Sunbathing Research Articles

Nanofiberous composite with CuO-Ag0 supported on bamboo/lycra for protection against transmittable infectious diseases

The transmittable infectious diseases, detrimental environmental contaminants and harmful UV radiations remained constant threat to human civilization. Cold, pneumonia, tuberculosis bacteria, rubella virus, RSV and COVID19, then urban and industrial emissions, volcanic eruptions, pollen, aerosols on one hand and skin cancer, sunburn, premature ageing and skin tanning on the other hand are some of the examples of serious risks to health, safety and well-being. The WHO reported over 7million worldwide deaths due to hazardous air contaminants. Exploiting the tremendous features of nanofiberous structure and excellent microbiocidal properties of Ag0 and CuO nanoparticles, a sustainable and stable nanofiber based composite Bmb-nanoNP was developed. Utilization of biocompatible, biodegradable, nontoxic and environmental friendly polymers enabled the composite as sustainable source for protective clothing purposes. The microparticulate filtration of Bmb-nanoNP was 99.13 % and 96 % with and without air suction respectively. The microbiocidal affect against E. coli and S. aureus strains was excellent(5.9 % and 8.86 % cell viabilities respectively). Similarly, the Bmb-nanoNP showed calculated UV protection factor (UPF) of 7954 (50 + rating).These characteristics demonstrated potential candidacy of the Bmb-nanoNP composite for multi-functional safety clothing applications.

7658 A Case of Recurrent Cardiac Tamponade as Initial Presentation of Primary Adrenal Insufficiency

Abstract Disclosure: A. Farooq: None. A. Ghumatkar: None. J. Snitzer: None. Introduction:Cardiac tamponade, a life-threatening emergency, can be associated with primary adrenal insufficiency (Addison Disease), and accurate diagnosis requires a high degree of clinical suspicion in patients with uncertain etiology and nonspecific signs and symptoms. Case Presentation:A 58-year-old female with a history of Hashimoto thyroiditis was evaluated in the hospital for two episodes of cardiac tamponade requiring emergent pericardiocentesis within one month. The patient had been experiencing symptoms of fatigue, nausea, lightheadedness, dizziness, hiccups, and tanned skin for the past year. She also had a recent flu-like illness with nausea and vomiting four months before her current presentation. Her vitals were notable for hypotension during these episodes. Her lab work showed hyponatremia (128 mEq/L, reference range: 136-145 mEq/L) with normal potassium and glucose levels. Her thyroid function tests were within normal limits on her home levothyroxine dosage (TSH 4.588 IU/ml, reference range: 0.5-8.9 IU/ml). An ACTH stimulation test was performed based on the patient's clinical presentation, consistent with adrenal insufficiency. Her baseline cortisol level was 5.9 mcg/dL (reference range: 6.7-22 mcg/dL), a post-ACTH stimulation level of 6.7 mcg/dL after 30 minutes, and 6.0 mcg/dL after 60 minutes. Her 21 alpha-hydroxylase antibody titer was also positive for Addison Disease (231U/mL, reference range <1 IU/mL). A CT scan of the abdomen with intravenous contrast was done, which revealed no abnormality of the adrenal glands. She was treated with stress doses of hydrocortisone during hospitalization and discharged with maintenance dosage and follow-up with endocrinology. She had another episode of acute adrenal crisis about a month later but had no pericardial effusion this time and responded well to the treatment with stress doses of steroids. She has remained healthy at 14 years of follow-up. Conclusion: This case emphasizes the need to consider adrenal insufficiency in the evaluation of cardiac tamponade or pericardial effusions, especially in patients with existing autoimmune glandular disorders. This patient may have autoimmune polyglandular syndrome type 2 (APS-2), which is a cluster of two or more endocrine glandular disorders primarily diagnosed in adulthood and predominant in females. The risk of adrenal crisis is more than twofold in Addison disease due to APS-2. Lastly, this case highlights that hiccups can be related to adrenal insufficiency, with pathophysiology possibly involving diaphragmatic irritation due to adrenal inflammation that resolves with treatment. Presentation: 6/3/2024

