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________________________________________________ #P244 Nutrition: EImpact on Hair, Skin, and Nails COURSE #P244 — 2 CE HOURS Release Date: 06/01/14 xpiration Date: 05/31/17 Nutrition: Impact on Hair, Skin, and Nails HOW TO RECEIVE CREDIT • Read the enclosed course. • Complete the questions at the end of the course. • Return your completed Answer Sheet/Evaluation to Paragon CET by mail or fax, or complete online at www.ParagonCET.com. Your postmark or facsimile date will be used as your completion date. • Receive your Certificate(s) of Completion by mail, fax, or email. Faculty Paragon CET Staff Division Planner Leah Pineschi Alberto, licensed cosmetologist and instructor of cosmetology, has been educating students in Northern California since 1975. In addition, she has been responsible for training educators in cosmetology, esthetics, and manicuring for more than 30 years. Mrs. Alberto began her career with Don’s Beauty School in San Mateo, California. She held a 30-year position at Sacramento City College and is currently the State Board Specialty Learning Leader and is involved in tutoring and consulting. She is a salon owner, a former Department of Consumer Affairs examiner, and a speaker at the Esthetics Enforcement Conference. The health and safety of the community of stylists, salon owners, and school owners has been the focus of Mrs. Alberto’s career. She served on the State Board Task Force on Pedicure Disinfection commissioned by Governor Schwarzenegger to investigate the cleanliness of the pedicure industry. The Task Force was responsible for developing foot spa safety regulations in response to illnesses and deaths resulting from unsafe pedicure practices. Mrs. Alberto is currently a member of the California Cosmetology Instructors Association. Audience This course is designed for all salon professionals. Accreditation Paragon CET is approved as a provider of continuing education by the Illinois Division of Professional Regulation for Cosmetologists, Estheticians, and Nail Technicians. License number 190.000510. Paragon CET courses meet the requirement for continuing education as set forth by the North Carolina Board of Cosmetic Art Examiners. Paragon CET is approved as a provider of continuing education by the West Virginia Board of Barbers and Cosmetologists. Provider number P0030. Designation of Credit Paragon CET designates this continuing education activity for 2 CE hours. About the Sponsor The purpose of Paragon CET is to provide challenging curricula to assist professionals to raise their levels of expertise while fulfilling their continuing education requirements, thereby improving the quality of service to their clients. Course Objective The purpose of this course is to provide salon professionals with an overview of nutrition and the role that it plays in healthy hair, skin, and nail development. Copyright © 2014 Paragon CET A complete Works Cited list appears on page 14. Paragon CET • Sacramento, California Mention of commercial products does not indicate endorsement. Phone: 800 / 707-5644 • FAX: 916 / 878-5497 1 #P244 Nutrition: Impact on Hair, Skin, and Nails ________________________________________________ Learning Objectives Upon completion of this course, you should be able to: 1. Define nutrition and list sources of nutrients. 2. Describe the process of digestion and how nutrients are absorbed, including causes of malnutrition. 3. Describe the makeup of hair and nails and the role of nutrition in their growth and maintenance. 4. Describe the makeup of skin and the role of nutrition in its growth and maintenance. 2 Paragon CET • March 16, 2016 www.ParagonCET.com ________________________________________________ #P244 Nutrition: Impact on Hair, Skin, and Nails INTRODUCTION OVERVIEW OF NUTRITION Nutrition is a term that is familiar to many people. Discussion and education about nutrition and healthy eating often starts at a young age and continues throughout a person’s lifetime. Proper nutrition provides many benefits, including normal body growth, maintaining a healthy body weight, strengthening the immune system, providing energy for daily life, and protecting against future health conditions and diseases. Good nutrition has also been shown to increase concentration and reduce stress and anxiety [1]. Nutrition (also known as nourishment or ailment) is defined as elements (nutrients, made up of vitamins and minerals) that are obtained from food and food products and used by the body to ensure good health [2]. Sources of nutrients are food (including animals [meat], animal products [eggs, milk], and plant products [fruits, vegetables, and grains]), supplements, vitamins, and solutions (such as those used in hospitals). There are six major categories of nutrients: proteins, carbohydrates, fats/oils, vitamins, minerals, and water [6; 8]. In order to understand the importance of nutrition and how it affects health, one must first understand what health is and how