From Itch to Relief: Optimizing Eczema Management for Kids
Eczema, or Atopic Dermatitis (AD), is a common skin condition that makes the skin red, itchy and dry. It is especially common in children 3 to 12 years old, and it can really impact daily living. Beyond the discomfort from being constantly itchy, their sleep and playtime can be disrupted. Eczema may even influence how they feel about themselves.
Eczema can be tough on both children and parents so finding effective ways to manage it can reduce some of the frustrations. This guide will explore various lifestyle changes that might help soothe your child's skin, making them feel better. Each case of eczema is different, so a personalized touch often works best.
Education as a Tool for Empowerment
Managing your child’s eczema can be challenging but help is available. By integrating diet adjustments, stress management techniques and good sleep practices, you can significantly enhance your child’s quality of life and control over eczema.
Research suggests that with the right educational interventions, the quality of life (QOL) of children with eczema can improve significantly. This was demonstrated by a notable increase in QOL scores from 29% to 79% over 8 weeks in an Australian study.
You are already on track to expand your knowledge through this blog so let’s dive into the relationship eczema has with diet, stress, sleep and physical activity.
The Power of Diet in Managing Eczema
Research classifies food hypersensitivity as the first stage in developing ‘allergic diseases’ like eczema. Common food allergens such as eggs, dairy and wheat can sometimes trigger or worsen eczema symptoms in children. Take note of how your child’s body reacts to food. It may be worthwhile to experiment by introducing and limiting specific foods to gauge their response.
In a recent systematic review of randomized controlled trials, 51% of the children participating in the study found a significant improvement in the areas of their body affected by eczema when they excluded eggs and dairy compared to those who continued consuming eggs and dairy. A study by Rokaitė et al demonstrated that a one-year diet treatment with individualized balanced replacement diets showed a positive effect on the clinical course of their eczema.
You may consider working with a healthcare provider to create an individualized meal plan for your child. This can be an effective way to curb eczema flare-ups while ensuring your child receives all the necessary nutrients for healthy growth and development.
Understanding the Stress-Skin Connection
Stress impacts eczema significantly. When stressed, our body releases serotonin, which can aggravate the skin by promoting inflammation. This inflammation can worsen eczema symptoms like redness and itching. Stress can also enhance the body’s sensitivity to allergens and irritants, which can make the skin more prone to flare-ups. This can create a challenging cycle as the discomfort from eczema can lead to more stress, perpetuating the problem.
Fortunately, there is a way to break the cycle! By incorporating stress management and mindfulness techniques into daily routines, you can help your child manage their eczema more effectively. Recent studies have shown that mindfulness-based therapies can improve the quality of life and reduce symptoms of skin conditions like eczema.
For instance, a study in the British Journal of Dermatology concluded that Mindfulness-Based Cognitive Therapy (MBCT) is an effective intervention in reducing the severity of psoriasis (another skin condition) and improving the quality of life in a small group of patients that participated in an 8-week MBCT program. Fascinating, isn’t it?
Try these activities with your child:
1. Guided breathing exercises (such as box breathing and belly breathing)
2. Meditation (start with easy 5-minute meditation for beginners on YouTube)
3. Slow walks in nature
The Critical Role of Sleep in Eczema Management
Sleep and eczema are interdependent and intricately linked. Eczema flare-ups can lead to itching and discomfort, making it difficult to fall asleep and stay asleep. This lack of sleep can then worsen the symptoms of eczema, creating a frustrating cycle.
Studies, like those conducted as part of the Avon Longitudinal Study of Parents and Children, have shown that children with eczema are more likely to experience poor sleep quality and disturbances at various stages throughout childhood. These sleep issues are not only due to itching but also to the overall discomfort and stress associated with eczema.
Don’t despair! Other studies have shown that improving sleep hygiene can play a vital role in managing eczema. Here are some pointers to consider:
- Avoid screen time 2 hours before bed to limit blue light exposure. It keeps the mind stimulated and makes it more difficult to fall asleep.
- Perform a relaxing bedtime routine. This can involve reading a book or taking a warm bath to signal to your child’s body that it is time to wind down.
- Create a comfortable sleep environment by keeping your child’s bedroom cool, quiet and as dark as possible. Consider investing in hypoallergenic skincare products and bedding to reduce irritants that might trigger eczema.
- Establish a regular sleep and wake time.
Physical Activity Strategies for Children with Eczema
It is well known that physical activity is vital for promoting healthy growth and development. For children with eczema, regular physical activity (e.g. going on walks, playing outdoor games with friends and/or family) can manage stress and anxiety, which can help control eczema flare-ups.
But, is it wise to exercise when sweat can induce flare-ups? Try these to manage them and help your child enjoy the benefits of being active:
- Be mindful of their environment - make sure it is not too hot or cold and look for shaded areas when playing outdoors.
- Dress them in fabrics that are loose and breathable, like cotton.
- Keep them hydrated with water and incorporate breaks.
- Prepare a cool shower after exercising and use emollients (products that soothe dryness and irritation) to retain moisture in their skin.
- Get them involved in low impact exercises such as stretching and walking.
- It does take a village to raise a child. Communicate with relatives, coaches and teachers to ensure they are aware of your child’s condition and know how to help manage flare-ups
Additional Learning Opportunities
- Consult with your doctor and discuss symptoms, triggers and treatment options. Don’t forget to take notes! Inquire about age-appropriate videos and books to further your child’s understanding.
- Explore educational resources like the National Eczema Association for information on eczema management.
- Join support groups through online platforms to share experiences and tips. You are not alone!
Takeaways
As we've explored, managing your child's eczema can extend beyond medical treatments to include various lifestyle interventions. From diet modifications that avoid common allergens to incorporating mindfulness and improving sleep hygiene, each strategy plays a critical role in not just managing symptoms, but also enhancing your child's overall well-being. By understanding and implementing these changes, you can help alleviate the discomfort eczema brings and potentially reduce the frequency of flare-ups.
Reset Research Team: Lawrentina D'Souza, Alexa Gavrilidis, Deeksha Kumar, Reisa Herbert, Julia Tuccitto