Sunday Times (Sri Lanka)

Does moisturize­r really cut dementia risk?

Study claims healing dry skin reduces chemicals linked to the disease - but that does not mean lotion prevents Alzheimer's, expert warns

- By Natalie Rahhal (© Daily Mail, London)

Keeping your skin soft with moisturize­r may help keep your brain healthy too, suggests new research linking skin care to reduced risks of Alzheimer's disease.

Inflammati­on has become a hot topic in the field of Alzheimer's research in recent years. Scientists believe that chemicals called cytokines, which are released to repair inflamed areas, may contribute to Alzheimer's. As we age, the skin starts to degrade and becomes inflamed. The skin is the largest organ of the body, so even minor skin inflammati­on attracts high levels of cytokines.

But moisturize­r can help to keep skin strong and repaired even when cytokines can't, helping to reduce inflammati­on - and perhaps levels of the chemicals that raise Alzheimer's risks, a new University of California San Francisco (UCSF) study suggests. Alzheimer's disease is the sixth leading cause of death in the US - and will likely climb the ranks globally as popula- tions age, yet its cause and cure are still very unclear.

The prevailing theories point to the accumulati­on of destructiv­e protein plaques in the brain and inflammati­on as crucial underlying components of Alzheimer's. In fact, scientists increasing­ly suspect that inflammati­on is involved in a host of chronic diseases.

Inflammati­on is a crucial part of the body's immune response. The inflammato­ry response causes threatened or damaged tissues to swell to help flush out and isolate a possible cause of the problem and acts like a distress call to immunity chemicals that fight infection.

Among the rescue cells that come rushing are cytokines. These reduce inflammati­on and repair damage, but if the damage can't be repaired they keep circulatin­g and can become destructiv­e.

Older skin is harder to repair because it generally doesn't retain moisture, meaning it can't rid itself of problemati­c pathogens. So cytokines keep pumeling away at the skin, trying to fix something beyond their capacity for repair. Some of that deluge of cytokines can get into the blood stream and make its way into the brain. There, cytokines throw a number of neurochemi­cals out of whack and scientists think they may boost the production of the damaging amyloid beta plaques typical of Alzheimer's.

Researcher­s have observed elevated cytokine levels in patients with Alzheimer's.

Even minor skin inflammati­on can trigger a long and significan­t cytokine defensive. The skin is an enormous organ, meaning that even the slightest change in it can introduce a significan­t quantity of cytokines.

Since water is a key reason that cytokines can't do their job, the scientists at UCSF suspected that helping keep the skin moist and healthy might help reduce circulatin­g cytokines. They recruited 33 older people to be 'treated' daily with moisturize­r for a month, and compared them to un-moisturize­d older people and a cohort of young volunteers. In the older moisturize­r- using group, the levels of two cytokines that have been linked to Alzheimer's dropped back to a 'normalised' level and a third type of cytokine's leve l s 'declined substantia­lly.'

There's something inherently exciting about such a simple 'treatment' seeming to have completely new potential - but experts caution against getting too caught up in that promise.

'To put it in simple terms: Mr A might know Mr B, and Mr B might know Mr C. But that doesn't necessaril­y mean Mr C knows Mr A,' explains Dr James Ellison, Swank Foundation Endowed Chair in Memory Care and Geriatrics at Christiana Care Health System in Delaware.

The study shows that moisturize­r reduces cytokines, and we know these cytokines are related to Alzheimer's, but that doesn't mean that moisturize­r reduces risks of Alzheimer's. This is not the first time that Alzheimer's and the skin have been linked, Dr Ellison notes. People with dry skin and skin conditions like rosacea and psoriasis are at higher risk for dementias, including Alzheimer's.

'The hope for these researcher­s is that moist skin reduces cytokines that are involved with diseases of aging.'

He says we are better off reducing our Alzheimer's risks by making more well-demonstrat­ed lifestyle changes, like exercising, getting adequate sleep, being socially engaged and eating healthy diets.

But that doesn't mean you shouldn't go ahead and lotion up.

 ??  ?? Moisturizi­ng skin helps reduce levels of immune chemicals believed to be involved in Alzheimer's disease
Moisturizi­ng skin helps reduce levels of immune chemicals believed to be involved in Alzheimer's disease

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