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Sun Exposure and Protection Habits in Pediatric Patients with a History of Malignancy
BACKGROUND: Survivors of childhood cancer are at high risk for developing non-melanoma skin cancer and therefore are firmly advised to avoid or minimize sun exposure and adopt skin protection measures. We aimed to compare sun exposure and protection habits in a cohort of pediatric patients with a hi...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4562645/ https://www.ncbi.nlm.nih.gov/pubmed/26348212 http://dx.doi.org/10.1371/journal.pone.0137453 |
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author | Levy-Shraga, Yael Cohen, Rinat Ben Ami, Michal Yeshayahu, Yonatan Temam, Vered Modan-Moses, Dalit |
author_facet | Levy-Shraga, Yael Cohen, Rinat Ben Ami, Michal Yeshayahu, Yonatan Temam, Vered Modan-Moses, Dalit |
author_sort | Levy-Shraga, Yael |
collection | PubMed |
description | BACKGROUND: Survivors of childhood cancer are at high risk for developing non-melanoma skin cancer and therefore are firmly advised to avoid or minimize sun exposure and adopt skin protection measures. We aimed to compare sun exposure and protection habits in a cohort of pediatric patients with a history of malignancy to those of healthy controls. METHODS: Case-control study of 143 pediatric patients with a history of malignancy (aged 11.2±4.6y, Male = 68, mean interval from diagnosis 4.4±3.8y) and 150 healthy controls (aged 10.4±4.8y, Male = 67). Sun exposure and protection habits were assessed using validated questionnaires. RESULTS: Patients and controls reported similar sun exposure time during weekdays (94±82minutes/day vs. 81±65minutes/day; p = 0.83), while during weekends patients spent significantly less time outside compared to controls (103±85minutes/day vs. 124±87minutes/day; p = 0.02). Time elapsed from diagnosis positively correlated with time spent outside both during weekdays (r = 0.194, p = 0.02) and weekends (r = 0.217, p = 0.01), and there was a step-up in sun exposure starting three years after diagnosis. There was no significant difference regarding composite sun protection score between patients and controls. Age was positively correlated with number of sunburns per year and sun exposure for the purpose of tanning, and was negatively correlated with the use of sun protection measures. CONCLUSIONS: Although childhood cancer survivors are firmly instructed to adopt sun protection habits, the adherence to these instructions is incomplete, and more attention should be paid to improve these habits throughout their lives. Since sunlight avoidance may results in vitamin D deficiency, dietary supplementation will likely be needed. |
format | Online Article Text |
id | pubmed-4562645 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-45626452015-09-10 Sun Exposure and Protection Habits in Pediatric Patients with a History of Malignancy Levy-Shraga, Yael Cohen, Rinat Ben Ami, Michal Yeshayahu, Yonatan Temam, Vered Modan-Moses, Dalit PLoS One Research Article BACKGROUND: Survivors of childhood cancer are at high risk for developing non-melanoma skin cancer and therefore are firmly advised to avoid or minimize sun exposure and adopt skin protection measures. We aimed to compare sun exposure and protection habits in a cohort of pediatric patients with a history of malignancy to those of healthy controls. METHODS: Case-control study of 143 pediatric patients with a history of malignancy (aged 11.2±4.6y, Male = 68, mean interval from diagnosis 4.4±3.8y) and 150 healthy controls (aged 10.4±4.8y, Male = 67). Sun exposure and protection habits were assessed using validated questionnaires. RESULTS: Patients and controls reported similar sun exposure time during weekdays (94±82minutes/day vs. 81±65minutes/day; p = 0.83), while during weekends patients spent significantly less time outside compared to controls (103±85minutes/day vs. 124±87minutes/day; p = 0.02). Time elapsed from diagnosis positively correlated with time spent outside both during weekdays (r = 0.194, p = 0.02) and weekends (r = 0.217, p = 0.01), and there was a step-up in sun exposure starting three years after diagnosis. There was no significant difference regarding composite sun protection score between patients and controls. Age was positively correlated with number of sunburns per year and sun exposure for the purpose of tanning, and was negatively correlated with the use of sun protection measures. CONCLUSIONS: Although childhood cancer survivors are firmly instructed to adopt sun protection habits, the adherence to these instructions is incomplete, and more attention should be paid to improve these habits throughout their lives. Since sunlight avoidance may results in vitamin D deficiency, dietary supplementation will likely be needed. Public Library of Science 2015-09-08 /pmc/articles/PMC4562645/ /pubmed/26348212 http://dx.doi.org/10.1371/journal.pone.0137453 Text en © 2015 Levy-Shraga et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited. |
spellingShingle | Research Article Levy-Shraga, Yael Cohen, Rinat Ben Ami, Michal Yeshayahu, Yonatan Temam, Vered Modan-Moses, Dalit Sun Exposure and Protection Habits in Pediatric Patients with a History of Malignancy |
title | Sun Exposure and Protection Habits in Pediatric Patients with a History of Malignancy |
title_full | Sun Exposure and Protection Habits in Pediatric Patients with a History of Malignancy |
title_fullStr | Sun Exposure and Protection Habits in Pediatric Patients with a History of Malignancy |
title_full_unstemmed | Sun Exposure and Protection Habits in Pediatric Patients with a History of Malignancy |
title_short | Sun Exposure and Protection Habits in Pediatric Patients with a History of Malignancy |
title_sort | sun exposure and protection habits in pediatric patients with a history of malignancy |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4562645/ https://www.ncbi.nlm.nih.gov/pubmed/26348212 http://dx.doi.org/10.1371/journal.pone.0137453 |
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