Buranasirin Punnapath, Pongpirul Krit, Meephansan Jitlada
Division of Dermatology, Department of Medicine, Chulabhorn International College of Medicine, Thammasat University, Pathum Thani, Thailand.
Department of Preventive and Social Medicine, Faculty of Medicine, Chulalongkorn University, Bangkok, 10330, Thailand.
BMC Res Notes. 2019 Jun 28;12(1):364. doi: 10.1186/s13104-019-4404-z.
Several skin aging assessment scales exist but no standard scale is widely used. Dermatologists may be the most appropriate persons for skin assessment but their perceptions regarding the signs of skin aging are unexplored. To develop a simple global skin aging assessment score from the perspective of dermatologists, an online questionnaire, the Thai Dermatologist Survey of Skin Aging Assessment, was conducted from October to December, 2016. Twenty-nine signs with published evidence of their relevancy to skin aging were included. Certified dermatologists were asked to score each sign using a 5-point Likert scale. Descriptive statistics and exploratory factor analysis (EFA) were used for data analysis.
Of 213 randomly selected dermatologists, 145 responded to the survey. EFA revealed 3 important factors related to skin aging: Factor 1 comprised 8 signs related to atrophy (deep/superficial wrinkles, eye bags, lax appearance, etc.); Factor 2 comprised 7 signs related to discoloration (freckles, lentigines, melasma, etc.); and Factor 3 comprised 3 malignant skin lesions. The Global Subjective Skin Aging Assessment (GS2A2) score is a simple numerical score that can be used to evaluate the anti-aging effects of a cosmetic product or dermatologic intervention. This score should be tested further for validity and reliability.
目前存在多种皮肤老化评估量表，但尚无被广泛使用的标准量表。皮肤科医生可能是进行皮肤评估的最合适人选，但他们对皮肤老化迹象的看法尚未得到探讨。为了从皮肤科医生的角度制定一个简单的整体皮肤老化评估分数，于2016年10月至12月开展了一项在线问卷调查，即泰国皮肤科医生皮肤老化评估调查。纳入了29个有已发表证据表明与皮肤老化相关的体征。要求获得认证的皮肤科医生使用5点李克特量表对每个体征进行评分。采用描述性统计和探索性因素分析（EFA）进行数据分析。
在随机抽取的213名皮肤科医生中，145人回复了调查。探索性因素分析揭示了与皮肤老化相关的3个重要因素：因素1包括8个与萎缩相关的体征（深/浅皱纹、眼袋、皮肤松弛外观等）；因素2包括7个与色素沉着相关的体征（雀斑、雀斑样痣、黄褐斑等）；因素3包括3个恶性皮肤病变。整体主观皮肤老化评估（GS2A2）分数是一个简单的数值分数，可用于评估化妆品或皮肤科干预措施的抗老化效果。该分数的有效性和可靠性应进一步进行测试。
