Potential Effect of Avena sativas Cream on Skin Hydration
Diadora
1
, Wianlie Cendana
1
, Albert Daniel Saragih
2
, Ahmad Raif Martinus
1
, Refi Ikhtiari
1,2
1
Laboratory of Biomolecular Chemistry, Graduate School of Biomedical Science
Universitas Prima Indonesia
2
Laboratory of Materials Chemistry, Faculty of Industrial Engineering,
Universitas Prima Indonesia
Emails: (diadora, wianliecendana, albertdaniel, refiikhtiari)@unprimdn.ac.id
Keywords: Avena sativa, oats extract, skin hydration.
Abstract: Skin dryness or xerosis is an aging process commonly found in the tropical country especially Indonesia.
The process is related to the decrease of skin hydration and the increase of the level of the radical compound
known as oxidative stress. This study aims to assess the effectivity of Avena sativa cream formulation in
improving skin hydration. The study included a total of 40 female patients with xerosis. The patients were
treated with Avena sativa cream with various concentrations for 28 days. Results showed a significant
improvement (p < 0.05) with an increase in the mean difference in dryness scores from baseline to the end
of each treatment interval of 28 days. Cream formulation of Avena sativa extract is proven to improve skin
hydration.
1 INTRODUCTION
Dry skin or xerosis is defined as the loss or
reduction of moisture level in the stratum corneum
located in the epidermal layer of the skin
(Goldsmith.et al, 2015). Epidermal layer is the
thinnest and outermost layer of the skin. Very
important in cosmetics because this layer provides
texture, moisture. and skin color. The main
constituent cells of the epidermal layer are
keratinocytes. Keratinocytes are produced by basal
cell layers. When mature keratinocytes will move to
the layer above it is called the process of
keratinization (Goldsmith et al., 2015).
There are two major factors that play a role in
the occurrence of dry skin. The first is due to
physical or chemical factors such as free radicals
originating from the sun's UV rays, pesticides and
pollution. Free radicals on the skin can cause
premature aging which is characterized by dry skin
conditions. The second factor is an increase in
transepidermal water loss (TEWL) due to a
disturbance in the skin that causes a lot of water to
evaporate from the skin (Baumann, 2009).
Symptoms of dry skin can be treated by
increasing hydration of the stratum corneum with a
moisturizing composition that is occlusive and/or
humectant and added emollients to smooth rough
skin surfaces. Moisturizers that are widely used are
oil-in-water emulsions, such as creams and lotions
(Farris, 2014).
Moisturizer is a complex formula created to
maintain water content in the skin between 10% -
30%, designed to improve the hydration mechanism
of the skin and maintain the structure and function of
the skin from various influences such as dry air,
sunlight, old age, temperature, various skin diseases
as well as diseases that can accelerate water
evaporation. Moisturizers are generally divided into
3 classes, namely humectants, occlusives and
emollients (Farris, 2014).
Humectants are water-soluble ingredients
with high water absorption ability that help the skin
retain moisture. Examples of humectants that are
often used are glycerin, sorbitol, propylene glycol,
pyrrolidone carboxylic acids, sodium lactate, urea,
sodium hyaluronate, a-hydroxy, and certain natural
lipid mixtures. Humectants can draw water from the
atmosphere (when the atmospheric humidity is more
than 80%) and the epidermal layer. Humectants will
penetrate the stratum corneum and are related to
lipids or stratum corneum proteins to increase
moisture in the skin. In certain circumstances, such
as low humidity fluid will occur in the deeper layers
of the epidermis and the dermis. Humectants are not
Diadora, ., Cendana, W., Saragih, A., Martinus, A. and Ikhtiari, R.
Potential Effect of Avena Sativa’s Cream on Skin Hydration.
DOI: 10.5220/0009491203170324
In Proceedings of the International Conference on Health Informatics and Medical Application Technology (ICHIMAT 2019), pages 317-324
ISBN: 978-989-758-460-2
Copyright
c
2020 by SCITEPRESS Science and Technology Publications, Lda. All rights reserved
317
as effective as occlusive, so they need to be
combined with occlusive materials (Farris, 2014).
Occlusive is a substance that lines the skin to
inhibit transepidermal water loss (TEWL). Generally,
occlusive substances are oily so they can dissolve fat.
Examples of occlusive ingredients, namely paraffin,
squalene, dimethicone, soybean oil, propylene
glycone, lanolin, olive oil, petrolatum, cocoa butter,
and mineral oil. After water evaporates from an
occlusive moisturizer, the occlusive material will
protect the skin from the outside environment (Farris,
2014).
