Childhood
eczema now affects nearly one in three children, compared to just one in
20 in the 1940s, with experts blaming the rise in environmental factors
including parents' desire to use products on their children.
Dr
Alison Cooke told the Royal College of Midwives conference she was
'astounded' when her study showed 'strong evidence' oil had an adverse
effect on the development of skin barrier. She said: 'I thought, 'What
about the baby massage classes? They use these oils all the time. What
are we going to do?'
The
oils break down into fatty acids which damage the skin's structure,
allowing irritants to enter and too much water to escape. This can lead
to dryness, cracks and conditions such as eczema.
She
added: 'To avoid harm to babies, until further research is available,
those two topical oils – olive oil and sunflower oil – should not be
recommended for treatment of dry skin or for baby massage.'
While
there was no clear evidence any product was safe, she said
dermatologists recommended using 50/50 cream – a mix of liquid and soft
paraffin – instead.
For
her research, a team followed 115 newborn babies who were divided into
three groups. Parents from each group were asked to massage their baby's
leg, arm and stomach daily with either four drops of olive oil,
sunflower oil or nothing for 28 days.
The
babies' skin was then analysed and both groups which had been treated
with oils showed delayed development of the protective skin barrier.
Researchers will now follow the babies to see whether there is a link
between this problem and eczema. Babies' skin is more fragile and
permeable than adult skin and it can take up to two years for the
barrier to develop fully.
The
academics also carried out a separate review of all published studies
on baby skincare. They found there was little evidence that any products
were beneficial to babies.
Dr
Carol Bedwell said scientists could only conclude that one – Johnson
& Johnson Head to Toe – was no more or less harmful to a baby's skin
than using water alone.
She
told the conference in Harrogate yesterday: 'We know women are confused
by the wealth of products that are out there. We know that they are
keen to use them but there is an assumption that if they are available
they are also safe for use.'
Official
guidelines published by health watchdog NICE state parents should
ideally not use skin products on their babies, although they could use
unperfumed soap.
But
Rona McCandlish, who helped write the guidelines, admitted yesterday
that the advice was out of date and evidence now showed some products
were fine for babies while soap could actually be damaging.
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