Are dietary indiscretions and uncleanliness considered causes of acne?

Dietary indiscretions and uncleanliness are often thought to contribute to acne, but current clinical understanding indicates that acne is primarily caused by hormonal factors, particularly androgens, which increase sebum production. This is coupled with genetic predisposition, bacteria on the skin (specifically Cutibacterium acnes), and inflammatory processes.

While a poor diet or lack of hygiene might influence skin health or exacerbate existing conditions for some individuals, it is not considered a direct cause of acne. The majority of acne cases can occur regardless of diet or skin cleanliness, as they are mainly driven by internal hormonal changes and skin cell turnover rather than external factors. Consequently, asserting that dietary habits and cleanliness directly cause acne is misleading, leading to the conclusion that the statement is false.