Emollients are added to moisturizing
ingredients to soften and soften the skin. Emollients
fill the space between corneocyte desquamation.
Many humectants and occlusives also function as
emollients. Like lanolin, mineral oil, and petrolatum
(Farris, 2014).
Ingredients that contain antioxidants such as
vitamin E, lipoic acid and coenzyme Q10 are
included in moisturizing compositions that act as
anti-aging. Antioxidants can reduce the number of
free radicals that play a role in the skin's aging
process. Other components that are often used are
used, namely vitamin A, vitamin B, vitamin C,
vitamin D, linoleic acid (Farris, 2014)
Basic ingredients that are often used for
moisturizers commonly come from natural
ingredients, synthetic or a combination of both
(Kurtz & Wallo, 2007). The synthetic ingredients
commonly used as moisturizers are glycerin,
propylene glycol, and lanolin. The use of synthetic
materials such as lanolin and propylene glycol as
emollients and emulsifiers is known to cause allergic
reactions (Hitayezu et al., 2015).
The use of synthetic ingredients that can
endanger the health of the human body encourages
research to look for new natural compounds as
moisturizers with natural antioxidants that are safer
for human health. Therefore we need natural
ingredients as substitutes with the same or better
bioactivity. Development in the field of medicine
needs to be directed into the pharmaceutical industry
on the basis of natural ingredients obtained from
medicinal plants, with the consideration that the
development towards the utilization of natural
materials has a high enough competitiveness,
beneficial in improving the quality of health. One of
the natural ingredients that can be used as a basis for
moisturizers is oats (Avena sativa) (Hitayezu et al.,
2015).
Avena sativa is a plant that is included in
cereal species which is widely used as food and
animal feed. The structure of oat seeds is almost
similar to wheat. Both have a layer covering the seed
coat that protects endospermic starch and germ in
the seed core (Grundy, 2018).
At present, demand for oats for human
consumption has increased because of its many
health benefits and can be used as a staple food
(Kulp, 2000). This is because oats have primary
compounds such as carbohydrates, proteins, and
fiber. In particular, oats also contain a variety of
natural antioxidant compounds and fibers that are
good for digestion, regulation of blood sugar,
lowering cholesterol, preventing asthma. In the field
of dermatology, oats are carried out for the
management of various skin diseases such as eczema,
atopic dermatitis, and as an antibiotic (Sangwan et
al., 2014).
The nutrient contents of 100g Avena sativa
(Chu, 2014) is showed in the table 1 below:
Table 1 : Nutrients composition of Avena sativa.
Nutrients
Amount
%
Energy
Carbohydrate
Protein
Fat
Fiber
389 Kcal
55 g
13 g
6.4 g
5 g
19 %
3%
32%
10%
Total Fat
6,9 Gms
348 %
Vitamin E
1,09 mg
~
Thiamin
0,763 mg
99%
Riboflavin
0,139 mg
21 %
Folacyn
56 mg
47 %
Potassium
429 mg
18 %
Calsium
54 mg
86 %
Phosphor
523 mg
82 %
Magnesium
177 mg
40 %
Fe
4,72 mg
48 %
Zinc
3,97 mg
50 %
Pantotenate
acid
1,349 mg
41 %
Copper
0,626 mg
44 %
Mn
4,916 mg
23%
ICHIMAT 2019 - International Conference on Health Informatics and Medical Application Technology
318
The results of studies reported by ((Hitayezu
et al., 2015) in oats contained a variety of natural
antioxidant compounds including Avenanthramides
which belong to the group of N-
cinnamoylanthrannilic acid derivatives, B-glucan,
phenolic acid derivatives, cinnamic acids derived
from the class aldehydes and Vitamin E.
Oats have high concentrations of β-glucan
(dissolved fiber) bonds as components of endosperm
cell walls. Several studies conducted on human and
animal experiments show that a diet using oat-
glucan can reduce cholesterol so that it will reduce
the risk of liver disease. Several other studies have
shown that β-glucans contained in oats can slow the
increase in blood sugar when linked to diabetes
(Kulp, 2000).
β-glucans are found on the oat skin produced
by grinding techniques. Usually, β-glucans are used
in medical fields such as wound healing and as a
protection for the skin (Sangwan et al., 2014).
