Effect of smoking on aging of photoprotected skin: Evidence gathered using a new photonumeric scale

Yolanda R. Helfrich, Le Yu, Abena O Ofori, Ted A. Hamilton, Jennifer Lambert, Anya King, John J. Voorhees, Sewon Kang

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

Objectives: To develop a reproducible photonumeric scale to assess photoprotected skin aging and to determine whether health and lifestyle factors, such as smoking, affect skin aging in photoprotected sites. Design: Using standard photographs of participants' upper inner arms, we created a 9-point photonumeric scale. Three blinded reviewers used the scale to grade the photographs. Participants answered multiple lifestyle questions. Setting: Academic outpatient dermatology clinic. Participants: Eighty-two healthy men and women aged 22 to 91 years. Interventions: A professional medical photographer took standardized photographs of each participant's upper inner arm. Participants answered standardized health and lifestyle questions. Main Outcome Measures: (1) Interobserver agreement and reproducibility using the photonumeric scale and (2) health and lifestyle factors most predictive of the degree of aging in photoprotected skin. Results: There was good blinded interobserver agreement as measured by the maximum range of disagreement scores for each participant (mean, 0.91; 95% confidence interval, 0.76-1.06). Results were reproducible. We developed a multiple regression model showing that the best model for predicting the degree of aging in photoprotected skin includes 2 variables: age and packs of cigarettes smoked per day. Conclusions: This photonumeric scale demonstrates good interobserver agreement and good reproducibility. Using this scale, the degree of aging in photoprotected skin was significantly correlated with patient age and a history of cigarette smoking. Additional studies are needed to continue garnering information regarding independent risk factors for aging of photoprotected skin.

Original languageEnglish (US)
Pages (from-to)397-402
Number of pages6
JournalArchives of Dermatology
Volume143
Issue number3
DOIs
StatePublished - Mar 1 2007

Fingerprint

Skin Aging
Life Style
Smoking
Skin
Health
Arm
Dermatology
Ambulatory Care Facilities
Tobacco Products
Outcome Assessment (Health Care)
Confidence Intervals

ASJC Scopus subject areas

  • Dermatology

Cite this

Helfrich, Y. R., Yu, L., Ofori, A. O., Hamilton, T. A., Lambert, J., King, A., ... Kang, S. (2007). Effect of smoking on aging of photoprotected skin: Evidence gathered using a new photonumeric scale. Archives of Dermatology, 143(3), 397-402. https://doi.org/10.1001/archderm.143.3.397

Effect of smoking on aging of photoprotected skin : Evidence gathered using a new photonumeric scale. / Helfrich, Yolanda R.; Yu, Le; Ofori, Abena O; Hamilton, Ted A.; Lambert, Jennifer; King, Anya; Voorhees, John J.; Kang, Sewon.

In: Archives of Dermatology, Vol. 143, No. 3, 01.03.2007, p. 397-402.

Research output: Contribution to journalArticle

Helfrich, YR, Yu, L, Ofori, AO, Hamilton, TA, Lambert, J, King, A, Voorhees, JJ & Kang, S 2007, 'Effect of smoking on aging of photoprotected skin: Evidence gathered using a new photonumeric scale', Archives of Dermatology, vol. 143, no. 3, pp. 397-402. https://doi.org/10.1001/archderm.143.3.397
Helfrich, Yolanda R. ; Yu, Le ; Ofori, Abena O ; Hamilton, Ted A. ; Lambert, Jennifer ; King, Anya ; Voorhees, John J. ; Kang, Sewon. / Effect of smoking on aging of photoprotected skin : Evidence gathered using a new photonumeric scale. In: Archives of Dermatology. 2007 ; Vol. 143, No. 3. pp. 397-402.
@article{262f69ac9f744d04ad818f0f2b2a34d3,
title = "Effect of smoking on aging of photoprotected skin: Evidence gathered using a new photonumeric scale",
abstract = "Objectives: To develop a reproducible photonumeric scale to assess photoprotected skin aging and to determine whether health and lifestyle factors, such as smoking, affect skin aging in photoprotected sites. Design: Using standard photographs of participants' upper inner arms, we created a 9-point photonumeric scale. Three blinded reviewers used the scale to grade the photographs. Participants answered multiple lifestyle questions. Setting: Academic outpatient dermatology clinic. Participants: Eighty-two healthy men and women aged 22 to 91 years. Interventions: A professional medical photographer took standardized photographs of each participant's upper inner arm. Participants answered standardized health and lifestyle questions. Main Outcome Measures: (1) Interobserver agreement and reproducibility using the photonumeric scale and (2) health and lifestyle factors most predictive of the degree of aging in photoprotected skin. Results: There was good blinded interobserver agreement as measured by the maximum range of disagreement scores for each participant (mean, 0.91; 95{\%} confidence interval, 0.76-1.06). Results were reproducible. We developed a multiple regression model showing that the best model for predicting the degree of aging in photoprotected skin includes 2 variables: age and packs of cigarettes smoked per day. Conclusions: This photonumeric scale demonstrates good interobserver agreement and good reproducibility. Using this scale, the degree of aging in photoprotected skin was significantly correlated with patient age and a history of cigarette smoking. Additional studies are needed to continue garnering information regarding independent risk factors for aging of photoprotected skin.",
author = "Helfrich, {Yolanda R.} and Le Yu and Ofori, {Abena O} and Hamilton, {Ted A.} and Jennifer Lambert and Anya King and Voorhees, {John J.} and Sewon Kang",
year = "2007",
month = "3",
day = "1",
doi = "10.1001/archderm.143.3.397",
language = "English (US)",
volume = "143",
pages = "397--402",
journal = "JAMA Dermatology",
issn = "2168-6068",
publisher = "American Medical Association",
number = "3",

