IEMELIANOV V.O., MOKIENKO A.V. Thalassotherapy as a practical implementation of the medical function of the Ocean Geoecosystem: current state analysis and application prospects

https://doi.org/10.15407/gpimo2025.01.022

V.O. Iemelianov, NAS Corresp. Member,
Dr. Sci. (Geol. & Mineral.),
Prof., Chief Researcher
e-mail: volodyasea1990@gmail.com
ORCID 0000-0002-8972-0754
A.V. Mokienko, Dr. Sci. (Med.), Senior Researcher
e-mail: mokienkoav56@gmail.com
ORCID: 0000-0002-4491-001Х
SSI «MorGeoEcoCenter NAS of Ukraine»
55b, st. Oles Honchar, Kyiv, 01054, Ukraine

THALASSOTHERAPY AS A PRACTICAL IMPLEMENTATION
OF THE MEDICAL FUNCTION OF THE OCEAN GEOECOSYSTEM:
CURRENT STATE ANALYSIS AND APPLICATION PROSPECTSЕ

This article analyzes the current state and future prospects of thalassotherapy as a form of implementing the medical (preventive and therapeutic) function of the Ocean Geoecosystem (OGE). This function plays a key role in strengthening the human immune system and preventing diseases, which has led the authors and their colleagues to initiate and develop new scientific directions, particularly medical oceanology. The article presents examples and results of the practical implementation of this function through thalassotherapy — a system of preventive and therapeutic measures that significantly reduces disease severity and improves patients’ quality of life. The most convincing effects are observed in the prevention of neuroses and the treatment of various pulmonary diseases, psoriasis, and fibromyalgia. At the same time, there is a need for further research aimed at quantitative assessment of long-term effects, benefits, and potential risks of thalassotherapy. Expanding the evidence base will not only deepen the understanding of the medical (hygienic and therapeutic) function of the OGE and its ecological subsystems, but also help determine the therapeutic potential of thalassotherapy more precisely, enhancing its safety and effectiveness in clinical practice. 

Keywords: thalassotherapy, geoecosystem, ecological subsystems, medical oceanology, psoriasis,
fibromyalgia, climatotherapy.

References

Iemelianov V.O. Okean i zdorovia liudyny. Stan problemy. Heolohiia i korysni kopalyny Svitovoho okeanu. 2017. № 4, S. 12-25.

 

Iemelianov V.O. Funktsii morskykh heoekosystem: poniattia, systematyka ta zahalnyi pidkhid do vyvchennia. Heolohichnyi zhurnal. 2002. № 3, S. 62-72.

 

Iemelianov V.O., Nikitina A.O. Medychna morska heoekolohiia yak novyi syntetychnyi napriamok morskoi heoekolohii i medytsyny. Suchasni problemy litolohii osadovykh baseiniv Ukrainy ta sumizhnykh terytorii: zb. mater. mizhnar. nauk. konf. 2014. S. 39.

 

Iemelianov V.O. Heoekosystema okeanu i zdorovia liudyny. Medychna okeanolohiia. Materialy 4-i Mizhnar. nauk.-prakt. konf. «Nadrokorystuvannia v Ukraini. Perspektyvy investuvannia» Truskavets. 2017. S. 405-411.

 

Iemelianov V.O., Mokiienko A.V. Shchodo stvorennia novoho naukovoho napriamku «Medychna okeanolohiia». Materialy naukovo-praktychnoi konferentsii: Ekolohichni ta hihiienichni problemy sfery zhyttiediialnosti liudyny. Kyiv, 2025. S. 120-122.

 

Iemelianov V.O. Osnovy morskoi heoekolohii. Teoretyko-metodolohichni aspekty. Kyiv: Nauk. dumka, 2003. 300 s. (ros. movoiu)

 

Iemelianov V.O., Nikitina A.O. Hlybokovodni peloidy Chornoho moria - rechovynnyi sklad, vlastyvosti ta perspektyvni resursy. Visnyk Odeskoho natsionalnoho universytetu. Heohrafichni ta heolohichni nauky. 2014. № 3. S. 258-268.
https://doi.org/10.18524/2303-9914.2014.3(22).40429

 

Shniukov Ye.F., Iemelianov V.O., Nikitina A.O. Hlybokovodni peloidy Chornoho moria. Kyiv: Akademperiodyka, 2012. 241 s.

