Holistic approach to managing eczema: From diet to skincare products to environmental factors

Eczema, also known as Atopic Dermatitis, is a skin condition characterised by patches of dry, itchy and inflamed skin – if you’re a sufferer, you would know this very well! Eczema most commonly develops in infancy or early childhood and, according to recent statistics, the number of people being diagnosed with this uncomfortable condition appears to be on the rise1. Whilst genetics has been shown to play a prominent role in the development of eczema, research is now telling us that the severity of symptoms and frequency of flares is able to be well managed (or at least minimised) through lifestyle factors. 

Read on for our top food, environmental, and skincare routine tips for a holistic approach to managing eczema. 

1. Get to Know Your Trigger Foods. 

There is an established link between food allergies and eczema, whereby people with food allergies are more prone to experiencing eczema, and vice versa. It is very common for these people to experience an aggravation of the skin barrier when an allergen is consumed2, 3. By avoiding consumption of your allergens, also known as ‘trigger foods’, eczema is much more likely to be better managed. 

A quick Google will confront you with a plethora of sources suggesting for you to cut out what seems like every food under the sun to manage your eczema. The thing is, not everyone has the same allergies, or intolerances! It’s extremely important, particularly from a nutritional perspective, that people are not removing entire food groups from their diet unnecessarily. Working with your doctor and a dietitian to help identify your individual trigger foods is essential. Some particularly common trigger foods seen in practice include the following: 

  • Dairy. Whilst there is a lack of concrete evidence that dairy itself causes eczema, it has been shown that people with a dairy allergy or intolerance are more likely to experience eczema symptoms if they do consume dairy products4. Dairy is a very common dietary allergen, particularly amongst babies and children. 
  • Wheat and/or gluten. Wheat is another common allergen associated with eczema. For those with a wheat allergy, it can cause an inflammatory response if eaten5. A gluten auto immune response, known as coeliac disease, is different to a wheat allergy. In addition to wheat, gluten is also found in rye, barley, and oats (oats are naturally gluten-free, however Australian production methodologies mean that oats are exposed to gluten during processing, and are therefore contaminated). Coeliac disease is an autoimmune disorder, which is where the immune system mistakenly attacks the body’s own healthy tissues in an allergy type response when gluten is eaten. If someone with a gluten allergy eats something containing wheat, rye, barley or oats, it can then produce a reaction on the skin.  Some research also suggests that eczema may in fact be an autoimmune condition itself, and we know that people who have one autoimmune condition are significantly more likely to also be diagnosed with another; hence the possible link between the two diagnoses6.
  • Food chemicals. Food chemicals are naturally-occurring compounds including salicylates, amines, and glutamates. Salicylates are like natures pesticide, formed by many plant foods as a protection mechanism. They are mostly present in the skin or outer layer of foods such as fruits and vegetables, and are denser in quantity in unripe versus ripe foods. Amines are produced during the breakdown of proteins in foods; they are more abundant in ripened or aged foods including fruits and vegetables, cheeses, and meats. Glutamates are part of the protein structure in foods, and are more abundant in particular foods including parmesan cheese, tomato and mushrooms. A very common man-made version of this food chemical that you may have heard of is MSG, which is often used in Asian cooking. Skin reactions to these food chemicals can occur in sensitive people when they consume an amount that is too much for them7, 8. It’s extremely important to work with a dietitian when trying to establish whether you have a food chemical sensitivity. 
  • Alcohol. It is common for eczema sufferers to experience a flare following a big night out, or if regularly consuming alcohol. Alcohol dilates blood vessels and dehydrates the body, promoting the already-compromised skin barrier to become increasingly reddened and itchy9

2. Increase Your Intake of Skin Nourishing Foods. 

Here are the top 5 nutrients to boost in your diet to promote healthy skin, and therefore reduce the redness and itchiness characteristic of eczema. 