nutrition works. Health is not just the absence of disease or other health conditions; it is complete physical, mental, and social well-being.The physical, mental, and social aspects of health are all connected, meaning that if one area is lacking, the others will also be affected. Nutrition can have a significant impact on all areas of health, not just physical well-being. For example, if a person is not eating right and not getting required nutrients, their concentration and/or mood may be affected, which could impact their mental and physical well-being. Salon professionals should be aware of proper nutrition, as it plays a vital role in maintaining healthy hair, skin, and nails. Understanding the relationship between good nutrition and conditions of the hair, skin, and nails, and being able to counsel or refer clients in order to improve the health of those structures can be invaluable to both the client and your profession. Paragon CET • Sacramento, California PROTEINS Proteins are nutrients that help provide lasting energy and build and repair body tissues, including muscle, bones, blood, and skin. Major sources of proteins include meat, fish, poultry, nuts, tofu, and dairy products (such as milk, yogurt, and cheese) [7]. CARBOHYDRATES Carbohydrates (commonly shortened to “carbs”) are nutrients that provide energy for the body. Carbohydrates are broken down into simple and complex types. Simple carbohydrates provide quick energy and are made up mostly of sugar. Examples of simple carbohydrates include soda, sweetened breakfast cereal, and candy. Fruit is also considered a simple carbohydrate, but it contains a naturally occurring sugar and is also high in vitamins and minerals. Complex carbohydrates provide longer lasting energy and can be found in whole-grain foods (such as cereal, bread, oatmeal, tortillas, crackers, and pasta). Vegetables and potatoes are also a source of complex carbohydrates [8]. Phone: 800 / 707-5644 • FAX: 916 / 878-5497 3 #P244 Nutrition: Impact on Hair, Skin, and Nails ________________________________________________ FATS AND OILS Fats and oils provide long-term energy, protect inner organs, and help in the proper utilization of specific types of vitamins. While fats are often viewed as harmful, they are in fact essential nutrients––it is the type of fat that is being consumed that is important. There are three types of fats that should be avoided or limited [8]: • Trans fat: Occurs in many prepackaged snack foods (chips, popcorn, crackers), commercially baked products (cookies, doughnuts, cakes, pizza dough), margarine, vegetable shortening, fried foods, and items that include partially hydrogenated oils • Saturated fat: Found in whole-fat dairy products, high-fat cuts of meat, butter, lard, coconut oil, and palm oil • Cholesterol: Found primarily in animal fats, either in meats (beef, pork) or animal products (egg yolks, butter) According to the U.S. Food and Drug Administration (FDA), trans fat is the most dangerous fat and should be avoided, while saturated fat and cholesterol are acceptable in small doses if eaten in the context of a healthy diet [8]. Polyunsaturated (including omega-3 and omega-6 fatty acids) and monounsaturated fats are considered good fats and help the body function properly. Sources of these healthy fats include salmon, tuna, avocados, olives, nuts, tofu, peanut butter, and olive, canola, sunflower, peanut, sesame, and soybean oils. 4 Paragon CET • March 16, 2016 VITAMINS Vitamins and minerals are closely related and often rely on one another to absorb properly in the body. Although vitamins and minerals are often mentioned as one nutrient, there are distinct differences between the two. Vitamins are considered organic substances (made by plants or animals), while minerals are considered inorganic elements (coming from the earth, soil, and water) and are absorbed into plants that animals and human eventually consume. Both vitamins and minerals are essential for normal growth and development. Most vitamins and minerals can be obtained through a healthy, balanced diet of proteins, carbohydrates, and fats and oils; however, dietary supplements (in the form of capsules, tablets, Softgels, gelcaps, powders, or liquids) may be used to supplement areas of actual or perceived vitamin or mineral shortages [8]. It is important to note that although supplements can assist in getting the required nutrients, they are not a replacement for a healthy diet. Examples of good sources of vitamins include [9]: • Vitamin A (retinol, beta carotene): Beef, liver, eggs, shrimp, fish, cheddar and Swiss cheeses, sweet potatoes, carrots, squash, spinach, mangoes • Vitamin B1 (thiamin): Pork, ham, soymilk, watermelon, acorn squash • Vitamin B2 (riboflavin): Milk, yogurt, cheese, whole and enriched grains, some cereals, liver • Vitamin B3 (niacin, nicotinic acid): Meat, poultry, whole and enriched grains, mushrooms, potatoes, peanut butter • Vitamin B5 (pantothenic acid): Chicken, whole grains, broccoli, mushrooms, avocados, tomatoes • Vitamin B6 (pyridoxal): Meat, fish, poultry, legumes, tofu, soy products, potatoes, bananas, watermelon www.ParagonCET.com ________________________________________________ #P244 Nutrition: Impact on Hair, Skin, and Nails • Vitamin B12 (cobalamin): Meat, poultry, fish, eggs, cheese, fortified cereals, fortified soymilk • Vitamin C (ascorbic acid): Fruits (especially citrus fruits), potatoes, broccoli, bell peppers, spinach, strawberries, tomatoes • Vitamin E (alpha-tocopherol): Vegetable oils, salad dressings, wheat germ, leafy greens, whole grains, nuts • Vitamin K (phylloquinone, menadione): Cabbage, liver, milk, leafy green vegetables (spinach, broccoli, kale, collards) • Biotin: Whole grains, organ meats, egg yolks, soybeans, fish • Folic acid: Fortified grains and cereals, asparagus, spinach, okra, broccoli, orange and tomato juices, black-eyed peas, chickpeas Of these, several are thought to have a positive influence on the hair, skin, and nails. However, it should be noted that the singular act of increasing a certain vitamin, either through altering the diet or through supplementation, is not the “cure” to damaged hair, skin, or nails. Vitamins and dietary supplements are not evaluated by the FDA, and their claims should not be taken at face value. Ensuring good overall health through diet, exercise, and mental well-being is the most effective approach. Further discussion of the role of certain vitamins and their effects will appear later in this course. MINERALS As previously noted, vitamins and minerals are closely related and are often categorized together. As a reminder, minerals are inorganic elements (coming from the earth, soil, and water) and are absorbed into plants that animals and humans eventually consume [8]. Good sources of minerals include [9]: Paragon CET • Sacramento, California • Calcium: Dairy products (milk, cheese, yogurt), tofu, sardines, salmon, leafy green vegetables (except spinach and Swiss chard) • Chloride: Salt, soy sauce, processed foods • Chromium: Meat, poultry, fish, nuts, cheese • Copper: Liver, shellfish, nuts, seeds, whole grains, beans, prunes • Fluoride: Treated water in some locations, most adult toothpastes • Iodine: Iodized salt, processed foods, seafood • Iron: Red meat, poultry, eggs, fruits, green vegetables, fortified grain products • Magnesium: Green vegetables (spinach, broccoli), cashews, sunflower seeds, halibut, whole-wheat bread, milk • Manganese: Nuts, legumes, whole grains, tea • Molybdenum: Legumes, nuts, grain products, milk • Phosphorus: Dairy products, meat, fish, poultry, eggs, liver, green peas, broccoli, potatoes, almonds • Potassium: Meat, milk, fruits, vegetables, grains, legumes • Selenium: Organ meats, seafood, walnuts • Sodium: Salt, soy sauce, processed foods • Sulfur: Meats, fish, poultry, nuts, legumes • Zinc: Red meat, poultry, oysters, fortified cereals, legumes, nuts All of these minerals play an important role in maintaining a healthy body system. As noted, vitamins and dietary supplements are not evaluated by the FDA, and their claims should not be taken at face value or considered a cure. A discussion of the role of specific minerals that are thought to play a role in hair, skin, and nails will appear later in this course. Phone: 800 / 707-5644 • FAX: 916 / 878-5497 5 #P244 Nutrition: Impact on Hair, Skin, and Nails ________________________________________________ Although many vitamins and minerals may be found in meat and animal products, it is important to note that the actual levels are affected by many factors, including the type of animal, the animal’s diet, and processing practices. Individuals can maintain a healthy diet with or without animal products. WATER Water is not often thought of as a nutrient, but it plays many important roles in the body. Apart from the obvious function of hydration, water helps to remove waste (through sweat, urine, and bowel movements), regulate body temperature, protect the spinal cord, protect and cushion joints, and maintain chemical reactions in the body by dissolving and carrying nutrients. While the most straightforward way of consuming water is by drinking plain water, it can also be found in foods such as soups, celery, cucumber, lettuce/cabbage, tomatoes, and oranges [8]. CURRENT DIETARY GUIDELINES The U.S. Department of Health and Human Services, in conjunction with the U.S. Department of Agriculture, released dietary guidelines in 2010 that recognize that a healthy eating plan is one that emphasizes fruits, vegetables, and whole grains and includes lean meats, poultry, fish, beans, eggs, and unsalted seeds and nuts. In addition, the plan should be low in saturated fats, trans fats, cholesterol, sodium, and added sugars. The following key recommendations were made (for an average 2000-calorie daily intake) [13]: • Eat 3 or more ounces of whole-grain products each day. • Eat 3 cups per day of fat-free or low-fat milk or equivalent milk products. • Limit calories from saturated fatty acids to fewer