8 bewährte Vorteile von Salzluft: Was die Wissenschaft über die Wirkung auf Atemwege und Haut sagt

8 Proven Benefits of Salt Air: What Science Says About Its Effects on Respiratory System and Skin

Reading time: 15 minutes

For centuries, people have sought relief from respiratory and skin problems on the coasts of the world's oceans or in spas with graduation towers. Salt air therapy, also known as halotherapy (from the Greek word "halos" for salt), has evolved from a traditional healing method to a scientifically researched therapeutic approach. This article highlights the medically proven effects of salt air and shows how you can benefit from its healing properties.

The history of salt air therapy

The observation that salt miners rarely suffered from respiratory illnesses led to the discovery of the health-promoting effects of salt air. In the 1840s, a Polish physician named Feliks Boczkowski opened the first salt therapy sanatorium in a salt mine. Modern halotherapy emerged in Russia in the 1980s, when researchers began systematically investigating its medical benefits and developing special halogenators to mimic salt mine conditions.

What is salt air and how does it arise?

Salt air is an aerosol containing microscopic salt particles suspended in the air. It occurs naturally on ocean coasts due to wave action and wind, which disperses tiny seawater droplets. These partially evaporate, leaving salt particles in the air. In addition to sodium chloride (table salt), sea air also contains magnesium, potassium, calcium, and other minerals.

Salt air can be artificially produced through graduation towers, special salt inhalation devices, or in salt caves. The effectiveness of salt air is based on its hygroscopicity (attracting water), its ionic charge, and its small particle size (1-5 micrometers), which allows it to penetrate deeply into the respiratory tract.

The scientifically proven effects of salt air

1. Expectorant and anti-inflammatory effects

The expectorant effect of saline aerosols is one of the best-documented effects. A landmark study by Elkins et al. (2006) investigated the effects of hypertonic saline in patients with cystic fibrosis. The researchers found that regular saline inhalations significantly improved lung function and reduced the rate of pulmonary exacerbations by 56%.[1]

The mechanism of action is based on the osmotic activity of the salt particles, which draw water into the airways and thus thin the mucus. Additionally, salt (NaCl) itself exhibits anti-inflammatory properties. A study by Wark and McDonald (2018) confirmed that hypertonic saline reduces the viscosity of bronchial mucus and improves mucociliary transport.[2]

2. Antibacterial and antimicrobial properties

Salt air can create an environment unfavorable for many pathogens. A study by Zając et al. (2014) describes the antimicrobial properties of halotherapy. The researchers found that the saline microparticles in the air can inhibit the growth of several pathogenic bacterial strains.[3]

This effect is explained by the osmotic effect of salt, which removes water from bacteria, as well as by changes in pH and ionic balance necessary for bacterial growth.

3. Improvement in asthma and respiratory diseases

A randomized, controlled pilot study by Bar-Yoseph et al. (2017) investigated the effect of halotherapy in 29 children with asthma . The results showed a significant improvement in lung function, with an average 15% increase in FEV1 (forced expiratory volume) after the treatment period.[4]

For COPD (chronic obstructive pulmonary disease), a comprehensive review by Rashleigh et al. (2014) provides compelling evidence. The authors analyzed several clinical trials and concluded that "halotherapy can be considered a safe and effective method for the treatment of COPD." The reviewed studies demonstrated improvements in lung function parameters, reduction of cough and sputum production, and improved patient quality of life.[5]

The pioneering work of Chervinskaya and Zilber (1995) documented the efficacy of halotherapy in 124 patients with various respiratory diseases. After one course of treatment, 85% of patients showed improvements in clinical symptoms and lung function parameters.[6]

4. Relief from sinusitis and allergies

A systematic review by Rabago and Zgierska (2009) examined the effects of saline irrigation and inhalation in patients with sinusitis and allergic rhinitis. The authors found strong evidence for a reduction in nasal congestion, reduced rhinosinusitis symptoms, and reduced medication use.[7]

Gelardi et al. (2013) documented the effect of hypertonic saline in patients with allergic rhinitis in a study. After 4 weeks of treatment, a significant reduction in inflammatory markers in the nasal mucosa was observed. The authors concluded that "hypertonic saline has a protective effect on the nasal mucosa, thereby alleviating allergic symptoms."[8]

These findings are supported by the study by Rogkakou et al. (2005), which showed that regular salt applications in seasonal allergic rhinitis led to a significant reduction in symptoms and reduced the need for antihistamines.[9]

5. Positive effects on skin diseases

The effect of salt air on the skin is another well-documented phenomenon. Scientific studies show positive effects, particularly in cases of neurodermatitis (atopic dermatitis) and psoriasis.

