ABSTRACT
To characterize the exposome of the Spanish population and its association with skin ageing a cross-sectional epidemiological study was conducted in men and women (18-60 years old). A total of 1,474 participants were included. Mean age (± standard deviation) was 40.84 ± 10.26 years. Most participants had Fitzpatrick skin phototype II (44.1%) and skin ageing in accordance with their current age (69.0%). In the logistic model, age, smoking habit, use of sunscreen and use of cosmetics were all significant independent predictors of skin ageing. Thus, tobacco consumption increased the score of the model towards presenting skin ageing above that expected for age, while the opposite occurred with the use of sunscreen and a complete skin care routine. The exposome therefore has an impact on skin ageing, with age, smoking habit, use of sunscreen and the use of cosmetics identified as predictors of skin ageing. Skin care routines and sunscreen use may help to prevent this process.
Subject(s)
Exposome , Skin Aging , Smoking/adverse effects , Sunlight/adverse effects , Adolescent , Adult , Age Factors , Cosmetics , Cross-Sectional Studies , Diet, Healthy , Female , Humans , Male , Middle Aged , Protective Factors , Risk Assessment , Risk Factors , Risk Reduction Behavior , Smoking/epidemiology , Spain/epidemiology , Sunscreening Agents/therapeutic use , Young AdultABSTRACT
Patients with photodermatoses or actinic keratosis benefit from very high ultraviolet B-ultraviolet A (UVB-UVA) photoprotection. However, poor compliance is an issue that jeopardizes adequate protection, leading to disease recurrence. This study evaluated the efficacy of a daily protective moisturizer with high UVB and UVA photoprotection applied 8 h before irradiation. A monocentric, open-label, prospective, control pilot study was performed including 10 patients. Patients were irradiated with UVB and UVA before and 8 h after topical application of the product. Reflectance confocal microscopy (RCM) assessment was performed 24 h later. Clinical assessment showed a statistically significant increase in minimal erythema dose (MED) after application of the product (p <0.001). Signs of UV damage according to RCM were not observed on photoprotected skin (p <0.05). Skin irradiated 8 h after applying a daily protective moisturizer presented an increase in MED and RCM findings that equal the findings for non-irradiated skin.
Subject(s)
Microscopy, Confocal/methods , Photosensitivity Disorders/drug therapy , Skin Cream/administration & dosage , Skin Diseases, Genetic/drug therapy , Skin/drug effects , Skin/radiation effects , Sunburn/prevention & control , Sunscreening Agents/administration & dosage , Ultraviolet Rays/adverse effects , Administration, Cutaneous , Adolescent , Adult , Drug Administration Schedule , Erythema/etiology , Erythema/pathology , Erythema/prevention & control , Female , Humans , Male , Middle Aged , Photosensitivity Disorders/complications , Photosensitivity Disorders/diagnosis , Pilot Projects , Prospective Studies , Skin/pathology , Skin Cream/adverse effects , Skin Diseases, Genetic/complications , Skin Diseases, Genetic/diagnosis , Sunburn/etiology , Sunburn/pathology , Sunscreening Agents/adverse effects , Time Factors , Treatment Outcome , Young AdultABSTRACT
BACKGROUND: The exponential rise in cutaneous cancers underscores the need to promote primary prevention, emphasising exposure to ultraviolet radiation as the main modifiable risk factor. Children and adolescents are especially vulnerable to radiation. OBJECTIVES: Our objectives were to determine the knowledge and behavior of a Spanish adolescent population in relation to sun exposure thorough a web-based system. METHODS: This cross-sectional study included 1525 school students aged 12-15 yrs. Students completed the survey via the website, with 23 questions and three information blocks on: physical characteristics and general state of health; sun exposure habits and effects; and knowledge of the sun and its effects. RESULTS: Adolescents displayed a good level of knowledge on the risks of sun exposure, but this did not correlate with healthy sun protection habits. 63.1% of students reported suffering from sunburn in the previous summer and 15.8% reported sunburn with blisters.Sunburn risk increased with the frequency of sun exposure between 12 and 6 pm "always or almost always" (OR of 1.29; p = 0.001), the use of sun protection cream (OR of 1.38; p = 0.034) and decreased with physical sun protection measures (shade) with an OR of 0.85 (p = 0.032) in a multivariate study. LIMITATION: The retrospective gathering of sunburn data is a study limitation because of the possibility of a recall bias and potential inter-individual variation in the concept of burn. CONCLUSION: The high percentage of sunburns suffered by adolescents in the previous summer underscores the need for skin cancer preventive programs.