than 10% of daily caloric intake. Replace fatty acids with monounsaturated and polyunsaturated fatty acids. Avoid trans fatty acids. • Limit total daily fat intake to no more than 20% to 35% of calories. Preferred fat sources are fish, nuts, and vegetable oils containing polyunsaturated and monounsaturated fatty acids. Lean, low-fat, or fat-free meats, poultry, dry beans, and milk are preferred. • Minimize added sugar, caloric sweeteners, and foods that contain refined grains. • Consume less than 2,300 mg of sodium (approximately one teaspoon of salt) daily. Limit salt added in food preparation. • Choose potassium-rich fruits and vegetables. • Limit alcohol consumption to no more than one drink per day if you are a woman or two drinks per day if you are a man. • Wash hands, food contact surfaces, and fruits and vegetables to avoid microbial foodborne illness, but do not wash or rinse meat and poultry. • Avoid consuming raw (unpasteurized) milk, eggs, or meat products, unpasteurized juices, and raw sprouts. • Eat 2 cups of fruit and 2½ cups of a variety of vegetables (dark green, red and orange, legumes, starchy vegetables, other vegetables) per day. 6 Paragon CET • March 16, 2016 www.ParagonCET.com ________________________________________________ #P244 Nutrition: Impact on Hair, Skin, and Nails THE COMPONENTS OF THE DIGESTIVE SYSTEM Source: [5] DIGESTION AND ABSORPTION OF NUTRIENTS The process of nutrition and nutritional science is complex and beyond the scope of this course. The following information is provided as a very brief overview of how nutrients are absorbed by the body, a process known as digestion. Digestion and absorbing nutrients into the body begins with the act of introducing food or supplements into the body, usually through swallowing. In some cases, supplemental solutions are introduced intravenously (IV) or through a feeding tube, as directed by a healthcare professional. After swallowing, the particles continue through various organs in the digestive system and specific nutrients are absorbed in various parts of the body (Figure 1) [3; 4; 5]: Paragon CET • Sacramento, California Figure 1 The liver, gall bladder, and pancreas have many functions in the body, but their main role in digestion is to produce enzymes that are released into the small intestine. These enzymes help to break down food particles so the nutrients can be absorbed. Broken-down food or supplement particles are transported to the stomach, where they are further dissolved by gastric juices (also called stomach acids). The main product absorbed through the stomach is alcohol. The particles then travel through the small intestine, which is a coiled tube about 10 feet long and about 1 inch in diameter. The main job of the small intestine is to absorb nutrients, and by the time food particles leave the small intestine, approximately 90% of the nutrients have been absorbed. The small intestine is divided into three distinct sections that absorb different nutrients: the first part Phone: 800 / 707-5644 • FAX: 916 / 878-5497 7 #P244 Nutrition: Impact on Hair, Skin, and Nails ________________________________________________ (the duodenum) absorbs calcium, magnesium, iron, vitamins A and D, and glucose; the middle part (the jejunum) absorbs fat, sucrose, lactose, vitamins A and D, folic acid, proteins and amino acids, and glucose; and the last part of the small intestine (the ileum) absorbs proteins and amino acids, folic acid, and vitamin B12. After nutrients have been absorbed through the small intestine, remaining particles are transported to the large intestine (also called the colon), a tube about 5 feet long and 2.5 inches in diameter. The large intestine absorbs water and a very small amount of nutrients, including potassium, sodium, and fatty acids. The result of absorption throughout the digestive system is solid waste product (feces). Feces are then moved through the anal canal for elimination from the body through the anus, completing the process of digestion. Any disruption in the digestive system can cause nutrient deficiencies. This can be due to injury or intentional removal of part of the digestive tract, as with weight-loss surgery. For these individuals, supplements and careful diet may be necessary. If not controlled, these deficiencies can cause many problems and affect the structure and growth of cells in the body. For example, if a client’s nail curves up from the nail bed like a spoon (a condition called koilonychia), this can be an indicator of iron deficiency [19]. As a salon professional, it is important to understand the connection between how nutrients are used inside the body and how they ultimately affect the outside of the body as changes in the hair, skin, and nails that are commonly seen in your profession. NUTRITIONAL DEFICIENCY/ MALNUTRITION As mentioned, most vitamins and minerals can be obtained through a healthy, balanced diet of proteins, carbohydrates, and fats and oils. However, it has become common practice to use dietary