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Effects of Topical Hydrogen Purification on Skin Parameters

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􏰁􏰂􏰃 􏰅􏰆􏰇 􏰈􏰉􏰊􏰋􏰌􏰂􏰍 healthcare Article Effects of Topical Hydrogen Purification on Skin Parameters and Acne Vulgaris in Adult Women Karolina Chilicka 1,* , Aleksandra M. Rogowska 2 and Renata Szyguła 1 Citation: Chilicka,K.;Rogowska, A.M.; Szyguła, R. Effects of Topical Hydrogen Purification on Skin Parameters and Acne Vulgaris in Adult Women. Healthcare 2021, 9, 144. https://doi.org/10.3390/ healthcare9020144 Received: 14 December 2020 Accepted: 29 January 2021 Published: 1 February 2021 Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affil- iations. Copyright: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/). 1 2 * Correspondence: karolina.chilicka@poczta.onet.pl Abstract: Background: Acne vulgaris is a prevalent dermatological disease characterized by skin eruptions, which may decrease the sufferer’s quality of life. Hydrogen purification treatment is a new procedure used in cosmetology to improve the skin parameters of the face. This study examined the effectiveness of hydrogen purification treatment to improve women’s skin conditions with regard to acne vulgaris. Methods: In this study, 30 women participated who suffered from a high level of sebum and acne. The control group was comprised of 30 healthy women with a low level of sebum. The Hellgren–Vincent Scale and Derma Unit SSC 3 device were used to assess acne vulgaris severity and skin properties, respectively. Four hydrogen purification sessions were carried out at 7-day intervals, using the Hebe Hydrogenium+ generating alkaline water. Results: At baseline and 7 and 14 days after finishing the series of treatments, the levels of oiliness, moisture, and skin pH were tested. The main effects of treatment were significant in the following parameters: pH around the bottom lip, moisture between the eyebrows and around the nose, and oily skin in all three face sites. Conclusions: The level of sebum decreased and moisture levels increased during hydrogen purification. Topical hydrogen purification is an effective and safe treatment for acne vulgaris. Keywords: hydrogen purification; acne vulgaris; alkaline water 1. Introduction The global prevalence of acne is 9.38% but varies widely due to the severity grading system, country, gender, and age, with rates being highest among adolescents in puberty (ranging from 35% to nearly 100%) [1]. Acne can persist in adulthood and can affect up to40% of all women [2]. A recent study showed that acne’s family history is a risk factor, but the severity of acne vulgaris (AV) is independent of premenstrual flares, diet, and body mass index (BMI) [3]. Problems with skin eruptions can negatively affect quality of life and lead to heightened stress, depression, or even suicidal ideations [4,5]. The effects of severe forms of acne are seen in deep acne scars, which can also decrease self-esteem and quality of life [4–9]. Thus, an interdisciplinary approach to treatment should be prioritized. Among factors determining acne, the abnormal keratinization of the pilosebaceous canal, bacterial colonization (i.e., Cutibacterium acne, Staphylococcus ureus, and Staphylococcus epidermidis), increased production of sebum, skin inflammatory, genotypic factors, and hormonal disorders can be distinguished. Treatment is often long and tedious, affecting the patients’ sense of hopelessness and social isolation. In recent years, considerable attention has been paid to drug use as the best treatment for acne. Psychological support is currently also recommended to improve acne [10–14]. However, new cosmetology acne treatments, such as acid peels, microdermabrasion, cavitation peeling, sonophoresis, and hydrogen purification treatment, are continually being sought. Hydrogen has been known in the world of science for decades. It is the simplest molecule in nature, created by two hydrogen atoms. Ohsawa et al. [15] showed that Department of Health Sciences, Institute of Health Sciences, University of Opole, 45-060 Opole, Poland; renata.szygula@uni.opole.pl Department of Social Sciences, Institute of Psychology, University of Opole, 45-052 Opole, Poland; arogowska@uni.opole.pl Healthcare 2021, 9, 144. https://doi.org/10.3390/healthcare9020144 https://www.mdpi.com/journal/healthcare

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