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Jumat, 06 April 2012

Sea Salt Benefits

Short of entering a NASA simulation machine, the experience of swimming in the Dead Sea must be the closest anyone can get to spacewalking without leaving Earth. The water-8.6 times salt­ier than any ocean-is crystal clear, so you can see the craggy white topography of the sea floor beneath you as you float, weightless, like a buoy, even when you drift out and over deeper water. The sensation is supremely calming-not only because you're bobbing about in bath-warm water like a rubber duck, with no risk of drowning or becoming a shark's snack, but also because both the water and air are rich with minerals-including bromine, a popular nineteenth- and early-twentieth-century sedative-that have a relaxing effect on muscles and nerves. But what impressed me most when I reluctantly emerged from a long, blissful soak was how my skin looked and felt-springy, soft, and ultramoisturized-even several un-showered hours after I returned to my hotel in Israel's Ein Gedi, on the sea's western shore.

The therapeutic effects of bathing in mineral-rich waters have been known since time immemorial-or at least since ancient Greeks Herodotus and Hippocrates proclaimed the curative powers of relaxing in natural hot springs, forming the basis for balneotherapy, or "taking the waters," which is still practiced everywhere from Calistoga, California, to Iceland's Blue Lagoon. Cleopatra-that oft-cited bellwether of most things beauty-so greatly valued the youth-bestowing qualities of the Dead Sea's mud and water that she purportedly urged her lover Mark Antony to conquer the region so that she might have an unlimited supply. The compound of magnesium sulfate known as Epsom salt-named after the English town where it was first identified in 1695-has been clinically proven to ease muscle pain and speed the healing of wounds. The Japanese have customarily dipped into mineral springs, or onsen , for centuries, to alleviate a host of complaints ranging from acne to wrinkles. Even now, alternative health blogs are buzzing about so-called transdermal magnesium ther­apy: Because the mineral can be absorbed through the skin and into the cells, devotees allege that a bath containing a few cups of sea-salt-derived magnesium chloride can deliver health-boosting results (such as lowering high blood pressure, a proven benefit of upping dietary intake of magnesium sulfate) more effectively than oral supplements.

Most of us tend to have somewhat negative associations with salt, however­-from the dehydrating discomfort (thirst, bloating) we experience after we've eaten too much of it, to the long-term health dangers of a sodium-heavy diet, to the filmy, sticky feeling that inevitably punctuates long days at the beach. It's certainly not something that springs to mind when thinking about hydration-even though certain salts have a unique ability to attract and hold water, making them a valuable ingredient in moisturizer formulation. Sodium hyaluron, the form of hyaluronic acid used in many face creams, is technically a salt. "Sodium hyaluron is a very viscous substance that increases the water-holding capacity of skin," says New York dermatologist Francesca Fusco, MD, "so it has an almost immediate plumping effect." (Reps for the brand Kinerase, for instance, claim that its presence in the company's new C8 Intensive Treatment multiplies the skin's water content by 1,000.) Whether or not a salt is drying, Fusco explains, comes down to its composition: "Ordinary salt is largely sodium chloride, which is very dehydrating," she says, "but mineral salt, such as Dead Sea salt, is rich in magnesium and calcium, which improve hydration by strengthening the barrier function of the skin." Indeed, those minerals-in addition to zinc and potassium, other components of unrefined salt-are classified by scientists as "natural moisturization factors" for the way they support the skin's water balance. "An example I give my patients is that when you sit in a non-salt bath, your skin wrinkles and prunes," Fusco says. "But that doesn't happen in salt water because salt reproduces an environment in balance with your skin in which your skin doesn't leak out moisture."

At Ahava Dead Sea Laboratories in Israel, salt is everywhere-there are even statues made from the stuff, like Lot's wife, standing in the building's entryway-which isn't surprising considering that this is the only cosmetics company in the world with direct access to Earth's saltiest body of water. Perched on a mountainside with a breath-catching view of the Dead Sea (and Jordan, visible on the opposite shore), the facility houses an extensive research and development department in addition to a factory floor and enormous shop; the latter two are open to tourists. Scientists here have been studying the effects of Dead Sea salts and mud on skin since the company was founded in 1988, finding that the mineral compounds improve cellular metabolism (that is, the efficiency with which cells convert nutrients into energy, as well as the speed at which old skin cells are replaced by new ones), stimulate circulation, and even protect against UVB radiation. The lab's key breakthrough, however, was discovering the way in which the salts moisturize the skin through osmosis. "The minerals of the Dead Sea are hydroscopic, meaning they attract water," explains Ahava research and development manager Isabelle Afriat, PhD, "so when you put them on the skin, they act like a pump, drawing moisture and nutrients from the deeper levels of the skin up to the epidermis." Every Ahava face and body product contains a sample of Dead Sea water, patented as the "Osmoter," which, the company maintains, increases the skin's hydration both on the top and dermal levels by effectively rebalancing the distribution of naturally occurring minerals in the cells. A number of independent studies also show that the Dead Sea minerals reduce roughness and inflammation, improving overall skin health.

