Chronological Aging in African-American Skin: A Reliable Photonumeric Scale Demonstrates Age and Body Mass Index as Contributing Factors

Increased photoprotection by natural melanin allows for African-Americans to be less impacted by photoaging than Caucasians. However, less is known about chronological aging in this population. To create a photonumeric scale for African-Americans to evaluate chronological skin aging and to explore c...

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Veröffentlicht in:Journal of the National Medical Association 2018-12, Vol.110 (6), p.534-539
Hauptverfasser: Chien, Anna L., Qi, Ji, Grandhi, Radhika, Harris-Tryon, Tamia, Kim, Noori, Jang, Min Soo, Olowoyeye, Omolara, Kuhn, Diane, Leung, Sherry, Rainer, Barbara M., Poon, Flora, César, Sabrina Sisto Alessi, Suh, Jean, Cheng, Nancy, Okoye, Ginette A., Kang, Sewon
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container_end_page 539
container_issue 6
container_start_page 534
container_title Journal of the National Medical Association
container_volume 110
creator Chien, Anna L.
Qi, Ji
Grandhi, Radhika
Harris-Tryon, Tamia
Kim, Noori
Jang, Min Soo
Olowoyeye, Omolara
Kuhn, Diane
Leung, Sherry
Rainer, Barbara M.
Poon, Flora
César, Sabrina Sisto Alessi
Suh, Jean
Cheng, Nancy
Okoye, Ginette A.
Kang, Sewon
description Increased photoprotection by natural melanin allows for African-Americans to be less impacted by photoaging than Caucasians. However, less is known about chronological aging in this population. To create a photonumeric scale for African-Americans to evaluate chronological skin aging and to explore contributing elements to intrinsic aging. Standardized photographs of the upper inner arm were taken from 75 African-American participants. Five participants were chosen as standards to create a 9-point photonumeric scale (0 = none, 8 = most severe). The scale was utilized by three blinded dermatologists to independently rate participants' photographs. The interrater agreements were 0.768 (95% CI: 0.671–0.834) for trial 1 and 0.725 (0.608–0.794) for trial 2. The intrarater agreements were 0.757 (0.596–0.875), 0.850 (0.771–0.903), and 0.790 (0.686–0.855) for the three raters. Averaged chronological aging scores were correlated with participants' survey responses, which revealed age as a significant predictor (r = 0.72, p 
doi_str_mv 10.1016/j.jnma.2018.01.005
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However, less is known about chronological aging in this population. To create a photonumeric scale for African-Americans to evaluate chronological skin aging and to explore contributing elements to intrinsic aging. Standardized photographs of the upper inner arm were taken from 75 African-American participants. Five participants were chosen as standards to create a 9-point photonumeric scale (0 = none, 8 = most severe). The scale was utilized by three blinded dermatologists to independently rate participants' photographs. The interrater agreements were 0.768 (95% CI: 0.671–0.834) for trial 1 and 0.725 (0.608–0.794) for trial 2. The intrarater agreements were 0.757 (0.596–0.875), 0.850 (0.771–0.903), and 0.790 (0.686–0.855) for the three raters. Averaged chronological aging scores were correlated with participants' survey responses, which revealed age as a significant predictor (r = 0.72, p &lt; 0.001). 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subjects African Americans
Age
Aging
Body mass index
Caucasians
Dermatology
Ethnic skin
Gender
Nonsteroidal anti-inflammatory drugs
Population
Pregnancy
Skin
Smoking
Studies
Sun-exposed skin
Sun-protected skin
Sunscreen
White people
title Chronological Aging in African-American Skin: A Reliable Photonumeric Scale Demonstrates Age and Body Mass Index as Contributing Factors
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