Introduction
Collagen, the most abundant protein in the human body, plays a crucial role in maintaining the structure and support of our skin, bones, muscles, and connective tissues (Bolke et al., 2019). As we age, our natural collagen production declines, leading to the appearance of wrinkles, fine lines, and decreased skin elasticity (Kim et al., 2018). In recent years, collagen supplements have gained popularity as a potential solution to combat the signs of ageing and improve overall skin health (Pu et al., 2023).
The growing interest in collagen supplements for skin has sparked numerous research studies and clinical trials aimed at understanding their effects and potential benefits. Randomised controlled trials (RCTs) have investigated the impact of oral collagen supplementation on various skin parameters, such as hydration, elasticity, wrinkles, and roughness (Bolke et al., 2019; Inoue et al., 2016; Kim et al., 2018; Sangsuwan & Asawanonda, 2021). These studies have yielded promising results, suggesting that collagen supplements may indeed offer a safe and effective way to support skin health and reduce the visible signs of ageing.
In this comprehensive article, we will delve into the science behind collagen supplements for skin, exploring the latest research findings, mechanisms of action, and potential benefits. We will also discuss the various sources of collagen, optimal duration of supplementation, and safety considerations. By the end of this article, you will have a deeper understanding of how collagen supplements can contribute to youthful, radiant skin and make an informed decision about incorporating them into your skincare routine.
Effects of Collagen Supplements on Skin
Randomised Controlled Trials (RCTs)
Numerous randomised controlled trials have investigated the effects of oral collagen supplements on various aspects of skin health. A study by Bolke et al. (2019) found that a collagen supplement significantly improved skin hydration, elasticity, roughness, and density compared to a placebo group after 12 weeks of daily supplementation. Similarly, Inoue et al. (2016) reported that ingestion of bioactive collagen hydrolysates enhanced facial skin moisture and elasticity while reducing signs of ageing in a randomised, double-blind, placebo-controlled clinical study.
Kim et al. (2018) conducted a randomised, double-blind, placebo-controlled study and discovered that oral intake of low-molecular-weight collagen peptide improved hydration, elasticity, and wrinkling in human skin. Another study by Sangsuwan and Asawanonda (2021) found that daily intake of oral collagen hydrolysate for four weeks resulted in improved skin elasticity, especially in sun-exposed areas.
These RCTs provide compelling evidence that collagen supplementation can have a positive impact on skin health parameters, such as hydration, elasticity, wrinkles, and roughness, when compared to placebo treatments (Pu et al., 2023).
Collagen Sources and Duration
Collagen supplements are derived from various animal sources, including fish, bovine, chicken, and porcine (Pu et al., 2023). A systematic review and meta-analysis by Pu et al. (2023) revealed that the effects of collagen supplementation on skin hydration and elasticity did not significantly differ based on the source of collagen. This finding suggests that the benefits of collagen supplements may be consistent across different animal sources.
However, the duration of supplementation appears to play a crucial role in the effectiveness of collagen supplements for skin health. Pu et al. (2023) found that long-term use (≥8 weeks) of collagen yielded more favourable effects on skin hydration and elasticity compared to short-term use (<8 weeks). This highlights the importance of consistent and prolonged supplementation to achieve optimal results.
Optimal Dosage and Duration
While the optimal dosage of collagen supplements for skin health may vary depending on individual factors and the specific product used, studies have reported beneficial effects with daily doses ranging from 2.5 to 10 grams (Bolke et al., 2019; Kim et al., 2018; Proksch et al., 2014). Regarding duration, most RCTs have investigated the effects of collagen supplementation over periods ranging from 4 to 12 weeks (Inoue et al., 2016; Kim et al., 2018; Sangsuwan & Asawanonda, 2021).
To maximise the potential benefits of collagen supplements for skin health, it is recommended to follow the manufacturer’s guidelines and consult with a healthcare professional to determine the appropriate dosage and duration based on individual needs and health status.
