Should I move to help my child’s eczema? Before you pack up your things, consider these factors!

Where you live—and even where you choose to move—can profoundly affect how well you manage the condition. Below are some factors to consider when deciding if moving makes sense, and if so, what location might offer the most benefit. 

Climate and Humidity 

Hot and Humid Climates :

High heat and humidity can exacerbate eczema for some people. Sweat can irritate sensitive skin, triggering flare-ups. Additionally, warm, moist conditions are ideal for the growth of mold and bacteria, which can worsen eczema symptoms.  The Pediatric Eczema Elective Registry (PEER) Study found that warmer and more humid climates resulted in poorer disease control. While the exact causes of the relationship were not explored, it was suspected that the increase in seasonal allergens, sweating, and evaporation of water on the skin could have contributed to the severity of eczema. 

Cold and Dry Climates :

On the other hand, cold climates often come with dry air, particularly in winter, which can strip the skin of moisture and lead to flare-ups. Indoor heating systems in colder regions further reduce humidity, compounding the issue. One study reported that low humidity and low temperatures lead to poorer functioning of the skin barrier and thus increased susceptibility towards stress. 

Moderate and Stable Climates :

For many people with eczema, a temperate climate with moderate humidity is ideal. Locations like coastal areas with consistent weather patterns can provide relief by reducing extremes that trigger symptoms.

 Air Quality and Pollution 

Airborne pollutants, including smog, smoke, and particulate matter, can aggravate eczema. Urban areas with high levels of air pollution often pose challenges for people with sensitive skin. Pollutants can increase oxidative stress and inflammation in the skin, leading to more frequent or severe flare-ups. A study conducted in 2023 reported that air pollution may also affect skin barrier function and even stimulate inflammatory responses.  On the flip side, rural areas may have better air quality, although exposure to agricultural chemicals can still pose risks.

Allergens and Dust Mites 

Dust Mites : Dust mites thrive in warm, humid environments, such as tropical and subtropical regions. Their presence can trigger eczema symptoms, especially for those who are allergic. Research link?

Pollen : Living in areas with high pollen counts, particularly during spring and summer, can exacerbate eczema for those with seasonal allergies.

Mold : Damp environments, whether due to climate or poorly ventilated housing, can lead to mold growth, another common eczema trigger. One study found mold exposure to increase the production of reactive oxygen species (ROS) in both mice models and human keratinocytes, which are known to cause both mechanical damage to the skin and induce type II inflammation. 

Water Quality 

The mineral content of water, also known as water hardness, can affect eczema. Hard water, which contains high levels of calcium and magnesium, can dry out the skin and leave behind irritating residues. Soft water is generally better for eczema-prone skin. A study observing over 350,000 participants found increased odds of Atopic Eczema in children exposed to hard water versus softer water. 

Stress and Lifestyle Factors 

Relocating isn’t just about the physical environment. It’s essential to consider how moving impacts stress levels and lifestyle. High-stress environments, such as busy metropolitan areas, might indirectly worsen eczema by triggering stress-related flare-ups. In a focus group study, patients reported that increased psychological stress led to more intense sensations of itch and increased difficulty in managing eczema symptoms.  Conversely, moving to a less stressful setting with a slower pace of life could lead to improvement. 

Should You Consider Moving? 

For some, relocating to a different climate or region can make a noticeable difference in managing eczema. However, it’s essential to weigh several factors:

1.  Personal Triggers : Identify what environmental factors worsen your eczema. For example, if dry air is a major trigger, a move to a humid region may help.

2.  Practical Considerations : Moving is a significant decision with financial and emotional implications. Ensure you research thoroughly and consider other factors like work, family, and support networks.

3.  Temporary Relocation : Before committing to a move, consider taking an extended trip to the new location to observe how your skin responds.

How to Adapt Wherever You Are 

If relocating isn’t feasible, there are ways to minimize environmental triggers:

• Improve Indoor Air Quality : Use air purifiers to reduce allergens and pollutants.

• Control Dust Mites : Use allergen-proof bedding covers and wash linens regularly in hot water.

• Filter Your Water : Install a water softener or filter if you live in an area with hard water.

• Protect Your Skin : Use emollients and barrier creams to lock in moisture and shield against irritants.

Conclusion 

While eczema is a complex condition influenced by numerous factors, where you live can play a pivotal role in symptom management. Climate, air quality, and allergen exposure vary widely from one location to another, and understanding these elements can help you make informed decisions about your environment.