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Sport and skin: the misconceptions.

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 No.1: Exercise exacerbates 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 suggested 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 No. 2: Exercise causes premature skin ageing.

No. In fact, it would be the opposite. Satoshi FUJITA and his colleagues have 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 ageing. 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 fibre essential for maintaining skin elasticity.

Misconception No. 3: Exercise makes the skin drier.

No. We tend to think that sport would dehydrate our skin due to perspiration. However, the opposite is true: sport 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 levels of activity, 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 hypothesised 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 in order to preserve the cellular capacity to control hydration. Through endurance exercise, the cytokine IL-5 is produced, which promotes the biosynthesis of mitochondria. Consequently, the structure of the skin improves, leading to better hydration.

Misconception No. 4: Exercise can reduce stretch marks.

Yes and no. There have been few studies conducted on this subject. 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 does not seem to have any particular effects on the appearance of stretch marks. However, due to the lack of scientific evidence, we cannot make a definitive statement on this matter. Further studies are needed to clarify these findings.

Misconception No. 5: Exercise can reduce adipose cellulite.

Indeed. Exercise would represent the primary treatment for adipose cellulite, characterised by an unfavourable alteration of the skin and subcutaneous fat tissue, typically in the pelvic region (particularly 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 unclear 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, future well-designed and extended studies should be conducted to determine these aspects.

Misconception No.6: After exercising, one should wait a while before taking a shower.

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

Misconception No. 7: Massages with arnica and wintergreen essential oil are effective against muscle soreness.

Yes and no. Thearnica is renowned 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. Conversely, 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. Consequently, 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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