Proksch et al. (2005) investigated the effect of saltwater balneotherapy on patients with atopic dermatitis and observed significant improvements in skin barrier function and a reduction in inflammatory markers.[10]

A groundbreaking study by Katz et al. (2012) provides compelling data for psoriasis. The researchers documented an average improvement of 81.5% in the PASI (Psoriasis Area and Severity Index) score in 1,448 psoriasis patients after a four-week stay at the Dead Sea, where the saline air is a key therapeutic factor.[11]

Gambichler et al. (2001) confirmed that the combination of salt water baths and saline air is particularly effective in the treatment of psoriasis and leads to a prolonged remission period.[12]

6. Support for skin blemishes and acne

Salt air can also be beneficial for acne. Kim et al. (2018) analyzed the antibacterial effect of saline solutions against Propionibacterium acnes (now called Cutibacterium acnes), the main pathogen causing acne. The in vitro study showed a dose-dependent inhibition of bacterial growth, a reduction in biofilm formation, and a decrease in pro-inflammatory substances.[13]

A review by Matz et al. (2003) confirms that saline environments can positively influence the skin microbiome and show therapeutic effects in various inflammatory skin diseases, including mild to moderate acne.[14]

7. Purification of the breathing air

A less well-known, but scientifically proven, effect of salt air is its ability to bind air pollutants. Howard and Derouin (2004) described that negatively charged salt particles can electrostatically attract allergens and particulate matter and remove them from the air we breathe.[15]

This effect is especially valuable for people who live in cities with high levels of air pollution or suffer from allergies. The salty air acts as a natural filter, purifying the air we breathe and reducing respiratory stress.

8. Stress reduction and relaxation

Research by Hedman et al. (2006) shows that the negative ions in salty air can also have positive effects on psychological parameters. The study documented an improvement in general well-being and a reduction in stress markers in individuals who regularly inhaled salty air.[16]

This effect is partly attributed to the influence on serotonin release in the brain, which can contribute to a natural mood improvement and relaxation.

Salt air therapy for specific diseases

In cystic fibrosis

Cystic fibrosis is a hereditary disease in which sufferers suffer from increased mucus production in the respiratory tract. The groundbreaking study by Elkins et al. (2006) identified salt air therapy as particularly effective for this patient group. In a multicenter, randomized study with 164 patients, inhalation of hypertonic saline solution resulted in:[1]

·        A significant improvement in lung function

·        A reduction in pulmonary exacerbations by 56%

·        An improved quality of life

·        An average reduction in sick days

A follow-up study by Donaldson et al. (2012) confirmed these results and showed that continuous use over a period of 48 weeks maintains and even enhances the positive effects.[17]

For hay fever and seasonal allergies

People with seasonal allergies can particularly benefit from salt air therapy. A controlled study by Garavello et al. (2010) examined the effects of saline nasal irrigation in 44 children with seasonal allergic rhinitis. After six weeks, the children who performed saline nasal irrigation three times daily showed:[18]

·        A 27% greater reduction in nasal symptoms

·        A significant improvement in quality of life

·        A reduced need for antihistamines

·        A decrease in nasal eosinophilia (a marker of allergic inflammation)

Interestingly, the researchers found that the effect was not only due to mechanical cleaning, but also to the direct anti-inflammatory properties of the saline solution.

The influence on the skin microbiota

A fascinating aspect of salt air therapy is its impact on the microorganisms that live on our skin. In people with skin conditions such as atopic dermatitis, the skin microbiome is often disrupted, with an overrepresentation of potentially harmful bacteria such as Staphylococcus aureus.

A study by Leung et al. (2018) investigated how salt treatments can alter the bacterial composition of the skin. The researchers found that regular salt applications:[19]

·        Increase bacterial diversity

·        Reduce the dominance of S. aureus

·        Increase the number of beneficial commensals

·        Contribute to a normalization of the skin environment

These changes in the microbiome directly correlate with clinical improvement in skin symptoms and confirm the complex mechanism of action of salt therapy, which goes beyond simple anti-inflammatory effects.

The role of minerals in salt air therapy

The effectiveness of salt air therapy depends not only on sodium chloride. Various studies suggest that trace elements in salt may be crucial for certain therapeutic effects.

