suntanning

Soaking in Mother Nature’s Goodness: The Sunscreen Smokescreen

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Cancer is a word that strikes fear in most. We’re a society concerned with taking preventative measures to avoid getting “The Big C.”  We know to use sunscreen when outdoors and chow down on “super foods” rich in antioxidants and phytochemicals to help lower our cancer risk. The antioxidants found naturally in foods can counter free radicals that are produced in our bodies from exposure to environmental toxins and carcinogens such as tobacco smoke and radiation – except when they are covered in toxins that limit their antioxidant capabilities.

Strawberries are well known as a super food, rich in the antioxidants vitamin C, ellagic acid and flavonoids that suppress a DNA-damaging enzyme linked to lung cancer. Strawberries are 98-99% water, making them the perfect sponges for all the goodness that Mother Nature provides… that is, until Man mucks things up. The primary pesticide used on U.S. strawberry farms, methyl bromide, is highly carcinogenic and toxic to the central nervous system. Pesticides serve to protect strawberries from damage by insects, fungus, rodents and disease, but the sad truth is we would be better off eating a strawberry covered in insects than one that is literally a pesticide-soaked sponge. In some cases, the use of sunscreen is very similar to the use of pesticides on strawberries, in which the chemicals used to block the sun’s radiation, may do more harm than good. Let me explain.

The Sunscreen Smokescreen

Previously, I wrote about tanning basics and the benefits of sunscreen. I’m lucky to live in a coastal town where there is much to do outdoors; beach, hiking, taking our workouts outdoors, and leisurely drives with the top down. My fellow health fanatics and I know to use sunscreen to protect ourselves from the sun’s damaging rays, but more importantly, we know that not all sunscreens are created equal. There are some that actually contain cancer-causing ingredients, resulting in the exact scenario we’re trying so diligently to prevent… similar to our strawberry sponge. Like the strawberry we’re made up of mostly water, up to 60% in the average adult body. Like the strawberry we absorb our environment into our systems, for better or worse.

Clearing the Smokescreen

The Environmental Working Group (EWG) is the nation’s leading environmental health research and advocacy organization on a mission to provide consumers with no-fluff facts to make healthier choices. EWG offers nine surprising facts about sunscreens which we would be wise to heed. Ultimately, we just want to know which sunscreens are best for us:

Bigger isn’t always better. High sun protection factor (SPF) products tempt us to apply too little sunscreen and stay in the sun too long. The FDA has proposed prohibiting sunscreen sales with SPF values greater than 50+ as they are “inherently misleading,” but there is no current regulation that carries the force of law. According to the Skin Cancer Foundation, most sunscreens with an SPF of 15 or higher do an excellent job of protecting against UVB. It’s also important to note that SPF refers only to protection against UVB radiation (responsible for sunburns), but SPF has no bearing on UVA rays, the beast which penetrates deep skin layers. Wise consumers need to read the label for products that offer both UVA and UBV ray protection.

Grade A fail. Vitamin A is a well known antioxidant that slows skin aging, and is a common sunscreen additive. Nearly one-quarter of all sunscreens contain vitamin A (often labeled as “retinyl palmitate” or “retinol”), but studies indicate that vitamin A may speed the development of skin tumors and lesions when applied to skin in the presence of sunlight. EWG recommends that consumers avoid sunscreens, lip products and skin lotions containing vitamin A.

Disruption junction. Some sunscreen ingredients disrupt hormones and cause skin allergies. Our current choices are either chemical or mineral sunscreens:

  • Chemical sunscreens have inferior stability, penetrate the skin and may disrupt our hormone system. Benzophenone-3 is labeled as oxybenzone, a common sunscreen ingredient which penetrates the skin, is absorbed into our bloodstream and acts like estrogen in the body. In fact, it mimics estrogen even more so than bisphenol-A (BPA), a chemical found in certain plastics that has received much attention lately for its toxic effects. Oxybenzone can trigger allergic reactions, and preliminary data connect higher oxybenzone blood concentrations with significant female health issues. While the cause of endometriosis is not known, estrogen fuels this painful condition. A study published in Environmental Science & Technology in 2012 links oxybenzone to endometriosis in older women, while another 2008 study by the Centers for Disease Control and Prevention (CDC) found that women with higher oxybenzone blood levels during pregnancy had lower birth weight daughters.
  • Mineral sunscreens consist of zinc and titanium dioxide, often “micronized” or in nano-particles. Manufacturers micronized particles to help reduce or eliminate the chalky white tint that minerals leave on the skin, but this comes with a trade-off. The smaller the particles, the better the SPF protection BUT at a cost to UVA protection.

If you can breathe it in, don’t buy it. Loose powder cosmetics with sunscreen properties, intended for the face and scalp, often contain tiny particles of zinc and titanium that offer strong UV protection by sticking to the skin. The problem arises when loose powder ends up in our lungs when we breathe in loose airborne particles. The International Agency for Research on Cancer classifies inhaled titanium dioxide as “possibly carcinogenic to humans.” Current FDA over-the-counter rules prohibit loose powders to advertise an SPF or make claims of sun protection, but small companies currently have a grace period to remove powders from the market. Sprays sunscreens are popular due to their convenience, but there’s growing concern of their inhalation risk. Sprays are also hit or miss, leaving areas exposed without protection.

Say bug off to bug repellents. Sunscreen and bug repellent combos may seem like a great idea, but the risks outweigh the benefits as repellents typically contain chemicals such as DEET (also listed on labels as N, N-Diethyl-m-toluamide or N, N-Diethyl-3-Methyl benzamide). DEET is a highly effective repellent, but is also littered with health concerns ranging from topical irritations to lethargy, confusion, disorientation and mood swings. It’s also an environmental toxin that breaks down slowly in soil, with detrimental effects coursing through waterways to all living things. There are also studies that show combining sunscreen and repellents lead to increased skin absorption of the repellent ingredients, which is discouraged for health reasons.