Mechanism of Action
The mechanism by which oral collagen supplements improve skin health involves the absorption of collagen peptides in the digestive tract and their distribution to the skin (Yazaki et al., 2017). Once in the skin, these peptides stimulate collagen production and improve overall skin health (Yazaki et al., 2017). A study by Watanabe-Kamiyama et al. (2010) demonstrated that orally administered low molecular weight collagen hydrolysate was absorbed and distributed to the skin in rats.
Collagen peptides contain specific amino acids, such as proline and hydroxyproline, which are essential for collagen synthesis (Ohara et al., 2010). Ohara et al. (2010) found that the collagen-derived dipeptide, proline-hydroxyproline, stimulated cell proliferation and hyaluronic acid synthesis in cultured human dermal fibroblasts, suggesting a potential mechanism for the beneficial effects of collagen supplements on skin health.
Stimulation of Collagen Synthesis
The stimulation of collagen synthesis is a key mechanism by which collagen supplements improve skin health. Proksch et al. (2014) reported that oral intake of specific bioactive collagen peptides reduced skin wrinkles and increased dermal matrix synthesis, indicating an increase in collagen production. This study highlights the potential of collagen supplements to not only improve the appearance of the skin but also to enhance its underlying structure and function.
Furthermore, the presence of specific amino acids in collagen peptides, such as proline and hydroxyproline, has been shown to stimulate collagen synthesis in the skin (Ohara et al., 2010). These amino acids serve as building blocks for new collagen formation, contributing to the maintenance and improvement of skin health.
Hyaluronic Acid Synthesis
In addition to stimulating collagen synthesis, collagen supplements may also promote the production of hyaluronic acid, another essential component of healthy skin. Hyaluronic acid is a glycosaminoglycan that helps maintain skin hydration and volume (Papakonstantinou et al., 2012). Ohara et al. (2010) demonstrated that the collagen-derived dipeptide, proline-hydroxyproline, stimulated hyaluronic acid synthesis in cultured human dermal fibroblasts.
The increased production of hyaluronic acid in response to collagen supplementation may contribute to the improvements in skin hydration and elasticity observed in clinical studies (Bolke et al., 2019; Inoue et al., 2016; Kim et al., 2018). By promoting both collagen and hyaluronic acid synthesis, collagen supplements provide a multi-faceted approach to supporting skin health and reducing the visible signs of ageing.
Safety and Side Effects
The safety of oral collagen supplements is an important consideration for individuals seeking to improve their skin health. The reviewed studies reported no adverse effects or side effects associated with collagen supplementation during the study periods, which ranged from 2 to 12 weeks (Inoue et al., 2016; Kim et al., 2018; Proksch et al., 2014; Schwartz & Park, 2012). This suggests that short-term use of collagen supplements is generally well-tolerated and safe for most individuals.
However, it is essential to note that the long-term safety of collagen supplementation has not been extensively studied. While the available evidence indicates that collagen supplements are safe for short-term use, more research is needed to evaluate the potential risks and side effects associated with prolonged supplementation.
Allergies and Sensitivities
Individuals with allergies or sensitivities to the animal sources of collagen supplements should exercise caution and consult with a healthcare professional before starting supplementation. Collagen supplements are derived from various animal sources, such as fish, bovine, chicken, and porcine (Pu et al., 2023). Those with known allergies to these animal products may be at risk of experiencing allergic reactions or adverse effects.
To minimise the risk of allergic reactions, individuals should carefully review the ingredient list of collagen supplements and select products that are free from any allergens or sensitivities. Additionally, it is advisable to start with a low dose and gradually increase as tolerated to assess individual tolerance and response to the supplement.
Quality and Purity
The quality and purity of collagen supplements are critical factors to consider when evaluating their safety and effectiveness. Collagen supplements are not strictly regulated by regulatory agencies, such as the Food and Drug Administration (FDA) in the United States, which means that the quality and purity of these products can vary widely (Varani et al., 2020).
To ensure the safety and quality of collagen supplements, it is recommended to choose products from reputable manufacturers that adhere to good manufacturing practices (GMP) and undergo third-party testing for purity and potency. Look for supplements that provide transparent information about their sourcing, processing, and quality control measures.