In the field of dermatology, the β-glucan
compound is used as an anti-irritant, moisturizing
and anti-aging because it can increase collagen
production. Studies also show that β-glucans have
the same antioxidant activity as vitamin E in
maintaining glutathione levels in the skin after
exposure to UV light (Schar et al., 2017).
Avenanthramides (Anthranilic acid amides)
or AVA belongs to the group of phenol alkaloids
which are generally found in oats. Various studies
show that avenanthramide has antiinflammatory,
antioxidant and antiproliferative activities. The
compound Avenanthramide was first discovered by
Collin through extraction from oats in 1989. The
antioxidant activity of AVA is 10-30 times more
potent than the common cereal antioxidant
compounds such as ferulic acid, gentisic acid,
vanillic acid, and vanillin. Until now, there are 6
AVA subtypes namely Avenanthramide 2, AVA A,
AVA C, AVA B, AVA E, AVA D, Z- AVA E.
AVA-c has the highest antioxidant activity followed
by AVA-B and AVA-A (Hitayezu et al., 2015).
Tocols (tocopherol and tocotrienol) or
vitamin E are natural antioxidants contained in oats
in the form of fat-soluble compounds and are found
in endosperm oats. Tocols compounds work as
antioxidants by transferring hydrogen atoms from
phenol groups to free radicals, thus breaking the
chain of oxidation processes. Tocols compound is
also beneficial for reducing cholesterol levels and
inhibiting the growth of cancer cells (Schar, 2017).
The benefits of oats in cosmetic preparations
in vivo have been investigated for their benefits in
increasing skin moisture, healing wounds, anti-
microbial and anti-inflammatory properties
(Baumann, 2009). Currently, oats are mostly
consumed orally but for topical use as a cosmetic
preparation is still very rare.
From the description above, this research will
tests the potential of avena sativa as moisturizer
formulated in the cream. The results of the cream
formulation were then tested with a patch test for 48
hours on sample to assess allergies. In non-allergic
samples, the cream was applied twice a day for 4
weeks on the left forearm.
2 MATERIALS AND METHODS
2.1 Study Population
The females within 18-25 years old with atopic
dermatitis/xerosis, eczema, acne, psoriasis and other
types of skin infections; and willing to give an
informed consent were enrolled in the study.
Subjects with an allergy to any of the product
ingredients, having any uncontrolled medical illness
such as diabetes mellitus, hypertension, liver disease
or history of alcoholism, human immunodeficiency
virus (HIV), hepatitis or any other serious medical
illness were excluded. Pregnant women or nursing
mothers were also excluded from the study
2.2 Preparation of Extracts
Avena sativa in the form of simplisia was macerated
using 96% ethanol with a sample: solvent: 1:10 ratio
for 5 x 24 hours. The maserate product is filtered
and then evaporated to remove the solvent using a
rotary evaporator at 50 ° C until a thick extract is
obtained.
2.3 Formulation of Topical Cream
The oil phase ingredients (stearic acid, acetyl
alcohol, and propyl paraben) and the water phase
(TEA, glycerin, methyl paraben and distilled water)
are separated. The oil phase and the water phase are
heated to a temperature of 700C-800C. After
everything is mixed, put the water phase little by
little into a hot mortar containing the oil phase,
mixed with an intermittent shaking to form a cream
base. Avena sativa extract was put into a mortar,
mixed with a cream base little by little, mixed until
homogeneous and put in a container. The
concentration of each ingredient is shown in Table 2.
Potential Effect of Avena Sativa’s Cream on Skin Hydration
319
Table 2: Standard formulas for cream preparations
(Young, 1972) with modification of the addition of avena
sativa extract.
Ingredients
F0
F1
F2
F3
Avena sativa
Extract (g)
-
2,5
5,0
7,5
Acetyl alcohol
(%b/b)
4
4
4
4
Glycerin
(%b/v)
15
15
15
15
TEA (%b/v)
1,5873
1,5873
1,5873
1,5873
Stearate Acid
(%b/b)
6
6
6
6
Methyl paraben
(%b/b)
0,2
0,2
0,2
0,2
Propyl paraben
(%b/b)
0,02
0,02
0,02
0,02
Aquadest
100
100
100
100
2.4 Evaluation of Physical Quality of
Cream
The Evaluation of the physical quality includes
observing the homogeneity of the preparations,
determining the type of preparation emulsions,
measuring the pH of the preparations, observing the
stability of the preparations.
2.5 Determination of the Cream
Homogeneity
A certain amount of creamwas applied to a piece of
glass or other suitable transparent material, the
preparation must show a homogeneous arrangement
and no visible grain.
