Our growing desire to be beautifully bronzed is proving highly injurious to our health

Main Category: Melanoma / Skin Cancer
Article Date: 27 Jun 2004 - 0:00 PDT

Current ratings for:
'Our growing desire to be beautifully bronzed is proving highly injurious to our health'

Patient / Public:4 stars

4 (1 votes)

Healthcare Prof:not yet rated

Article opinions: 2 posts

Tan rather than wan may be fashionable, but our growing desire to be beautifully bronzed is proving highly injurious to our health.

Incidences of skin cancer in the UK are at record levels, with 65,000 new cases a year, and rising. Between 1995-2000, the number of people diagnosed with malignant melanoma, the most deadly form of the disease, increased by 24%, to almost 7,000 cases. Britain now has a higher death rate from melanoma than Australia -1,700 deaths a year compared to 1,000.

Yet young people are ignoring the risks. As part of its SunSmart awareness raising campaign, Cancer Research UK (CRUK) recently surveyed more than 1,800 people on their attitudes and understanding of the risks associated with sunbathing. Seventy per cent of 16 to 24-year-olds said they wanted a tan, while only 2-3% realised the importance of not burning.

In other research by CRUK and Boots, over half the British parents surveyed admitted their children had been sunburnt. Although sunburn in childhood can double the risk of getting skin cancer in later life, 41% of parents said they like to see their children with a suntan, with most believing it makes them look more healthy.

But rather than being healthy, a tan signifies damage to the skin from ultraviolet (UV) radiation. UV wavelengths contain high levels of energy that penetrate our flesh and change the structure of skin cells. There are three types. UVC, the most dangerous, is completely absorbed by the Earth's upper atmosphere. UVA and UVB, however, both cause skin cancer and damage our DNA - and also give us suntans.

Most melanoma is caused by short periods of exposure to intense sun - the kind we get on two-week holidays in the Med. It is one of three types of skin cancer. Basal cell carcinoma and squamous cell carcinoma are less deadly, causing around 500 deaths a year in the UK.

Unlike other skin cancers, melanoma affects a significant number of under-35-year-olds, although it is most common among 40 to 60-year-olds. With early detection, it is largely curable - so it's very important to recognise the warning signs. The CRUK says to look out for moles that are:

-- getting bigger

-- changing shape (particularly with irregular edges)

-- changing colour (getting darker, patchy or multi-shaded)

-- itching or painful

-- bleeding or becoming crusty

-- looking inflamed

Melanomas can appear anywhere on the body, but are more common on the back in men and the legs in women. About half develop on an old mole, while others grow on previously normal skin - so tell your doctor if a new mole looks suspicious or is growing fast.

While everyone should take care in the sun, some people are more at risk, namely those who:

� have had a malignant melanoma removed in the past

� have a close relative who has had malignant melanoma

� have lots of moles

� are fair skinned with blue eyes

� tend to have freckles

� tend to burn easily in the sun

� were born in a hot, sunny country

� have been badly burned at least once in the past five years

� expose their skin to the sun (or sun beds) off and on.

As the holiday season approaches, CRUK is urging Britons to avoid over exposure to the sun. Earlier this year, the charity joined forces with the Government to encourage young people in particular to protect themselves: the Department of Health is investing �400,000 in the CRUK's SunSmart campaign over the next three years.

SunSmart advises:

S tay in the shade 11-3pm
M ake sure you never burn
A lways cover up
R emember to take extra care of children
T hen use factor 15+ sunscreen

CRUK recommends factor 15 sunscreen since higher screens cost more but don't offer a lot more protection. The safest course, however, is to either stay out of the sun altogether, or cover up with long-sleeved, full-length cotton clothing, a wide-brimmed hat and wrap-around sunglasses. You may remain pale, but you'll look very interesting.

http://www.norwichunion.com

Article adapted by Medical News Today from original press release.
Visit our melanoma / skin cancer section for the latest news on this subject.
There are no references listed for this article.
Please use one of the following formats to cite this article in your essay, paper or report:

MLA
n.p. "Our growing desire to be beautifully bronzed is proving highly injurious to our health." Medical News Today. MediLexicon, Intl., 27 Jun. 2004. Web.
26 May. 2012. <http://www.medicalnewstoday.com/releases/9984.php>

APA
n.p. (2004, June 27). "Our growing desire to be beautifully bronzed is proving highly injurious to our health." Medical News Today. Retrieved from
http://www.medicalnewstoday.com/releases/9984.php.