Additionally, it is essential to store collagen supplements properly, following the manufacturer’s guidelines, to maintain their integrity and effectiveness. Proper storage can help prevent degradation and contamination, ensuring that the supplements remain safe and potent throughout their shelf life.
Limitations and Future Research
While the existing evidence suggests potential benefits of collagen supplements for skin health, it is important to acknowledge the limitations of the current research and the need for further studies to confirm and expand upon these findings.
Study Limitations
The available studies on collagen supplements for skin health have several limitations that should be considered when interpreting their results. These limitations include:
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Small sample sizes: Many of the RCTs have included relatively small numbers of participants, which may limit the generalisability of their findings to larger populations (Bolke et al., 2019; Inoue et al., 2016; Kim et al., 2018).
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Short study durations: Most studies have investigated the effects of collagen supplementation over periods ranging from 4 to 12 weeks (Inoue et al., 2016; Kim et al., 2018; Sangsuwan & Asawanonda, 2021). While these studies provide valuable insights into the short-term effects of collagen supplements, longer-term studies are needed to assess the sustainability of the observed benefits and potential long-term side effects.
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Lack of diversity in participants: Many studies have been conducted in specific populations, such as Asian or Caucasian individuals, which may limit the applicability of their findings to other ethnic groups (Kim et al., 2018; Sangsuwan & Asawanonda, 2021).
Future Research Directions
To address the limitations of the current research and further advance our understanding of collagen supplements for skin health, future studies should focus on the following areas:
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Large-scale, long-term RCTs: Conducting larger, well-designed RCTs with longer follow-up periods will provide more robust evidence regarding the efficacy and safety of collagen supplements for skin health (de Miranda et al., 2021; Pu et al., 2023). These studies should include diverse populations to ensure the generalisability of their findings.
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Optimal dosage and duration: Future research should aim to establish the optimal dosage and duration of collagen supplementation for maximising skin health benefits while minimising potential risks (Pu et al., 2023). Dose-response studies and long-term safety evaluations will be crucial in determining the most effective and safe supplementation regimens.
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Mechanisms of action: Further investigation into the underlying mechanisms by which collagen supplements improve skin health will provide a deeper understanding of their effects and potential applications (Yazaki et al., 2017). Studies exploring the absorption, distribution, and metabolism of collagen peptides in the body, as well as their interactions with skin cells and extracellular matrix components, will shed light on the biological processes involved.
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Combination therapies: Investigating the potential synergistic effects of collagen supplements with other skin health interventions, such as topical treatments, dietary modifications, and lifestyle changes, may lead to the development of more comprehensive and effective approaches to promoting skin health and reducing the signs of ageing (de Miranda et al., 2021).
By addressing these research gaps and limitations, future studies will contribute to a more complete understanding of the role of collagen supplements in promoting skin health and provide valuable guidance for individuals seeking to incorporate these supplements into their skincare routines.
Conclusion
In conclusion, the current body of evidence from randomised controlled trials suggests that oral collagen supplements may offer a promising approach to improving skin health and reducing the visible signs of ageing. The studies reviewed in this article have demonstrated that collagen supplementation can lead to significant improvements in skin hydration, elasticity, and the appearance of wrinkles and roughness compared to placebo treatments (Bolke et al., 2019; Inoue et al., 2016; Kim et al., 2018; Sangsuwan & Asawanonda, 2021).
The beneficial effects of collagen supplements on skin health appear to be more pronounced with long-term use (≥8 weeks) and are not significantly influenced by the source of collagen, whether it be derived from fish, bovine, chicken, or porcine sources (Pu et al., 2023). The mechanism of action behind these effects involves the absorption of collagen peptides in the digestive tract, their distribution to the skin, and the stimulation of collagen and hyaluronic acid synthesis (Ohara et al., 2010; Watanabe-Kamiyama et al., 2010; Yazaki et al., 2017).
While the reviewed studies reported no adverse effects or side effects associated with short-term collagen supplementation (Inoue et al., 2016; Kim et al., 2018; Proksch et al., 2014; Schwartz & Park, 2012), it is essential to acknowledge the limitations of the current research. These limitations include small sample sizes, short study durations, and a lack of diversity among participants. To address these limitations and further advance our understanding of collagen supplements for skin health, future research should focus on conducting large-scale, long-term randomised controlled trials, establishing optimal dosage and duration, investigating mechanisms of action, and exploring potential synergistic effects with other skin health interventions (de Miranda et al., 2021; Pu et al., 2023).
