Exposome and basal cell carcinoma

Background: While ultraviolet radiation (UVR) present in sunlight is recognized as the main etiological agent of skin cancer, the most frequent form of which is basal cell carcinoma (BCC), other exposome factors like pollution, diet, and lifestyle may also contribute. This study aimed to investigate...

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Autores: Navarro-Bielsa, Alba|||0000-0003-1171-6007, Gracia-Cazaña, T., Almagro, M., De-la-Fuente-Meira, S., Florez, Á., Yélamos, Oriol|||0000-0002-8058-3095, Montero-Vilchez, Trinidad|||0000-0003-4035-7955, González-Cruz, C.|||0000-0003-0117-8858, Diago, A., Abadías-Granado, Isabel, Fuentelsaz, V., Colmenero, M., Bañuls, J., Arias-Santiago, Salvador|||0000-0002-4186-1435, Buendía-Eisman, A., Almenara-Blasco, Manuel|||0000-0002-4350-401X, Gil-Pallares, Pedro|||0000-0001-8469-1942, Gilaberte, Y.
Formato: artículo
Fecha de publicación:2024
País:España
Recursos:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:304060
Acesso em linha:https://ddd.uab.cat/record/304060
https://dx.doi.org/urn:doi:10.1111/ijd.17026
Access Level:acceso abierto
Palavra-chave:Adult
Aged
Carcinoma, Basal Cell
Case-Control Studies
Diet
Exposome
Female
Humans
Life Style
Male
Middle Aged
Occupational Exposure
Prospective Studies
Risk Factors
Skin Neoplasms
Spain
Sunlight
Sunscreening Agents
Ultraviolet Rays
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oai_identifier_str oai:ddd.uab.cat:304060
network_acronym_str ES
network_name_str España
repository_id_str
spelling Exposome and basal cell carcinomaa multicenter case-control studyNavarro-Bielsa, Alba|||0000-0003-1171-6007Gracia-Cazaña, T.Almagro, M.De-la-Fuente-Meira, S.Florez, Á.Yélamos, Oriol|||0000-0002-8058-3095Montero-Vilchez, Trinidad|||0000-0003-4035-7955González-Cruz, C.|||0000-0003-0117-8858Diago, A.Abadías-Granado, IsabelFuentelsaz, V.Colmenero, M.Bañuls, J.Arias-Santiago, Salvador|||0000-0002-4186-1435Buendía-Eisman, A.Almenara-Blasco, Manuel|||0000-0002-4350-401XGil-Pallares, Pedro|||0000-0001-8469-1942Gilaberte, Y.AdultAgedCarcinoma, Basal CellCase-Control StudiesDietExposomeFemaleHumansLife StyleMaleMiddle AgedOccupational ExposureProspective StudiesRisk FactorsSkin NeoplasmsSpainSunlightSunscreening AgentsUltraviolet RaysBackground: While ultraviolet radiation (UVR) present in sunlight is recognized as the main etiological agent of skin cancer, the most frequent form of which is basal cell carcinoma (BCC), other exposome factors like pollution, diet, and lifestyle may also contribute. This study aimed to investigate the association of BCC and exposome-related factors in the Spanish population. Methods: BCC cases (n = 119) and controls (n = 127) with no history of skin cancer were recruited between April 2020 and August 2022 by 13 dermatologists throughout Spain in this prospective multicenter case-control study. Results: The BCC group had a higher proportion of outdoor workers, more years of UVR exposure, and a greater consumption of drugs (statins, ASA, hydrochlorothiazide, ACE inhibitors and omeprazole), P < 0.05. Avoidance of sun exposure was the most used photoprotection measure in both groups. The use of hats or caps was higher in the BCC group (P = 0.01). The solar protection factor (SPF) used 15 years previously was higher in the control group (P = 0.04). The control group had a higher daily screen time (P < 0.001), and practiced more relaxation activities (P = 0.03). Higher linolenic acid intake and lower coffee consumption were the only dietary variables associated with BCC (P < 0.05). Statistical significance for all the aforementioned variables was maintained in the multivariate analysis (P < 0.05). Conclusions: The study found a significant association between BCC and multiple exposome-related factors in addition to chronic sun exposure in the Spanish population. Primary prevention strategies should target specific populations, such as outdoor workers, promoting sun-safe behaviors and stress-reducing activities, and also adequate skin photoprotection in patients on certain medications associated with increased BCC risk. 22024-01-0120242024-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/304060https://dx.doi.org/urn:doi:10.1111/ijd.17026reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, i la comunicació pública de l'obra, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original. No es permet la creació d'obres derivades.https://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:3040602026-06-06T12:50:31Z
dc.title.none.fl_str_mv Exposome and basal cell carcinoma
a multicenter case-control study
title Exposome and basal cell carcinoma
spellingShingle Exposome and basal cell carcinoma
Navarro-Bielsa, Alba|||0000-0003-1171-6007
Adult
Aged
Carcinoma, Basal Cell
Case-Control Studies
Diet
Exposome
Female
Humans
Life Style
Male
Middle Aged
Occupational Exposure
Prospective Studies
Risk Factors
Skin Neoplasms
Spain
Sunlight
Sunscreening Agents
Ultraviolet Rays
title_short Exposome and basal cell carcinoma
title_full Exposome and basal cell carcinoma
title_fullStr Exposome and basal cell carcinoma
title_full_unstemmed Exposome and basal cell carcinoma
title_sort Exposome and basal cell carcinoma
dc.creator.none.fl_str_mv Navarro-Bielsa, Alba|||0000-0003-1171-6007
Gracia-Cazaña, T.
