Anatomical exposure patterns of skin to sunlight: relative contributions of direct, diffuse and reflected ultraviolet radiation.

TitreAnatomical exposure patterns of skin to sunlight: relative contributions of direct, diffuse and reflected ultraviolet radiation.
Publication TypeJournal Article
Year of Publication2012
AuthorsVernez, D, Milon, A, Vuilleumier, L, Bulliard, J-L
JournalBr J Dermatol
Volume167
Issue2
Pagination383-90
Date Published2012 Aug
DOI10.1111/j.1365-2133.2012.10898.x
ISSN1365-2133
Mots-clésDose-Response Relationship, Radiation, Environmental Exposure, Humans, Radiation Dosage, Seasons, Skin, Sunlight, Switzerland, Ultraviolet Rays, Weather
Abstract

BACKGROUND: The dose-response between ultraviolet (UV) exposure patterns and skin cancer occurrence is not fully understood. Sun-protection messages often focus on acute exposure, implicitly assuming that direct UV radiation is the key contributor to the overall UV exposure. However, little is known about the relative contribution of the direct, diffuse and reflected radiation components.

OBJECTIVE: To investigate solar UV exposure patterns at different body sites with respect to the relative contribution of the direct, diffuse and reflected radiation.

METHODS: A three-dimensional numerical model was used to assess exposure doses for various body parts and exposure scenarios of a standing individual (static and dynamic postures). The model was fed with erythemally weighted ground irradiance data for the year 2009 in Payerne, Switzerland. A year-round daily exposure (08:00-17:00 h) without protection was assumed.

RESULTS: For most anatomical sites, mean daily doses were high (typically 6.2-14.6 standard erythemal doses) and exceeded the recommended exposure values. Direct exposure was important during specific periods (e.g. midday during summer), but contributed moderately to the annual dose, ranging from 15% to 24% for vertical and horizontal body parts, respectively. Diffuse irradiation explained about 80% of the cumulative annual exposure dose. Acute diffuse exposures were also observed during cloudy summer days.

CONCLUSIONS: The importance of diffuse UV radiation should not be underestimated when advocating preventive measures. Messages focused on avoiding acute direct exposures may be of limited efficiency to prevent skin cancers associated with chronic exposure.

Alternate URL

http://www.ncbi.nlm.nih.gov/pubmed/22356161?dopt=Abstract

Alternate JournalBr. J. Dermatol.
Citation Key / SERVAL ID3191
PubMed ID22356161

                         

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