In light of the promising findings and the need for further research, individuals interested in incorporating collagen supplements into their skincare routine should consult with a healthcare professional to determine the most appropriate approach based on their individual needs and health status. By making informed decisions and staying attuned to the latest scientific developments, individuals can harness the potential of collagen supplements to support healthy, radiant skin from within.
Key Highlights of Learnings and Actionable Tips
- Hydrolyzed collagen (HC) supplementation significantly improved skin hydration and elasticity compared to placebo in this meta-analysis of 26 randomized controlled trials involving 1,721 patients.
- The effects of HC supplementation on skin hydration varied based on the source of collagen (fish, bovine, chicken, porcine, or unknown) and duration of supplementation (2-12 weeks). Long-term use (≥8 weeks) had more favorable effects than short-term use (<8 weeks).
- No significant differences were found in the effects of various collagen sources or measurement methods on skin elasticity. However, supplementation for ≥6 weeks showed positive effects on elasticity.
- Several biases were identified in the included trials, highlighting the need for more large-scale, high-quality randomized controlled trials to confirm the findings.
What are the best dietary sources of collagen for improving skin health?
While collagen supplements are popular for improving skin health, certain foods are also rich in collagen or support collagen production. Some of the best dietary sources include:
- Bone broth: Made by simmering animal bones, this broth is rich in collagen and other beneficial nutrients.
- Fish: Fish skin is a good source of marine collagen. Consuming fish like salmon, cod, and mackerel can provide collagen along with other skin-friendly nutrients like omega-3 fatty acids.
- Egg whites: Egg whites contain proline and glycine, two amino acids necessary for collagen production.
- Citrus fruits: Vitamin C is crucial for collagen synthesis. Citrus fruits like oranges, grapefruits, and lemons are excellent sources of this vitamin.
- Berries: Berries are packed with antioxidants that protect the skin from damage and support collagen production.
Can collagen supplements cause any side effects?
Collagen supplements are generally considered safe with no major side effects reported in studies. However, some people may experience mild digestive symptoms like bloating, fullness, or heartburn. Those with allergies to eggs, fish, or shellfish should be cautious when choosing collagen supplements as some are sourced from these ingredients. It’s always best to consult with a healthcare provider before starting any new supplement regimen.
How do collagen supplements compare to topical collagen products for skin health?
Both oral collagen supplements and topical collagen products can benefit skin health, but they work in different ways. Oral supplements are broken down into amino acids and peptides that are distributed throughout the body to support collagen production from within. Topical products, like creams and serums, work on the skin’s surface to provide a temporary plumping and hydrating effect.
While topical products can provide more immediate results, oral supplements may offer more long-term benefits by supporting the body’s natural collagen production. A combination of both oral and topical collagen products may provide the most comprehensive approach to improving skin health.
Are there any other supplements that can enhance the effects of collagen on skin health?
Certain nutrients work synergistically with collagen to support skin health. Some supplements that may enhance the effects of collagen include:
- Vitamin C: Essential for collagen synthesis, vitamin C also has antioxidant properties that protect the skin from damage.
- Hyaluronic acid: This moisturizing compound helps keep skin hydrated and plump. It can be taken orally or applied topically.
- Biotin: This B vitamin supports the production of keratin, a protein that makes up skin, hair, and nails.
- Zinc: This mineral plays a role in collagen synthesis and helps protect skin from UV damage.
Combining collagen with these complementary nutrients may provide more comprehensive support for skin health.
How long does it typically take to see results from collagen supplementation for skin health?
The time it takes to see results from collagen supplementation can vary depending on factors like age, genetics, diet, and lifestyle habits. However, most studies show improvements in skin hydration, elasticity, and wrinkle reduction within 4-12 weeks of consistent use.
