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Properly apply broad-spectrum sunscreens to maximize their photoprotective effects

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Abstract

The benefits of using sunscreen regularly include the prevention of photocarcinogenesis and photoaging, and the management of photodermatoses. The data supporting these benefits substantially outweigh the limited data on theoretical adverse effects of sunscreen. Patients should be urged to consistently use a broad-spectrum photostable sunscreen with a sun protection factor of ≥ 30 and to apply it generously to exposed skin. Further research on protection from the effects of visible light and infrared radiation is required, as such protection is not provided by the UV filters in sunscreen.

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References

  1. Mancuso JB, Maruthi R, Wang SQ, et al. Sunscreens: an update. Am J Clin Dermatol. 2017;18(5):643–50.

    Article  PubMed  Google Scholar 

  2. Marrot L, Meunier J-R. Skin DNA photodamage and its biological consequences. J Am Acad Dermatol. 2008;58:S139–48.

    Article  PubMed  Google Scholar 

  3. Green AC, Williams GM, Logan V, et al. Reduced melanoma after regular sunscreen use: randomized trial follow-up. J Clin Oncol. 2011;29(3):257–63.

    Article  CAS  PubMed  Google Scholar 

  4. Hughes MCB, Williams GM, Baker P, et al. Sunscreen and prevention of skin aging: a randomized trial. Ann Intern Med. 2013;158:781–90.

    Article  PubMed  Google Scholar 

  5. van der Pols JC, Williams GM, Pandeya N, et al. Prolonged prevention of squamous cell carcinoma of the skin by regular sunscreen use. Cancer Epidemiol Biomark Prev. 2006;15(12):2546–8.

    Article  Google Scholar 

  6. Jansen R, Osterwalder U, Wang SQ, et al. Photoprotection part II. Sunscreen: development, efficacy, and controversies. J Am Acad Dermatol. 2013;69(6):867.e1-14.

    Article  Google Scholar 

  7. Schlumpf M, Cotton B, Conscience M, et al. In vitro and in vivo estrogenicity of UV screens. Environ Health Perspect. 2001;109(3):239–44.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  8. Seité S, Fourtanier AMA. The benefit of daily photoprotection. J Am Acad Dermatol. 2008;58:S160–6.

    Article  PubMed  Google Scholar 

  9. Ulrich C, Jürgensen JS, Degen A, et al. Prevention of non-melanoma skin cancer in organ transplant patients by regular use of a sunscreen: a 24 months, prospective, case-control study. Br J Dermatol. 2009;161(3):78–84.

    Article  PubMed  Google Scholar 

  10. Moyal DD, Fourtanier AMA. Broad-spectrum sunscreens provide better protection from solar ultraviolet-simulated radiation and natural sunlight-induced immunosuppression in human beings. J Am Acad Dermatol. 2008;58:S149–54.

    Article  PubMed  Google Scholar 

  11. Kuhn A, Gensch K, Haust M, et al. Photoprotective effects of a broad-spectrum sunscreen in ultraviolet-induced cutaneous lupus erythematosus: a randomized, vehicle-controlled, double-blind study. J Am Acad Dermatol. 2011;64.

  12. Kannan S, Lim HW. Photoprotection and vitamin D: a review. Photodermatol Photoimmunol Photomed. 2014;30(2–3):137–45.

    Article  CAS  PubMed  Google Scholar 

  13. Holick MF. Sunlight, ultraviolet radiation, vitamin D and skin cancer: how much sunlight do we need? Adv Exp Med Biol. 2014;810:1–16.

    PubMed  Google Scholar 

  14. Lips P, van Schoor NM, de Jongh RT. Diet, sun, and lifestyle as determinants of vitamin D status. Ann N Y Acad Sci. 2014;1317:92–8.

    Article  CAS  PubMed  Google Scholar 

  15. Wang SQ, Xu H, Stanfield JW, et al. Comparison of ultraviolet A light protection standards in the United States and European Union through in vitro measurements of commercially available sunscreens. J Am Acad Dermatol. 2017;77:42–7.

    Article  CAS  PubMed  Google Scholar 

  16. Herzog SM, Lim HW, Williams MS, et al. Sun protection factor communication of sunscreen effectiveness: a web-based study of perception of effectiveness by dermatologists. JAMA Dermatol. 2017;153(3):348–50.

    Article  PubMed  Google Scholar 

  17. Zastrow L, Lademann J. Light - instead of UV protection: new requirements for skin cancer prevention. Anticancer Res. 2016;36(3):1389–93.

    CAS  PubMed  Google Scholar 

  18. Mahmoud BH, Ruvolo E, Hexsel CL, et al. Impact of long-wavelength UVA and visible light on melanocompetent skin. J Invest Dermatol. 2010;130(8):2092–7.

    Article  CAS  PubMed  Google Scholar 

  19. Liebel F, Kaur S, Ruvolo E, et al. Irradiation of skin with visible light induces reactive oxygen species and matrix-degrading enzymes. J Invest Dermatol. 2012;132(7):1901–7.

    Article  CAS  PubMed  Google Scholar 

  20. Grether-Beck S, Marini A, Jaenicke T, et al. Effective photoprotection of human skin against infrared A radiation by topically applied antioxidants: results from a vehicle controlled, double-blind, randomized study. Photochem Photobiol. 2015;91(1):248–50.

    Article  CAS  PubMed  Google Scholar 

  21. American Academy of Dermatology. How to select a sunscreen. 2017. http://www.aad.org/. Accessed 4 Oct 2017.

  22. Faurschou A, Wulf HC. The relation between sun protection factor and amount of sunscreen applied in vivo. Br J Dermatol. 2007;156(4):716–9.

    Article  CAS  PubMed  Google Scholar 

  23. Isedeh P, Osterwalder U, Lim HW. Teaspoon rule revisited: proper amount of sunscreen application. Photodermatol Photoimmunol Photomed. 2013;29(1):55–6.

    Article  PubMed  Google Scholar 

  24. Ou-Yang H, Stanfield J, Cole C, et al. High-SPF sunscreens (SPF ≥ 70) may provide ultraviolet protection above minimal recommended levels by adequately compensating for lower sunscreen user application amounts. J Am Acad Dermatol. 2012;67:1220–7.

    Article  CAS  PubMed  Google Scholar 

  25. Jung GW, Ting PT, Salopek TG. Stability of sunscreens and sunblocks following exposure to extreme temperatures. J Am Acad Dermatol. 2012;66(6):1007–9.

    Article  PubMed  Google Scholar 

  26. Armstrong AW, Watson AJ, Makredes M. Text-message reminders to improve sunscreen use: a randomized, controlled trial using electronic monitoring. Arch Dermatol. 2009;145(11):1230–6.

    Article  PubMed  Google Scholar 

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The article was adapted from the American Journal of Clinical Dermatology 2017;18(5):643–50 [1] by employees of Adis/Springer, who are responsible for the article content and declare no conflicts of interest.

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The preparation of this review was not supported by any external funding.

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Adis Medical Writers. Properly apply broad-spectrum sunscreens to maximize their photoprotective effects. Drugs Ther Perspect 34, 75–80 (2018). https://doi.org/10.1007/s40267-017-0457-z

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  • DOI: https://doi.org/10.1007/s40267-017-0457-z

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