supplements to supplement areas of actual 8 Paragon CET • March 16, 2016 or perceived vitamin or mineral shortages. When the body does not absorb the necessary amount of nutrients, this is known as a nutritional deficiency or malnutrition. There are several causes of malnutrition, including [10]: • An unbalanced diet: A person is not eating enough of the types of foods that provide proper nutrition. • Mental health problems: Depression, anorexia, and bulimia make it hard for an individual to eat enough or retain enough nutrients. • Conditions that affect movement: These conditions may impair proper nutrition because the person may not be able to get to a store to purchase food or may not be able to prepare nutritious food. • Digestive disorders and stomach conditions: These disorders, including Crohn’s disease, ulcerative colitis, celiac disease, or a sensitive stomach that causes pain, diarrhea, or vomiting when eating certain foods, can result in poor diet and/or inadequate absorption. • Alcoholism: Overuse of alcohol can cause many problems with nutrition, including getting calories from drinking instead of from eating proper foods, changes within the body that make it unable to absorb nutrients, and damage to specific internal organs (such as the pancreas) that prevent certain nutrients from being absorbed. Any situation that causes a nutritional deficiency should be addressed to ensure that proper nutrition is achieved and can be maintained, as good nutrition helps keep the body healthy and functioning at an optimum level. The following sections will discuss the role that nutrition and malnutrition play in relation to the hair, skin, and nails. www.ParagonCET.com ________________________________________________ #P244 Nutrition: Impact on Hair, Skin, and Nails NUTRITION FOR HEALTHY HAIR AND NAILS Hair and nails are both primarily made up of a tough protein called keratin. Because of the similar structure of hair and nails, the effects of nutrition and various nutrients on these structures are comparable. In the hair, keratin is produced under the skin or scalp in the follicle, and good nutrition is required to nourish this follicle to produce healthy hair. The average person’s hair grows about one-half of an inch per month. This rate of growth means that any period of malnutrition could show up months afterward, even if the nutritional deficiency has since been corrected. This also means that starting a good nutritional plan may not be evident in damaged hair for several months [11]. Nail growth begins under the skin in the matrix, and proper nutrition is essential to create healthy nails. Nail growth is based on a variety of factors and, like hair, periods of malnutrition can be seen on the nail plate in the form of ridges, dents, discoloration, and brittle nails until good nutrition is achieved [12]. PROTEINS Because the primary component of hair and nails is keratin, protein is an obvious necessity for healthy hair and nails. Protein is made up of amino acids, and when the body breaks down protein through digestion, amino acids remain. Amino acids are used for several things in the body, including breaking down food, maintaining normal body functions, repairing body tissue, and providing energy. With specific regard to hair and nails, there are several amino acids that can contribute to growth, and help prevent hair loss and brittle nails. If the body is lacking amino acids (from foods that contain protein), the body will not produce as much keratin, and thin, brittle hair and nails can be seen [12]. Paragon CET • Sacramento, California Specifically, deficiency of the amino acid lysine appears to be a significant cause of hair loss in women. In addition to hair loss, signs of lysine deficiency include fatigue, loss of appetite, and dizziness. Lysine is not produced naturally in the body and is totally derived from an individual’s diet. Foods high in lysine include red meat, legumes, eggs, dairy products, some fish, nuts, soybeans, fenugreek, and Brewer’s yeast. Sugar and the amino acid arginine bind to lysine, and high intake of these nutrients should be avoided. If an individual’s diet does not provide adequate lysine (e.g., some vegan diets), supplementation may improve overall health and hair retention [20]. Supplementation may cause side effects, such as nausea, abdominal cramps, diarrhea, and stomach pain, so it should be guided by a healthcare provider. CARBOHYDRATES In the body, carbohydrates are broken down and converted into energy. Although they have several functions, they also play a role in converting protein into amino acids and creating the energy needed to maintain active growth of the hair and nails. Hair loss and thinning of hair and nails due to insufficient energy may be seen in those people who lack the necessary intake of carbohydrates [13]. Excessive carbohydrate intake in addition to severe protein malnutrition causes soft and thin nails, while starvation (seen mainly in those with anorexia) may cause split