Sun exposure risks in athletes who were recipients of solid organ and bone marrow transplants

Gálvez, María Victoria de; Sánchez, José Marcel; Gálvez, María Navarrete-de; Troya-Martín, Magdalena de; Rivas-Ruiz, Francisco; Herrera‐Ceballos, Enrique

doi:10.1016/j.jaad.2019.02.013

Cited by 7 publications

(11 citation statements)

References 6 publications

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“…Even in athletes who were transplant recipients—and therefore immunosuppressed with increased risk of photo-induced skin cancers—31% did not use sunscreen regularly, despite recognising the importance of photoprotection [ 32 ].…”

Section: Resultsmentioning

confidence: 99%

Photoprotection in Outdoor Sports: A Review of the Literature and Recommendations to Reduce Risk Among Athletes

Gilaberte

Trullàs

Granger

et al. 2022

Dermatol Ther (Heidelb)

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Solar exposure, for long hours and often at peak times with limited shade available, predisposes athletes to episodic sunburn and chronic damage, causing increased risk of precancerous lesions and skin cancer. Environmental factors and training intensity affect risk. Clothing provides good protection, but changing established ''uniforms'' may not be possible for reasons of practicality, safety, or simply custom. Although physical activity should be encouraged for its physical and mental benefits, risk of skin damage should be minimised. We review existing behaviours, skin cancer risk, and campaigns in the sporting population and highlight key recommendations to help sun protection practices become engrained in sports practice.

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Section: Resultsmentioning

confidence: 99%

Photoprotection in Outdoor Sports: A Review of the Literature and Recommendations to Reduce Risk Among Athletes

Gilaberte

Trullàs

Granger

et al. 2022

Dermatol Ther (Heidelb)

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“…3 Specific risk factors that need to be evaluated in this population are time since transplant, duration and intensity of immunosuppressive therapy, history of cancer, history of sun exposure, and number of sunburn episodes since childhood. 4 On the other hand, it has been shown that athletes who perform sports activities outdoors have higher rates of sunburn and a higher risk of long-term skin cancer, as confirmed in recent studies carried out in international sports competitions. 5,6 However, there are no publications on a specific population of transplanted athletes.…”

Section: Introductionmentioning

confidence: 79%

“…Transplant recipients on immunosuppressive drugs are highly susceptible to the deleterious effects of UV radiation 3 . Specific risk factors that need to be evaluated in this population are time since transplant, duration and intensity of immunosuppressive therapy, history of cancer, history of sun exposure, and number of sunburn episodes since childhood 4 …”

Section: Introductionmentioning

confidence: 99%

Sun exposure and protection habits in transplant athletes: An international survey

Gálvez

Sánchez

Gálvez

et al. 2021

Photoderm Photoimm Photomed

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Background Transplant recipients are particularly prone to the development of skin cancer, and overexposure to UV radiation during outdoor activities increases the risk of carcinogenesis. Objective The aim of this study was to analyze sun‐related behaviors and knowledge in transplant athletes, examine the frequency of sunburns, and explore associations with a history of skin cancer. Materials and methods Cross‐sectional descriptive study. Participants (n = 170) in the XXI World Transplant Games from >50 countries completed a questionnaire on sun protection habits and knowledge, type of transplant, immunosuppressive therapy, and personal history of skin cancer. Results The most common transplanted organs were the kidney (n = 79), the liver (n = 33), and the heart (n = 31). Overall, 61.3% of athletes had been doing sport for >15 years and 79.5% spent >1–2 h a day outdoors. Fifteen % of athletes had a history of skin cancer. The prevalence of sunburn in the previous year was 28.9%, higher in athletes aged <50 years (37.2%); without a primary school education (58.3%), not taking cyclosporin (32.6%), and athletes who played basketball (75%). The main sun protection measures used were sunscreen (68.9%) and sunglasses (67.3%). Use of a hat or cap was the only measure significantly associated with a reduced prevalence of sunburn. Conclusions Despite high awareness that sun exposure increases the risk of skin cancer, sunburn was common in transplant athletes. Efforts should be made to strengthen multidisciplinary sun protection education strategies and ensure periodic dermatologic follow‐up to prevent sun‐induced skin cancer in this population.

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“…The literature search identified 2365 references. After reviewing the title and abstract, 486 articles underwent full-text review, and 23 of them were selected for inclusion [ 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 ]. The flow chart of the articles selected is represented in Figure 1 .…”

Section: Resultsmentioning

confidence: 99%

“…The total number of sportspeople evaluated was 10,445. Most of the studies included between 100 and 200 participants [ 20 , 27 , 28 , 32 , 37 , 41 ]. From all the studies found, 11 were published in Spain [ 24 , 25 , 26 , 27 , 29 , 30 , 32 , 33 , 34 , 39 ] and 5 in the United States [ 23 , 35 , 38 , 40 , 42 ].…”

Section: Resultsmentioning

confidence: 99%

Knowledge, Behaviour and Attitudes Related to Sun Exposure in Sportspeople: A Systematic Review

Fernandez-Ruiz

Montero‐Vílchez

Buendía‐Eisman

et al. 2022

IJERPH

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People who practice outdoor sports have an increased risk of skin cancer as they are exposed to high doses of ultraviolet (UV) radiation. Recent studies have shown that in many athletes, sun protection behaviours are inadequate, with the risk that this entails. The aim of this review is to collect the information published to date about the knowledge, attitudes and habits of athletes in relation to sun exposure and its risks. A systematic review was conducted using PubMed and Embase with the search algorithm “(skin cancer OR melanoma) AND (exercise OR sport OR athletes)”. All studies analysing the knowledge, attitudes and habits of photoprotection in athletes were included. A total of 2,365 publications were found, of which 23 were selected, including a total of 10,445 sportspeople. The majority of participants declared their voluntary intention to tan and stated that the sun made them feel better, although they also showed concern about possible damage associated with UV radiation. In most studies, less than half of the participants made adequate use of photoprotective measures. In general, most athletes had a high level of knowledge regarding the risk of skin cancer associated with sun exposure. In conclusion, most athletes are aware of the risks associated with UV radiation but do not make adequate use of photoprotective cream. New training programs on photoprotection could help improve athletes’ photoprotective behaviour, reducing the incidence of skin cancer and precancerous lesions in this population.

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Sun exposure risks in athletes who were recipients of solid organ and bone marrow transplants

Cited by 7 publications

References 6 publications

Photoprotection in Outdoor Sports: A Review of the Literature and Recommendations to Reduce Risk Among Athletes

Photoprotection in Outdoor Sports: A Review of the Literature and Recommendations to Reduce Risk Among Athletes

Sun exposure and protection habits in transplant athletes: An international survey

Knowledge, Behaviour and Attitudes Related to Sun Exposure in Sportspeople: A Systematic Review

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