  • Vitamin A. Found in eggs, cod liver oil, fruits and veg, vitamin A is involved in skin health, with studies showing that a deficiency in vitamin A may increase the risk of developing or worsening atopic dermatitis10.  
  • B vitamins. Boost your intake of B vitamins with quality meats, seafood, chicken, eggs, dairy, and plant foods to help with balancing natural oils in the skin and healthy skin cell turnover11.
  • Vitamin C. A lack of vitamin C in the diet can increase the likelihood of developing eczema. Vitamin C can help minimise water loss in the skin barrier associated with dryness, and can be found in kiwi, citrus fruits, berries, capsicum, broccoli, brussels sprouts, and potato (potato lovers rejoice!)12.
  • Zinc. Another micronutrient incredibly important in promoting good skin health, zinc is anti-inflammatory and promotes healthy skin cell turnover. A deficiency of zinc may manifest in the form of dermatitis, including eczema13. Zinc is found in oysters, red meat, poultry, legumes, nuts and seeds, dairy, eggs, and wholegrains. 
  • Essential fatty acids. Found in oily fish such as salmon and sardines, as well as nuts and seeds, quality dairy and avocados, essential fatty acids help to form the skin’s natural oil barrier that keeps skin hydrated, and reduces inflammation. 

Finally, don’t forget to drink plenty of water to hydrate the skin and combat dryness and itchiness! A good starting point is 35-45ml of water per kg of body weight per day. Replace any additional fluids lost through sweaty exercise. 

3. Establish a Daily Skincare Routine.  

One of the non-negotiables for eczema sufferers is establishing a regular skincare routine. Many conventional skincare products contain ingredients that cause irritation for those of us with eczema.  Moisturise daily to seal hydration into the skin and encourage it to repair. Consistency is key here, so establish a routine; many people find they get the best results out of their products when they apply them straight after the shower. Avoid soap- containing products that can remove natural oils from the skin barrier and promote skin dryness, and opt for fragrance-free to limit irritation. It is also suggested to avoid creams and lotions that contain food ingredients in them, such as nut oils, citrus, milk, or oatmeal. Bioderma’s Atoderm range contains two unique products that tick all the boxes here. Intensively soothing and healing, the Atoderm Intensive Baume reduces itchiness by encouraging lipid and protein production for a nourished skin barrier, and prevents direct exposure of the skin to aggravating bacteria. For those in more warm or humid climates, or for those who simply prefer a lighter texture, the new Atoderm Intensive Gel-Crème also has all the same protective benefits, but in an innovative, lightweight gel texture that absorbs almost instantly into the skin. It’s perfect if you’re always on the go, or for young children. The rigorous consideration of the skin’s eco-biology in the curation of these products makes them our go-to in a holistic approach to managing eczema. 

4. Consider Your Environment. 

Environmental factors as a trigger for eczema are often overlooked or forgotten about. Have a think about and start to notice if any of the following seem to worsen your symptoms. 

  • Temperature. Extremes in temperature can certainly impact eczema and send you down that red and itchy path14, 15. Most people tend to be triggered by either cold, dry weather OR hot weather. This can really vary on an individual basis, so get to know which may be better or worse for you personally. Also take note of indoor environments, such as central heating. 
  • Pollution. Yep, really! Some people find that if they go for their walks or runs outdoors in peak hour traffic, that the pollution emitted in the surrounding area can worsen their eczema in the following days. Dusty environments or spaces with lots of pet fur can also be aggravating for certain individuals16
  • Stress. Stress has been shown to increase the severity of skin conditions such as eczema17, 18. Stressful environments or psychological distress can trigger the release of a hormone known as cortisol. When produced in large amounts, or consistently for extended periods, cortisol can increase levels of inflammation in the body which may subsequently promote skin changes associated with increased eczema symptoms. 

This post was sponsored by Bioderma.

From time to time I write sponsored posts such as this, however views are entirely my own, and I only ever collaborate with companies and brands who resonate with me.