2.6 Determination of the Type of
Emulsion
A certain number of creamwas placed on the beaker,
1 drop of methyl blue is added to the preparation and
then stirred. If the methyl blue is spread evenly it
means that the preparation is a type of emulsion m /
a, but if only the blue spots means the preparation is
a type of emulsion a / m.
2.7 Measuring the pH of the
Preparation
Determination of the pH of the preparation is done
using a pH meter. The instrument is calibrated using
a neutral solution (pH 7.01) and an acidic buffer (pH
4.01) until the instrument shows the pH value. Then
the electrodes are washed with distilled water. Then
dried with tissue. Samples were made in a
concentration of 1%, weighing 1 gram of the
preparation and dissolved in 100 ml distilled water.
Then the electrode is dipped in the water solution.
Leaving the device shows the pH value to a constant.
The number indicated by the pH meter is the pH of
the preparation. Observations were made at room
temperature (15 ° C-30 ° C) for 12 weeks.
2.8 Observation of Cream Stability
A total of 100 g of each preparation formula is put
into a plastic pot. Furthermore, observations were
made in the form of changes in consistency, color
and aroma when the preparation was made and in
storage for 12 weeks. In this study, the stability of
the preparation at room temperature (15 ° C-30 ° C)
was observed for 12 weeks of storage.
2.9 Moisturizing Activity Test of Avena
sativa Extract
2.9.1 Irritation Test
All samples that met the criteria were tested patched.
Patch test is done by applying the results of the
formulation of Avena sativa extract cream on the
back of the right ear and the back of the left ear to
base F0 as a comparison. Testing is carried out for
24 hours for each volunteer. Symptoms that arise are
observed, the existence of skin reactions shortly
after sticking and touching the skin, such irritations
are called primary irritations, but if these reactions
occur several hours after touching and sticking to the
skin, then these irritations are called secondary
irritations.
2.9.2 Moisturizing Activity Test
Samples that did not experience allergies and
irritations, then tested the application of Avena
sativa extract cream for 4 weeks. The grouping is
divided into: Group I: 10 people testing for the blank
formula (F0).Group II: 10 people testing for the
formula 2.5% (F1).Group III: 10 people testing for
the 5% formula (F2). Group IV: 10 people testing
ICHIMAT 2019 - International Conference on Health Informatics and Medical Application Technology
320
for the 7.5% formula (F3).Avena sativa extract
cream was applied to 1 ml of the left zygomaticum
area with a size of 3 x 4 cm (using a syringe). To
reduce bias, samples are asked not to use cosmetic
products in the test area 2 weeks before the study
and protect the test area from direct sunlight. Skin
hydration measurements were performed at the
beginning of the study using a skin analyzer on day
0 (before the application of extract cream), day 7,
day 14, day 21 and day 28. Before measurement all
samples were asked to be in the lab for 15 minutes at
25
o
C so that the skin can acclimatize at room
temperature.
3 RESULTS AND DISCUSSSION
Based on the extraction of Avena sativa samples
conducted by maceration technique with 96%
ethanol for five daysdays started fromadried
simplisia 2000 gr will resulted a green brownish
thick extract 160 gr (8% w/w) with sticky
consistency and odorless.
Figure 1. Avena sativa green-brownish thick extract.
The cream was made by a modified standard
formula. Avena sativa’s extract was used to make
cream preparations in a concentration of 2.5%; 5%;
7.5% and blank. Cream preparations obtained in the
form of a green brownish cream with no odor.
Figure 2. Cream preparation of blank (F0), Oats extract
2.5 % (F1), 5% (F2), 7.5% (F3).
Homogenity examination results on Avena sativa
cream were found to be homogeneous, there were no
coarse grains. The results of the type of cream
emulsion test showed that the methyl blue color
could be homogeneous or spread evenly in the
cream so that it could be proven that the cream
preparations made had an oil-type emulsion in water
(m/a).
Figure 3. Cream homogenity of blank (F0), oats extract
2.5 % (F1), 5% (F2), 7.5% (F3).
Instability of the formulation can be detected in
several ways with a change in physical appearance,
color, odor and phase separation from the
formulation. Generally, an emulsion is considered
physically unstable if all or part of the inner phase
liquid is not emulsified and forms a different layer
on the surface or base of the emulsion. Therefore, it
Potential Effect of Avena Sativa’s Cream on Skin Hydration
321
needs to do an evaluation test for 3 months and is
considered as the minimum stability that must be
had by an emulsion.