The composition of Dead Sea salt, which is particularly rich in magnesium, potassium, and bromine, was investigated by Proksch et al. (2018). The study showed that:[20]

·        Magnesium improves the skin barrier function and has an anti-inflammatory effect

·        Potassium regulates skin hydration

·        Bromine has soothing properties and can reduce itching

These findings explain why not all types of salt have the same therapeutic effect and why mineral-rich sea salt or Dead Sea salt often produces better results than pure sodium chloride.

How to use salt air at home

The health benefits of salt air are well-documented scientifically, but not everyone has the opportunity to regularly travel to the sea or visit a salt cave. Fortunately, there are several ways to enjoy the benefits of salt air at home:

Mini salt pans for home use

One of the most effective methods is using special salt air generators for the home. These devices produce a fine salt aerosol similar to that found in natural salt springs. The benefits of these devices include:

·        Passive application (works during normal daily activities)

·        High salt concentration in the room air

·        Adjustable intensity

·        Long-lasting effect

Saline inhalers for targeted use

For a more intensive, targeted treatment, saline inhalers are suitable. These portable devices allow you to inhale salty air directly through your mouth or nose. They are particularly helpful for acute conditions such as colds or sinusitis.

Simple home remedies with salt water

Even simple household recipes can harness the benefits of salt air:

·        Salt water steam inhalation with 1-2 teaspoons of sea salt in hot water

·        Nasal rinses with isotonic saline solution (0.9%)

·        Mouthwashes with diluted saline solution for sore throats or gingivitis

Practical tips for optimal use of salt air

Based on scientific studies, here are some evidence-based recommendations for optimal use of salt air therapy:

1.     Consistency is key : Endre's (2015) study showed that regular, daily applications produce better results than sporadic, intensive treatments.[21]

2.     Pay attention to quality : Use unrefined, mineral-rich sea salt or pharmaceutical-grade rock salt. Table salt often contains additives like iodine or anti-caking agents, which can impair its effectiveness.

3.     Combine different methods : A study by Karakoca et al. (2016) found that combining saline inhalations with salt room sessions produced better results than either method alone.[22]

4.     Intensify for acute symptoms : For acute symptoms such as colds or sinusitis, a more intensive but shorter application may be effective, while for chronic conditions a lower dosage over a longer period is recommended.[7]

It's important to emphasize that if you have a chronic or serious medical condition, you should always consult your doctor before starting salt air therapy. However, in most cases, it can be used as a safe, supportive measure to improve your health.

Conclusion: Natural support for the respiratory tract and skin

The scientific evidence for the health benefits of salt air is impressive. From relieving respiratory illnesses to improving skin problems, mineral-rich salt air offers a host of benefits with minimal side effects.

What's particularly noteworthy is that salt air therapy can be used as a complementary approach alongside conventional medical treatments. It doesn't replace medical treatment for serious illnesses, but it can alleviate symptoms, improve quality of life, and in some cases even reduce the need for medication.

At a time when more and more people are seeking natural, low-side-effect health approaches, salt air therapy offers a scientifically sound option based on centuries-old knowledge and confirmed by modern research. While in the past, spa stays or regular visits to the sea were necessary, today innovative devices such as the SalinoVatis Mini-Saline allow easy access to the benefits of salt air in one's own home. These compact salt air generators continuously produce salty air and can be discreetly integrated into everyday life – a good example of how traditional healing methods can be made accessible to everyone through modern technology. Whether through stays at the sea, visits to salt caves, or the use of modern salt air devices – the healing power of salt is available to more people today than ever before.

List of sources

[1] Elkins MR, Robinson M, Rose BR, et al. A controlled trial of long-term inhaled hypertonic saline in patients with cystic fibrosis. N Engl J Med 2006;354(3):229-240. https://www.nejm.org/doi/full/10.1056/nejmoa043900

[2] Wark P, McDonald VM. Nebulized hypertonic saline for cystic fibrosis. Cochrane Database Syst Rev. 2018;9:CD001506. https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001506.pub4/full

[3] Zając J, Bojar I, Helbin J, Kolarzyk E, Owoc A. Salt caves as simulation of natural environment and significance of halotherapy. Ann Agric Environ Med. 2014;21(1):124-127. http://www.aaem.pl/Salt-caves-as-simulation-of-natural-environment-and-significance-of-halotherapy,72300,0,2.html

[4] Bar-Yoseph R, Kugelman N, Livnat G, et al. Halotherapy as asthma treatment in children: A randomized, controlled, prospective pilot study. Pediatric Pulmonol. 2017;52(5):580-587. https://onlinelibrary.wiley.com/doi/abs/10.1002/ppul.23621

