin. Solar radiation is divided into ultraviolet radiation (UV A that reaches the dermis and UV B that stays in the epidermis). In addition to visible and infrared radiation (IRA, IRB and IRC, of which only IRA penetrates the skin).
We talked about the effects of different radiation on the skin a few months ago in this post. However, in addition to sunburn, solar radiation has long-term effects. In this sense, solar radiation accelerates skin aging in a process called photoaging, which we talked about in a previous post.
Image by marek-piwnicki from Pexels
2. Air pollution
Several studies have linked aging skin to increased air pollution. Thus, in an epidemiological study carried out in elderly Caucasian women, the existence of a relationship between exposure to airborne particles from traffic was established with skin aging . On the other hand, a study, comparing the effects of pollution between urban and rural populations, determined that contact with elements from fossil fuels influences skin aging .
In addition to airborne particles, nitrogen dioxide and ozone influence the skin. Thus, nitrogen dioxide is related to an increase in skin blemishes [2, 3], while ozone is related to the formation of wrinkles on the face  due to its oxidizing action on the stratum corneum. .
In a similar way as pollution does, the compounds in tobacco can induce wrinkles and blemishes on the face. Smoking seems to influence the colour of the skin, reducing its shine. However, this effect appears to be reversible as skin colour can return to its normal tone when smoking cessation .
It is not a myth that smokers appear older. Studies in twin siblings have linked smoking to greater skin laxity. In fact, smokers among twin pairs who have smoked for an average of 10 years have been estimated to look 2.5 years longer than their brothers or sisters . The mechanisms by which tobacco appears to induce skin aging appear to be related to increased oxidative stress, decreased fibroblast proliferation, and decomposition of the extracellular matrix [8,9].
A nutritionally deficient diet seems to be behind some processes that accelerate the aging process of the skin. Specifically, excessive alcohol consumption (≥8 alcoholic drinks per week) is associated with increased upper facial lines, puffiness under the eyes, and loss of volume in the midface .
Likewise, a high consumption of fats and sugars is related, in turn, to an increase in skin aging by increasing oxidative stress and inflammatory damage .
Infrared radiation from the sun raises skin temperatures from its optimum 33ºC to 40ºC. This increase stimulates the recruitment of inflammatory cells to the skin, causing DNA damage due to oxidative stress .
The effect of high temperatures on the skin can be observed in the arms of bakers and the faces of glassblowers, both professions related to constant exposure to high temperatures, and whose skin has been aged more than that of the rest of the body [ 13].
Image by Ebonyhawk66 from Pixabay
The integrity of the skin is reduced by high levels of stress. In this sense, it has been proven that chronic stress, through the action of cortisol, catecholamines and neuropeptides, causes a dysfunction of the immune system, which increases oxidative stress and damages the DNA in the skin. All these elements participate in the aging process of the skin . At the same time, stress reduces permeability and induces the deterioration of the barrier function, reducing its ability to recover [15, 16].
Finally, stress can exacerbate some conditions such as atopic skin or increased hair loss. Details on how stress influences skin quality and homeostasis can be found in this post.
7. Lack of sleep
Circadian rhythms affect the proper maintenance of the skin. Thus, when these rhythms are altered, there is a reduction in hair precursor cells and the regenerative properties of the skin, which contributes to aging .
In this way, it has been seen that women who sleep less than 5 hours a day present greater signs of intrinsic aging , characterised by increased bags under the eyes, puffiness, dark circles, paleness, increased wrinkles and corners of the eyes .
Image by Cottonbro from Pexels
Influence of the exposome on skin conditions
Atopic dermatitis is a chronic inflammatory disease with a genetic, inflammatory and environmental component. Among the external factors that make up the exposome and influence the appearance and maintenance of atopic dermatitis are environmental pollution, water quality, solar radiation, humidity and temperature of the environment .
The prevalence of atopic dermatitis is much higher in the paediatric population than in the adult. In fact, 90% of people with atopic dermatitis develop it in the first 5 years of life . In this sense, there is some evidence that relates maternal smoking during pregnancy and postnatal tobacco exposure with the incidence of atopic dermatitis in children. Since children exposed prenatally to airborne particles, benzene, nitrogenous compounds, and tobacco smoke are at increased risk of developing atopic dermatitis .
Acne is caused by an inflammation of the pilosebaceous follicles most often during adolescence, but also occurs in adulthood. Of the 7 external factors of the exposome, nutrition is considered the most important for the development of acne.
In this way, it has been seen how foods such as hyperglycaemic carbohydrates or skim milk, are considered acne triggers. Also, dietary supplements rich in leucine can induce and aggravate acne .
Therefore, to take care of the skin, it is not enough to hydrate it. A good diet, resting the necessary hours at night, protecting yourself from the sun, reducing stress and avoiding tobacco consumption are other elements to consider in daily skin care.
- Vierkötter, T. Schikowski, U. Ranft, D. Sugiri, M. Matsui, U. Krämer, J. Krutmann, Airborne particle exposure and extrinsic skin aging, J. Invest. Dermatol. 130 (12) (2010) 2719–2726.
- Li, A. Vierkötter, T. Schikowski, A. Hüls, A. Ding, M.S. Matsui, B. Deng, C. Ma, A. Ren, J. Zhang, J. Tan, Y. Yang, L. Jin, J. Krutmann, Z. Li, S. Wang, Epidemiological evidence that indoor air pollution from cooking with solid fuels accelerates skin aging in Chinese women, J. Dermatol. Sci. 79 (2) (2015) 148–154.