 

9. Antonelli, M., Donelli, D. A narrative review of thalassotherapy and the health benefits of seawater and coastal climates. International Journal of Biometeorology. 2025. № 69. P. 517-526. 
https://doi.org/10.1007/s00484-024-02840-0

 

10. Antonelli, M., Donelli, D., Veronesi, L. et al. Clinical efficacy of medical hydrology: an umbrella review. International Journal of Biometeorology. 2021. 
https://doi.org/10.1007/s00484-021-02133-w

 

11. Asmar B.N., Ergenzinger, P. Estimation of evaporation from the Dead Sea. Hydrological Processes. 1999. № 13. P. 2743-2750. 
https://doi.org/10.1002/(SICI)1099-1085(19991215)13:17<2743::AID-HYP845>3.0.CO;2-U

 

12. Ben-Amitai, D., David, M. Climatotherapy at the dead sea for pediatric-onset psoriasis vulgaris. Pediatric Dermatology. 2009. № 26. P. 103-104. 
https://doi.org/10.1111/j.1525-1470.2008.00837.x

 

13. Bouchet, P. The magnitude of marine biodiversity. The exploration of marine biodiversity: scientific and technological challenges. Fundaci\n BBVA. Bilbao, 2006. P. 31-62.

 

14. Charlier, R.H., Chaineux, M.C.P. The healing sea: a sustainable coastal ocean resource. Thalassotherapy Journal of Coastal Research. 2009. № 25. P. 838-856. 
https://doi.org/10.2112/08A-0008.1

 

15. Cohen, A.D., Shapiro, J., Michael, D. et al. Outcome of short-term Dead Sea climatotherapy for psoriasis. Acta Dermato-Venereologica. 2008. № 88. P. 90-91. 
https://doi.org/10.2340/00015555-0340

 

16. Cohen, A.D., Van-Dijk, D., Naggan, L., Vardy, D.A. Effectiveness of climatotherapy at the Dead Sea for psoriasis vulgaris: a community-oriented study introducing the Beer Sheva Psoriasis Severity score. Journal of Dermatology Treatment. 2005. № 16. P. 308-313. h
https://doi.org/10.1080/09546630500375841

 

17. Costanzo, M., De Giglio, M. A. R., Gilhen-Baker, M., Roviello, G. N. The chemical basis of seawater therapies: a review. Environmental Chemistry Letters. 2024. № 22. P. 2133-2149.
https://doi.org/10.1007/s10311-024-01720-8

 

18. Czarnowicki, T., Harari, M., Ruzicka, T., Ingber, A. Dead Sea climatotherapy for vitiligo: a retrospective study of 436 patients. Journal of European Academy of Dermatology and Venereology 2011, № 25, P. 959-963. 
https://doi.org/10.1111/j.1468-3083.2010.03903.x

 

19. Czerwinska, A.E., Krzyscin, J.W. Climatological aspects of the increase of the skin cancer (melanoma) incidence rate in Europe. International Journal of Climatology. 2020. № 40. P. 3196-3207. 
https://doi.org/10.1002/joc.6391

 

20. Wilson, B.D, Moon, S., Armstrong, F. Comprehensive review of ultraviolet radiation and the current status on sunscreens. Journal of Clinical Aesthetic Dermatology. 2012. № 5. P. 18-23.

 

21. de Andrade, S.C., de Carvalho, R.F.P.P., Soares, A.S. et al. Thalassotherapy for fibromyalgia: a randomized controlled trial comparing aquatic exercises in sea water and water pool. Rheumatology International. 2008. № 29. P. 147-152. 
https://doi.org/10.1007/s00296-008-0644-2

 

22. Dittmar, T., Paeng, J. A heat-induced molecular signature in marine dissolved organic matter. Nature Geoscience. 2009. № 2. P. 175-179. 
https://doi.org/10.3390/biom11010028

 

23. Emmanuel, T., Ignatov, B., Bertelsen, T. et al. Secukinumab and Dead Sea climatotherapy impact resolved psoriasis skin differently potentially affecting disease memory. International Journal of Molecular Sciences. 2024. № 25. 
https://doi.org/10.3390/ijms25116086

 

24. Emmanuel, T., Lybek, D., Johansen, C., Iversen, L. Effect of Dead Sea climatotherapy on psoriasis; a prospective cohort study. Frontiers in Medicine. 2020. № 7. P. 83. 
https://doi.org/10.3389/fmed.2020.00083

 