Method development and process validation in dermatology: assessing methods of UV exposure for inducing skin tanning and efficacy evaluation of anti-tanning agents

Background: Understanding the differential impacts of natural versus artificial UV exposure and validating a method to evaluate tanning prevention products are crucial for advancements in dermatological research and skincare. This study aimed to develop and validate a process for inducing skin tanning using natural sunlight and artificial UV-lamps, determining the optimal UV dosages to induce controlled tanning and erythema. Methods: Six adults aged 18 to 55 were exposed to natural sunlight and a 365nm UV-lamp, with incremental exposure times and doses. Sunlight exposure was at 7600 μW/cm2 for 20, 35, and 50 minutes, while the UV-lamp provided 78, 97.5, and 117 mJ/cm² doses. Skin tan and erythema were measured using Mexameter® MX-18-probe on days 1, 3, and 7. Test products A and B were applied to evaluate their protective efficacy, with untreated sites as controls. Safety assessments included dermatological evaluations for adverse effects. Results: Sunlight exposure led to a mean erythema index (EI) increase of 40.22, 42.55-, and 47.12-units post-exposure, and mean melanin index (MI) increase of 37.78, 46.22, and 59.20 units by day 3. UV-lamp exposure resulted in less consistent increases, with maximum EI rise of 12.09 units and MI rise of 7.79 units. Test products significantly prevented tanning and erythema compared to untreated sites, with no adverse effects observed. Conclusions: Direct sunlight exposure was more effective than artificial UV-light in reliably inducing tanning and erythema, establishing it as a method for such studies. The UV-lamp doses were insufficient for consistent results. The study validated a method for evaluating anti-tanning products, confirming their efficacy and safety. These findings support further research and optimization in UV exposure techniques, standardizing a method to induce tanning using direct sunlight exposure.

Know Your Sunscreen

Ultraviolet(UV) radiation from the sun has significant adverse effects on the skin, including sunburns, premature aging (photoaging), tanning, and many skin cancers. Sunscreens protect from harmful UV radiation. This article delves into the fundamentals of solar radiation, focusing on the UV spectrum, its effect on the skin, various types of sunscreens, and their mechanism of action to offer protection from harmful rays. UV exposure depends on factors like geographic location, altitude, time of day, season, and surface reflectivity. Sunscreen efficacy is measured by the Sun Protection Factor (SPF), which indicates how well a sunscreen can protect against UVB-induced sunburn. SPF ratings of 15, 30, and 50+ correspond to 93%, 96%, and 98% UVB blockage, respectively. In contrast, UVA protection lacks a standardized measure, with various in vitro and in vivo indices used globally. Sunscreens are categorized as organic (chemical) or inorganic (physical), each with distinct mechanisms and properties. Proper application of sunscreen, involving adequate coverage and reapplication, maximizes its protective benefits, significantly reducing the risk of UV-induced skin damage and cancers. Despite minor side effects like potential allergies, the advantages of sunscreen use, including prevention of sunburn, tanning, premature aging, and skin cancers, far outweigh the drawbacks. UV radiation from the sun poses significant risks to skin health. Understanding the nature and effects of UV radiation is crucial in appreciating the importance of protective measures such as sunscreen. The role of sunscreens in providing comprehensive protection cannot be overstated.

