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比赛的守护者:户外运动教练对紫外线特异性皮肤癌的预防

Guardians of the Game: UV-Specific Skin Cancer Prevention by Coaches in Outdoor Sports.

作者信息

Leer Sophie, Ehls Clara, Schneider Sven

机构信息

Center for Preventive Medicine and Digital Health, CPD, Division of Public Health, Social and Preventive Medicine, Medical Faculty Mannheim, Heidelberg University, Heidelberg, Germany.

出版信息

Photodermatol Photoimmunol Photomed. 2025 Jan;41(1):e70007. doi: 10.1111/phpp.70007.

DOI:10.1111/phpp.70007
PMID:39831887
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11745208/
Abstract

BACKGROUND

Due to the global rise in UV radiation, the prevalence of skin cancer is increasing significantly, with outdoor athletes being identified as a particularly vulnerable population group.

METHODS

This nationwide, cross-sectional study was conducted among adult coaches from the 10 largest outdoor sports associations in Germany. Their applied prevention measures and the potential for further improvement in prevention were evaluated by guideline based scores (range [0-100]). Additionally, sport-, coach-, and club-specific variables were analysed and barriers that prevent comprehensive UV prevention were identified.

RESULTS

The UV prevention practice of the 1200 participating coaches averaged 53.43 ± 16.37 [0.00-95.31], while the potential UV prevention options were assessed at a comparatively higher value of 58.82 ± 17.53 [0-100]. Notably, the proper use of sunscreen emerged as the most neglected preventive measure. Coaches identified the greatest potential for improvement in sunscreen renewal, water-resistant sun protection products and sunglasses. The study also revealed significant differences in UV protection practices between different sports, with soccer, tennis, and swimming exhibiting the most pronounced deficits. Factors such as coach qualification and experience, as well as club size and the size of training groups influenced the level of UV protection implemented. Many coaches cited various implementation obstacles such as fixed training times and resource constraints.

CONCLUSION

The study highlights specific areas for improvement in UV protection practices in outdoor sports, considering differences on sport, coach, and club levels. The significant number of active athletes in these sports underscores the public health importance of addressing UV protection in this field.

摘要

背景

由于全球紫外线辐射增加,皮肤癌的患病率显著上升,户外运动员被确定为特别易受影响的人群。

方法

这项全国性的横断面研究在德国10个最大的户外运动协会的成年教练中进行。通过基于指南的评分(范围[0 - 100])评估他们应用的预防措施以及预防措施进一步改进的潜力。此外,还分析了运动、教练和俱乐部特定的变量,并确定了阻碍全面紫外线预防的障碍。

结果

1200名参与教练的紫外线预防实践平均得分为53.43 ± 16.37[0.00 - 95.31],而潜在的紫外线预防措施评估得分相对较高,为58.82 ± 17.53[0 - 100]。值得注意的是,正确使用防晒霜是最被忽视的预防措施。教练们认为在防晒霜更新、防水防晒产品和太阳镜方面有最大的改进潜力。该研究还揭示了不同运动之间紫外线防护实践的显著差异,足球、网球和游泳的防护缺陷最为明显。教练资质和经验以及俱乐部规模和训练小组规模等因素影响了实施的紫外线防护水平。许多教练提到了各种实施障碍,如固定的训练时间和资源限制。

结论

该研究突出了户外运动中紫外线防护实践的具体改进领域,考虑到运动、教练和俱乐部层面的差异。这些运动中大量的活跃运动员强调了在该领域解决紫外线防护问题对公共卫生的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4dd/11745208/c45757626ce7/PHPP-41-e70007-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4dd/11745208/aa996cde3c28/PHPP-41-e70007-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4dd/11745208/e38b38041537/PHPP-41-e70007-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4dd/11745208/c45757626ce7/PHPP-41-e70007-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4dd/11745208/aa996cde3c28/PHPP-41-e70007-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4dd/11745208/e38b38041537/PHPP-41-e70007-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c4dd/11745208/c45757626ce7/PHPP-41-e70007-g003.jpg

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本文引用的文献

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Sunburn and sun protection during recreational outdoor sport in summer: Findings from the German general population aged 16-65 years.夏季休闲户外运动中的晒伤和防晒:来自德国 16-65 岁普通人群的调查结果。
Photodermatol Photoimmunol Photomed. 2023 Nov;39(6):589-597. doi: 10.1111/phpp.12898. Epub 2023 Jul 6.
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Slip, Slop, Slap, Slide, Seek and Sport: A Systematic Scoping Review of Sun Protection in Sport in Australasia.
滑、涂、戴、遮、寻、穿:澳大拉西亚运动中防晒的系统范围综述。
Curr Oncol. 2022 Dec 28;30(1):401-415. doi: 10.3390/curroncol30010033.
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Increasing Health Risks During Outdoor Sports Due To Climate Change in Texas: Projections Versus Attitudes.德克萨斯州气候变化导致户外运动期间健康风险增加:预测与态度
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UV-Induced Skin Cancer Knowledge, Sun Exposure, and Tanning Behavior among University Students: Investigation of an Opportunity Sample of German University Students.大学生中紫外线诱导的皮肤癌知识、阳光暴露及晒黑行为:对德国大学生机会样本的调查
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