- Hüls, A. Vierkötter, W. Gao, U. Krämer, Y. Yang, A. Ding, S. Stolz, M. Matsui, H. Kan, S. Wang, L. Jin, J. Krutmann, T. Schikowski, Traffic-related air pollution contributes to development of facial lentigines: further epidemiological evidence from Caucasians and Asians, J. Invest. Dermatol. 136 (5) (2016) 1053–1056.
- Hüls, T. Schikowski, U. Krämer, D. Sugiri, S. Stolz, A. Vierkoetter, J. Krutmann, Ozone exposure and extrinsic skin aging: results from the SALIA cohort, J. Invest. Dermatol. 135 (2015) 286 (S49, Abstract).
- J. Thiele, M.G. Traber, T.G. Polefka, C.E. Cross, L. Packer, Ozone-exposure depletes vitamin E and induces lipid peroxidation in murine stratum corneum, J. Invest. Dermatol. 108 (5) (1997) 753–757.
- Ishiwata, K. Seyama, T. Hirao, K. Shimada, Y. Morio, K. Miura, A. Kume, H. Takagi, K. Takahashi, Improvement in skin color achieved by smoking cessation, Int. J. Cosmet. Sci. 35 (2) (2013) 191–195.
- J. Rowe, B. Guyuron, Environmental and genetic factors in facial aging in twins, in: M.A. Farage, K.W. Miller, H.I. Maibach (Eds.), Textbook of Aging Skin, Springer Berlin, Heidelberg, 2010, pp. 441–446.
- M. Prins, Y. Wang, Quantitative proteomic analysis revealed N’-nitrosonornicotine-induced down-regulation of nonmuscle myosin II and reduced cell migration in cultured human skin fibroblast cells, J. Proteome Res. 12 (3) (2013) 1282–1288.
- Y. Yang, C.L. Zhang, X.C. Liu, G. Qian, D.Q. Deng, Effects of cigarette smoke extracts on the growth and senescence of skin fibroblasts in vitro, Int. J. Biol. Sci. 9 (6) (2013) 613–623.
- Goodman, G. D., Kaufman, J., Day, D., Weiss, R., Kawata, A. K., Garcia, J. K., Santangelo, S., & Gallagher, C. J. (2019). Impact of Smoking and Alcohol Use on Facial Aging in Women: Results of a Large Multinational, Multiracial, Cross-sectional Survey. The Journal of clinical and aesthetic dermatology, 12(8), 28–39.
- Cao, C., Xiao, Z., Wu, Y., & Ge, C. (2020). Diet and Skin Aging-From the Perspective of Food Nutrition. Nutrients, 12(3), 870.
- Cho, M.H. Shin, Y.K. Kim, J.E. Seo, Y.M. Lee, C.H. Park, J.H. Chung, Effects of infrared radiation and heat on human skin aging in vivo, J. Investig. Dermatol. Symp. Proc. 14 (1) (2009) 15–19.
- Y. Seo, J.H. Chung, Thermal aging: a new concept of skin aging, J. Dermatol. Sci. 2 (1) (2006) S13–S22.
- H. Dunn, J. Koo, Psychological stress and skin aging: a review of possible mechanisms and potential therapies, Dermatol. Online J. 19 (6) (2013) 18561.
- Fukuda, S. Baba, T. Akasaka, Psychological stress has the potential to cause a decline in the epidermal permeability barrier function of the horny layer, Int. J. Cosmet. Sci. 37 (1) (2015) 63–69.
- Altemus, B. Rao, F.S. Dhabhar, W. Ding, R.D. Granstein, Stress-induced changes in skin barrier function in healthy women, J. Invest. Dermatol. 117 (2) (2001) 309–317.
- Deshayes N, Genty G, Berthelot F, Paris M. Human long-term deregulated circadian rhythm alters regenerative properties of skin and hair precursor cells. Eur J Dermatol. 2018 Aug 1;28(4):467-475.
- Oyetakin-White, A. Suggs, B. Koo, M.S. Matsui, D. Yarosh, K.D. Cooper, E.D. Baron, Does poor sleep quality affect skin ageing? Clin. Exp. Dermatol. 40 (1) (2015) 17–22.
- Sundelin, M. Lekander, G. Kecklund, E.J. Van Someren, A. Olsson, J. Axelsson, Cues of fatigue: effects of sleep deprivation on facial appearance, Sleep 36 (9) (2013) 1355–1360.
- Stefanovic, N., Flohr, C., & Irvine, A. D. (2020). The exposome in atopic dermatitis. Allergy, 75(1), 63–74.
- Pinson R, Sotoodian B, Fiorillo L. Psoriasis in children. Psoriasis (Auckl). 2016 Oct 20; 6:121-129.
- Yi O, Kwon H‐J, Kim HO, et al. Effect of environmental tobacco smoke on atopic dermatitis among children in Korea. Environ Res. 2012; 113:40‐45.
- Dréno B, Bettoli V, Araviiskaia E, Sanchez Viera M, Bouloc A. The influence of exposome on acne. J Eur Acad Dermatol Venereol. 2018 May;32(5):812-819.
Cover image Marek Piwnicki from Pexels