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86 86 © 2022 Journal of Indian System of Medicine | Published by Wolters Kluwer - Medknow
Received: 13-04-2022, Revised: 08-06-2022, Accepted: 10-06-2022,
Published: 28-06-2022.
Address for correspondence: Dr. Vaishali Kuchewar,
Mahatma Gandhi Ayurveda College Hospital and Research Centre, Datta
Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (M),
Wardha, Maharashtra, India.
E-mail: vkuchewar@gmail.com
This is an open access journal, and articles are distributed under the terms of the
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How to cite this article: Umate N, Kuchewar V, Parwe S. Anarrative
review on use of virgin coconut oil in dermatology. J Indian Sys
Medicine 2022;10:86-9.
Review Article
A narrative review on use of virgin coconut oil in dermatology
Nishigandha Umate, Vaishali Kuchewar, Shweta Parwe
Mahatma Gandhi Ayurveda College Hospital and Research Centre, Datta Meghe Institute of Medical Sciences (Deemed to be University), Sawangi (M), Wardha,
Maharashtra, India
Abstract
Background: Coconut oil is of two varieties: virgin and refined oil. Virgin coconut oil (VCO) is made by cold-pressing the liquid from
the fresh part of coconut meat. It has a milky appearance. This oil extraction method prevents the loss of vitamin E, pro-vitamin
A, and polyphenols. It has various properties such as analgesic, anti-inflammatory, and anti-cancer. Skin is the general structure of
the body. It is the first line of protection against traumatic injuries and microorganisms. Aim: This review is focussed on the existing
data on the effect of VCO on the skin. Materials and Methods: PubMed and Google Scholar were searched for citations for keywords
“virgin coconut oil and dermatology” and “virgin coconut oil and skin.” In search of the various databases, 13 articles were found on
VCO related to skin. Result: Virgin coconut oil is used as antioxidant, anti-inflammatory, as skin protector, in Alzheimer’s disease, in
wound healing and as moisturizer. Conclusion: From this review, it can be concluded that VCO is beneficial for various dermatological
disorders. It is antifungal and antibacterial and also acts as an immunomodulator. It also has anti-inflammatory, angiogenic, wound-
healing, and skin protective properties.
Keywords: Antibacterial, antifungal, anti-inflammatory, immunomodulator, skin, skin protection, virgin coconut oil
IntroductIon
Coconut (Cocos nucifera) is termed “Kalpavriksha” in Sanskrit
because it has multiple nutritional and therapeutic values.
Coconut oil is of two varieties: virgin and refined oil. Virgin
coconut oil (VCO) is made by cold-pressing the liquid from
the fresh part of coconut meat. It has a milky appearance.[1]
VCO is of two types as per its preparation method: the cold
compression method and fermentation method. The cold
compression method is better than the fermentation method
because the moisture level is higher, and the oil can get stale
very fast with the fermentation method.
It is taken out directly from coconut meat at low
temperatures. This oil extraction method prevents the loss
of vitamin E, pro-vitamin A, and polyphenols. It has a
pleasing fragrance and taste. It contains essential vitamins
and healthy fatty acids. It has various properties such as
analgesic, anti-inflammatory, and anti-cancer.[2,3]
Skin is the general structure of the body.[4] Skin
inflammation is caused due to infections and tissue injury
of the skin.[5] It is the first line of protection against
traumatic injuries and microorganisms. Usually, coconut
oil is used as a moisturizer and treats dermatological
infections. Though VCO is beneficial, it is not commonly
known in the population. This review is focussed on
existing data on the effect of VCO on the skin.
MaterIals and Methods
PubMed and Google Scholar were searched for “virgin
coconut oil and dermatology” and “virgin coconut oil
and skin” from 2003 to 2020. Original studies in English
indicating the effects of VCO on the skin were included.
Observations
Some observations were found regarding VCO and
skin dermatology. Among 12 studies, 5 were in-vitro
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DOI:
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Umate, etal.: Use of coconut oil in dermatology
Journal of Indian System of Medicine ¦ Volume 10 ¦ Issue 2 ¦ April-June 2022 87
studies, the remaining 7 studies were on conditions such
as xerosis, atopic dermatitis, Clostridium difficile, skin
moisturization, Staphylococcus aureus, preterm newborns,
and COVID situation.