Please note: If no author information is provided, the source is cited instead.



Visitor Opinions (latest shown first)

Sunshine Matters!

posted by Thomas Petrie on 25 Jul 2006 at 3:30 pm

I have three clients who have severe vitamin D deficiency and none have been properly diagnosed by their doctors'. One has parkinson's, one is a candidate for hip replacement surgery and the third has fibromyalgia! One is black, all are 68-76 years of age. It is amazing how ignorant doctors are about 'basic nutrition' like vitamin D, calcium absorption, prevention of osteoporosis and the role that vit. D plays in cancer prevention and perhaps some autoimmune problems (and others). Keep up the good work. Tom, Nutritionist

| post followup | alert a moderator |


SunSmart is Counterproductive

posted by William B. Grant Ph.D. on 27 Jun 2004 at 6:38 am

CRUK presents good information on how to recognize skin cancer and melanoma. Unfortunately, CRUK does not see the bigger picture in urging people to follow the SunSmart program. Of course, it is always advisable to avoid sun burning. However, the other advice may well be counterproductive for optimal health.

First of all, it is worthwhile to review the statements of Andy Ness [Ness, 1999]:

“Even if reducing exposure to sunlight reduces the incidence of melanoma, its effect on overall mortality will be slight, as the number of deaths postponed will be small. In 1995, the deaths of 697 men and 698 women in England and Wales were attributed to malignant melanoma. Even the most forceful campaign could be expected to prevent only a few of these deaths. There may also be effective options for reducing mortality from melanoma that do not require reducing exposure to sunlight for example, by increasing awareness of the diagnosis and access to treatment.”
“Increased rates of other more benign forms of skin cancer (such as squamous cell carcinoma and basal cell carcinoma), cataracts, and skin ageing are associated with either intermittent or cumulative exposure to sunlight. While these diseases are important causes of morbidity, they are usually amenable to treatment, and are not generally fatal. In 1995, the deaths of 264 men and 175 women in England and Wales were attributed to non-melanoma skin cancer.”

Thus, trying to reduce mortality due to skin cancer and melanoma through reduced solar radiation exposure is likely to result in very few saved lives.

When it is noted that dietary factors, alcohol, and obesity likely explain half of melanoma mortality rates in the U.S. [Millen et al., 2004; Samanic et al., 2004], and that occupational exposure to solar UV reduces the risk of melanoma [Kennedy et al., 2003; Soll-Johanning and Bach, 2004], there is even less reason to hold up the risk of melanoma as a reason to avoid solar UV radiation.

Furthermore, a recent study in the U.K. found that those with skin cancer had half the rate of multiple sclerosis of the general population [Goldacre et al., 2004]. Non-melanoma skin cancer is generally related to integrated lifetime dose of UV radiation. There are approximately 60,000 with MS in the U.K. [Ford et al., 2002]. More solar UVB radiation and vitamin D would reduce this number.

My work in the U.S. indicates that more than 20,000 Americans die from over a dozen types of internal cancers annually due to insufficient solar UVB radiation [Grant, 2002a], the primary source of vitamin D for Americans. Breast cancer is one cancer for which UVB/vitamin D reduces the risk [Grant, 2002a,b]. I estimate that one third of American women who die from breast cancer would not have if they had sufficient UVB/vitamin D [Grant, submitted]. A similar fraction probably also applies to the U.K.

There are many more diseases and conditions that UVB and vitamin D protect against, including bone and muscle diseases, hypertension, maternal vitamin D-related schizophrenia, etc. [e.g., Holick, 2003; Zittermann, 2003; http://www.sunarc.org].

Many British are vitamin D deficient, especially Asians [Shaw and Pal, 2002; Pal et al., 2003] and the elderly shut ins [Chuck et al., 2001], and dietary vitamin D intake is low [Bates et al., 1999]. We have shown that dietary vitamin D is generally insufficient to reduce the risk of colon and rectal cancer since the quantities are too low, but total vitamin D can be sufficient [Grant and Garland, in press]. Vitamin D is produced most rapidly between the hours of 11 a.m. and 3:00 p.m., since the sun is at the highest elevation angle at that time, but this is precisely the time CRUK advises avoiding solar radiation.

Thus, when the larger picture is considered, it is much healthier at all ages to seek out solar UVB radiation but trying to avoid sunburning than to try to hide from it. The American Academy of Dermatology has tried to make Americans afraid of their shadow. It appears as if CRUK is trying to do the same in the U.K.

