Association between lifestyle and skin moisturizing function in community-dwelling older adults
https://doi.org/10.4081/dr.2024.9964
Accepted: 10 March 2024
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The skin’s moisturizing function declines with age, resulting in skin dryness in around 40% of older people. Various lifestyle habits may affect the skin moisturizing function, however it is not clear which ones are particularly relevant. A cross-sectional study was conducted between September and December 2023, involving individuals aged 65 years and over. Self-administered questionnaires were employed to collect information on lifestyle habits. Stratum corneum hydration (SC hydration), as an indicator of skin hydration, was measured and analyzed using multiple regression. A total of 124 individuals participated in the study, with a mean age of 83.6 years. Daily use of moisturizer (p=0.024) and exercise level (p=0.002) demonstrated significant associations with increased SC hydration. Although not statistically significant, smoking exhibited a trend towards decreased SC hydration (p=0.173). The findings of this study suggest that, among various lifestyle habits, exercise and daily moisturizing contribute to enhanced SC hydration. These results indicate that lifestyle modifications may improve the skin moisturizing function of the elderly.
Proksch E, Brandner JM, Jensen JM. The skin: an indispensable barrier. Exp Dermatol 2008;17;1063–72.
Madison KC. Barrier function of the skin: “la raison d’être” of the epidermis. J Invest Dermatol 2003;121:231–41.
Tanei R. Treatment and care of xeroderma, pruritus, and lipid deficient eczema in the elderly. Japan Med J 2012;4578:67– 72. [In Japanese]
Berardesca E, Loden M, Serup J, et al. The revised EEMCO guidance for the in vivo measurement of water in the skin. Skin Res Technol 2018;24:351–8.
Verdier-Sévrain S, Bonté F. Skin hydration: a review on its molecular mechanisms. J Cosmet Dermatol 2007;6:75–82.
Augustin M, Kirsten N, Körber A, et al. Prevalence, predictors, and comorbidity of dry skin in the general population. J Eur Acad Dermatol Venereol 2019;33:147–150.
Dalgard FJ, Gieler U, Tomas-Aragones L, et al. The psychological burden of skin diseases: a cross-sectional multicenter study among dermatological out-patients in 13 European countries. J Invest Dermatol 2015;135:984–91.
Farage MA, Miller KW, Elsner P, Maibach HI. Intrinsic and extrinsic factors in skin ageing: a review. Int J Cosmet Sci 2008;30:87-95.
Robinson MK. Population differences in skin structure and physiology and the susceptibility to irritant and allergic contact dermatitis: implications for skin safety testing and risk assessment. Contact Dermatitis 1999;41:65–79.
Brincat MP, Baron YM, Galea R. Estrogens and the skin. Climacteric 2005;8:110–23.
Oizumi R, Sugimoto Y, Aibara H. Factors related to skin moisturizing functions in adults: a cross-sectional study. Aesthetic Medicine 2020;3:42–8.
du Plessis J, Stefaniak A, Eloff F, et al. International guidelines for the in vivo assessment of skin properties in non-clinical settings: Part 2. transepidermal water loss and skin hydration. Skin Res Technol 2013;19:265–78.
Yoshizaki T, Kimira Y, Mano H, et al. Association between skin condition and sleep efficiency in Japanese young adults. J Nutr Sci Vitaminol (Tokyo) 2017;63:15–20.
Cao C, Xiao Z, Wu Y, Ge C. Diet and skin aging-from the perspective of food nutrition. Nutrients 2020;12,870.
Iizaka S. Skin hydration and lifestyle-related factors in community-dwelling older people. Arch Gerontol Geriatrics 2017;72:121–6.
Oizumi R, Sugimoto Y, Aibara H. Effects of regular exercise on skin moisturizing function in adults. Dermatol Reports 2023;15:9711.
Ryosuke O, Yoshie S, Hiromi A. The association between activity levels and skin moisturising function in adults. Dermatol Reports 2021;13:8811.
Ministry of Health, Labour and Welfare, Ministry of Agriculture, Forestry and Fisheries, (2005). the Dietary Balance Guide. Available form: https://www.mhlw.go.jp/bunya/kenkou/pdf/gaido-kihon.pdf.
Murase N, Katsumura T, Ueda C, et al. Validity and reliability of Japanese version of international physical activity questionnaire. J Health Welfare Statistics 2002;49:1–9. [In Japanese]
Jiang Q, Wang Y, Liu Y, et al. Prevalence and associated factors of dry skin among older inpatients in hospitals and nursing homes: a multicenter cross-sectional study. Int J Nurs Stud 2022;135:104358.
Crane JD, MacNeil LG, Lally JS, et al. Exercise-stimulated interleukin-15 is controlled by AMPK and regulates skin metabolism and aging. Aging Cell 2015;14:625–34.
Lu CY, Lee HC, Fahn HJ, Wei YH. Oxidative damage elicited by imbalance of free radical scavenging enzymes is associated with large-scale mtDNA deletions in aging human skin. Mutat Res 1999;423:11–21.
Safdar A, Bourgeois JM, Ogborn DI, et al. Endurance exercise rescues progeroid aging and induces systemic mitochondrial rejuvenation in mtDNA mutator mice. Proc Natl Acad Sci USA 2011;108:4135–40.
Rossi M, Santoro G, Maurizio S, Carpi A. Spectral analysis of skin blood flowmotion before and after exercise in healthy trained and in sedentary subjects. Int J Sports Med 2006;27:540–5.
Hebert AA, Rippke F, Weber TM, Nicol NH. Efficacy of nonprescription moisturizers for atopic dermatitis: an updated review of clinical evidence. Am J Clin Dermatol 2020;21:641–55.
Sethi A, Kaur T, Malhotra SK, Gambhir ML. Moisturizers: the slippery road. Indian J Dermatol 2016;61:279–87.
Rajkumar J, Chandan N, Lio P, Shi V. The skin barrier and moisturization: function, disruption, and mechanisms of repair. Skin Pharmacol Physiol 2023;36:174–85.
Yin L, Morita A, Tsuji T. Skin aging induced by ultraviolet exposure and tobacco smoking: evidence from epidemiological and molecular studies. Photodermatol Photoimmunol Photomed 2001;17:178–83.
Sandby-Møller J, Poulsen T, Wulf HC. Epidermal thickness at different body sites: relationship to age, gender, pigmentation, blood content, skin type and smoking habits. Acta Derm Venereol 2003;83:410–3.
Sørensen LT, Jørgensen S, Petersen LJ, et al. Acute effects of nicotine and smoking on blood flow, tissue oxygen, and aerobe metabolism of the skin and subcutis. J Surg Res 2009;152:224–30.
Yazdanparast T, Hassanzadeh H, Nasrollahi SA, et al. Cigarettes smoking and skin: a comparison study of the biophysical properties of skin in smokers and non-smokers. Tanaffos 2019;18:163–8.
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This work was supported by JSPS KAKENHI (grant number 23K16529).Copyright (c) 2024 the Author(s)
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