Is ultraviolet radiation avoidance affecting bone health in melanoma patients?

Lodovica Gariazzo, Giulia Gasparini, Andrea Casabella, Luca Carmisciano, Andrea Clapasson, Franca Murgioni, Luigi Molfetta, Emanuele Cozzani, Aurora Parodi

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Ultraviolet (UV) radiation has numerous beneficial effects on human health, including stimulating vitamin D and serotonin production and immuno-regulatory activities. Conversely, UV radiation is also classified as a group one carcinogen by the International Agency for Research on Cancer. Purpose: To investigated the effects of UV radiation avoidance in melanoma patients in terms of vitamin D levels but also of bone mineral density and trabecular bone microarchitecture. Methods: We conducted an observational study investigating the effects of UV radiation avoidance in 31 melanoma patients in terms of vitamin D levels but also of bone mineral density and trabecular bone microarchitecture by using dual-energy X-ray absorptiometry scan. Data were compared with two control groups of healthy subjects, who were chronically exposed or not exposed to UV radiation during their lifetime. Results: Melanoma patients had on average slightly lower levels of vitamin D, without reaching statistical significance (P =.135). No significant difference was found across the three groups on T-scores of femoral neck (P =.544), of total hip (P =.617) and of lumbar spine P =.155). No significant difference was found on and trabecular bone score across exposure groups (P =.895). Conclusion: UV radiation avoidance does not seem to significantly impact vitamin D levels nor bone health in melanoma patients. Thus, UV protective behavior is advisable for all melanoma patients.

Original languageEnglish
JournalPhotodermatology Photoimmunology and Photomedicine
DOIs
Publication statusAccepted/In press - 2021

Keywords

  • dual-energy X-ray absorptiometry scan
  • melanoma
  • sun avoidance
  • trabecular bone score
  • vitamin D

ASJC Scopus subject areas

  • Immunology and Allergy
  • Immunology
  • Radiology Nuclear Medicine and imaging
  • Dermatology

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