Balneotherapy using thermal mineral water baths and dermatological diseases: a systematic review.
Balneotherapy
Dermatological diseases
Mineral water
Systematic review as topic
Journal
International journal of biometeorology
ISSN: 1432-1254
Titre abrégé: Int J Biometeorol
Pays: United States
ID NLM: 0374716
Informations de publication
Date de publication:
26 Mar 2024
26 Mar 2024
Historique:
received:
08
09
2023
accepted:
03
03
2024
revised:
28
02
2024
medline:
26
3
2024
pubmed:
26
3
2024
entrez:
26
3
2024
Statut:
aheadofprint
Résumé
Balneotherapy includes practices and methods using medically and legally recognized mineral-medicinal waters, muds and natural gases from natural springs for therapeutic purposes. One of the most widely used method in balneotherapy is bathing with thermal mineral water. In the course of the years, scientific community has produced an increasing number of evidences that this practice is an effective method for treating signs and symptoms of several pathologies such as rheumatic, cardiovascular and dermatological diseases. This systematic review is aimed at evaluating the effect of balneotherapy with thermal water baths as a treatment to manage signs and symptoms of patients affected by all types of dermatological diseases. The systematic review was conducted according to the PRISMA Statement, and its protocol was registered on PROSPERO platform (CRD42022295913). The research was performed on the databases Pubmed, Scopus, Web of Science and Cochrane. We included clinical trials evaluating the effects of balneotherapy using thermal mineral water baths for managing dermatological diseases in humans, published in English and Italian language. Eight studies were included, seven of them enrolled adults affected by psoriasis and one studied atopic dermatitis patients. The common result of all the articles included was a clear improvement of signs and symptoms of psoriasis and eczematous diseases after use of thermal mineral water baths. These effects seem to be strictly related to physical and chemical properties of thermal water used for balneotherapy. However, studies in this field are still limited to support robust evidence of the effectiveness of balneotherapy using thermal mineral water baths and often their quality is low. Thus, new clinical studies need to be carried out, using more correct methods for conducting the studies and for processing statistical data.
Identifiants
pubmed: 38530467
doi: 10.1007/s00484-024-02649-x
pii: 10.1007/s00484-024-02649-x
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s).
Références
Akiyama H, Yamasaki O, Tada J, Kubota K, Arata J (2000) Antimicrobial effects of acidic hot-spring water on Staphylococcus aureus strains isolated from atopic dermatitis patients. J Dermatol Sci 24:112–118. https://doi.org/10.1016/s0923-1811(00)00091-8
doi: 10.1016/s0923-1811(00)00091-8
Alkaduhimi H, Saarig A, van der Linde JA, Willigenburg NW, van Deurzen DFP, van den Bekerom MPJ (2018) An assessment of quality of randomized controlled trials in shoulder instability surgery using a modification of the clear CLEAR-NPT score. Shoulder Elbow 10:238–249. https://doi.org/10.1177/1758573218754370
doi: 10.1177/1758573218754370
Antunes JDM, Daher DV, Giaretta VMDA, Ferrari MFM, Posso MBS (2019) Hydrotherapy and crenotherapy in the treatment of pain: Integrative review. BrJP 2:87–98. https://doi.org/10.5935/2595-0118.20190033
doi: 10.5935/2595-0118.20190033
Aydin S, Aydin S, Kuloglu T, Yilmaz M, Kalayci M, Sahin I, Cicek D (2013) Alterations of irisin concentrations in saliva and serum of obese and normal-weight subjects, before and after 45 min of a Turkish bath or running. Peptides 50:13–18. https://doi.org/10.1016/j.peptides.2013.09.011
