A broad assessment of forty-one skin phenotypes reveals complex dimensions of skin ageing

Abstract Background Skin ageing takes on many different forms. Despite this diversity in skin ageing phenotypes, literature published to date is limited in scope, as many research studies either focus on one single phenotype or just a few specific phenotypes. Presently, phenotypes such as wrinkles,...

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Main Authors: Jun Yan Ng, Qi Yi Ambrose Wong, Jun Jie Lim, Dingyu Cen, Jia Yi Karen Wong, Yi Ying Eliza Lim, Yang Yie Sio, Kavita Reginald, Yee-How Say, Fook Tim Chew
Format: Article
Language:English
Published: BMC 2025-02-01
Series:Journal of Physiological Anthropology
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Online Access:https://doi.org/10.1186/s40101-024-00383-2
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author Jun Yan Ng
Qi Yi Ambrose Wong
Jun Jie Lim
Dingyu Cen
Jia Yi Karen Wong
Yi Ying Eliza Lim
Yang Yie Sio
Kavita Reginald
Yee-How Say
Fook Tim Chew
author_facet Jun Yan Ng
Qi Yi Ambrose Wong
Jun Jie Lim
Dingyu Cen
Jia Yi Karen Wong
Yi Ying Eliza Lim
Yang Yie Sio
Kavita Reginald
Yee-How Say
Fook Tim Chew
author_sort Jun Yan Ng
collection DOAJ
description Abstract Background Skin ageing takes on many different forms. Despite this diversity in skin ageing phenotypes, literature published to date is limited in scope, as many research studies either focus on one single phenotype or just a few specific phenotypes. Presently, phenotypes such as wrinkles, pigment spots, and photo-ageing are receiving most of the research attention. We therefore wonder whether the current discourse on skin ageing places a disproportionate amount of focus on a few selected phenotypes, leaving other skin ageing phenotypes underexplored. Methods In this cross-sectional study, we performed a broad assessment of forty-one signs of skin ageing and characterised the phenotypes that constituted key components of skin ageing. We also explored the interrelationship among forty-one skin ageing phenotypes using Spearman’s Correlation and Principal Component Analysis. Results We analysed our study population, which is composed of 3281 ethnic Chinese participants from the Singapore/Malaysia Cross-sectional Genetics Epidemiology Study (SMCGES). The first ten principal components cumulatively explain 46.88% of the variance of skin ageing phenotypes in our study population. We discovered that the commonly discussed forms of skin ageing (i.e., wrinkles, pigmentation, and photo-ageing) only accounted for a small portion (24.39%) of the variance of all skin ageing phenotypes in our study population. Telangiectasia, a poor lip fullness, a lighter skin colour, xerosis, ephelides (freckles), ptosis of eyelids (droopy eyelids), eyebags, and a low eyebrow positioning were other key components of skin ageing, accounting for a further 22.49% of the variance of skin ageing phenotypes in our study population. We found that each of these ten skin ageing phenotypes characterises a key and important aspect of skin ageing. In this broad assessment of skin ageing, we first described the prevalence of forty-one signs of skin ageing and then characterised in detail both the prevalence and severity distribution of ten key skin ageing phenotypes. Conclusions We presented clear evidence that skin ageing is much more than just wrinkles, pigmentation and photo-ageing. The addition of telangiectasia, poor lip fullness, a lighter skin colour, xerosis, ephelides, ptosis of eyelids, eyebags, and a low eyebrow positioning added more dimensions to skin ageing phenotype presentations.