nails and/or impaired nail growth [22]. FATS AND OILS Healthy fats and oils, including polyunsaturated and monounsaturated fats, are an important part of healthy hair and nails. These fats and oils help keep every cell in the body healthy and can help in maintaining the natural oils that keep hair and the scalp hydrated. A balanced diet that includes healthy fats and oils can prevent dry or brittle hair, dandruff, split ends, hair thinning and loss, and nail splitting [11]. Phone: 800 / 707-5644 • FAX: 916 / 878-5497 9 #P244 Nutrition: Impact on Hair, Skin, and Nails ________________________________________________ VITAMINS While all vitamins play an important role in being healthy, some have been shown to be especially beneficial for healthy hair and nails. The following vitamins assist in healthy hair and nails by promoting circulation, assisting in the production of keratin, and maintaining healthy cells throughout the body [11; 12; 14]: • Vitamin A • Vitamin B1 • Vitamin B6 • Vitamin B9 (folic acid) • Vitamin B12 • Biotin • Vitamin C • Vitamin E Of particular interest in promoting the health of hair and nails is the vitamin biotin. A true biotin deficiency may cause hair loss, loss of hair color, and brittle nails; however, biotin deficiency is rare. Ongoing research has shown a potential for increasing hair retention and the thickness of nails, although the reasons for this are unclear. There is insufficient evidence to rate the required amount needed and the effectiveness [15]. Vitamin D appears to have some effect on the hair cycle, and deficiencies may cause hair loss or thinning [20]. It is unknown whether taking vitamin D supplements could improve hair health. 10 Paragon CET • March 16, 2016 MINERALS As discussed, minerals are important in overall health and the health and vitality of hair and nails. The following minerals are of particular importance in the maintenance of healthy hair and nails [11; 12; 14]: • • • • • • Copper Iron Selenium Sulfur Magnesium Zinc Low levels of iron in the blood (called anemia) are a significant cause of hair loss, especially in women [12]. As noted, iron deficiency can cause abnormally thin fingernails, characterized by a spoon-like growth pattern. It may also result in pale nail beds, detachment of the nail from the nail bed, and brittle nails. Calcium deficiency may cause Mee’s lines (also called transverse leukonychia), which appear as pale or discolored horizontal lines in the nail [22]. In extreme cases of calcium deficiency, nails may fall out without any associated injury. Other mineral deficiencies may cause Beau’s lines, soft nails, or peeling nails. WATER Water is essential for proper functioning of the entire body. Water keeps the body hydrated, providing critical support in the carrying and absorption of nutrients, and is vital for healthy hair and nails. Hydration of the nail plate can affect the quality of the nail. A water content of 18% is considered normal; if the level drops to less than 16%, nails will become brittle, while nails become soft when water content is greater than 25% [22]. www.ParagonCET.com ________________________________________________ #P244 Nutrition: Impact on Hair, Skin, and Nails The moisture content of hair varies by ethnicity and the use of styling techniques and products. Up to 30% of hair is made up of water, and dehydration for a longer period of time can also affect the quality of an individual’s hair. It is important to note that water intoxication, also known as hyponatremia, is possible if large quantities of water are consumed, and this condition can be very harmful. The amount of water necessary to cause symptoms of intoxication varies depending on the individual circumstances (e.g., temperature, exercise, etc.), but healthy kidneys are able to process approximately 0.8 to 1 L of fluid (or about 0.25 gallons) per hour. NUTRITION FOR HEALTHY SKIN The skin is the largest organ on the body and is made up of several components, including water, protein, lipids, minerals, and chemicals. There are two main layers of skin [16]: • The dermis: The middle layer, mainly composed of the two proteins elastin (gives skin elasticity) and collagen (provides strength) • The epidermis: The outermost layer, mostly made of up keratin The innermost part of the skin is primarily fat and is sometimes called the hypodermis. Unlike hair and nails, which can take several weeks to reflect a change (good or bad) to the diet, the skin will begin to reflect nutritional choices quickly, usually in just a few days [11]. It should be noted, however, that if supplements are taken Paragon CET • Sacramento, California to help improve the condition of the skin, the changes are not usually fully recognizable until the inside of the body is receiving the proper amount of nutrients. PROTEINS As noted, proteins are made up of amino acids, which assist in renewal of cells, including skin cells. They are also important in helping to build keratin and collagen, two of the primary components