}

TY - JOUR

T1 - Effect of smoking on aging of photoprotected skin

T2 - Evidence gathered using a new photonumeric scale

AU - Helfrich, Yolanda R.

AU - Yu, Le

AU - Ofori, Abena O

AU - Hamilton, Ted A.

AU - Lambert, Jennifer

AU - King, Anya

AU - Voorhees, John J.

AU - Kang, Sewon

PY - 2007/3/1

Y1 - 2007/3/1

N2 - Objectives: To develop a reproducible photonumeric scale to assess photoprotected skin aging and to determine whether health and lifestyle factors, such as smoking, affect skin aging in photoprotected sites. Design: Using standard photographs of participants' upper inner arms, we created a 9-point photonumeric scale. Three blinded reviewers used the scale to grade the photographs. Participants answered multiple lifestyle questions. Setting: Academic outpatient dermatology clinic. Participants: Eighty-two healthy men and women aged 22 to 91 years. Interventions: A professional medical photographer took standardized photographs of each participant's upper inner arm. Participants answered standardized health and lifestyle questions. Main Outcome Measures: (1) Interobserver agreement and reproducibility using the photonumeric scale and (2) health and lifestyle factors most predictive of the degree of aging in photoprotected skin. Results: There was good blinded interobserver agreement as measured by the maximum range of disagreement scores for each participant (mean, 0.91; 95% confidence interval, 0.76-1.06). Results were reproducible. We developed a multiple regression model showing that the best model for predicting the degree of aging in photoprotected skin includes 2 variables: age and packs of cigarettes smoked per day. Conclusions: This photonumeric scale demonstrates good interobserver agreement and good reproducibility. Using this scale, the degree of aging in photoprotected skin was significantly correlated with patient age and a history of cigarette smoking. Additional studies are needed to continue garnering information regarding independent risk factors for aging of photoprotected skin.

AB - Objectives: To develop a reproducible photonumeric scale to assess photoprotected skin aging and to determine whether health and lifestyle factors, such as smoking, affect skin aging in photoprotected sites. Design: Using standard photographs of participants' upper inner arms, we created a 9-point photonumeric scale. Three blinded reviewers used the scale to grade the photographs. Participants answered multiple lifestyle questions. Setting: Academic outpatient dermatology clinic. Participants: Eighty-two healthy men and women aged 22 to 91 years. Interventions: A professional medical photographer took standardized photographs of each participant's upper inner arm. Participants answered standardized health and lifestyle questions. Main Outcome Measures: (1) Interobserver agreement and reproducibility using the photonumeric scale and (2) health and lifestyle factors most predictive of the degree of aging in photoprotected skin. Results: There was good blinded interobserver agreement as measured by the maximum range of disagreement scores for each participant (mean, 0.91; 95% confidence interval, 0.76-1.06). Results were reproducible. We developed a multiple regression model showing that the best model for predicting the degree of aging in photoprotected skin includes 2 variables: age and packs of cigarettes smoked per day. Conclusions: This photonumeric scale demonstrates good interobserver agreement and good reproducibility. Using this scale, the degree of aging in photoprotected skin was significantly correlated with patient age and a history of cigarette smoking. Additional studies are needed to continue garnering information regarding independent risk factors for aging of photoprotected skin.

UR - http://www.scopus.com/inward/record.url?scp=33947541106&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33947541106&partnerID=8YFLogxK

U2 - 10.1001/archderm.143.3.397

DO - 10.1001/archderm.143.3.397

M3 - Article

C2 - 17372106

AN - SCOPUS:33947541106

VL - 143

SP - 397

EP - 402

JO - JAMA Dermatology

JF - JAMA Dermatology

SN - 2168-6068

IS - 3

ER -