Defining skin aging and its risk factors: a systematic review and meta-analysis

Sci Rep. 2021 Nov 11;11(1):22075. doi: 10.1038/s41598-021-01573-z.

Abstract

Skin aging has been defined to encompass both intrinsic and extrinsic aging, with extrinsic aging effected by environmental influences and overlaying the effects of chronological aging. The risk factors of skin aging have been studied previously, using methods of quantifying skin aging. However, these studies have yet to be reviewed. To better understand skin aging risk factors and collate the available data, we aimed to conduct a systematic review and meta-analysis. We conducted our systematic review in compliance with Preferred Reporting Item for Systematic Review and Meta-Analyses (PRISMA) guidelines. Embase, PubMed and Web of Science databases were searched in October 2020 using specific search strategies. Where odds ratios were reported, meta-analyses were conducted using the random effects model. Otherwise, significant factors were reported in this review. We identified seven notable risk factors for various skin aging phenotypes: age, gender, ethnicity, air pollution, nutrition, smoking, sun exposure. This review's results will guide future works, such as those aiming to examine the interaction between genetic and environmental influences.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Age Factors
  • Air Pollutants / adverse effects
  • Air Pollution / adverse effects
  • Humans
  • Risk Factors
  • Sex Factors
  • Skin / drug effects
  • Skin / pathology
  • Skin / radiation effects
  • Skin Aging* / drug effects
  • Skin Aging* / radiation effects
  • Smoking / adverse effects
  • Ultraviolet Rays / adverse effects

Substances

  • Air Pollutants