of skin. A deficiency in protein can affect the moisture and tone of the skin and can also cause a swollen appearance, due to water retention [17]. Amino acid deficiency can also cause skin to become fragile and heal slowly [23]. CARBOHYDRATES Carbohydrates play a role in converting protein into amino acids and creating the energy needed for skin cell renewal. While carbohydrates are necessary for healthy skin, the type and amount consumed are the most important factors. Complex carbohydrates, such as those found in whole-grain products and vegetables, keep the body functioning properly and ensure hydration of the skin. However, an intake of too many carbohydrates, especially simple carbohydrates, can have negative effects on skin tone, texture, and health [18]. FATS AND OILS Healthy fats and oils work with other nutrients to help the body use vitamins properly. They are also responsible for producing oils in the glands that protect and lubricate the skin [18]. Certain fats (such as omega-3 fatty acids) help keep the outermost layer of the skin strong and prevent toxins from being absorbed [17]. A lack of healthy fats and oils can cause dry, dull skin. Phone: 800 / 707-5644 • FAX: 916 / 878-5497 11 #P244 Nutrition: Impact on Hair, Skin, and Nails ________________________________________________ VITAMINS Many vitamins are antioxidants, which help fight free radicals (molecules that harm the skin). The vitamins that play the biggest role in healthy skin are vitamins A, C, and E [17; 18]. These vitamins can be consumed through food or supplementation and can be applied directly to the skin [18]. Other vitamins that play a role in skin health include [9]: • • • • • Vitamin B1 Vitamin B2 Vitamin B3 Vitamin B9 (folic acid) Vitamin B12 Topical vitamin D has been used to treat psoriasis, a skin condition associated with thick, white, silvery, or red patches of skin. Vitamin D deficiency mainly causes bone problems, including osteoporosis. Other vitamin deficiencies can cause skin symptoms, including blockage of the hair follicles (vitamin A), pale skin (vitamin B12), easy bruising (vitamin C), and dry or scaly patches (vitamin C). Clients with skin changes should be encouraged to visit a healthcare provider to determine the underlying cause. If a vitamin deficiency is the cause of skin problems, supplementation may help. Topical application may be a more efficient, targeted method for supplying nutrients to the skin, especially to the epidermis [24]. 12 Paragon CET • March 16, 2016 MINERALS Minerals work with other nutrients in the body to improve skin health by assisting in the production of collagen, balancing fluids in the body, and acting as antioxidants. The following minerals are of particular importance in the maintenance of healthy skin [9]: • • • • • • Iron Potassium Selenium Sodium Sulfur Zinc As noted, iron deficiency can cause pale skin, and severely dry skin may be the result of potassium deficiency. Sulfur is necessary for collagen synthesis, so deficiency of this mineral may result in premature skin sagging and wrinkling. Selenium deficiency is associated with an increased risk of several types of cancer, including skin cancer [24]. Again, skin changes due to true mineral deficiencies may be helped by changes in the diet and/or supplementation. www.ParagonCET.com ________________________________________________ #P244 Nutrition: Impact on Hair, Skin, and Nails WATER As noted, water is essential for proper functioning of the entire body. Water keeps the body and skin hydrated and assists in the carrying and distribution of all nutrients. Dry, lifeless skin is an effect of dehydration. In some cases, hydration may be drawn out of the outer layers of the skin (for example, in swimmers who frequent chlorinated pools). Rehydration for these clients consists of drinking plenty of water, applying an oil or oil-based ointment to prevent moisture loss, and/or avoiding the situation that is drying the skin [25]. Paragon CET • Sacramento, California CONCLUSION Although nutrition is a familiar term, many people are unaware of the complexity of nutrition and how many components are needed to help the body function. In addition, nutrition and the overall idea of health are rarely discussed when considering problems common in hair, nails, and skin. Having an understanding of how nutrition affects the body is important for salon professionals. It allows us to counsel clients or refer them to their healthcare provider when they are experiencing the effects of deficiencies or malnutrition. Through this knowledge, salon professionals are in a unique position to have an impact on their clients’ lives and to help them become healthier individuals through their chosen profession. Phone: 800 / 707-5644 • FAX: 916 / 878-5497 13 #P244 Nutrition: Impact on Hair, Skin, and Nails ________________________________________________ Works Cited 1. Stress Management Society. How Food Can Affect Your Stress Levels. 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