Figure 4. Cream emulsion test of blank (F0), oats extract
2.5 % (F1), 5% (F2), 7.5% (F3).
The pH measurement of the preparation is
done after completion, then after storing the first
week until the 12th week. The results of the
measurement of the pH of each formula showed that
with increasing concentrations of Avena sativa
extract, the pH of the preparations was getting lower,
but the change was still within the standard pH
requirements for cream preparations, namely
between 5-8 pH(Tranggono, 2007).
Table 3. pH of blank (F0), oats extract 2.5 % (F1), 5%
(F2), 7.5% (F3) observed during 12 weeks.
pH in
Avg
for 12
weeks
F0
F1
F2
F3
0
7.7
7.3
7.2
7.2
1
7.5
7.3
7.2
7.2
2
7.2
7.3
7.2
7.2
3
7.0
7.3
7.1
7.2
4
7.1
7.3
7.1
7.2
5
7.2
7.2
7.1
7.1
6
7.1
7.2
7.1
7.1
7
7.2
7.2
7.1
7.1
8
7.1
7.1
7.0
7.1
9
7.0
7.1
6.9
7.0
10
7.0
7.0
6.9
7.0
11
7.0
7.0
6.9
7.0
12
7.1
7.0
6.9
6.9
Table 4. Stability of blank (F0), oats extract 2.5 % (F1), 5%
(F2), 7.5% (F3) observed during 90 days. Change of
stability indicated by (-) symbol.
Stability
for 90
days
Formula
F0
F1
F2
F3
0
-
-
-
-
7
-
-
-
-
14
-
-
-
-
21
-
-
-
-
28
-
-
-
-
90
-
-
-
-
Each formula that has been observed for 90
days gives good results that is not experiencing
changes in color, odor and phase separation. It
means that cream showed a good long-term stability.
Irritationtest results carried out on the skin of
volunteers show no visible side effects in the form of
redness, itching and coarseness. Similar results were
reported in a study conducted by Goujon in France.
The study evaluated immediate and delayed allergic
reactions in the use of oats extract containing cream
for 45 days in 12 adult samples. The result is cream
with oat extract does not give an allergic reaction in
all samples (Goujon C, 2009).
There is a significant increase in skin
hydration after the use of Avena sativa extract cream
for 4 weeks. There are differences in the mean skin
hydration in the examined groups (F0 and F1, F0
and F2, F0 and F3, F1 and F2, F2 and F3). An
increase in water content in each of the volunteer
skins, but highest in formula F3. The results of
ICHIMAT 2019 - International Conference on Health Informatics and Medical Application Technology
322
measurements of moisture (moisture) on the skin of
volunteers can be seen in Table 5 below:
Table 5: Data from the measurement of water content
ofoats extract cream on the faces area of volunteers after
using cream for 4 weeks. Where as the indication of
dehidration 0-29; Normal 30-50; Hidrated 51-100 (Aramo,
2012).
Formula
Average Hydration (%)
Initial
DuringApplication(Weeks)
I
II
III
IV
F0
31,5
31,8
31.9
32,2
32,5
F1
31,4
33,2
33,8
35
36.3
F2
31,7
34,4
36
37.8
39,4
F3
31
34,8
37,1
39.1
40.5
Figure 5.Representation of the increase on the hydration
due to the topical application of modified cream of oats
extract observed for 4 weeks.
The mechanism of hydrated effects is
proposed by the Β-glucan compounds contained in
oats which play a role in storing water and forming a
barrier in the stratum corneum layer on the skin.
This reduces the reduction in Transepidermal water
loss (TEWL) which plays a role in increasing skin
hydration (Reynertson et al, 2015).
The same thing was reported in research
conducted by Reynertson while measurements were
made with a corneometer on 29 samples that
experienced skin dryness in the lower limbs. At the
measurement of 14 days after the use of the cream
formula with oats extraction, a significant increase
in skin hydration was obtained (p <0.05)
(Reynertson et al, 2015).
4 CONCLUSIONS
The improvement of skin hydration by avena sativa
formulated creamshowed a significant improvement
(p < 0.05) with an increase in the mean difference in
dryness scores from baseline to the end of each
treatment interval of 28 days. Cream formulation of
avena sativa extract is proven to improve skin
hydration.
ACKNOWLEDGEMENTS
This research supported by Ministry of Research,
Technology and Higher Education by Funding
Contract No. 7/E/KPT/2019 and No.
T/63/L1.3.1/PT.01.03/2019.
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