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Exercise and Skin: Debunking the Myths.

We are all aware of the health benefits that regular exercise can provide. The lesser-known effects concern the condition of the skin. However, there are many misconceptions circulating about this. Here are seven of them.

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Misconception #1: Exercise worsens skin diseases.

Yes and no. It is true that the sweat produced during physical exertion can sometimes cause itching, particularly in individuals suffering from atopic dermatitis. It has been hypothesized that LL-37, an antimicrobial peptide highly concentrated in the sweat of patients with atopic dermatitis, could induce irritations. Furthermore, atopic eczema has been associated with sweat retention caused by the occlusion of sweat pores. The biofilms of Staphylococcus epidermidis are believed to be responsible for this occlusion, and atopic dermatitis can then be exacerbated by skin dryness and the increase in temperature caused by the retention of sweat.

However, this would not be the case for all skin diseases. Abrar A. QURESHI and his team found that an increase in physical activity is inversely associated with the risk of psoriasis, with a greater reduction in the risk of psoriasis associated with intense physical activity. Exercise could modulate the state of chronic inflammation or immune activation that predisposes to psoriasis. It is known that physical activity decreases this chronic inflammation and reduces levels of pro-inflammatory cytokines, such as TNF-α, IL-6, and leptin. Physical activity can also increase levels of anti-inflammatory cytokines, including adiponectin. Therefore, it depends on the intensity of the activity and the specific skin condition in question.

Misconception #2: Exercise causes premature skin aging.

No. In fact, it would be the opposite. Satoshi FUJITA and his colleagues found that the practice of aerobic and resistance training significantly improves the elasticity of the skin and the structure of the upper dermis compared to the time before the exercise. Resistance training also improved the thickness of the dermis. After training, the expression of genes related to the dermal extracellular matrix increased in dermal fibroblasts.

These results demonstrate thatphysical exercise has a beneficial effect on reducing skin aging. According to some research, exercise could promote the increase of mitochondrial biogenesis, which would support the maintenance of skin structure. Furthermore, during physical activity, blood circulation increases, which stimulates the skin's fibroblastic cells and promotes the production of collagen, a dermal fiber essential for maintaining skin elasticity.

Misconception #3: Exercise makes the skin drier.

No. We tend to think that exercise would dehydrate our skin due to sweating. However, the opposite is true: exercise could increase skin hydration. In a study, Aibara HIROMI and her team observed that increased physical activity is linked to significantly higher skin hydration. The higher the activity levels, the higher the hydration. However, no difference was observed in terms of water loss (TEWL). Nevertheless, the results suggest that exercise habits can help prevent skin dryness.

According to researchers, it is hypothesized that skin functions, such as skin hydration and barrier function, decrease due to deletions in mitochondrial DNA, for instance, because of UV rays. An increase in the production of free radicals is then observed, which leads to cellular damage that disrupts the cells' ability to maintain optimal skin hydration through homeostasis. Therefore, it would be beneficial to encourage mitochondrial biosynthesis to preserve the cellular ability to control hydration. Through endurance exercise, the cytokine IL-5 is produced, which promotes the biosynthesis of mitochondria. Consequently, the skin's structure improves, leading to better hydration.

Misconception #4: Exercise can reduce stretch marks.

Yes and no. There have been few studies conducted on this topic. In a study measuring the impact of a combination of a strict diet and exercise in women, Kiyoji TANAKA and his team did not observe any change in the degree of stretch marks. Therefore, exercise would not have any particular effects on the appearance of stretch marks. However, due to the lack of scientific evidence, we cannot clearly express an opinion on this matter. Further studies are needed to clarify these results.

Misconception No.5: Exercise can reduce adipose cellulite.

Yes. Exercise would represent the main treatment for adipose cellulite, characterized by an unfavorable change in the skin and subcutaneous fat tissue, typically in the pelvic region (especially the buttocks) and the abdomen. The increase in blood flow in the subcutaneous fat tissue following physical training enhances the breakdown of lipids (lipolysis) and accelerates local fat loss in certain areas of the body.

It appears that the combination of regular physical activity and other therapeutic methods (diet, infrared waves, extracorporeal shock waves, and lower back pain) is more effective. However, it is not known what type of physical training (endurance, resistance, or combined training) and what the optimal duration, intensity, and frequency of exercise are to achieve the best results. Therefore, well-designed and extended future studies should be conducted to determine these aspects.

Misconception #6: After exercising, one should wait a while before taking a shower.

Yes. Numerous studies have shown that perspiration can persist up to an hour after physical activity, during rest. This is explained by the fact that the body temperature, which increases during exercise, remains elevated after exertion. Sweat is then produced by the body for thermoregulatory purposes, to cool the skin and return to a normal temperature. Therefore, it is recommended to take a shower at least an hour after exercising for optimal shower effectiveness.

Misconception #7: Massages with arnica and wintergreen essential oil are effective against muscle soreness.

Yes and no. Thearnica is known for its calming properties. However, no study has truly proven a significant impact of the topical application of arnica against muscle soreness. Shona PAPALIA and her team found that the topical application of arnica did not affect the expression of muscle damage markers or the response to the acute phase after eccentric exercise, but it could affect the perception of pain 72 hours after the exercise.

However, the symptoms of muscle soreness are primarily felt 24 to 48 hours after exercise. Therefore, the subject requires further study to confirm the effect of arnica on muscle soreness. On the contrary, another study led by Terence CHANG showed that an arnica massage increased leg pain 24 hours after the exercises.

Regarding wintergreen essential oil, there is very little scientific literature on the subject. Therefore, its effects are currently unproven scientifically. As such, we cannot take a stance on these ideas.

Sources

  • LINDINGER M. I. & al. Sweating rate and sweat composition during exercise and recovery in ambient heat and humidity. Equine Veterinary Journal (1995).

  • TANAKA K. & al. Exercise and striae distensae in obese woman. Medicine & Science in Sports & Exercise (2003).

  • CHANG T. & al. The effect of topical arnica on muscle pain. Annals of Pharmacotherapy (2010).

  • QURESHI A.A. & al. The association between physical activity and the risk of incident psoriasis. Archives of Dermatological Research (2012).

  • PAPALIA S. & al. The effects of topical Arnica on performance, pain and muscle damage after intense eccentric exercise. European Journal of Sport Science (2014).

  • STOUT R. & al. Mitochondria’s role in skin ageing. Biology (2019).

  • KATAYAMA I. & al. Why does sweat lead to the development of itch in atopic dermatitis? Experimental Dermatology (2019).

  • KHOSHNOODNASAB M. & al. Exercise-based approaches to the treatment of cellulite. International Journal of Medical Reviews (2019).

  • HIROMI A. & al. The association between activity levels and skin moisturising function in adults. Dermatology Reports (2021).

  • FUJITA S. & al. Resistance training rejuvenates aging skin by reducing circulating inflammatory factors and enhancing dermal extracellular matrices. Scientific Reports (2023).

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