doi: 10.1016/j.peptides.2013.09.011
Battaglia E, Marletta F, Meo R, De Luca S, e Nappi G (2008) Photo-balneotherapy vs. balneotherapy in the treatment of psoriatic dermatitis in a thermal environment. Medicina Clinica e Termale 20:13–20
Bernetti A, Mangone M, Alviti F, Paolucci T, Attanasi C, Murgia M, Di Sante L, Agostini F, Vitale M, Paoloni M (2020) Spa therapy and rehabilitation of musculoskeletal pathologies: a proposal for best practice in Italy. Int J Biometeorol 64:905–914. https://doi.org/10.1007/s00484-019-01731-z
doi: 10.1007/s00484-019-01731-z
Borroni G, Brazzelli V, Fornara L, Rosso R, Paulli M, Tinelli C, Ciocca O (2013) Clinical, pathological and immunohistochemical effects of arsenical-ferruginous spa waters on mild-to-moderate psoriatic lesions: a randomized placebo-controlled study. Int J Immunopathol Pharmacol 26:495–501. https://doi.org/10.1177/039463201302600223
doi: 10.1177/039463201302600223
Boutron I, Moher D, Tugwell P, Giraudeau B, Poiraudeau B, Nizard R, Ravaud P (2005) A checklist to evaluate a report of a nonpharmacological trial (CLEAR NPT) was developed using consensus. J Clin Epidemiol 58:1233–1240. https://doi.org/10.1016/j.jclinepi.2005.05.004
doi: 10.1016/j.jclinepi.2005.05.004
Brockow T, Schiener R, Franke A, Resch KL, Peter RU (2007) A pragmatic randomized controlled trial on the effectiveness of low concentrated saline spa water baths followed by ultraviolet B (UVB) compared to UVB only in moderate to severe psoriasis. J Eur Acad Dermatol Venereol 21:1027–1037. https://doi.org/10.1111/j.1468-3083.2007.02152.x
doi: 10.1111/j.1468-3083.2007.02152.x
Cacciapuoti S, Luciano MA, Megna M, Annunziata MC, Napolitano M, Patruno C, Scala E, Colicchio R, Pagliuca C, Salvatore P, Fabbrocini G (2020) The role of thermal water in chronic skin diseases management: a review of the literature. J Clin Med 9:3047. https://doi.org/10.3390/jcm9093047
doi: 10.3390/jcm9093047
Costantino M, Filippelli A (2014) Impact of SPA therapy with sulphureous mineral water on quality of life and psychological distress in chronic plaque psoriasis. Clin Ter 165:e277–e284. https://doi.org/10.7417/CT.2014.1743
doi: 10.7417/CT.2014.1743
Darlenski R, Bogdanov I, Kacheva M, Zheleva D, Demerdjieva Z, Hristakieva E, Fluhr JW, Tsankov N (2021) Disease severity, patient-reported outcomes and skin hydration improve during balneotherapy with hydrocarbonate- and sulphur-rich water of psoriasis. J Eur Acad Dermatol Venereol 35:e196–e198. https://doi.org/10.1111/jdv.16908
doi: 10.1111/jdv.16908
Even-Paz Z, Gumon R, Kipnis V, Abels DJ, Efron D (1996) Dead sea sun versus dead sea water in the treatment of psoriasis. J Dermatol Treat 7:83–86. https://doi.org/10.3109/09546639609089534
doi: 10.3109/09546639609089534
Fioravanti A, Cantarini L, Guidelli GM, Galeazzi M (2011) Mechanisms of action of spa therapies in rheumatic diseases: what scientific evidence is there? Rheumatol Int 31:1–8. https://doi.org/10.1007/s00296-010-1628-6
doi: 10.1007/s00296-010-1628-6
Forestier R, Forestier FBE, Alain Francon A (2016) Spa therapy and knee osteoarthritis: A systematic review. Ann Phys Rehabil Med 59:216–226. https://doi.org/10.1016/j.rehab.2016.01.010
doi: 10.1016/j.rehab.2016.01.010
Fraioli A, Mennuni G, Fontana M, Nocchi S, Ceccarelli F, Perricone C, Serio A (2018) Efficacy of spa therapy, mud-pack therapy, balneotherapy, and mud-bath therapy in the management of knee osteoarthritis. A systematic review. Biomed Res Int 2018:1042576. https://doi.org/10.1155/2018/1042576
doi: 10.1155/2018/1042576
Gálvez I, Torres-Piles S, Ortega-Rincón E (2018) Balneotherapy, immune system, and stress response: a hormetic strategy? Int J Mol Sci 19:1687. https://doi.org/10.3390/ijms19061687