Thirty-four patients with mild-to-moderate xerosis were
investigated by Agero etal.+[6] For 2 weeks, these 34 people
were given the option of applying coconut or mineral oil
twice daily to their legs. Corneometer CM825 was used
to assess quantitative skin hydration outcomes at the start
of the study and each subsequent visit. ASebumeter SM
810 was used to test skin lipids; a Tewameter TM210 was
used to detect transepidermal water loss, and a Skin pH
meter PH900 was used to assess skin surface hydrogen ion
concentration. Dryness, scaling, roughness, and pruritus are
quantified using a visual analog scale and xerosis grading.
In clinical specimens delivered to the Medical Microbiology
Laboratory at University College Hospital in Ibadan,
Nigeria, Ogbulu et al.[7] discovered 52 unique Candida
species isolates. Researchers used the agar well diffusion
method to test their susceptibility to VCO and fluconazole.
In a double-blind controlled trial done in two outpatient
dermatology clinics, adults with Alzheimer’s disease were
randomly allocated. Adults were advised to apply VCO or
virgin olive oil (VOO) twice daily at two non-infected sites.
S.aureus cultures, photography, and a SCORAD severity
index (O-SSI) rating were done at the baseline and 4-week
time intervals.[8]
Nevin and Rajamohan[9] looked at wound closure time,
antioxidant status, and metabolic indicators in three
groups of six female Sprague-Dawley rats. Groups 2 and
3 were given 0.5 and 1.0mL VCO for 10days, respectively,
24h after the wound was formed. Throughout the 14-day
healing phase, the antioxidant level was monitored
periodically.
Shilling and Matt[10] looked at the lipid components of
VCO to see if they could help manage C.difficile. VCO
and its most active individual fatty acids were tested in
vitro for their antibacterial properties against C.difficile.
UD Sinar Nias manufactured the VCO used in this
investigation by Silalahi et al. Enzyme and sodium
hydroxide were used to carry out the hydrolysis. Enzymatic
hydrolysis with lysozyme was carried out for 3, 6, 9, and
12 h. Alkaline hydrolysis was performed using NaOH
concentrations of 25%, 50%, and 75% based on the
saponification value of coconut oil.[11]
The formulation, characterization, and penetration
of VCO-solid lipid particles have been investigated by
Noor.[12]
Ibrahim[13] examined the effect of fermented VCO on
wound healing in Sprague-Dawley rats.
Varma etal.[14] investigated VCO’s anti-inflammatory and
skin-protective effects in vitro.
According to Cahya et al.,[15] a mastitis milk crossbreed
Etawa goat from Riau, Indonesia was isolated and
identified with S.aureus. The broth dilution method was
performed to assess S.aureus susceptibility toVCO.
Konar et al.[16] conducted a randomized controlled
trial on preterm babies divided into two groups: group
Areceived VCO treatment. In contrast, group B received
body massages without any treatment. On the 3rd, 6th,
and 12th month, and the 7th, 14th, 21st, and 28th day,
respectively, neurodevelopmental status and neonatal skin
condition were measured.
Subchan etal.[17] devised a post-test control approach for
an experimental investigation. Fifty diabetes male Wistar
mice were separated into five groups to create an ulcer
wound model, with 10 non-diabetic mice serving as a
control group. The treatment groups also received topical
ozonated VCO with different flow durations, whereas the
control groups just got routine care (0min, 90min, 7 h,
14h). The wound was macroscopic in appearance and was
shrinking.
Saraogi etal. enlisted the help of 60 volunteers for a 15-day
intervention. In the test group, 6–8 drops of VCO were
applied overnight, followed by six ABHS applications
per day; in the control group, six ABHS applications
per day were used. This leg comprised a dermatological
examination and the WHO Skin Health Self-Assessment
Scale. A non-invasive instrumental assessment of the
forearms of 12 individuals (ages 25–60) with and without
VCO application and regular alcohol consumption is also
included as a measurement component (Moisture and
TEWL Probes, Tape Strip for protein and IR spectroscopy
for protein and lipid content).[18]
VCO was found to be as effective as mineral oil as a
moisturizer, and coconut oil at 100% concentration
proved effective against specific kinds of Candida when
compared with the usual antifungal fluconazole. Another
finding is that VCO and VOO are beneficial in the
treatment of atopic dermatitis Its broad-spectrum activity
was discovered in an in-vitro study. When comparing
the growth of S. aureus, fungi, and viruses, fibroblast
propagation, and vascularization in the VCO group to
the control group, the medium-chain fatty acids of VCO
inhibited the growth of C. difficile. The antibacterial
activity of hydrolyzed VCO was discovered, and the
cutaneous transport of VCO was increased thanks
to micro-structured lipids. The wound-healing and
angiogenic properties of fermented VCO were discovered.