It’s important to remember that collagen supplements are not a quick fix for skin concerns. They work best when combined with a healthy diet, regular skincare routine, sun protection, and other lifestyle habits that support skin health. Consistency and patience are key when incorporating collagen supplements into a skincare regimen.
References
Bolke, L., Schlippe, G., Gerß, J., & Voss, W. (2019). A collagen supplement improves skin hydration, elasticity, roughness, and density: Results of a randomized, placebo-controlled, blind study. Nutrients, 11(10), 2494. https://doi.org/10.3390/nu11102494
de Miranda, R. B., Weimer, P., & Rossi, R. C. (2021). Effects of hydrolyzed collagen supplementation on skin aging: A systematic review and meta-analysis. International Journal of Dermatology, 60(12), 1449-1461. https://doi.org/10.1111/ijd.15518
Inoue, N., Sugihara, F., & Wang, X. (2016). Ingestion of bioactive collagen hydrolysates enhance facial skin moisture and elasticity and reduce facial ageing signs in a randomised double-blind placebo-controlled clinical study. Journal of the Science of Food and Agriculture, 96(12), 4077-4081. https://doi.org/10.1002/jsfa.7606
Kim, D. U., Chung, H. C., Choi, J., Sakai, Y., & Lee, B. Y. (2018). Oral intake of low-molecular-weight collagen peptide improves hydration, elasticity, and wrinkling in human skin: A randomized, double-blind, placebo-controlled study. Nutrients, 10(7), 826. https://doi.org/10.3390/nu10070826
Ohara, H., Ichikawa, S., Matsumoto, H., Akiyama, M., Fujimoto, N., Kobayashi, T., & Tajima, S. (2010). Collagen-derived dipeptide, proline-hydroxyproline, stimulates cell proliferation and hyaluronic acid synthesis in cultured human dermal fibroblasts. The Journal of Dermatology, 37(4), 330-338. https://doi.org/10.1111/j.1346-8138.2010.00827.x
Proksch, E., Schunck, M., Zague, V., Segger, D., Degwert, J., & Oesser, S. (2014). Oral intake of specific bioactive collagen peptides reduces skin wrinkles and increases dermal matrix synthesis. Skin Pharmacology and Physiology, 27(3), 113-119. https://doi.org/10.1159/000355523
Pu, S. Y., Huang, Y. L., Pu, C. M., Kang, Y. N., Hoang, K. D., Chen, K. H., & Chen, C. (2023). Effects of oral collagen for skin anti-aging: A systematic review and meta-analysis. Nutrients, 15(9), 2080. https://doi.org/10.3390/nu15092080
Sangsuwan, W., & Asawanonda, P. (2021). Four-weeks daily intake of oral collagen hydrolysate results in improved skin elasticity, especially in sun-exposed areas: A randomized, double-blind, placebo-controlled trial. Journal of Dermatological Treatment, 32(8), 991-996. https://doi.org/10.1080/09546634.2020.1725412
Schwartz, S. R., & Park, J. (2012). Ingestion of BioCell Collagen®, a novel hydrolyzed chicken sternal cartilage extract; enhanced blood microcirculation and reduced facial aging signs. Clinical Interventions in Aging, 7, 267-273. https://doi.org/10.2147/CIA.S32836
Watanabe-Kamiyama, M., Shimizu, M., Kamiyama, S., Taguchi, Y., Sone, H., Morimatsu, F., Shirakawa, H., Furukawa, Y., & Komai, M. (2010). Absorption and effectiveness of orally administered low molecular weight collagen hydrolysate in rats. Journal of Agricultural and Food Chemistry, 58(2), 835-841. https://doi.org/10.1021/jf9031487
Yazaki, M., Ito, Y., Yamada, M., Goulas, S., Teramoto, S., Nakaya, M. A., Ohno, S., & Yamaguchi, K. (2017). Oral ingestion of collagen hydrolysate leads to the transportation of highly concentrated Gly-Pro-Hyp and its hydrolyzed form of Pro-Hyp into the bloodstream and skin. Journal of Agricultural and Food Chemistry, 65(11), 2315-2322. https://doi.org/10.1021/acs.jafc.6b05679