Is your summer sea swim destroying your skin’s microbiome?

Is your summer sea swim destroying your skin’s microbiome?

Taking a dip can affect our skin barrier in a whole host of ways. dives in
Sadiq Khan announces new 10-year plan to clean up London's waterways
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You’ve seen the warnings. However much you’re dying to run and jump into the sea, there are several rules to stick to: check the water quality first, avoid swimming after heavy rain and, whatever you do, try not to swallow any of it.

But while sewage spills and stomach bugs have become an unfortunate part of trips to the British seaside in recent years, another aspect of your summer swim is often forgotten: what that great British seawater does to your skin. Research at Huntington Beach, California, found that every dip exposes your skin to billions of microorganisms, reshuffling the delicate community of bacteria, fungi and other microbes living on its surface. That same study found that after just 10 minutes in the ocean, swimmers emerged with noticeably altered skin microbiomes, with marine bacteria still detectable hours later. So what is the sea actually doing to our skin — and should we be worried?

Not particularly, according to Professor Carsten Flohr, chair in dermatology and population health science at King’s College London. “A sea swim can temporarily reshape the skin microbiome, but it doesn’t simply ‘wash all the good bacteria off,” he says. “Think of it as a short-lived disturbance to a microbial ecosystem.” Our skin microbiome is part of our defence against the outside world. During a swim, waves, rubbing and immersion remove some surface microbes, oils and sweat while introducing microorganisms. Salt can also draw water from the outer layer of skin, leaving some swimmers dry, tight or irritated.

What happens underwater

But most of the marine microbes that turn up afterwards are “transient passengers”, says Flohr, while our resident bacteria survive partly in hair follicles and deeper layers of the outer skin. “The skin’s oils, moisture, pH and immune system help the usual community recover.” In other words, detecting bacteria on your skin doesn’t mean you’re infected.

Dr Mehak Zahoor Khan, a bacterial immunologist in the US, compares the post-swim effect to people walking through the same dust storm and emerging covered in the same dust. “Exposure and infection are very different things,” she says. As microbiologist Dr Mario Hupfeld points out, a bacterium would still need to survive on the skin, breach its protective barrier and multiply before it could cause an infection.

Cuts, grazes, blisters, cracked skin, fresh piercings or tattoos all offer bacteria an entry point

For most healthy people, the risk of becoming ill from sea swimming is low. UKHSA’s Dr Richard Pebody says any resulting illness is usually mild, although open water can contain bacteria capable of causing stomach, chest, skin, ear and eye infections.

The bigger issue for skin, Flohr says, is not the temporary microbiome shake-up seawater can cause, but damage to its physical barrier. “If frequent swimming leaves your skin very dry or irritated, the altered barrier can make it easier for irritants and potentially pathogenic organisms to get in,” he says.

Cuts, grazes, blisters, cracked skin, fresh piercings or tattoos all offer bacteria an entry point, as can an active eczema flare-up. People with weakened immune systems, diabetes, chronic liver disease or poor circulation should take extra care.

Rarely, seawater can transmit bacteria such as Vibrio, which can cause serious wound infections and is associated particularly with warmer coastal waters. Experts say to seek medical advice if a wound develops rapidly worsening redness, swelling or pain, blistering, discharge, skin discolouration or fever after a swim. So how can you protect your skin without giving up the joys of the British seaside?

Where skin is vulnerable

First, check the water before getting in. UKHSA recommends the Environment Agency’s Swimfo service, particularly after heavy rain or pollution incidents. Cover minor cuts with a secure waterproof dressing — and skip the swim if you have a significant open wound.

Afterwards, fresh water is your friend — but there’s no need to attack yourself with antibacterial products. Flohr recommends a quick rinse, gentle soap if needed, patting rather than aggressively rubbing yourself dry and applying a plain moisturiser if your skin feels tight or irritated. Change out of wet swimwear promptly and clean any cuts with running water.

What about protecting your microbiome from the inside? That is the thinking behind a new generation of probiotic and synbiotic supplements. The theory rests on the “gut-skin axis” — the idea that microbes in our gut can influence immune, inflammatory and metabolic pathways that affect the skin. There is evidence for a gut-skin connection, but that doesn’t mean swallowing a supplement will protect your skin from the sea. Research into probiotics and skin is mixed and depends on the strains and doses involved. Flohr says there is some evidence around preventing atopic dermatitis, although probiotics don’t appear to help established eczema, and evidence around acne is limited. He adds there appears to be little additional benefit from synbiotics (products combining probiotics with prebiotics) and says a diverse, fibre-rich diet has much stronger general-health evidence. Khan is similarly cautious: “For sea swimming, there is currently no direct evidence. We do not have clinical trials showing that a synbiotic can prevent or reduce the temporary microbiome changes caused by seawater.”

In other words, the sea may leave a microbial calling card on your skin, but for most of us, a healthy, looked-after skin barrier is perfectly capable of sending it on its way.

Original source Is your summer sea swim destroying your skin’s microbiome?

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