Hussein Ramadan S, Bin Dayel Salman, Abahussein Othman, El-Sherbiny Abeer Ali
Dermatology Unit, Department of Internal Medicine, College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.
Department of Medical Laboratory, College of Applied Medical Sciences, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia.
J Cosmet Dermatol. 2025 Feb;24(2):e16688. doi: 10.1111/jocd.16688. Epub 2024 Nov 27.
BACKGROUND/AIM: Aging involves a progressive deterioration in physiological functions and increased disease susceptibility, impacting all organs and tissues, especially the skin. Skin aging is driven by intrinsic factors (genetics, cellular metabolism) and extrinsic factors (environment, lifestyle). Understanding these mechanisms is vital for promoting healthy aging and mitigating skin aging effects. This review aims to summarize the key factors influencing skin and intrinsic aging, providing a comprehensive understanding of the underlying mechanisms and contributing elements.
A comprehensive literature review was conducted, focusing on peer-reviewed journals, clinical studies, and scientific reviews published within the last two decades. The inclusion criteria prioritized studies that addressed intrinsic and extrinsic mechanisms of skin aging. To ensure the relevance and quality of the selected sources, a systematic approach was used to assess study design, sample size, methodology, and the significance of the findings in the context of skin aging.
The review identifies major internal factors, such as cellular senescence, genetic predisposition, telomere shortening, oxidative stress, hormonal changes, metabolic processes, and immune system decline, as pivotal contributors to intrinsic aging. External factors, including UV radiation, pollution, lifestyle choices (diet, smoking, alcohol consumption, and sleep patterns), and skincare practices, significantly influence extrinsic skin aging. The interplay between these factors accelerates aging processes, leading to various clinical manifestations like wrinkles, loss of skin elasticity, pigmentation changes, and texture alterations.
A comprehensive understanding of both extrinsic and intrinsic factors contributing to skin aging is essential for developing effective prevention and intervention strategies. The insights gained from this review highlight the importance of a multifaceted approach, incorporating lifestyle modifications, advanced skincare routines, and emerging therapeutic technologies, to mitigate the effects of aging and promote healthier, more resilient skin.
背景/目的:衰老涉及生理功能的逐渐衰退和疾病易感性的增加,影响所有器官和组织,尤其是皮肤。皮肤衰老由内在因素(遗传、细胞代谢)和外在因素(环境、生活方式)驱动。了解这些机制对于促进健康衰老和减轻皮肤衰老影响至关重要。本综述旨在总结影响皮肤和内在衰老的关键因素,全面了解其潜在机制和促成因素。
进行了全面的文献综述,重点关注过去二十年内在同行评审期刊、临床研究和科学综述中发表的文献。纳入标准优先考虑涉及皮肤衰老内在和外在机制的研究。为确保所选来源的相关性和质量,采用系统方法评估研究设计、样本量、方法以及研究结果在皮肤衰老背景下的意义。
该综述确定了主要的内部因素,如细胞衰老、遗传易感性、端粒缩短、氧化应激、激素变化、代谢过程和免疫系统衰退,是内在衰老的关键促成因素。外部因素,包括紫外线辐射、污染、生活方式选择(饮食、吸烟、饮酒和睡眠模式)以及护肤习惯,对皮肤外在衰老有显著影响。这些因素之间的相互作用加速了衰老过程,导致各种临床表现,如皱纹、皮肤弹性丧失、色素沉着变化和质地改变。
全面了解导致皮肤衰老的外在和内在因素对于制定有效的预防和干预策略至关重要。本综述所得出的见解凸显了多方面方法的重要性,包括生活方式调整、先进的护肤程序和新兴治疗技术,以减轻衰老影响并促进更健康、更有弹性的皮肤。