Syphilis susceptibility factors atlas: A wide-angled Mendelian randomization study

ObjectiveThe pathogenic mechanisms of syphilis and the host defense mechanisms against syphilis remain poorly understood. Exploration of the susceptibility factors of syphilis may provide crucial clues for unraveling its underlying mechanisms. MethodsA two-sample Mendelian Randomization framework was utilized, and the inverse-variance weighted method was used as the main analysis. All data was sourced from Genome-wide association studies datasets from 2015 to 2022 in Europe, and all participants were of European descent. Only summary-level statistics were used. Sensitivity analyses were conducted to evaluate the heterogeneity and pleiotropy of the datasets. ResultsOur study established 18 exposure factors (12 risk factors and 6 protective factors) for syphilis susceptibility. Twelve factors encompassing body mass index, waist circumference, darker natural skin, cooked vegetable intake, processed meat intake, diabetes mellitus, glucose regulation disorders, gout, autoimmune diseases, rheumatoid arthritis, diverticulitis, and longer menstrual cycles were found to increase susceptibility to syphilis. In contrast, 6 factors including easier skin tanning, blonde natural hair color, irritability, higher neuroticism scores, extended sleep duration, and delayed age at first sexual intercourse were connected to a reduced risk of syphilis infection (all P < 0.05). ConclusionsThis study identified 18 influencing factors of syphilis susceptibility. These findings offered novel insights for further probing into the underlying pathogenic mechanisms of syphilis and underscored the importance of multifaceted prevention strategies against syphilis.

Exploring perceptions of and attitudes towards tanning with school children, parents/carers and educators in Wales: A mixed methods study protocol for the SunChat study.

Skin cancer comprises half of all cancers in England and Wales. Most skin cancers can be prevented with safer sun exposure. As over exposure as a child can greatly increase future skin cancer risk, early and accessible sun safety education and promotion of sun safe behaviours is critical. Scientists agree there is no such thing as a 'safe tan', yet the public, including children, often have positive perceptions of tanned skin. To protect against future skin cancer, it is important to understand and address these misconceptions. The Curriculum for Wales with its area for Health and Well-being, and autonomy for schools in designing curriculum content, presents an ideal way to facilitate this exploration. Gather data regarding perceptions towards tanning to explore the perceived effects of a tan on health.Inform the development and testing of an educational toolkit for integration within the Curriculum for Wales to encourage positive health behaviours and attitudes of school children towards tanning and sun exposure. SunChat is a mixed methods exploratory study comprising three work streams: Workshops with school children to understand their perceptions on tanning.An online multiple-choice survey with parents/carers to understand perceptions, attitudes and behaviours towards tanning both for themselves and their children.An informal focus group with primary school educators to explore challenges in engaging with the school community around the Health and Well-being Area in the Curriculum for Wales. To date, there has been no work in Wales exploring children's, parents/carers', and educators' perceptions of tanning and how healthier attitudes can be encouraged. This study will engage with participants to scope current perceptions on tanning and the perceived effects tanning has on health. Findings will feed into future toolkit and curriculum development for health in schools in Wales and beyond.

Nutritional and Therapeutic Values of Cow Milk: A Comprehensive Review

Milk is the most necessary food for humans because it provides almost all nutrients such as the most nutritious protein, calcium, essential fatty acids, water-soluble vitamins, and other bioactive compounds responsible for maintaining health and other physiological functions. Milk has also been used effectively in the Unani system of medicine for centuries to improve complexion and to treat other ailments (especially dermatological disorders). For skin brightening, Unani physicians mentioned the use of the paste made up of powdered tukhm e kharpazah (seeds of musk melon), aarad e nakhud (powdered chickpea) each 2 parts, arad e baqla(powdered broad beans), aarad e jau (powdered barley) each 1 part, adas muqashshar (powdered lentil), nishasta (corn flour), kateera (tragacanth gum) each half part, tukhm e turb (radish seeds) 1/4th part, za’fran (saffron) a little and milk at night on the face and advice to wash the face with the decoction of banafsha (sweet violet) and post kharpaza (musk melon fruit epicarp) in the morning. Milk has several therapeutic actions too e.g. Musammin e Badan (adipogenous), Muhallil (anti-inflammatory), Mugharri (glutinous- Mugharri drug is a cold and dry substance with a small amount of viscid moisture that coats the surface and constricts pores. It moisturizes the skin and makes it appear lighter), Mohsin e laun (fairness activity), Ghassal (irrigator), Tiryaq (antidote), and Muqawwi (general tonic), etc. There are some scientific reports on the anti-hyperpigmentation effect of cow milk in which a paste of cow milk and powdered roasted red lentils was tested to enhance the complexion. They found significantly effective result on the Fitzpatrick scale, enhanced complexion, and reduced tanning as well as dullness. The main objective of this article is to present cow milk's nutritional and therapeutic activity. Keywords: Cow milk, Unani medicine, Nutrition, Skin Tanning, Skin Brightening.