Inflammatory indicators are suppressed by VCO, and the
skin is protected. As a result, it can be utilized as an anti-
inflammatory and skin protector, inhibiting the growth of
S.aureus. It also improves phagocytic immune cells’ ability
to fight S.aureus. VCO enhances neurodevelopment and
is advantageous to mature dermal cells. There was a
considerable “improvement in the wound and increased
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Umate, etal.: Use of coconut oil in dermatology
88 88 Journal of Indian System of Medicine ¦ Volume 10 ¦ Issue 2 ¦ April-June 2022
levels of wound-healing biomarkers” in the diabetic ulcer
mice model. The use of VCO overnight helps prepare the
skin for the benefit of alcohol-based hand sanitizer the
next day.
dIscussIon
The VCO contains 90% saturated fatty acids and 10%
unsaturated fatty acids. It also comprises antioxidants
such as beta carotenes and tocopherol. It has properties
to moisten the skin.[6]
In search of the various databases, 13 articles were found
on VCO related toskin.
Traditionally, coconut oil is mainly used to moisturize and
treat skin infections.
VCO is commonly used for hair oil preparation. It hydrates
as well as softens the hair. Natural hair nourishment is
due to its contents such as vitamins, fatty acids, and
minerals. It has multi-benefits such as moisture retention,
smoothing, and protection. Various studies showed that it
blocks the ultraviolet sun rays and eventually protects the
hair from damage. Since coconut oil contains lauric acid,
which has a great attraction for hair proteins, because it
has a low molecular weight and a straight linear chain,
it has a high penetration ability inside the hair shaft.
In contrast, mineral oil has no affinity for proteins and
cannot penetrate the hair shaft.[19]
The various actions of VCO might be due to its
chemical constituents such as lauric acid as an antiviral,
antibacterial, and antiprotozoal agent. Myristic acid is a
flavoring agent and also helps in stabilizing many proteins.
Caprylic acid and caproic acid are potent antifungal
agents. Oleic acid is an antioxidant. Linoleic acid is a
powerful immune system enhancer.[20]
The VCO will also be used to treat lung cancer. VCO
reduced cancer cell growth and promoted cell death via
the apoptosis pathway in studied lung cancer cell lines.
However, the method by which VCO stimulates the
apoptotic pathway is uncertain. As a result, the author
suggested that more research should be done.[21]
Ear edema, paw edema, and granuloma development were
all reduced significantly by VCO. The VCO suggested
that both acute and chronic inflammation have anti-
inflammatory properties.[22]
Due to its higher polyphenolic concentration, the VCO
contains antioxidant, anti-inflammatory, lipid-lowering,
and cytoprotective activities.[23]
VCO oil pulling has been demonstrated to reduce plaque
formation and plaque-related gingivitis successfully. The
results show that coconut oil is a simple-to-use, safe, and
cost-effective medication with few adverse effects that
can be used as an adjuvant in oral hygiene maintenance.
The antibacterial properties of coconut oil help to fight
microorganisms.[24]
VCO contains anti-inflammatory and antioxidant
characteristics, and it may help rats avoid developing
arthritis after being given adjuvants. When used as an
adjuvant, PV may also have an anti-arthritic effect in
rats.[25]
There was preliminary evidence for preventing or
treating Alzheimer’s disease, bone loss, and glycemic
management. Nonetheless, the author recommended that
the study be conducted on larger sample size. Evidence
regarding weight loss and cardiovascular disease has been
discovered.[26]
Rather than being stored as fat, most lauric acid eaten
is transported directly to the liver, which is metabolized
into energy and other metabolites. Extrahepatic tissues,
such as the brain and heart, can utilize ketone bodies as
a quick energy source. It has been investigated how lauric
acid affects blood cholesterol levels. The results, however,
have been conflicting. Among the saturated fatty acids,
lauric acid has been shown to have the most negligible
impact on fat production. Lauric acid and monolaurin
have antibacterial action against Gram-positive bacteria,
fungi, and viruses.[27]
conclusIon
From this review, it can be concluded that VCO is
beneficial for various dermatological disorders. It has
antifungal and antibacterial properties and also acts as
an immunomodulator. It also has anti-inflammatory,
angiogenic, wound-healing, and skin protective properties.
Financial support and sponsorship
Nil.
Conflicts of interest
There are no conflicts of interest.
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