For more information on the health benefits of solar and artificial UVB radiation and why one should not be afraid of it, please visit our web site, http://www.sunarc.org.

References

Bates CJ, Prentice A, Cole TJ, van der Pols JC, Doyle W, Finch S, Smithers G, Clarke PC. Micronutrients: highlights and research challenges from the 1994-5 National Diet and Nutrition Survey of people aged 65 years and over. Br J Nutr. 1999 Jul;82(1):7-15.

Chuck A, Todd J, Diffey B. Subliminal ultraviolet-B irradiation for the prevention of vitamin D deficiency in the elderly: a feasibility study. Photodermatol Photoimmunol Photomed. 2001 Aug;17(4):168-71.

Ford HL, Gerry E, Johnson M, Williams R. A prospective study of the incidence, prevalence and mortality of multiple sclerosis in Leeds. J Neurol. 2002 Mar;249(3):260-5.

Goldacre MJ, Seagroatt V, Yeates D, Acheson ED. Skin cancer in people with multiple sclerosis: a record linkage study. J Epidemiol Community Health. 2004 Feb;58(2):142-4.

Grant WB. An ecologic study of dietary and solar ultraviolet-B links to breast carcinoma mortality rates. Cancer. 2002a Jan 1;94(1):272-81.

Grant WB. An estimate of premature cancer mortality in the U.S. due to inadequate doses of solar ultraviolet-B radiation. Cancer. 2002b Mar 15;94(6):1867-75.

Holick MF. Vitamin D: A millenium perspective. J Cell Biochem. 2003 Feb 1;88(2):296-307.

Kennedy C, Bajdik CD, Willemze R, De Gruijl FR, Bouwes Bavinck JN; Leiden Skin Cancer Study. The influence of painful sunburns and lifetime sun exposure on the risk of actinic keratoses, seborrheic warts, melanocytic nevi, atypical nevi, and skin cancer. J Invest Dermatol. 2003 Jun;120(6):1087-93.

Millen AE, Tucker MA, Hartge P, Halpern A, Elder DE, Guerry D 4th, Holly EA, Sagebiel RW, Potischman N. Diet and melanoma in a case-control study. Cancer Epidemiol Biomarkers Prev. 2004 Jun;13(6):1042-51.

Ness AR, Frankel SJ, Gunnell DJ, Smith GD. Are we really dying for a tan? BMJ. 1999 Jul 10;319(7202):114-6.

Pal BR, Marshall T, James C, Shaw NJ. Distribution analysis of vitamin D highlights differences in population subgroups: preliminary observations from a pilot study in UK adults. J Endocrinol. 2003 Oct;179(1):119-29.

Samanic C, Gridley G, Chow WH, Lubin J, Hoover RN, Fraumeni JF Jr. Obesity and cancer risk among white and black United States veterans. Cancer Causes Control. 2004 Feb;15(1):35-43.

Shaw NJ, Pal BR. Vitamin D deficiency in UK Asian families: activating a new concern.
Arch Dis Child. 2002 Mar;86(3):147-9.

Soll-Johanning H, Bach E. Occupational exposure to air pollution and cancer risk among Danish urban mail carriers. Int Arch Occup Environ Health. 2004 Apr 24 [Epub ahead of print]

Zittermann A. Vitamin D in preventive medicine: are we ignoring the evidence? Br J Nutr. 2003 May;89(5):552-72. Review.

| post followup | alert a moderator |


Add Your Opinion On This Article

'Our growing desire to be beautifully bronzed is proving highly injurious to our health'

Please note that we publish your name, but we do not publish your email address. It is only used to let you know when your message is published. We do not use it for any other purpose. Please see our privacy policy for more information.

If you write about specific medications or operations, please do not name health care professionals by name.

All opinions are moderated before being included (to stop spam)

Your Name:*
E-mail Address:*
Your Opinion Title:*
Opinion:*
This is to help prevent SPAM submissions. Please enter the words exactly as they appear, including capital letters and punctuation.*

* Fields marked with a * need to be filled in before you hit the submit button.

Contact Our News Editors

For any corrections of factual information, or to contact the editors please use our feedback form.

Please send any medical news or health news press releases to:

Note: Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a health care professional. For more information, please read our terms and conditions.


Melanoma / Skin Cancer

Most Popular Articles



Follow Our Melanoma News On Twitter

Follow Us On Twitter
Get the latest news for this category delivered straight to your Twitter account. Simply visit our Melanoma / Skin Cancer Twitter account and select the 'follow' option.



View list of all 'What Is...' articles »