Attitudes and behaviors regarding sun exposure in Japan compared to Europe and North America.

The objective of our study was to assess the attitudes and behaviors in Japan regarding sun exposure and compare them to those in Europe and North America. The study population was a representative sample of individuals aged >18 years from Ipsos panels in Japan (N = 1000), North America (N = 1000), and Europe (N = 6000) using the quota method. Questionnaires covered habits, practices, and perceptions regarding sun exposure. Results revealed that the majority of people (80.1%) believed that the sun gives them energy, and 61.1% considered that being tanned made them look healthier. However, there was a significant difference between men and women regarding the appeal of tanned skin, with 54.95% of men versus 34.67% (p < 0.001) of women seeing a tan as an aesthetic asset. People aged <40 years were less likely to find a tan attractive (30.3%) compared to those aged ≥40 years (48.9%) (p < 0.001). Of those questioned, 45.70% of used sunscreen with a much higher use among women (70.10%) than men (18.74%) (p < 0.001). Almost 54% of people said they stayed in the shade to protect themselves from the sun with this behavior being more prevalent among women (67.05%) and fair-skinned individuals (56.13%). Fear of the risks of sun exposure was more common among women, with 84.8% fearing premature skin aging, compared to 71.8% of men (p < 0.001). In Japan, 44.30% of those questioned said tanned skin was attractive (p < 0.001); for Europeans and North Americans the proportions were 81.1% and 77.6%, respectively. Only a quarter (25.80%) thought it essential to return from vacation with a tan. On the other hand, Europeans showed a strong recognition of the energy the sun brings (83.18%), and widely believed that tanned skin is attractive (82.32%) and healthy (73.15%). In North America, attitudes were similar to those in Europe regarding the attractiveness of tanned skin (77.65%) and the importance of returning tanned from vacation (48.15%). Compared to Europeans and North Americans, the Japanese seemed to be more cautious about sun-induced hazards and considered lighter skin to be more attractive.

A Social Media-Delivered Melanoma Prevention Program for Young Women Engaged in Frequent UV Tanning: Protocol for a Randomized Controlled Trial.

Rates of melanoma have increased dramatically in the United States over the past 25 years, and it has become among the most prevalent cancers for young adult women. Intentional skin tanning leads to a pattern of intense and intermittent UV radiation exposure that is associated with increased risk of melanoma. Frequent tanning is most common among young women and is linked to a variety of sociocultural pressures that negatively impact body image and drive appearance control behaviors. Unfortunately, there are no established interventions designed for frequent tanners. This intervention addresses this gap with unique content informed by body image and acceptance-based interventions. The intervention is delivered using Facebook secret groups, an approach designed to support behavior change and ensure scalability. This study aims to describe the rationale and methodology of a randomized controlled trial of a melanoma prevention program targeting young women engaged in frequent indoor or outdoor UV tanning. Participants are women aged 18-25 years who report high-risk tanning (ie, at least 10 indoor tanning sessions in the past 12 months or 10 outdoor sessions in the previous summer). After recruitment and screening, participants completed a baseline survey and were randomly assigned to receive the intervention or an attention-matched control condition. Both conditions were 8-week-long Facebook groups (approximately 25 members each) with daily posting of content. Follow-up surveys are administered at 3, 8, and 18 months after baseline. The primary trial outcome is the combined number of indoor and outdoor tanning sessions reported at the 8-month follow-up. Hypothesized intervention mediators are assessed at the 3-month follow-up. This project was funded by a National Cancer Institute award (R01 CA218068), and the trial procedures were approved by the University of Kentucky Institutional Review Board in February 2020. Trial recruitment and enrollment occurred in 6 waves of data collection, which started in February 2022 and closed in May 2023. The study is closed to enrollment but remains open for follow-ups, and this protocol report was prepared before data analyses. As of February 2024, all participants have completed the 8-month follow-up assessment, and data collection is scheduled to close by the end of 2024 after the collection of the 18-month follow-up. This trial will contribute unique knowledge to the field of skin cancer prevention, as no fully powered trials have examined the efficacy of an intervention designed for frequent indoor or outdoor tanning. The trial may also contribute evidence of the value in translating principles of body image and acceptance-based interventions into the field of skin cancer prevention and beyond. If successful, the use of the Facebook platform is intended to aid in dissemination as it provides a way to embed the intervention into individuals' everyday routines. ClinicalTrials.gov NCT03441321; https://clinicaltrials.gov/study/NCT03441321. DERR1-10.2196/56562.