Most moisturizers are built around ingredients that are occlusives, which prevent water evaporation from the skin, and humectants, which have a softening, smoothing effect on the epidermis. Adding mineral salt to the equation can be of particular import for aging skin, which is compromised by decreased ability to retain water and a slowing cellular metabolism. "Magnesium, calcium, sodium, and potassium are critical for proper cell-to-cell communication," says Afriat, "so replenishing the skin with minerals can help restart the signaling processes that slow down with age." When the skin's mineral quotient is out of whack, we all know it: Telltale signs such as "dryness, irritation, dullness, and blotchiness" begin to emerge, Fusco says. "Moisturizers containing salts are better than plain old occlusives because they allow moisture to be absorbed and to bind to skin more efficiently."

According to Yael Alkalay, the founder of natural beauty brand Red Flower, there's another proven reason why salt helps quench the skin: It's exfoliating, and not just when you use it as a scrub. "Salt is almost like those little goldfish in some weird pedicure place," she says. "It has a sort of instantaneous effect of taking dead skin cells off the surface of the skin. It does it very gently, leaving the skin smoother and more able to absorb moisture and nutrients." It's especially effective when combined with warm water, which increases circulation. "One of the best ways to keep skin youthful, energized, and healthy is to increase blood flow while pulling moisture and minerals in."

"Moisturization with salt is something I've been trying to explain for a long time, because I feel that salt often gets a bad rap in regards to how it can be used in a skin-care regimen," Alkalay says. When she formulated Red Flower's cleansing Bioactive Berry White Peat Exfoliant, she recalls, "everyone said, ‘You can't put salt in a face product!' But we did it, and for a very specific reason: It converts the water that you put on your face to give skin a higher mineral content-and minerals are absolutely crucial to healthy skin."

Jumat, 23 Maret 2012

UK obesity: Is diet or surgery the best cure?

With one in 30 of the UK population now classed as morbidly obese, the NHS is spending increasing amounts on weight-loss stomach surgery.

 
Figures released by the NHS Information Centre last week showed there had been a 30-fold increase in bariatric surgeries in a decade - up from 261 in 2000-01 to 8,087 in 2010-11.

While some NHS trusts continue to fund such surgeries for people with life-threatening obesity, others prefer to take a different approach.

In Leeds, teenager Emma Jane Money has recently undergone a gastric bypass operation.
She lost more than two stone in weight in the two weeks after the NHS paid for her to have the surgery at the private Thornbury hospital in Sheffield.

'Potentially dangerous' The 16-year-old, who weighed more than 21st (133kg) before the operation, said she had tried to diet and exercise more but had been unable to lose weight on her own.

She told the BBC's Inside Out programme: "With constant images of ribcages and bones and bony elbows and things like that it is hard and people do get this idea in their head that this is what every person is meant to be.

"It's really hard when someone then looks at me and thinks 'they're not right, that's not normal'."

Emma said she was "excited" about losing weight.

"I will get to wear all the new fashion trends with my friends. I will get to go anywhere and I don't have to worry about people saying things or judging me."

About 1% of patients die after weight-loss operations but consultant surgeon Roger Ackroyd, who operated on Emma, said the benefits of the surgery far outweighed the risks.

"It's extreme, it's potentially dangerous but it really does work," he said.

"People come to me and say... you are spending hard-earned taxpayers' money treating people who basically all they need to do is eat less and exercise more. That's a very valid argument.

"The only thing I would say is these people such as Emma would in time go on to need a hip replacement, knee replacement, she'll go on diabetic medication, she'll go on blood pressure medication and cancer is much more common in overweight people.

"If we can invest in this type of surgery now then it saves the NHS money in the long term."

In the East Riding of Yorkshire, people with a body mass index of more than 45 are being referred to a programme where they are given a personal trainer and nutrition advice.

Mandy Bennett, from Driffield, is one of nearly 50 patients signed up to the Live Well scheme and has lost three stone.

She said: "I have been maintaining my weight for three or four months now which is a big part of it. Learning to maintain your weight is as big an issue as losing the weight."

She said that without the help of her personal trainer she would "still be sat in front of the TV eating the wrong things, getting bigger, getting more unhealthy and probably not anywhere near as happy as I am".

Dr Tim Allison, NHS East Riding of Yorkshire's director of public health, said: "We have seen the number of surgical operations drastically go down by about 80%.

"The levels of bariatric surgery had been increasing quite considerably and we didn't have the services in place to give people the opportunity to have that dedicated six to nine months of intensive diet and physical activity.
"We felt it would be far better if we could put that in place rather than simply have people go forward to surgery.

"People shouldn't be desperate to have bariatric surgery, they should be desperate to change their life around and to work to lose weight."