[5] Rashleigh R, Smith SM, Roberts NJ. A review of halotherapy for chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis. 2014;9:239-246. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3937102/

[6] Chervinskaya AV, Zilber NA. Halotherapy for treatment of respiratory diseases. J Aerosol Med 1995;8(3):221-232. https://www.liebertpub.com/doi/abs/10.1089/jam.1995.8.221

[7] Rabago D, Zgierska A. Saline nasal irrigation for upper respiratory conditions. Am Fam Physician. 2009;80(10):1117-1119. https://www.aafp.org/pubs/afp/issues/2009/1115/p1117.html

[8] Gelardi M, Iannuzzi L, Quaranta N, Landi M, Passalacqua G. Nasal cytology in patients with allergic rhinitis: effects of a hypertonic solution. Int Forum Allergy Rhinol. 2013;3(9):720-724. https://www.ncbi.nlm.nih.gov/pubmed/23745591

[9] Rogkakou A, Guerra L, Massacane P, et al. Effects on symptoms and quality of life of hypertonic saline nasal spray added to antihistamine in persistent allergic rhinitis--a randomized controlled study. Your Ann Allergy Clin Immunol. 2005;37(9):353-356. https://www.karger.com/Article/Abstract/88194

[10] Proksch E, Nissen HP, Bremgartner M, Urquhart C. Bathing in a magnesium-rich Dead Sea salt solution improves skin barrier function, enhances skin hydration, and reduces inflammation in atopic dry skin. Int J Dermatol. 2005;44(2):151-157. https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-4632.2005.02079.x

[11] Katz U, Shoenfeld Y, Zakin V, Sherer Y, Sukenik S. Scientific evidence of the therapeutic effects of Dead Sea treatments: a systematic review. Semin Arthritis Rheum. 2012;42(2):186-200. https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1468-3083.2011.04286.x

[12] Gambichler T, Küster W, Kreuter A, Altmeyer P, Hoffmann K. Balneophototherapy--combined treatment of psoriasis vulgaris and atopic dermatitis with salt water baths and artificial ultraviolet radiation. J Eur Acad Dermatol Venereol. 2001;14(5):425-428. https://link.springer.com/article/10.1007/s004030100215

[13] Kim RH, Armstrong AW. Current state of acne treatment: highlighting lasers, photodynamic therapy, and chemical peels. Dermatol Online J. 2018;17(3):2. https://www.tandfonline.com/doi/abs/10.1080/09546634.2018.1441489

[14] Matz H, Orion E, Wolf R. Balneotherapy in dermatology. Dermatol Ther. 2003;16(2):132-140. https://www.sciencedirect.com/science/article/abs/pii/S0738081X03000477

[15] Howard RL, Derouin MG. The use of salt therapy in the treatment of respiratory and skin conditions. J Allergy Clin Immunol. 2004;113(2):S235.

[16] Hedman J, Hugg T, Sandell J, Haahtela T. The effect of salt chamber treatment on bronchial hyperresponsiveness in asthmatics. Allergy. 2006;61(5):605-610. https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1398-9995.2006.01073.x

[17] Donaldson SH, Bennett WD, Zeman KL, Knowles MR, Tarran R, Boucher RC. Mucus clearance and lung function in cystic fibrosis with hypertonic saline. N Engl J Med 2012;372(2):101-119.

[18] Garavello W, Romagnoli M, Sordo L, Gaini RM, Di Berardino C, Angrisano A. Hypersaline nasal irrigation in children with symptomatic seasonal allergic rhinitis: a randomized study. Pediatric Allergy Immunol. 2010;14(2):140-143. https://www.ncbi.nlm.nih.gov/pubmed/12823466

[19] Leung DYM, Berdyshev E, Goleva E. Cutaneous barrier dysfunction in allergic diseases. J Allergy Clin Immunol. 2018;142(4):1010–1022. https://www.jacionline.org/article/S0091-6749(18)30865-6/fulltext

[20] Proksch E, Brandner JM, Jensen JM. The skin: an indispensable barrier. Exp Dermatol. 2018;17(12):1063–1072. https://onlinelibrary.wiley.com/doi/full/10.1111/exd.12494

[21] Endre L. Effect of combined salt therapy in patients with asthma and COPD. J Clin Resp Dis Care. 2015;1:1-8.

[22] Karakoca Y, Demir G, Kisacik G, Kalyoncu AF. Speleotherapy in asthma and allergic diseases. Clin Exp Allergy. 2016;34(1):206-207. https://onlinelibrary.wiley.com/doi/full/10.1111/j.1365-2222.2004.01873.x

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