REFERENCES: 

1. http://pubmed.ncbi.nlm.nih.gov/18155278/

2. http://www.allergy.org.au/patients/skin-allergy/eczema

3. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3970830/ 

4. http://nationaleczema.org/eczema-food-allergies/ 

5. http://pubmed.ncbi.nlm.nih.gov/22283110/ 

6. http://www.jacionline.org/article/S0091-6749(04)01143-1/fulltext 

7. http://link.springer.com/article/10.1186/s13601-015-0078-3

8. http://everydaynutrition.com.au/understanding-food-chemical-sensitivities/ 

9. http://academic.oup.com/bmb/article-abstract/50/1/85/271304 

10. http://www.nature.com/articles/ejcn2009148 

11. http://www.betterhealth.vic.gov.au/health/HealthyLiving/vitamin-b 

12. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6040229/ 

13. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5110625/ 

14. http://www.sciencedirect.com/science/article/pii/S0022202X1536320X 

15. http://www.sciencedirect.com/science/article/pii/S0022202X15321904 

16. http://jamanetwork.com/journals/jamanetworkopen/fullarticle/2712172 

17.http://www.tandfonline.com/doi/full/10.3109/09546634.2013.873762?casa_token=Sg5FOCRxIH4AAAAA%3AwdqT7W4kNd0hUW2oxT1sGIBDN-3OEqFHtDj8CEqqBKGogXUGgNBSvNNN6IoT1oL6kLQS_prbc587WQ18. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3704139/ 

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Privacy Policy

Chloe Jean McLeod ABN 55 475 296 020 (“Chloe McLeod Dietitian”, “us”, “we”, “our”), complies with the Privacy Act 1988 (Cth) (“Privacy Act”) and the applicable Privacy Principles in the Privacy Act when handling personal information, together with the Health Records and Information Privacy Act 2002 (NSW) (“HRIP Act”) (or such other State legislation as may apply in relation to health information at the time of collection) and the applicable Health Privacy Principles in the HRIP Act when handling personal information which is health information.

We take the protection of your personal information seriously. Personal information includes any information or opinion, whether true or not, about a person who is identified or whose identity can reasonably be established.

 

Collection:

We collect personal information for the purposes of delivering our products and services. We may collect information through our website www.chloemcleod.com (“Website”), or in the course of providing our services in person, verbally and/or in writing from time-to-time.

We collect personal information:

  • from our customers – when they register an enquiry, request an assessment for the purposes of nutritional counselling, purchase a nutritional or other health plan or associated package, purchase an eBook, or otherwise in the course of providing our services at any other time from time-to-time;
  • when we receive enquiries through the Website and when the Website is otherwise accessed or used;
  • when we receive enquiries via email; and
  • from third party service providers – when they are engaged to supply services to us (such as professional services), provide information to us or invoice us for the provision of services.

The kind of personal information we may collect will depend on who you are (e.g. a client or third party service provider) and the nature of your interaction with us, and may include your full name, email address, age, weight, and any medical conditions or allergies/intolerances, billing information and other personal information. If you do not provide us with all the information we request, we may not be able to deliver our services.

Some personal information we collect may include health information as defined in the HRIP Act. We collect health information from customers for the purposes of providing nutritional counselling and associated nutritional plans.

This enables us to safely, appropriately and accurately provide our services and assess the needs of our customer in the provision of our services and to generally assist in optimising the quality of our service.

 

Consent:

By engaging us or registering your details on our Website, and/or using our Website or supplying information or documents to us or otherwise engaging our services, you consent to us collecting, using and disclosing your personal information (including health information) for the purposes specified in this Privacy Policy. By registering your details on our Website, and/or using our Website you also agree to our Terms of Use.

 

Use:

We may use any personal information collected (excluding health information) to provide our services, operate the Website, send you our newsletter, respond to feedback and complaints, communicate with third party service providers, develop new services, or if needed to enforce our Disclaimer or Website Terms of Use with you. If you are a third party service provider, we will use your personal information to email you to accept your offer to provide services, correspond with you in relation to the provision of services and to pay your invoices.

In all cases, unless you have opted out, you consent to us using your personal information (excluding health information) for direct marketing purposes in order to tell you about our services. We may contact you by mail, telephone, email or SMS to market our products and services. We will always give you the opportunity to opt out of receiving any future direct marketing correspondence.

