Association between lifestyle and skin moisturizing function in community-dwelling older adults
https://doi.org/10.4081/dr.2024.9964
Accepted: 10 March 2024
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
The skin moisturizing function decline with age, leading to skin dryness in approximately 40% of the olderly. 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 older. Self-administered questionnaire 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 activity 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 suggest that lifestyle modifications may improve the skin moisturizing function of olderly.
Proksch E, Brandner JM, Jensen JM. The skin: an indispensable barrier. Exp Dermatol 2008;17;1063–72. https://doi.org/10.1111/j.1600-0625.2008.00786.x DOI: https://doi.org/10.1111/j.1600-0625.2008.00786.x
Madison KC. Barrier function of the skin: “la raison d’être” of the epidermis. J Invest Dermatol 2003;121:231–41. https://doi.org/10.1046/j.1523-1747.2003.12359.x DOI: https://doi.org/10.1046/j.1523-1747.2003.12359.x
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. https://doi.org/10.1111/srt.12599 DOI: https://doi.org/10.1111/srt.12599
Verdier-Sévrain S, Bonté F. Skin hydration: a review on its molecular mechanisms. J Cosmet Dermatol 2007;6:75–82. https://doi.org/10.1111/j.1473-2165.2007.00300.x DOI: https://doi.org/10.1111/j.1473-2165.2007.00300.x
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. https://doi.org/10.1111/jdv.15157 DOI: https://doi.org/10.1111/jdv.15157
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. https://doi.org/10.1038/jid.2014.530 DOI: https://doi.org/10.1038/jid.2014.530
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. https://doi.org/10.1111/j.1468-2494.2007.00415.x DOI: https://doi.org/10.1111/j.1468-2494.2007.00415.x
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. https://doi.org/10.1111/j.1600-0536.1999.tb06229.x DOI: https://doi.org/10.1111/j.1600-0536.1999.tb06229.x
Brincat MP, Baron YM, Galea R. Estrogens and the skin. Climacteric 2005;8:110–23. https://doi.org/10.1080/13697130500118100 DOI: https://doi.org/10.1080/13697130500118100
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. https://doi.org/10.1111/srt.12037 DOI: https://doi.org/10.1111/srt.12037
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. https://doi.org/10.3177/jnsv.63.15 DOI: https://doi.org/10.3177/jnsv.63.15
Cao C, Xiao Z, Wu Y, Ge C. Diet and skin aging-from the perspective of food nutrition. Nutrients 2020;12,870. https://doi.org/10.3390/nu12030870 DOI: https://doi.org/10.3390/nu12030870
Iizaka S. Skin hydration and lifestyle-related factors in community-dwelling older people. Arch Gerontol Geriatrics 2017;72:121–6. https://doi.org/10.1016/j.archger.2017.05.016 DOI: https://doi.org/10.1016/j.archger.2017.05.016
Oizumi R, Sugimoto Y, Aibara H. Effects of regular exercise on skin moisturizing function in adults. Dermatol Reports. 2023 May 18;15(4):9711. DOI: https://doi.org/10.4081/dr.2023.9711
Ryosuke O, Yoshie S, Hiromi A. The association between activity levels and skin moisturising function in adults. Dermatol Reports. 2021 Mar 17;13(1):8811. DOI: https://doi.org/10.4081/dr.2021.8811
Ministry of Health, Labour and Welfare, Ministry of Agriculture, Forestry and Fisheries, (2005). the Dietary Balance Guide. https://www.mhlw.go.jp/bunya/kenkou/pdf/gaido-kihon.pdf. [2023. 10.5]
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. https://doi.org/10.1016/j.ijnurstu.2022.104358 DOI: https://doi.org/10.1016/j.ijnurstu.2022.104358
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. https://doi.org/10.1111/acel.12341 DOI: https://doi.org/10.1111/acel.12341
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. https://doi.org/10.1016/s0027-5107(98)00220-6 DOI: https://doi.org/10.1016/S0027-5107(98)00220-6
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 U S A 2011;108:4135–40. https://doi.org/10.1073/pnas.1019581108 DOI: https://doi.org/10.1073/pnas.1019581108
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. https://doi.org/10.1055/s-2005-865825 DOI: https://doi.org/10.1055/s-2005-865825
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. https://doi.org/10.1007/s40257-020-00529-9 DOI: https://doi.org/10.1007/s40257-020-00529-9
Sethi A, Kaur T, Malhotra SK, Gambhir ML. Moisturizers: the slippery road. Indian J Dermatol 2016;61:279–87. https://doi.org/10.4103%2F0019-5154.182427 DOI: https://doi.org/10.4103/0019-5154.182427
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. https://doi.org/10.1159/000534136 DOI: https://doi.org/10.1159/000534136
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. https://doi.org/10.1034/j.1600-0781.2001.170407.x DOI: https://doi.org/10.1034/j.1600-0781.2001.170407.x
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. https://doi.org/10.1080/00015550310015419 DOI: https://doi.org/10.1080/00015550310015419
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. https://doi.org/10.1016/j.jss.2008.02.066 DOI: https://doi.org/10.1016/j.jss.2008.02.066
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.
Supporting Agencies
This work was supported by JSPS KAKENHI (grant number 23K16529).Copyright (c) 2024 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Downloads
Citations