25. Emmanuel, T., Petersen, A., Houborg, H. I. et al. Climatotherapy at the Dead Sea for psoriasis is a highly effective anti-inflammatory treatment in the short term: an immunohistochemical study. Experimental Dermatology. 2022. № 31. P. 1136-1144. https://doi.org/10.1111/exd.14549
https://doi.org/10.1111/exd.14549

 

26. Gomes, C.S.F., Fernandes, J.V., Fernandes, F.V., Silva, J.B.P. Salt mineral water and thalassotherapy. Minerals latu sensu and human health. Springer, 2021. P. 631-656.
https://doi.org/10.1007/978-3-030-65706-2_16

 

27. Harari, M., Novack, L., Barth, J. et al. The percentage of patients achieving PASI 75 after 1 month and remission time after climatotherapy at the Dead Sea. International Journal of Dermatology. 2007. № 46. P. 1087-1091. 
https://doi.org/10.1111/j.1365-4632.2007.03278.x

 

28. Jimenez, M.P., DeVille, N.V., Elliott, E.G. et al. Associations between nature exposure and health: a review of the evidence. International Journal of Environmental Research and Public Health. 2021. № 18. 
https://doi.org/10.3390/ijerph18094790

 

29. Kim, C.-G., Cho, H.-J. Comprehensive literature study on efficacy of marine therapeutic resources. Journal of Korean Society of Integrative Medicine. 2022. № 10. P. 121-136. https://doi.org/10.15268/ksim.2022.10.4.121

 

30. Kron, J. Water therapies. Journal of Complementary Medicine. 2007. № 6, P. 46-49.

 

31. Lim, K.H., Nam, K.J., Rah, Y.C., Cha, J., Lee, S.-J., Lee, M.-G., Choi J. The effect of natural ocean sound exposure and ocean-side relaxation on chronic tinnitus patients: a pilot study in Korea. Ear, Nose Throat J. 2021. 100(5). P. 256-262. 
https://doi.org/10.1177/0145561319873907

 

32. Lionello, P., Malanotte-Rizzoli, P., Boscolo, R. et al. The Mediterranean climate: an overview of the main characteristics and issues. Mediterranean. Elsevier, 2006. P. 1-26.
https://doi.org/10.1016/S1571-9197(06)80003-0

 

33. Maccarone, M.C., Scanu, A., Coraci, D., Masiero, S. The potential role of spa therapy in managing frailty in rheumatic patients: a scoping review. Health (Basel). 2023. 11. 
https://doi.org/10.3390/healthcare11131899

 

34. Maraver, F., Michan, A., Morer, C., Aguilera, L. Is thalassotherapy simply a type of climatotherapy? Int. J. Biometeorol. 2011. 55. P. 107-108. h
https://doi.org/10.1007/s00484-010-0382-5

 

35. Marsakova, A., Kudish, A., Gkalpakiotis, S. et al. Dead Sea climatotherapy versus topical steroid treatment for atopic dermatitis in children: long-term follow-up study. J. Dermatol. Treat. 2020.
https://doi.org/10.1080/09546634.2019.1605138

 

31. P. 711-715.
https://doi.org/10.1080/09546634.2019.1605138

 

36. Mead, M.N. Benefits of sunlight: a bright spot for human health. Environ. Health Perspect. 2008. 116. P. A160-A167. 
https://doi.org/10.1289/ehp.116-a160

 

37. Moses, S. Health effects of Dead Sea climatotherapy on patients with heart and lung diseases. Anales de hidrologia medica. 2012. 5(1). P. 11-19. http://dx.doi.org/10.5209/rev-ANHM.2012.v5.n1.39166

 

38. Moss, G.A. Water and health: a forgotten connection? Perspect. Public Health. 2010. 130. P. 227-232. 
https://doi.org/10.1177/1757913910379192

 

39. Mourelle, M., Gomez, C., Legido, J. The potential use of marine microalgae and cyanobacteria in cosmetics and thalassotherapy. Cosmet. Toiletries. 2017. P. 4-46. 
https://doi.org/10.3390/cosmetics4040046

 

40. Mourelle, M.L., Gomez, C.P., Legido, J.L. Cosmeceuticals and thalassotherapy: recovering the skin and well-being after cancer therapies. Appl. Sci. 2023. 13(2), Р. 850. 
https://doi.org/10.3390/app13020850

 

