Actinic Skin Damage and Mortality - the First National Health and Nutrition Examination Survey Epidemiologic Follow-up Study
2011

Sun Damage to Skin and Its Link to Death Rates

Sample size: 8472 publication 10 minutes Evidence: moderate

Author Information

Author(s): He Wei, Zhu Fei, Ma Xiaoguang, Zhao Xinyu, Zheng Min, Chen Zhao, Heymsfield Steven B., Zhu Shankuan

Primary Institution: Zhejiang University, Hangzhou, China

Hypothesis

Is there an association between actinic skin damage and mortality rates from cardiovascular disease and cancer?

Conclusion

The study suggests that severe actinic skin damage is linked to higher mortality rates from all causes, cardiovascular disease, and cancer.

Supporting Evidence

  • Severe actinic skin damage was associated with a 45% higher risk for all-cause mortality.
  • Moderate actinic skin damage was linked to a 20% higher risk of death.
  • Participants with no skin damage showed no significant mortality difference compared to those with minimal damage.

Takeaway

People with serious sun damage to their skin might be more likely to die from diseases like cancer and heart problems.

Methodology

The study analyzed data from 8472 white participants aged 25-74, examining the relationship between actinic skin damage and mortality using Cox regression and Kaplan-Meier methods.

Potential Biases

Subjective evaluation of skin damage by dermatologists could introduce bias.

Limitations

The study's findings may not be generalizable due to potential classification errors in measuring skin damage and the lack of data on certain confounding factors.

Participant Demographics

Participants were predominantly white, aged 25-74, with a mix of genders (40.5% men, 59.5% women).

Statistical Information

P-Value

<0.001

Confidence Interval

95% CI: 1.22, 1.72

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1371/journal.pone.0019907

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