Genetic Analysis of Perceived Youthfulness Reveals Differences in How Men's and Women’s Age Is Assessed

Skin aging is a natural process that occurs over time, but can be accelerated by sun exposure. Measuring skin age in a large population can provide insight into the extent of skin damage from sun exposure and skin cancer risk. Understanding the genetics of skin aging, within and across sexes, could improve our understanding of the genetic drivers of both skin aging and skin cancer. We used UK Biobank data to examine the genetic overlap between perceived youthfulness and traits relevant to actinic photoaging. Our GWAS identified 22 genome-wide significant loci for women and 43 for men. The genetic correlation between perceived youthfulness in men and women was significantly less than unity (rg=0.75, 95% CI=0.69-0.80), suggesting a gene-by-sex interaction. In women, perceived youthfulness was modestly correlated with keratinocyte cancer (rg = -0.19) and skin tanning (rg = 0.18). In men, perceived youthfulness was correlated with male pattern baldness (rg = -0.23). This suggests that the genetic architecture of perceived youthfulness may differ, with genes influencing skin tanning and skin cancer susceptibility driving the difference in women, while genes influencing male pattern baldness and other puberty-related traits drive the difference in men. We recommend future genetic analysis of skin aging include a sex-stratified component.

Protocol for a cluster-randomized trial of a school-based skin cancer preventive intervention for adolescents

BackgroundAdolescents infrequently use sun protection and engage in intentional tanning more frequently compared to other age groups, leading to increased ultraviolet radiation (UVR) exposure that heightens skin cancer risk across the lifespan. High schools are therefore an ideal setting for offering skin cancer preventive interventions. Yet, there are limited UVR protection interventions for high school students, especially those that are personalized, tested using randomized designs, and include long-term outcome assessment to determine the durability of intervention effects. MethodThe Sun-safe Habits Intervention and Education (SHINE) cluster-randomized trial will test a novel, personalized intervention that targets high school adolescents' sun protection and tanning behaviors, and tracks their outcomes for up to one year following intervention. Enrolled high schools will be randomized to receive either the personalized SHINE intervention, which includes facial UVR photographs and sun protection action planning, or standard education using publicly available materials. Students in both conditions will receive information about skin cancer, sun protection, and skin self-examination. Outcome variables will include students' sun protection and tanning behaviors and sunburn occurrence. Potential moderators (e.g., race/ethnicity) and mediators (e.g., self-efficacy) will also be assessed and tested. ConclusionsThis trial examines the efficacy of a personalized intervention targeting sun protection and tanning of high school students. The project will lead to new scientific understanding of the theoretical mechanisms underlying outcomes and moderators of the intervention effects, which will inform future intervention tailoring to meet the needs of vulnerable subgroups.

Tanning Melanotan Jabs and Nasal Spray: Safe or Not?