41. Mourelle, M.L., Gomez, C.P., Legido, J.L. Role of algal derived compounds in pharmaceuticals and cosmetics. In: Rajauria, G., Yuan, Y. V. (eds) Recent Advances in Micro- and Macroalgal

 

Processing. 2021. h
https://doi.org/10.1002/9781119542650.ch19

 

42. Munteanu, C., Munteanu, D. Thalassotherapy today. Balneo Res. J. 2019. 10. P. 440-444. 
https://doi.org/10.12680/balneo.2019.278

 

43. Nilsen, L. T. N., Spyland, E., Krogstad, A.L. Estimated ultraviolet doses to psoriasis patients during climate therapy. Photodermatol. Photoimmunol. Photomed. 2009. 25. P. 202-208. 
https://doi.org/10.1111/j.1600-0781.2009.00443.x

 

44. Nissen, J.B., Avrach, W.W., Hansen E.S. et al. Increased levels of enkephalin following natural sunlight (combined with saltwater bathing at the Dead Sea) and ultraviolet A irradiation. Br. J. Dermatol. 1998. 139. P. 1012-1019. 
https://doi.org/10.1046/j.1365-2133.1998.02557.x

 

45. Papon, N., Copp, B.R., Courdavault, V. Marine drugs: biology, pipelines, current and future prospects for production. Biotechnol. Adv. 2022. 54. 107871. 
https://doi.org/10.1016/j.biotechadv.2021.107871

 

46. Passeron, T., Bouillon, R., Callender, V. et al. Sunscreen photoprotection and vitamin D status. Br. J. Dermatol. 2019. 181. P. 916-931. 
https://doi.org/10.1111/bjd.17992

 

47. Proksch, E., Nissen, H.P., 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. P. 151-157. 
https://doi.org/10.1111/j.1365-4632.2005.02079.x

 

48. Schuh, A. Climatotherapy. Experientia. 1993. 49. P. 947-956. 
https://doi.org/10.1007/BF02125641

 

49. Schuh, A., Nowak, D. Evidence-based acute and long-lasting effects of climatotherapy in moderate altitudes and on the seaside: a qualitative review. Deutsche medizinische wochenschrift. 2011. 136(4), P. 135-139.
https://doi.org/10.1055/s-0031-1272496

 

50. Staalesen-Strumse, Y.A., Nordvag, B.-Y., Stanghelle, J.K. et al. Efficacy of rehabilitation for patients with ankylosing spondylitis: comparison of a four-week rehabilitation programme in a Mediterranean and a Norwegian setting. J. Rehabil. Med. 2011. 43. P. 534-542.
https://doi.org/10.2340/16501977-0804

 

51. Sukenik, S.I., AbuShakra M., Flusser, D. Balneotherapy in autoimmune disease, Conference: 10th Autoimmunity Meeting. Israel Journal of Medical Sciences. 1997. 33(4). P. 258-261.

 

52. Wahl, A.K., Langeland, E., Larsen, M. H. et al. Positive changes in self-management and disease severity following climate therapy in people with psoriasis. Acta Derm. Venereol. 2015. 95. P. 317-321. 
https://doi.org/10.2340/00015555-1939

 

53. Westby, T., Cadogan, A., Duignan, G. In vivo uptake of iodine from a Fucus serratus Linnaeus seaweed bath: does volatile iodine contribute? Environ. Geochem. Health. 2018. 40. P. 683-691. 
https://doi.org/10.1007/s10653-017-0015-6

 

54. Wiwatwongwana, D., Vichitvejpaisal, P., Thaikruea, L., Klaphajone, J., Tantong, A., Wiwatwongwana, A. The effect of music with and without binaural beat audio on operative anxiety in patients undergoing cataract surgery: a randomized controlled trial. Eye. 2016. 30(11), P.1407-1414. 
https://doi.org/10.1038/eye.2016.160

 

55. Zijlstra, T. R., Braakman-Jansen, L. M. A., Taal, E. et al. Cost-effectiveness of spa treatment for fibromyalgia: general health improvement is not for free. Rheumatology. 2007. 46. P. 1454-1459. 
https://doi.org/10.1093/rheumatology/kem157

 

56. Zijlstra, T. R., van de Laar, M. A. F. J., Bernelot M. H. J. et al. Spa treatment for primary fibromyalgia syndrome: a combination of thalassotherapy, exercise and patient education improves symptoms and quality of life. Rheumatology. 2005. 44. P. 539-546. 
https://doi.org/10.1093/rheumatology/keh537