Abstract
A previous randomized trial found that sunscreen use could extend intentional sun exposure, thereby possibly increasing the risk of cutaneous melanoma. In a similarly designed trial, we examined the effect of the use of sunscreens having different sun protection factor (SPF) on actual exposure to ultraviolet B (UVB) and ultraviolet A (UVA) radiation. In June 1998, 58 European participants 18–24 years old were randomized to receive a SPF 10 or 30 sunscreens and were asked to complete daily records of their sun exposure during their summer holidays of whom 44 utilized a personal UVA and UVB dosimeter in a standard way during their sunbathing sessions. The median daily sunbathing duration was 2.4 hours in the SPF 10 group and 3.0 hours in the SPF 30 group (P = 0.054). The increase in daily sunbathing duration was paralleled by an increase in daily UVB exposure, but not by changes in UVA or UVB accumulated over all sunbathing sessions, or in daily UVA exposure. Of all participants, those who used the SPF 30 sunscreen and had no sunburn spent the highest number of hours in sunbathing activities. Differences between the two SPF groups in total number of sunbathing hours, daily sunbathing duration, and daily UVB exposure were largest among participants without sunburn during holidays. Among those with sunburn, the differences between the two groups tended to reduce. In conclusion, sunscreens used during sunbathing tended to increase the duration of exposures to doses of ultraviolet radiation below the sunburn threshold. © 2000 Cancer Research Campaign
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References
Autier P (2000) Sunscreen and melanoma revisited. Arch Dermatol 136: 423
Autier P, Doré JF, Lejeune FJ, Koelmel KF, Geffeler O and Hille Pet al (1994) Risk factors of the cutaneous melanoma: Results from an EORTC case-control study. Melanoma Research 4: 79–85
Autier P, Doré JF and Schifflers Eet al (1995) Melanoma and use of sunscreens: an EORTC case-control study in Germany, Belgium and France. Int J Cancer 61: 749–755
Autier P, Doré JF, Cattaruzza MS, Renard F, Luther H and Gentiloni-Silverj Fet al (1998) Sunscreen use, wearing clothes and nevi number in 6- to 7-year-old European children. J Nat Cancer Inst 90: 1873–1881
Autier P, Doré JF, Négrier S, Liénard D, Panizzon R, Lejeune FJ, Guggisberg D and Eggermont AMM (1999) Sunscreen use and duration of sun exposure: a double blind randomized clinical trial. J Natl Cancer Inst 91: 1304–1309
Bigby M (1999) The sunscreen and melanoma controversy. Arch Dermatol 135: 1526–1527
Creech LL and Mayer JA (1997) Ultraviolet radiation exposure in children: a review of measurement strategies. Ann Behav Med 19: 399–407
Diffey BL (1991) Solar ultraviolet radiation effects on biological systems. Phys Med Biol 36: 299–328
Diffey BL, Gibson CJ, Haylock R and McKinlay AF (1996) Outdoor ultraviolet exposure of children and adolescents. Br J Dermatol 134: 1030–1034
Donawho C and Wolf P (1996) Sunburn, sunscreen, and melanoma. Current Opinion Oncol 8: 159–166
Dwyer T, Blizzard L, Gies PH, Ashbolt R and Roy C (1996) Assessment of habitual sun exposure in adolescents via questionnaire – a comparison with objective measurement using polysulphone badges. Mel Research 6: 231–239
Elwood JM and Gallagher RP (1998) Body distribution of cutaneous malignant melanoma in relationship to patterns of sun exposure. Int J Cancer 78: 276–280
Elwood M and Jopson J (1997) Melanoma and sun exposure: an overview of published studies. Int J Cancer 73: 198–203
Fitzpatrick TB (1998) The validity and practicability of sun-reactive skin types I through VI. Arch Dermatol 124: 869–871
Forbes PD (1981) Photocarcinogenesis: an overview. J Invest Dermatol 77: 139–148
Geller AC, Hufford D, Miller DR, Sun T, Wyatt SW and Reilley Bet al (1997) Evaluation of the ultraviolet index: Media reactions and public response. J Am Acad Dermatol 37: 935–941
IARC (1992) International Agency for Research on Cancer. Solar and ultraviolet radiation. Monographs on the evaluation of the carcinogenic risk of chemicals to humans. IARC, Lyon, Vol 55: 285–290
International Commission on Non-Ionizing Radiation Protection (1995) Global Solar UV index. Publication ICNIRP-1/95, Oberschleissheim: Germany
Jendritzky G, Staiger H and Bucher K (1997) UV prognosis and UV index services in Europe. In: Skin Cancer and UV radiation. Altmeyer P, Hoffmann K, Stücker M (eds). Springer: Berlin, pp 37–49
Kelfkens G, van Weelden H, de Gruijl F and van der Leun JC (1991) The influence of dose rate on ultraviolet tumorigenesis. J Photochem Photobiol B Biol 10: 41–50
Lui H, Gallagher RP and McLean DI (1997) Use and misuse of sunscreens. In: Skin cancer and UV radiation. Altmeyer P, Hoffmann K, Stucker M (eds). Springer-Verlag: Berlin, pp 333–342
Osterlind A, Tucker MA, Stone BJ and Jensen OM (1988) The Danish case-control study of cutaneous malignant melanoma. II. Importance of UV-light exposure. Int J Cancer 42: 319–324
Setlow RB and Woodhead AD (1994) Temporal changes in the incidence of malignant melanoma: explanation from action spectra. Mutation Research 307: 365–374
Westerdahl J, Ingvar C, Masback A and Olsson H (2000) Sunscreen use and malignant melanoma. Int J Cancer 87: 145–150
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Autier, P., Doré, JF., Reis, A. et al. Sunscreen use and intentional exposure to ultraviolet A and B radiation: a double blind randomized trial using personal dosimeters. Br J Cancer 83, 1243–1248 (2000). https://doi.org/10.1054/bjoc.2000.1429
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DOI: https://doi.org/10.1054/bjoc.2000.1429
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