Skin cancer prevention in extreme sports: Intervention in a 24-h race.

Autor: Martínez AR; Research Unit, Hospital Costa del Sol, Marbella, Spain., Pardal CV; Andalusian Centre for Sports Medicine, Cádiz, Spain.; PAIDI Group: CTS-1081: Photoprotection and prevention of skin cancer (PHOTOPROTECTION), Marbella, Spain., Arjona JA; Department of Medicine and Dermatology, University of Málaga, Málaga, Spain., Ruiz FR; Research Unit, Hospital Costa del Sol, Marbella, Spain.; Red de Investigación en Servicios Sanitarios en Enfermedades Crónicas (REDISSEC), Marbella, Spain., Molinero DD; PAIDI Group: CTS-1081: Photoprotection and prevention of skin cancer (PHOTOPROTECTION), Marbella, Spain.; Hospital Costa del Sol, Marbella, Spain., Paulano MR; Hospital Costa del Sol, Marbella, Spain., Subert A; Research Unit, Hospital Costa del Sol, Marbella, Spain., Manzanedo JVG; PAIDI Group: CTS-1081: Photoprotection and prevention of skin cancer (PHOTOPROTECTION), Marbella, Spain.; Department of Physical Education, Faculty of Education Sciences, University of Cádiz, Cádiz, Spain., Cambil Martín J; PAIDI Group: CTS-1081: Photoprotection and prevention of skin cancer (PHOTOPROTECTION), Marbella, Spain.; Nursing Department, Health Science Faculty, University of Granada, Granada, Spain., de Gálvez Aranda MV; Department of Medicine and Dermatology, University of Málaga, Málaga, Spain., López LJ; Andalusian Centre for Sports Medicine, Seville, Spain., Sánchez NB; PAIDI Group: CTS-1081: Photoprotection and prevention of skin cancer (PHOTOPROTECTION), Marbella, Spain.; Department of Dermatology, Hospital Costa del Sol, Marbella, Spain., de Troya Martín M; PAIDI Group: CTS-1081: Photoprotection and prevention of skin cancer (PHOTOPROTECTION), Marbella, Spain.; Department of Dermatology, Hospital Costa del Sol, Marbella, Spain.
Jazyk: angličtina
Zdroj: Photodermatology, photoimmunology & photomedicine [Photodermatol Photoimmunol Photomed] 2024 Jan; Vol. 40 (1), pp. e12940.
DOI: 10.1111/phpp.12940
Abstrakt: Introduction: Excessive sun exposure and sunburns are the main preventable causes of skin cancer. The growing popularity of outdoor sports in developed countries has motivated the objective of this work to study the risk of photoexposure and the skin cancer prevention needs of athletes in an extreme race and evaluate an intervention targeted at this population.
Methods: An observational study was conducted during the XXIII edition of the 101 km de Ronda race, which consisted of trail running and mountain biking categories. Environmental and personal dosimetry, monitoring of meteorological conditions, evaluation of the athletes' photoprotection and skin examination habits, a dermatological checkup, and a satisfaction questionnaire were performed.
Results: The ultra-endurance race was carried out under adverse conditions (maximum ultraviolet index (UVI) = 9.2, temperatures above 30°C, and relative humidity >35%). The mean effective erythema dose received by race athletes (n = 11) was 2959.2 ± 404.2 J/m 2 , equivalent to 29.6 standard erythema doses (SED). The CHACES questionnaire (n = 1145) showed a sunburn rate of 58% and poor protective habits: 62.9% of athletes do not usually use sunscreen and 67.2% do not self-examine their skin. Actinic keratoses (4.7%) and suspicious skin cancer lesions (4.2%) were found in dermatologic screening exams (n = 170). On the satisfaction questionnaire (n = 111), this intervention was rated as excellent (95.5%).
Conclusion: This research highlights the extreme risk of photoexposure that athletes are subjected to during ultra-endurance competitions. In the same way, it shows the need to carry out interventions aimed at the acquisition of healthy photoprotection habits and skin surveillance in this target group.
(© 2023 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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