{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,7]],"date-time":"2026-05-07T06:09:59Z","timestamp":1778134199893,"version":"3.51.4"},"reference-count":26,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2023,1,21]],"date-time":"2023-01-21T00:00:00Z","timestamp":1674259200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The aim of this study was to investigate facial wrinkling in COPD patients, its relationship with lung function parameters, and the differences in wrinkling between COPD patients and smokers without COPD. The study included 56 patients with COPD with smoking history and 84 controls. Wrinkle intensity was measured and classified using Daniell\u2019s grading system, and the total length of wrinkles was also estimated. The predominant grades of Daniell\u2019s scale were IV\u2013V for COPD patients (89.3% of current and 75.0% of former smokers), III\u2013V for controls who currently smoke (89.2%), and II\u2013III for former (92.9%) and never smokers (100%) controls. These distributions were statistically significantly different, but current and former smokers with COPD and COPD former smokers and control current smokers did not differ. In terms of the total length of wrinkles, the COPD patients possessed significantly longer wrinkles than the control subgroups (all p-values were &lt;0.004). Negative correlations between wrinkle length and lung parameters were found. This phenomenon seems to be independent of smoking, but the length of wrinkles is related to lung function parameters. It seems that not only smoking but also COPD damages skin beauty and quality.<\/jats:p>","DOI":"10.3390\/ijerph20031991","type":"journal-article","created":{"date-parts":[[2023,1,23]],"date-time":"2023-01-23T02:01:02Z","timestamp":1674439262000},"page":"1991","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Excessive Facial Wrinkling Is Associated with COPD Occurrence\u2014Does COPD Damage Skin Beauty and Quality?"],"prefix":"10.3390","volume":"20","author":[{"given":"Jan","family":"Szczegielniak","sequence":"first","affiliation":[{"name":"Department of Physiotherapy, Faculty of Physical Education and Physiotherapy, Opole University of Technology, Proszkowska Street 76, 45-758 Opole, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katarzyna","family":"Bogacz","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Faculty of Physical Education and Physiotherapy, Opole University of Technology, Proszkowska Street 76, 45-758 Opole, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jacek","family":"\u0141uniewski","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Faculty of Physical Education and Physiotherapy, Opole University of Technology, Proszkowska Street 76, 45-758 Opole, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcin","family":"Krajczy","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Faculty of Physical Education and Physiotherapy, Opole University of Technology, Proszkowska Street 76, 45-758 Opole, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wies\u0142aw","family":"Pilis","sequence":"additional","affiliation":[{"name":"Department of Health Sciences and Physiotherapy, Faculty of Health Sciences, Jan Dlugosz University in Czestochowa, Armii Krajowej Street 13\/15, 42-200 Cz\u0119stochowa, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edyta","family":"Majorczyk","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Faculty of Physical Education and Physiotherapy, Opole University of Technology, Proszkowska Street 76, 45-758 Opole, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,1,21]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1700214","DOI":"10.1183\/13993003.00214-2017","article-title":"Global strategy for the diagnosis, management, and prevention of chronic obstructive lung disease 2017 report: GOLD executive summary","volume":"49","author":"Vogelmeier","year":"2017","journal-title":"Eur. 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Dermatol."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/3\/1991\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T18:12:44Z","timestamp":1760119964000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/20\/3\/1991"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1,21]]},"references-count":26,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2023,2]]}},"alternative-id":["ijerph20031991"],"URL":"https:\/\/doi.org\/10.3390\/ijerph20031991","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1,21]]}}}