Cultural values among young population are focused on the concept of skin tanning as a perception of health and attractiveness. This has populated the development of using synthetic tanning agents especially with the advertisement coming from the social media. Synthetic tanning agents in forms of nasal spray or injections have gained publicity of use within society through the web and other uncontrolled sourcing routes. Warnings have been issued by UK Medicines and Healthcare products Regulatory Agency, and Irish Medicines Board against the use of subcutaneous injections labelled as Melanotan, after the upsurge in consuming tanning injections that has noticed in recent years [1].

A cross-sectional review of contact allergens in popular self-tanning products

Background: In recent years, self-tanners have become a well-liked alternative to sun tanning and tanning bed usage, as strikingly similar results can be achieved without the harmful side effects of ultraviolet exposure. Objective: The aim of this study is to investigate the presence and prevalence of potential allergens in the most popular self-tanning products. Methods: Five major retailers in the United States were evaluated, from which 17 different brands and 44 unique self-tanning products were analyzed. The ingredients in each self-tanning product were compared with 80 and 36 notable contact allergens taken from the North American Contact Dermatitis Group and Food and Drug Administration–approved T.R.U.E (Thin-Layer Rapid Use Epicutaneous Patch Test), respectively. Results: We found that contact allergens are frequently present in self-tanning products; allergens especially common are propylene glycol, linalool, polysorbate, d-limonene, benzyl alcohol, tocopherol (vitamin E), fragrances, and other scented botanicals. On average, each self-tanner we analyzed contained 11.86 allergens. Limitations: The limitation is that commercial names could not be eliminated from the analysis, introducing potential bias. Conclusion: While self-tanning products are a safer alternative to tanning bed use or sunbathing, consumers and clinicians alike must be aware that they may cause an allergic reaction of the skin for some users.

Causal relationship between the gut microbiome and basal cell carcinoma, melanoma skin cancer, ease of skin tanning: evidence from three two-sample mendelian randomisation studies.

The present study used publicly available genome-wide association study (GWAS) summary data to perform three two-sample Mendelian randomization (MR) studies, aiming to examine the causal links between gut microbiome and BCC, melanoma skin cancer, ease of skin tanning. SNPs associated with exposures to basal cell carcinoma, melanoma skin cancer and ease of skin tanning from the genome-wide association study data of UK Biobank and MRC-IEU (MRC Integrative Epidemiology Unit), and the meta-analysis data from Biobank and MRC-IEU were used as instrumental variables (IVs). The casual estimates were assessed with a two-sample Mendelian randomisation test using the inverse-variance-weighted (IVW) method, Wald ratio, MR-Egger method, maximum likelihood, weighted median, simple mode, and weighted mode. After the application of MR analysis, diffirent effects of multiple groups of gut microbiota was observed for BCC, melanoma skin cancer and ease of skin tanning. The relationships between the gut microbiome and BCC, melanoma skin cancer, ease of skin tanning were supported by a suite of sensitivity analyses, with no statistical evidence of instrument heterogeneity or horizontal pleiotropy. Further investigation is required to explore the relationship between between the gut microbiome and BCC, melanoma skin cancer, ease of skin tanning. Our study initially identified potential causal roles between the gut microbiome and BCC, melanoma skin cancer, ease of skin tanning, and highlighted the role of gut microbiome in the progression of basal cell carcinoma, melanoma skin cancer, ease of skin tanning.

Phytochemical analysis and in vitro investigation of wound healing, cytotoxicity, and inflammatory response in potentially active extracts of Anogeissus dhofarica

