32 JOURNAL OF COSMETIC SCIENCE Table V Relationship Between One-Hour Device Measurements (change from baseline) and One-Week Score Improvement: Prediction of Long-Term Skin Conditions by Short-Term Measurements Regression equations R-squared values p-values Nova © DPM 9003 Dryness score = 0.0025x + 0.6922 0.9169 0.042 Skicon © 200 Dryness score = 0.0024x + 0.8114 0.9694 0.015 Corneometer © CM 828 Dryness score = 0.0209x + 0.7556 0.8427 0.082 CORRELATION BETWEEN SKIN GRADES AND ELECTRICAL MEASUREMENTS For both one-week and two-week measurements, skin grades correlated well with read- ings from all three electrical devices. A higher reading, suggesting more water in skin, correlated with lower skin scores. Even with salt in the formulations, electrical mea- surements could distinguish changes in skin dryness attributable to glycerin at different concentrations (Figure 4). PREDICTIVE ABILITY OF SHORT-TERM MEASUREMENTS A comparison was made between the change in skin dryness grade at one week and the change in the electrical reading at one hour, as shown in the regression equations in Table V. This analysis showed a linear relationship between one-hour instrumental measurement and the one-week improvement in skin dryness for all three instruments, with R-squared values ranging from 0.84 to 0.97. The correlations were remarkably good, considering the small base size of the one-hour test (n = 10). For glycerin- containing formulations, the short-term measures may be predictive of the effects of longer-term usage. CONCLUSIONS It is well established that sustained lack of water in the outer layers of the stratum corneum results in dry skin, whether due to the effects of exogenous factors or to inherent defects in barrier formation (19,20). In the evaluation of treatments to modu- late xerosis, electrical measurements can serve as (a) a predictive index of skin moistur- ization and (b) an adjunct to visual grading of skin dryness. Our results clearly indicate that short-term measurements can predict long-term results for moisturizers based on glycerin. We also saw good correlations between the changes in skin grades and the changes in instrumental measurements induced by the treatment within the long-term test. The findings of this study are very relevant to skin conditioning induced by glycerin and formulations based primarily on glycerin. They may also be applicable to treatments based on other hygroscopic ingredients, e.g., alpha hydroxy acids, natural moisturizing factor, etc. The instrumental measurements reported here may have less value for pre- diction of moisturization by occlusive treatments such as petrolatum. The relationships among instrumental readings and skin dryness should be evaluated for other ingredient types, e.g., petrolatum, prior to generalization of these results. Additionally, the poten- tial effects of residual material on the skin surface must be considered in experimental
SKIN MOISTURIZATION: LONG-TERM RESULTS 33 designs since they have been shown to influence the readings (21). Nonetheless, even in studies of moisturization by occlusive treatments, electrical measurements may prove a valuable adjunct to the visual assessment of skin condition. REFERENCES (1) E. Berardesca, EEMCO guidance for the assessment of stratum corneum hydration: Electrical methods, Skin Res. Technol., 3, 126-132 (1997). (2) H. Tagami, "Measurement of Electrical Conductance and Impedance," in Handbook of Non-Invasive Methods and the Skin, J. Setup and G. Jemec, Eds. (CRC Press, Boca Raton, FL, 1995), 10p. 159-164. (3) M. Loden, Biophysical methods of providing objective documentation of the effects of moisturizing creams, Skin Res. Technol., 1, 101-108 (1995). (4) A.O. Barel, P. Clarys, and B. Gabard, "In Vivo Evaluation of the Hydration State of the Skin: Measurements and Methods for Claim Support," in Cosmetics: Controlled Efficacy Studies and Regulation, P. Eisner, H. F. Merk, and H. I. Maibach, Eds. (Springer-Verlag, Berlin, 1999), 10p. 57-80. (5) J. W. Fluhr, M. Gloor, S. Lazzerini, P. Kleesz, R. Grieshaber, and E. Berardesca, Comparative study of five instruments measuring stratum corneum hydration (Corneometer CM 820 and CM 825, Skicon 200, Nova DPM 9003, DermaLab). Part I. In Vitro, Skin Res. Technol., 5, 161-170 (1999). (6) P. Clarys, A. O. Barel, and B. GabaM, Non-invasive electrical measurements for the evaluation of the hydration state of the skin: Comparison between three conventional instruments--the Corneometer, the Skicon and the Nova DPM, Skin Res. Technol., 5, 14-20 (1999). (7) W. Courage, "Hardware and Measuring Principle: Corneometer," in Bioengineering of the Skin: Water and the Stratum Corneum, P. Eisner, E. Berardesca, and H. I. Maibach, Eds. (CRC Press, Boca Raton, FL, 1994), pp. 171-175. (8) H. Tagami, "Hardware and Measuring Principle: Skin Conductance," in Bioengineering of the Skin: Water and the Stratum Comeurn, P. Eisner, E. Berardesca, and H. I. Maibach, Eds. (CRC Press, Boca Raton, FL, 1994), pp. 197-203. (9) B. Gabard and P. Treff$1, "Hardware and Measuring Principle: The NOVA DPM 9003," in Bioengi- neering of the Skin: Water arid the Stratum Corneum, P. Eisner, E. Berardesca, and H. I. Maibach, Eds. (CRC Press, Boca Raton, FL, 1994), pp. 177-195. (10) G. L. Grove, M. J. Grove, C. Zerweck, and E. Pierce, Comparative metrology of the evaporimeter and the DermaLab TEWL probe, Skin Res. Technol., 5, 1-8 (1999). (11) G. L. Grove, M. J. Grove, C. Zerweck, and E. Pierce, Computerized evaporimetry using the DermaLab TEWL probe, Skin Res. Technol., 5, 9-13 (1999). (12) J. Pinnagoda, R.A. Tupker, R.A. Agner, and J. Serup, Guidelines for transepidermal water loss (TEWL) measurement, Contact Dermatitis, 22, 164-178 (1990). (13) J. Pinnagoda, "Hardware and Measuring Principles: Evaporimeter," in Bioengineering of the Skin: Water and the Stratum Corneum, P. Elsner, E. Berardesca, and H. I. Maibach, Eds. (CRC Press, Boca Raton, FL, 1994), pp. 51-58. (14) J. Setup, EEMCO guidance for the assessment of dry skin (xerosis) and ichthyosis: Clinical scoring systems, Skin Res. Technol., 1, 109-114 (1995). (15) D. L. Bissett and J. F. McBride, Skin conditioning with glycerol,J. Soc. Cosmet. Chem., 35,345-350 (1984). (16) M.D. Batt, W. B. Davis, W. A. Gerrard, and B. D. Ridge, Changes in the physical properties of the stratum corneum following treatment with glycerol,J. Soc. Cosmet. Chem., 39, 367-381 (1988). (17) D. H. Powers and C. Fox, The effect of cosmetic emulsions on the stratum corneum, d. Soc. Cosmet. Chem., 10, 109-116 (1959). (18) M. M. Rieger, Skin, water and moisturization, Cosmet. Toiletr., 104, 41-51 (1989). (19) I. H. Blank, Factors which influence the water content of the stratum conreum,J. Invest. Dermatol., 18, 433-440 (1952). (20) H. Tagami, Quantitative measurements of water concentration of the stratum corneum in vivo by high-frequency current, Acta Derm. Vernereol. Suppl. (Stockh.), 185, 29-33 (1994). (21) M. Loden and M. Lindberg, The influence of a single application of different moisturizers on the skin capacitance, Acta Derre. Venereol., 71, 79-82 (1991).
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