doi: 10.3390/ijms19061687
Huang A, Seité S, Adar T (2018) The use of balneotherapy in dermatology. Clin Dermatol 36:363–368. https://doi.org/10.1016/j.clindermatol.2018.03.010
doi: 10.1016/j.clindermatol.2018.03.010
Kamioka H, Tsutani K, Mutoh Y, Okuizum H, Ohta M, Handa S, Okada S et al (2011) A systematic review of nonrandomized controlled trials on the curative effects of aquatic exercise. Int J Gen Med 4:239–260. https://doi.org/10.2147/IJGM.S17384
doi: 10.2147/IJGM.S17384
Khalilzadeh S, Shirbeigi L, Naghizadeh A, Mehriardestani M, Shamohammadi S, Tabarrai M (2019) Use of mineral waters in the treatment of psoriasis: Perspectives of Persian and conventional medicine. Dermatol Ther 32:e12969. https://doi.org/10.1111/dth.12969
doi: 10.1111/dth.12969
Léauté-Labrèze C, Saillour F, Chêne G, Cazenave C, Luxey-Bellocq ML, Sanciaume C, Toussaint JF, Taïeb A (2001) Saline spa water or combined water and UV-B for psoriasis vs conventional UV-B: lessons from the Salies de Béarn randomized study. Arch Dermatol 137:1035–1039
Lee YB, Lee JY, Lee HJ, Yun ST, Lee JT, Kim HJ, Yu DS, Woo SY, Kim JW (2014) Immunomodulatory effects of balneotherapy with hae-un-dae thermal water on imiquimod-induced psoriasis-like murine model. Ann Dermatol 26:221–230. https://doi.org/10.5021/ad.2014.26.2.221
doi: 10.5021/ad.2014.26.2.221
Liang J, Kang D, Wang Y, Yu Y, Fan J, Takashi E (2015) Carbonate ion-enriched hot spring water promotes skin wounf healing in nude rats. PLoS ONE 10:e0117106. https://doi.org/10.1371/journal.pone.0117106
doi: 10.1371/journal.pone.0117106
Liu F, Cui J, Liu X, Chen KW, Chen X, Li R (2020) The effect of tai chi and Qigong exercise on depression and anxiety of individuals with substance use disorders: a systematic review and meta-analysis. BMC Complement Med Ther 20:161. https://doi.org/10.1186/s12906-020-02967-8
doi: 10.1186/s12906-020-02967-8
Mirandola P, Gobbi G, Micheloni C, Vaccarezza M, Di Marcantonio D, Ruscitti F, de Panfilis G, Vitale M (2011) Hydrogen sulfide inhibits IL-8 expression in human keratinocytes via MAP kinase signaling. Lab Invest 91:1188–1194. https://doi.org/10.1038/labinvest.2011.76
doi: 10.1038/labinvest.2011.76
Moini Jazani A, Ayati MH, Nadiri AA, Nasimi Doost Azgomi R (2023) Efficacy of hydrotherapy, spa therapy, and balneotherapy for psoriasis and atopic dermatitis: a systematic review. Int J Dermatol 62:177–189. https://doi.org/10.1111/ijd.16080
doi: 10.1111/ijd.16080
Morri M, Norat M, Canzi P, Viti S, Mascherpa MA, Angeli P, Angeli F, Romani G (2012) Balneotherapy and narrow-band phototherapy in the treatment of psoriasis: A comparative study. Gazz Med Ital Arch Sci Med 171:739–748
Nissen JB, Avrach WW, Hansen ES, Stengaard-Pedersen K, Kragballe K (1998) Increased levels of enkephalin following natural sunlight (combined with salt water bathing at the Dead Sea) and ultraviolet A irradiation. Br J Dermatol 139:1012–1019. https://doi.org/10.1046/j.1365-2133.1998.02557.x
doi: 10.1046/j.1365-2133.1998.02557.x
O’Hare JP, Heywood A, Summerhayes C, Lunn G, Evans JM, Walters G, Corrall RJ, Dieppe PA (1985) Observations on the effects of immersion in Bath spa water. Br Med J (clin Res Ed) 291:1747–1751. https://doi.org/10.1136/bmj.291.6511.1747
doi: 10.1136/bmj.291.6511.1747
Oyama J, Kudo Y, Maeda T, Node K, Makino N (2013) Hyperthermia by bathing in hot spring improves cardiovascular functions and reduces the production of inflammatory cytokines in patients with chronic heart failure. Heart Vessels 28:173–178. https://doi.org/10.1007/s00380-011-0220-7
doi: 10.1007/s00380-011-0220-7