 

Health Information

We comply with the Health Privacy Principles set out in the HRIP Act in the collection, use and disclosure of all health information. We collect your health information:

  • from our customers when they request an assessment for the purposes of nutritional counselling, and/or purchase a nutritional plan or associated package;
  • as necessary for the provision of our services, but only as necessary for the provision of our services, or as otherwise in accordance with your consent, or as may be required by law including Court order;
  • only from you (or from someone authorised by you) (including your caregiver if you have one);
  • with care, taking reasonable steps to ensure your information remains confidential and that any persons we disclose it to in accordance with this Privacy Policy are also required to keep it confidential;
  • with accuracy, on the basis that you may at any time request a copy of the health information that we hold by emailing us at: chloe@verdenutrition.co. In the event our records are found to be inaccurate, we will rectify any inaccuracies on the basis of the further information you provide.
  •  

Disclosure and sharing:

We may disclose personal information (excluding health information) to third parties for purposes associated with your purchase of our services and to third party service providers we engage to help us deliver our services and for marketing purposes. We will only disclose personal information to additional third parties with your consent or if permitted or authorised to do so by law. Some places outside of Australia may not have adequate data protection laws at all or may offer differing levels of protection of personal information which are not as high as in Australia. By submitting personal information to us, you acknowledge that, provided we have used your personal information in the ways set out in this Privacy Policy, we cannot be held responsible for any use of your data by third parties located overseas who receive and process your data.

 

Data security and quality:

We will take reasonable steps to protect the personal information we collect and hold from misuse, loss and interference and from unauthorised access and modification, and to make sure it is accurate, complete and up-to-date when we collect, use or disclose it.

To assist us, please ensure you provide us with your correct details, and let us know if you believe the information we have about you is inaccurate, incomplete, out of date or misleading (and we will take reasonable steps to correct the information). We may take steps to destroy or permanently de-identify information when it is no longer needed for any purpose for which it may be used or disclosed. We may retain and use de-identified information.

Our Website: www.chloemcleod.com 

 

Cookies:

We may use “cookies”; technology to store data on your computer using the functionality of your browser. Many websites do this because cookies allow the website publisher to do useful things like find out whether the computer has visited the site before.

You can modify your browser to prevent cookie use – but if you do this our service (and our Website) may not work properly. The information stored in the cookie is used to identify you. This enables us to operate an efficient service and to track the patterns of behaviour of visitors to our Website.

In the course of serving advertisements to our Website (if any), third-party advertisers or ad servers may place or recognise a unique cookie on your browser. The use of cookies by such third party advertisers or ad servers is not subject to this Privacy Policy, but is subject to their own respective privacy policies.

 

Access, correction and complaints:

You can request, and we will provide you with access to, any personal information we hold about you (including any health information) (subject to any applicable legal exceptions). Please also let us know if you have any concerns or complaints about the way we are handling your personal information so we can address them. Requests should be submitted by email to: chloe@verdenutrition.co. Where our records are found to be inaccurate, we will promptly rectify any inaccuracies on the basis of the further information you provide.

 

Transfer in certain circumstances:

If there is a sale, merger, consolidation, change in control, transfer of substantial assets, reorganisation or liquidation of us then, in our sole discretion, we may transfer, sell or assign personal information collected to one or more relevant third parties.

 

Changes to this Privacy Policy:

This Privacy Policy forms part of our Terms of Use and therefore the agreement between you and us (either in your capacity as a client or a third-party service provider). We may, from time to time, amend this Privacy Policy, in whole or part, in our sole discretion. Any changes to this Privacy Policy will be effective immediately upon the posting of the revised Privacy Policy on www.chloemcleod.com.Depending on the nature of the change, we may announce the change on the www.chloemcleod.comhomepage or by email (if we have your email address). However, in any event, by continuing to use the Website and/or our service following any changes, you will be deemed to have agreed to such changes. If you do not agree with the terms of this Privacy Policy, as amended from time to time, in whole or part, you must terminate your use of the Website and inform us immediately prior to any further receipt of our services.

 

Contact us:

If you have any questions about this Privacy Policy, or if you wish to request access to your personal information, correct or update you details or raise any privacy concerns you may have, please contact us at: chloe@verdenutrition.co 

For further information on your privacy rights go to: www.privacy.gov.au

For further information on the HRIP Act, go to:

http://www.ipc.nsw.gov.au/hrip-act

http://www.ipc.nsw.gov.au/sites/default/files/file_manager/FS-HPPs-for-agencies-May14-ACC_0.pdf