Almagro, M.
De-la-Fuente-Meira, S.
Florez, Á.
Yélamos, Oriol|||0000-0002-8058-3095
Montero-Vilchez, Trinidad|||0000-0003-4035-7955
González-Cruz, C.|||0000-0003-0117-8858
Diago, A.
Abadías-Granado, Isabel
Fuentelsaz, V.
Colmenero, M.
Bañuls, J.
Arias-Santiago, Salvador|||0000-0002-4186-1435
Buendía-Eisman, A.
Almenara-Blasco, Manuel|||0000-0002-4350-401X
Gil-Pallares, Pedro|||0000-0001-8469-1942
Gilaberte, Y.
author Navarro-Bielsa, Alba|||0000-0003-1171-6007
author_facet Navarro-Bielsa, Alba|||0000-0003-1171-6007
Gracia-Cazaña, T.
Almagro, M.
De-la-Fuente-Meira, S.
Florez, Á.
Yélamos, Oriol|||0000-0002-8058-3095
Montero-Vilchez, Trinidad|||0000-0003-4035-7955
González-Cruz, C.|||0000-0003-0117-8858
Diago, A.
Abadías-Granado, Isabel
Fuentelsaz, V.
Colmenero, M.
Bañuls, J.
Arias-Santiago, Salvador|||0000-0002-4186-1435
Buendía-Eisman, A.
Almenara-Blasco, Manuel|||0000-0002-4350-401X
Gil-Pallares, Pedro|||0000-0001-8469-1942
Gilaberte, Y.
author_role author
author2 Gracia-Cazaña, T.
Almagro, M.
De-la-Fuente-Meira, S.
Florez, Á.
Yélamos, Oriol|||0000-0002-8058-3095
Montero-Vilchez, Trinidad|||0000-0003-4035-7955
González-Cruz, C.|||0000-0003-0117-8858
Diago, A.
Abadías-Granado, Isabel
Fuentelsaz, V.
Colmenero, M.
Bañuls, J.
Arias-Santiago, Salvador|||0000-0002-4186-1435
Buendía-Eisman, A.
Almenara-Blasco, Manuel|||0000-0002-4350-401X
Gil-Pallares, Pedro|||0000-0001-8469-1942
Gilaberte, Y.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Adult
Aged
Carcinoma, Basal Cell
Case-Control Studies
Diet
Exposome
Female
Humans
Life Style
Male
Middle Aged
Occupational Exposure
Prospective Studies
Risk Factors
Skin Neoplasms
Spain
Sunlight
Sunscreening Agents
Ultraviolet Rays
topic Adult
Aged
Carcinoma, Basal Cell
Case-Control Studies
Diet
Exposome
Female
Humans
Life Style
Male
Middle Aged
Occupational Exposure
Prospective Studies
Risk Factors
Skin Neoplasms
Spain
Sunlight
Sunscreening Agents
Ultraviolet Rays
description Background: While ultraviolet radiation (UVR) present in sunlight is recognized as the main etiological agent of skin cancer, the most frequent form of which is basal cell carcinoma (BCC), other exposome factors like pollution, diet, and lifestyle may also contribute. This study aimed to investigate the association of BCC and exposome-related factors in the Spanish population. Methods: BCC cases (n = 119) and controls (n = 127) with no history of skin cancer were recruited between April 2020 and August 2022 by 13 dermatologists throughout Spain in this prospective multicenter case-control study. Results: The BCC group had a higher proportion of outdoor workers, more years of UVR exposure, and a greater consumption of drugs (statins, ASA, hydrochlorothiazide, ACE inhibitors and omeprazole), P < 0.05. Avoidance of sun exposure was the most used photoprotection measure in both groups. The use of hats or caps was higher in the BCC group (P = 0.01). The solar protection factor (SPF) used 15 years previously was higher in the control group (P = 0.04). The control group had a higher daily screen time (P < 0.001), and practiced more relaxation activities (P = 0.03). Higher linolenic acid intake and lower coffee consumption were the only dietary variables associated with BCC (P < 0.05). Statistical significance for all the aforementioned variables was maintained in the multivariate analysis (P < 0.05). Conclusions: The study found a significant association between BCC and multiple exposome-related factors in addition to chronic sun exposure in the Spanish population. Primary prevention strategies should target specific populations, such as outdoor workers, promoting sun-safe behaviors and stress-reducing activities, and also adequate skin photoprotection in patients on certain medications associated with increased BCC risk.
publishDate 2024
dc.date.none.fl_str_mv 2
2024-01-01
2024
2024-01-01
dc.type.none.fl_str_mv Article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://ddd.uab.cat/record/304060
https://dx.doi.org/urn:doi:10.1111/ijd.17026
url https://ddd.uab.cat/record/304060
https://dx.doi.org/urn:doi:10.1111/ijd.17026
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
https://creativecommons.org/licenses/by-nc-nd/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Dipòsit Digital de Documents de la UAB
instname:Universitat Autònoma de Barcelona
instname_str Universitat Autònoma de Barcelona
reponame_str Dipòsit Digital de Documents de la UAB
collection Dipòsit Digital de Documents de la UAB
repository.name.fl_str_mv
repository.mail.fl_str_mv
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