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD et al (2021) The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 372:n71. https://doi.org/10.1136/bmj.n71
doi: 10.1136/bmj.n71
Peinemann F, Harari M, Peternel S, Chan T, Chan D, Labeit AM, Gambichler T (2020) Indoor salt water baths followed by artificial ultraviolet B light for chronic plaque psoriasis. Cochrane Database Syst Rev 5:CD011941. https://doi.org/10.1002/14651858.CD011941
doi: 10.1002/14651858.CD011941
Peroni A, Gisondi P, Zanoni M, Girolomoni G (2008) Balneotherapy for chronic plaque psoriasis at Comano spa in Trentino, Italy. Dermatol Ther 21(Suppl 1):S31–S38. https://doi.org/10.1111/j.1529-8019.2008.00200.x
doi: 10.1111/j.1529-8019.2008.00200.x
Péter I, Jagicza A, Ajtay Z, Boncz I, Kiss I, Szendi K, Kustán P, Németh B (2017) Balneotherapy in psoriasis rehabilitation. In Vivo 31:1163–1168. https://doi.org/10.21873/invivo.11184
Qiu Y, Zhu Y, Jia W, Chen S, Meng Q (2014) Spa adjuvant therapy improves diabetic lower extremity arterial disease. Complement Ther Med 22:655–661. https://doi.org/10.1016/j.ctim.2014.05.003
doi: 10.1016/j.ctim.2014.05.003
Richard MA, Paul C, Nijsten T, Gisondi P, Salavastru C, Taieb C, Trakatelli M, Puig L, Stratigos A, EADV burden of skin diseases project team (2022) Prevalence of most common skin diseases in Europe: a population-based study. J Eur Acad Dermatol Venereol 36:1088–1096. https://doi.org/10.1111/jdv.18050
doi: 10.1111/jdv.18050
Rodrigues L, Ekundi-Valentim E, Florenzano J, Cerqueira AR, Soares AG, Schmidt TP et al (2017) Protective effects of exogenous and endogenous hydrogen sulfide in mast cell-mediated pruritus and cutaneous acute inflammation in mice. Pharmacol Res 15:255–266. https://doi.org/10.1016/j.phrs.2016.11.006
doi: 10.1016/j.phrs.2016.11.006
Sacerdote P, Gaspani L, Panerai AE (2001) Role of beta-endorphin in the modulation of immune responses: perspectives in autoimmune diseases. Adv Exp Med Biol 493:137–142. https://doi.org/10.1007/0-306-47611-8_16
doi: 10.1007/0-306-47611-8_16
Santos I, Cantista P, Vasconcelos C (2016) Balneotherapy in rheumatoid arthritis-a systematic review. Int J Biometeorol 60:1287–1301. https://doi.org/10.1007/s00484-015-1108-5
doi: 10.1007/s00484-015-1108-5
Scala E, Di Caprio R, Cacciapuoti S, Caiazzo G, Fusco A, Tortorella E, Fabbrocini G, Balato A (2019) A new T helper 17 cytokine in hidradenitis suppurativa: antimicrobial and proinflammatory role of interleukin-26. Br J Dermatol 181:1038–1045. https://doi.org/10.1111/bjd.17854
doi: 10.1111/bjd.17854
Soroka Y, Ma’or Z, Leshem Y, Verochovsky L, Neuman R, Brégégère FM, Milner Y (2008) Aged keratinocyte phenotyping: morphology, biochemical markers and effects of Dead Sea minerals. Exp Gerontol 43:947–957. https://doi.org/10.1016/j.exger.2008.08.003
doi: 10.1016/j.exger.2008.08.003
Timis TL, Florian IA, Mitrea DR, Orasan R (2021) Mind-body interventions as alternative and complementary therapies for psoriasis: a systematic review of the english literature. Medicina (kaunas) 57:410. https://doi.org/10.3390/medicina57050410
doi: 10.3390/medicina57050410
Uzunoglu E, Yentur S, Kayar AH, Turan M, Donmez A, Direskeneli GS, Erdogan N (2017) Effect of mild heat stress on heat shock protein 70 in a balneotherapy model. Eur J Integr Med 9:86–90. https://doi.org/10.1016/j.eujim.2016.11.014
doi: 10.1016/j.eujim.2016.11.014
Wollenberg A, Richard A, Bieber T (1992) In vitro effect of the thermal water from La Roche-Posay on the stimulatory capacity of epidermal Langerhans cells. Eur J Dermatol 2:128–129
Zumiani G, Zanoni M, Agostini G (2000) Evaluation of the efficacy of Comano thermal baths water versus tap water in the treatment of eczematous dermatitis. G Ital Dermatol Venereol 135:253–258