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spelling doaj-art-8228db1ab3b84fa2b5e7746f20ddb0402025-02-09T12:59:25ZengBMCJournal of Physiological Anthropology1880-68052025-02-0144111710.1186/s40101-024-00383-2A broad assessment of forty-one skin phenotypes reveals complex dimensions of skin ageingJun Yan Ng0Qi Yi Ambrose Wong1Jun Jie Lim2Dingyu Cen3Jia Yi Karen Wong4Yi Ying Eliza Lim5Yang Yie Sio6Kavita Reginald7Yee-How Say8Fook Tim Chew9Department of Biological Sciences, Faculty of Science, National University of SingaporeDepartment of Biological Sciences, Faculty of Science, National University of SingaporeDepartment of Biological Sciences, Faculty of Science, National University of SingaporeDepartment of Biological Sciences, Faculty of Science, National University of SingaporeDepartment of Biological Sciences, Faculty of Science, National University of SingaporeDepartment of Biological Sciences, Faculty of Science, National University of SingaporeDepartment of Biological Sciences, Faculty of Science, National University of SingaporeDepartment of Biological Sciences, Faculty of Science, National University of SingaporeDepartment of Biological Sciences, Faculty of Science, National University of SingaporeDepartment of Biological Sciences, Faculty of Science, National University of SingaporeAbstract Background Skin ageing takes on many different forms. Despite this diversity in skin ageing phenotypes, literature published to date is limited in scope, as many research studies either focus on one single phenotype or just a few specific phenotypes. Presently, phenotypes such as wrinkles, pigment spots, and photo-ageing are receiving most of the research attention. We therefore wonder whether the current discourse on skin ageing places a disproportionate amount of focus on a few selected phenotypes, leaving other skin ageing phenotypes underexplored. Methods In this cross-sectional study, we performed a broad assessment of forty-one signs of skin ageing and characterised the phenotypes that constituted key components of skin ageing. We also explored the interrelationship among forty-one skin ageing phenotypes using Spearman’s Correlation and Principal Component Analysis. Results We analysed our study population, which is composed of 3281 ethnic Chinese participants from the Singapore/Malaysia Cross-sectional Genetics Epidemiology Study (SMCGES). The first ten principal components cumulatively explain 46.88% of the variance of skin ageing phenotypes in our study population. We discovered that the commonly discussed forms of skin ageing (i.e., wrinkles, pigmentation, and photo-ageing) only accounted for a small portion (24.39%) of the variance of all skin ageing phenotypes in our study population. Telangiectasia, a poor lip fullness, a lighter skin colour, xerosis, ephelides (freckles), ptosis of eyelids (droopy eyelids), eyebags, and a low eyebrow positioning were other key components of skin ageing, accounting for a further 22.49% of the variance of skin ageing phenotypes in our study population. We found that each of these ten skin ageing phenotypes characterises a key and important aspect of skin ageing. In this broad assessment of skin ageing, we first described the prevalence of forty-one signs of skin ageing and then characterised in detail both the prevalence and severity distribution of ten key skin ageing phenotypes. Conclusions We presented clear evidence that skin ageing is much more than just wrinkles, pigmentation and photo-ageing. The addition of telangiectasia, poor lip fullness, a lighter skin colour, xerosis, ephelides, ptosis of eyelids, eyebags, and a low eyebrow positioning added more dimensions to skin ageing phenotype presentations.https://doi.org/10.1186/s40101-024-00383-2Skin agingSkin ageingBroad assessmentCross-sectional studyWrinklingSagging
spellingShingle Jun Yan Ng
Qi Yi Ambrose Wong
Jun Jie Lim
Dingyu Cen
Jia Yi Karen Wong
Yi Ying Eliza Lim
Yang Yie Sio
Kavita Reginald
Yee-How Say
Fook Tim Chew
A broad assessment of forty-one skin phenotypes reveals complex dimensions of skin ageing
Journal of Physiological Anthropology
Skin aging
Skin ageing
Broad assessment
Cross-sectional study
Wrinkling
Sagging
title A broad assessment of forty-one skin phenotypes reveals complex dimensions of skin ageing
title_full A broad assessment of forty-one skin phenotypes reveals complex dimensions of skin ageing
title_fullStr A broad assessment of forty-one skin phenotypes reveals complex dimensions of skin ageing
title_full_unstemmed A broad assessment of forty-one skin phenotypes reveals complex dimensions of skin ageing
title_short A broad assessment of forty-one skin phenotypes reveals complex dimensions of skin ageing
title_sort broad assessment of forty one skin phenotypes reveals complex dimensions of skin ageing
topic Skin aging
Skin ageing
Broad assessment
Cross-sectional study
Wrinkling
Sagging
url https://doi.org/10.1186/s40101-024-00383-2
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