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Improvement in skin color achieved by smoking cessation

Authors

  • T. Ishiwata,

    Corresponding author
    1. Division of Respiratory Medicine, Juntendo University School of Medicine, Tokyo, Japan
    • Smoking Cessation Clinic, Department of Internal Medicine, Juntendo University School of Medicine, Tokyo, Japan
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  • K. Seyama,

    1. Smoking Cessation Clinic, Department of Internal Medicine, Juntendo University School of Medicine, Tokyo, Japan
    2. Division of Respiratory Medicine, Juntendo University School of Medicine, Tokyo, Japan
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  • T. Hirao,

    1. Shiseido Research Center, Yokohama, Japan
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  • K. Shimada,

    1. Smoking Cessation Clinic, Department of Internal Medicine, Juntendo University School of Medicine, Tokyo, Japan
    2. Division of Cardiovascular Medicine, Juntendo University School of Medicine, Tokyo, Japan
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  • Y. Morio,

    1. Smoking Cessation Clinic, Department of Internal Medicine, Juntendo University School of Medicine, Tokyo, Japan
    2. Division of Respiratory Medicine, Juntendo University School of Medicine, Tokyo, Japan
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  • K. Miura,

    1. Smoking Cessation Clinic, Department of Internal Medicine, Juntendo University School of Medicine, Tokyo, Japan
    2. Division of Breast Clinic, Juntendo University School of Medicine, Tokyo, Japan
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  • A. Kume,

    1. Smoking Cessation Clinic, Department of Internal Medicine, Juntendo University School of Medicine, Tokyo, Japan
    2. Division of Cardiovascular Medicine, Juntendo University School of Medicine, Tokyo, Japan
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  • H. Takagi,

    1. Smoking Cessation Clinic, Department of Internal Medicine, Juntendo University School of Medicine, Tokyo, Japan
    2. Division of Respiratory Medicine, Juntendo University School of Medicine, Tokyo, Japan
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  • K. Takahashi

    1. Smoking Cessation Clinic, Department of Internal Medicine, Juntendo University School of Medicine, Tokyo, Japan
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Correspondence: Toshiji Ishiwata, M.D., Ph.D., Department of Respiratory Medicine, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-Ku, Tokyo 113-8421, Japan. Tel: +81-3-5802-1062; fax: +81-3-3817-0706, e-mail: watta@juntendo.ac.jp

Synopsis

It has been well known that habitual smoking accelerates premature skin ageing recognized as ‘smoker's face’. However, the effect of smoking cessation on the appearance of skin has not been elucidated. The aim of this study was to evaluate objectively the effect of smoking cessation on the skin's appearance. The stratum corneum carbonyl protein level and skin colour of the cheek and the hand were measured. The change before and during the smoking cessation treatment (0, 2, 4, 8 and 12 weeks), and the success or failure in smoking cessation, was compared and examined. Eighty-four cases who had smoking cessation treatment were examined. The level of the stratum corneum carbonyl protein did not show any difference comparing before and after treatment for the smoking cessation success group and the failure group. The lightness of skin colour showed an upward tendency 4–12 weeks after starting the treatment in the success group and increased significantly compared with the failure group. The redness showed a significant decrease in comparison with before the treatment, and it also showed a significant decrease compared with the failure group. The yellowness did not show any clear tendency. Also, the haemoglobin showed a decreased tendency. Furthermore, multivariate statistical analysis showed a possibility that the lightness and haemoglobin could be changed by smoking cessation treatment. In conclusion, our study showed that an upward tendency of skin lightness was seen to correspond with a haemoglobin decrease accompanied by smoking cessation. If we can easily measure skin improvement as an effect of smoking cessation, it is thought to be a useful aid for smoking cessation support.

Résumé

Il est bien connu que le tabagisme habituel accélère le vieillissement prématuré de la peau, reconnu comme “le visage du fumeur». Cependant, l'effet du sevrage tabagique sur l'apparencede la peau n'a pas été élucidé. Le but de cette étude était d'évaluer objectivement l'effet decessation du tabagisme sur l'apparence de la peau. La teneur du stratum corneum en protéines carbonylées et la couleur de peau de la joue et de la mainont été mesurées. Le changement, avant et pendant le traitement de désaccoutumance au tabac (0, 2, 4, 8, et12 semaines), et le succès ou l'échec dans le sevrage tabagique, ont été comparés et examinés.Quatre-vingt-quatre cas de fumeurs ayant suivi un traitement de désaccoutumance ont été examinés. Le niveau du degré de carbonylation des protéines de la couche cornée n'a pas montré de différence dans la comparaison avant et aprèstraitement entre le groupe ayant réussi le sevrage tabagique et le groupe d'échec. La blancheur de la couleur de la peau a montré une tendance à la hausse 4 ~ 12 semaines après le début du traitement dans le groupe ayant réussi et a augmenté de façon significative par rapport au groupe d'échec. La rougeur a montré unediminution significative par rapport au début, avant le traitement, et ce paramètre a également montré une importante diminution par rapport au groupe d'échec. Le jaune n'a montré aucune tendance claire.En outre, le taux d'hémoglobine a montré une tendance réduite. En outre, l'analyse statistique multivariantea indiqué la possibilité que la clarté et la couleur due à l'hémoglobine peuvent être modifiées par le traitement de désaccoutumance du tabagisme. En conclusion, notre étude a montré que la tendance à l'éclaircissement de la peau, concomitant à une diminution de l'hémoglobine visible accompagnaient l'arrêt du tabac. Si nous pouvonsfacilement mesurer l'amélioration de la peau comme un effet de sevrage tabagique, on peut le considérer comme unaide utile pour le soutien pendant le sevrage tabagique.

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