The traditional medicine plant Anogeissus dhofarica is only found in the Jabal Fartak region of Yemen and the Dhofar region of Oman. This plant has been used traditionally for medical purposes to treat wounds, skin tanning, and sores. People use it as an antiseptic, especially women. However, this plant has not been studied in great detail, and there is no scientific proof to back up its traditional uses of it. The goal of this study was to examine the biological properties and phytochemical analysis of various extracts made from A. dhofarica leaves. The powdered leaves of A. dhofarica were extracted using the solvents ethanol (A1), methanol (A3), acetone (A5), and ethyl acetate (A8), yielding concentrations of 3, 0.3, and 0.03 mg/ml, respectively. The total phenolic and flavonoid contents, as well as the active phytochemicals, were determined using standard methods. The proliferation potential and IC50 of human dermal fibroblasts were evaluated. Cytotoxicity, wound healing activity, and the inflammatory response to the extracts were all investigated. Our results revealed that the IC50 values for plant extracts A1, A3, A5, and A8 were 9.799 ± 0.07, 5.83 ± 0.9, 8.8 ± 0.12, and 3.98 ± 0.8 mg/ml, respectively. Moreover, the cytotoxic effect of plant extracts was observed at high concentrations (p &lt;0.05). However, the lower concentration showed the least cytotoxic effect. For the inflammatory response, the secretion levels of IL-1β, IL-6, TNF-α, IL-8, and IL-12p70 were upregulated, and IL-10 was downregulated significantly (p &lt; 0.05) compared to the control. For wound healing activity, 0.3 and 0.03 mg/ml of (A8) extract and 0.03 mg/ml of (A3) and (A5) extracts showed complete closure of the scratch after 72 hours of treatment. In this study, we noticed that A. dhofarica plant extracts with a lower concentration are the most effective at healing wounds and have a minimal cytotoxic effect.

Young women in sororities more likely to have used tanning beds and report improved appearance and self-confidence with tan skin.

Young women in sororities more likely to have used tanning beds and report improved appearance and self-confidence with tan skin.

#1 Dermatologist Recommended: A Clinician’s Guide to Self-Tanning

Skin tanning is an evolving area of focus for dermatologists. For hundreds of years, fair skin was socially preferred. That is until Coco Chanel returned from the French Riviera in 1923 sporting a sun-tan. Since then, tanned skin has become a booming industry. As the perception of tanning evolved, so did the methods to attain it. Today, skin tanning is achieved by: outdoor UV tanning, indoor UV tanning, spray-tanning, or cosmetic self-tanning products. Dermatologists counsel against UV tanning, as UV exposure is correlated with increased risks of both melanoma and non-melanoma skin cancers. The question that remains to be investigated is the skin safety of self-tanning products. In this review, 20 products were chosen from five major U.S. retailers (Walmart, CVS, Sephora, Ulta, and Amazon). The product ingredients were then analyzed for skin safety. The resulting data suggests that there is no major difference in the number of ingredients that have been deemed safe by the major U.S. cosmetic regulatory bodies among the products, and that cosmetic products are likely getting safer every year. Therefore, clinicians should focus on application counseling and reiterate FDA guidelines by discouraging spray- tanning and tanning pills.

THU179 Lifestyle Practices Elicited Different Responses To Growth Velocity Among Adolescents Depending On Different Levels Of Genetic Risk Score

Abstract Disclosure: N. Nguyen: None. H. Fan: None. Y. Chen: None. Context: The evidence regarding effects of different lifestyle pratices, such as sun bathing, exercising, rope jumping, sleep duration, and milk intake, on growth velocity remain controversial and the influence of genetically determined characteristics on this association is less studied. Objective: To assess the impacts of different lifestyle pratices on annualized growth velocity and evaluate the role of several combined height-related alleles, mirrorred by the genetic risk score, on the association between lifestyle practices and growth among adolescents. Design: Prospective cohort study (mean follow-up duration: 2 years) Setting: Primary Care Participants: The Taiwan Puberty Longitudinal Study cohort, including male and female adolescent aged 6-17 (N = 1036) who were examined at both baseline and follow-up clinic visits. Main Outcome Measures: The effects of regular lifestyle practices (sun soaking, exercise habit, jumping rope, milk intake and sleep duration) on changes in height measurements. Participants will be stratified by either low or high genetic risk score. Results: Among lifestyle practices, sleep duration was significantly associated with growth velocity. Sleeping hours ranging between 7-8 hours per night were linked with a greatest growth. This relation was mainly driven by differences in males and was more obvious during Tanner’s stage II-III. The positive association between sleep duration and growth velocity was driven by significance in participants with low genetic risk score but not in those with high genetic risk score. Meanwhile, milk intake of greater than or equal to one cup per day had a modest effect on height velocity in male during Tanner’s stage I. Conclusions: Sleep duration was associated with growth velocity, in which 7-8 hours per night was optimal. The benefit of adequate sleep was greater in individuals having low genetic risk score. Milk intake may have modest effect on growth velocity. Presentation: Thursday, June 15, 2023

