Yes, health and fitness level can affect hormonal acne. Hormonal acne is often caused by an imbalance of hormones, particularly an increase in androgens, which can stimulate the skin's oil glands and lead to clogged pores and acne. Here are seven ways in which health and fitness level can impact hormonal acne:

Exercise: Regular exercise can help reduce stress and inflammation, which can help improve acne. Exercise also helps regulate hormone levels, which may help reduce acne.

Body Mass Index (BMI): A high BMI can be associated with increased androgen levels, which may increase the risk of acne. Maintaining a healthy BMI through regular exercise and a balanced diet can help reduce the risk of hormonal acne.

Sleep: Sleep is important for overall health and can impact hormone levels. Getting enough sleep can help regulate hormones, including those that cause acne.

Stress: Stress can increase the production of androgens, which can lead to acne. Finding ways to manage stress, such as through exercise or meditation, may help reduce the risk of hormonal acne.

Smoking: Smoking has been linked to an increased risk of acne. Smoking can cause inflammation and reduce blood flow to the skin, which can worsen acne.

Alcohol: Excessive alcohol consumption can disrupt hormone levels and increase the risk of acne. Moderation is key, and limiting alcohol consumption can help reduce the risk of hormonal acne.

Medications: Certain medications, such as birth control pills or medications that contain steroids, can impact hormone levels and increase the risk of acne. Discussing potential side effects with a healthcare provider before starting a new medication can help reduce the risk of hormonal acne.

In conclusion, health and fitness level can impact hormonal acne in several ways. Maintaining a healthy BMI through regular exercise and a balanced diet, getting enough sleep, managing stress, avoiding smoking and excessive alcohol consumption, and discussing potential medication side effects with a healthcare provider can all help reduce the risk of hormonal acne.