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Ambros-Rudolph, CM; Hofmann-Wellenhof, R; Richtig, E; Müller-Fürstner, M; Soyer, HP; Kerl, H.
Malignant melanoma in marathon runners.
Arch Dermatol. 2006; 142(11): 1471-1474. Doi: 10.1001/archderm.142.11.1471 [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Ambros-Rudolph Christina
Co-Autor*innen der Med Uni Graz
Hofmann-Wellenhof Rainer
Kerl Helmut
Richtig Erika
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Abstract:
BACKGROUND: Marathon running has surged in popularity; it is generally believed to be healthy, but may be associated with medical risks. Over the past decade, we observed 8 ultramarathon runners with malignant melanoma. UV exposure, immunosuppression due to long-term intensive exercise, or both have been discussed as potential triggers in these patients. To further evaluate risk factors for malignant melanoma in marathon runners, we examined anamnestic, phenotypic, sun-related, and clinical variables in 210 athletes and compared them with those of an age- and sex-matched control group. OBSERVATIONS: Although control subjects exhibited higher sun sensitivity and more common melanocytic nevi, marathon runners presented with more atypical melanocytic nevi, solar lentigines, and lesions suggestive of nonmelanoma skin cancer. These findings correlated with increasing training intensity. During exercising, most runners wore shorts (96.7%) and shirts (98.6%) that would not or would only partially cover their back and extremities. Regular use of sunscreen was reported in only 56.2% of runners. CONCLUSIONS: Compared with a representative control group, marathon runners presented with an increased risk for malignant melanoma and nonmelanoma skin cancer. They should reduce UV exposure during exercising by choosing training and competition schedules with low sun exposure, wearing adequate clothing, and regularly using water-resistant sunscreens.
Find related publications in this database (using NLM MeSH Indexing)
Adult -
Aged -
Austria - epidemiology
Case-Control Studies - epidemiology
Female - epidemiology
Humans - epidemiology
Male - epidemiology
Melanoma - epidemiology
Middle Aged - epidemiology
Phenotype - epidemiology
Pilot Projects - epidemiology
Protective Clothing - epidemiology
Running - epidemiology
Skin Neoplasms - epidemiology
Sunlight - adverse effects
Sunscreening Agents - adverse effects

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