Investigating the Impact of Sun/UV Protection and Ease of Skin Tanning on the Risk of Pseudoexfoliation Glaucoma: A Mendelian Randomization Study.

To investigate the potential causal associations between the use of sun/ultraviolet (UV) protection and ease of skin tanning and the risk of pseudoexfoliation glaucoma (PXG) in European populations. Single nucleotide polymorphisms (SNPs) associated with the use of sun/UV protection and ease of skin tanning were selected from the UK Biobank genome-wide association study database consisting of 498,751 European participants. SNPs of PXG were obtained from the FinnGen study including 3424 PXG cases and 326,434 controls. Two-sample Mendelian randomization (MR) analyses were performed to assess the association between the use of sun/UV protection and ease of skin tanning and risk of PXG. Inverse variance weighted regression of genetic susceptibility predicted that both use of sun/UV protection and ease of skin tanning were potentially positively associated with the decreased risk of PXG in the European ancestry (use of sun/UV protection: odds ratio [OR] = 0.47; 95% confidence interval [CI], 0.24-0.92; P = 0.028; ease of skin tanning: OR = 0.81; 95% CI, 0.67-0.97; P = 0.025). We found genetic evidence supporting a potential causal association between UV protection and a decreased risk of PXG in European population. Further research will help elucidate the underlying mechanisms and promote UV protection for eyes, especially in people with a high risk of PXG.

Analysing the causal relationship between potentially protective and risk factors and cutaneous melanoma: A Mendelian randomization study.

Previous observational studies reported altered melanoma risks in relation to many potential factors, such as coffee intake, smoking habits and photodamage-related conditions. Considering the susceptibility of epidemiological studies to residual confounders, there remains uncertainty about the actual causal roles of these reported factors in melanoma aetiology. This study aims to investigate the causal association between cutaneous melanoma (CM) and previously reported factors: coffee intake, alcohol consumption, lifetime smoking, socioeconomic status (SES), ease of skin tanning, childhood sunburn and facial ageing, providing insight into its underlying aetiology and preventative strategies. We utilized a two-sample MR analysis on data from the largest meta-analysis summary statistics of confirmed cutaneous melanoma including 30,134 patients. Genetic instrumental variables were constructed by identifying single nucleotide polymorphisms (SNPs) that associate with corresponding factors. Inverse variance weighted (IVW) was the primary MR method. For sensitivity and heterogeneity, MR Egger, weighted median, simple mode, weighted mode and MR Egger intercept tests were examined. Cutaneous melanoma risks were found to be elevated in association with a predisposition towards ease of skin tanning (IVW: OR = 2.842, 95% CI 2.468-3.274, p < 0.001) and with childhood sunburn history (IVW: OR = 6.317, 95% CI 4.479-8.909, p < 0.001). Repeated MR after removing potential confounders and outliers demonstrated resolved horizontal pleiotropy and statistically significant results that closely mirrored the initial findings. Other potential factors, such as coffee intake, alcohol consumption, smoking and socioeconomic status (SES), indicated insignificant effects on melanoma risk in the analysis, and therefore, our Mendelian randomization study does not support their roles in modifying melanoma risks. Our extensive MR analysis provides strong evidence of the causative role of ease of skin tanning and childhood sunburn history in elevating melanoma risk. Curtailing ultraviolet radiation (UVR) exposure may be the single best preventative strategy to reduce melanoma risk.