Towelettes are for eating fried chicken. Sunscreen wipes and towelettes were prohibited in 2011 by the FDA due to concerns that there wasn’t enough sunscreen to ensure skin protection. Keep in mind that small companies have a grace period to remove them from their product lines, so just because you see something for sale doesn’t mean it’s good for you.

Tanning Oil + SPF = Oxymoron. Some tanning oils appear to be a healthy choice because they contain SPF protection; however, the SPF levels are typically low and offer no true protection. Bottom line, tanning results from cellular DNA damage which leads to skin cancer.

All that said, the sun isn’t taboo. Don’t go running from it to hide in dark shady spots. Sunlight is critical for our bodies to produce vitamin D, which is important in strengthening bones and the immune system, reducing the risk of breast, colon, kidney and ovarian cancers, and perhaps other disorders. Life is short. Enjoy it… but enjoy it wisely.

This was posted previously June 2013.

Avoiding Melanoma and Other Skin Cancers

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I worship the sun. Perhaps it has to do with my astrological sign (Leo), or the fact I was born on a hot humid day in August, or, since I also love the humidity, perhaps it’s a carryover from having been a Southern Belle in a previous life? Whatever the reason I’m happy when the sun is out and I’m generally out when it’s out. Nevertheless, I’ve had to learn the hard way to change my relationship with the sun.

Lesson I: Sun Poisoning & Suntanning

My earliest memory of the sun’s potent effects was a on a trip to Acapulco when I was seven. I got so sunburned the first day of the vacation that I spent the remaining six days in bed, violently ill and in pain with sun poisoning. I could have been the Coppertone poster child except I was too sick to stand up.

The summer I was fifteen, my best friend and I went to the beach near our homes in Southern California every single day. We slathered ourselves with Johnson’s baby oil and tried to look busy reading our Kathleen E. Woodiwiss novels while lying on our beach towels, all the while hoping some handsome young studs would notice what bronzed goddesses we were.

The following two summers I was a life guard at our community pool. I burned my nose so many times the first summer that it became bulbous and my supervisor finally purchased a tube of zinc oxide cream for me and insisted I apply it religiously. This was before the days of SPF lotions, and was my introduction to protecting myself from the harmful effects of UV rays.

However, I still wasn’t fully on board with the idea of sun protection. It didn’t help that when I arrived to college on the east coast in late summer 1980, I was on just about every boy’s radar because of my deep tan and sun-bleached hair.

Lesson II: Basal Cell Carcinoma

The risk I was putting myself at didn’t truly begin to sink in until 1989 when my brother had a biopsy of a small polyp on the bridge of his nose and learned he had malignant basal cell carcinoma. Basal cell is a non-melanoma skin cancer that arises from small round cells found in the lower part of the epidermis. In order to remove all the malignant cells, his surgeon had to carve up his face like a Thanksgiving turkey leaving him permanently scarred and disfigured. Fortunately, the margins came back clear and he’s lived cancer-free ever since.

Shortly after the incident with my brother, I had my first child. I became a religious applier of sunscreen to my baby’s skin, if not always my own. As the years passed and I began to notice crow’s feet and sun spots taking their rightful places on my skin, I took more precautions. For me, it took vanity, not my brother’s skin cancer, to become a full-on sunscreen aficionado.

Lesson III: Dysplastic Nevi (Atypical Melanoma)

In 2007, my son, who’d been the primary benefactor of my brother’s misfortune, and who had always, like me, had a lot of moles, had one removed from the base of his thumb. The biopsy report indicated dysplastic nevi, a benign mole that resembles and may predict single or multiple melanomas. The higher the number of these moles someone has, the higher the risk of cancer. Those who have dysplastic nevi, plus a family history of melanoma (two or more close blood relatives with the disease) have an extremely high risk of developing melanoma. Individuals who have dysplastic nevi, but no family history of melanoma, still face a 7 to 27 times higher risk of developing melanoma compared to the general population.

My son returned to the dermatologist who dug out a large chunk of skin from my son’s hand. Yet, this brush with melanoma occurred during an inconvenient time. My son had recently been diagnosed with a brain malformation and was awaiting surgery. An atypical melanoma seemed the least of our worries.

Lesson IV: Acral Lentiginous  Melanoma

Fast forward three years to 2010. My 81-year old father, also a sun worshiper, took my stepmother to a dermatology appointment. At the end of the appointment, as he helped my step mom slip into her sweater, the dermatologist stopped him and said, “let me see your thumb there.” My dad told the doctor that the black vertical streak on the inside of the thumbnail had been there for a few years. Concerned, the doctor scheduled a biopsy. Sure enough, it came back positive for acral lentiginous  melanoma.

Lentigenous-type melanoma is the most commonly diagnosed melenoma in Asian and black populations, however, it is extremely rare among Caucasians. Bob Marley had acral lentiginous melanoma. Similar to my dad, Marley’s melanoma presented itself as a macule, or spot, on his big toenail. These spots can look like the type of black and blue spot you might get if you caught your fingers in a door, and frequently they are neglected. Bob Marley’s melanoma eventually metasticized and into the brain tumor that eventually took his life.

My dad was more, or less fortunate. He submitted to exploratory surgery, and since his melanoma was detected relatively early, the surgeon only needed to amputate half his thumb.

Lesson Learned

There’s an adage that a lesson will be repeated to you in various forms and at various turns until you learn it. Then you can go onto the next lesson. Even though acral lentiginous melanoma does not appear to be linked to sun exposure, rarely occurs in Caucasians, and the average age at diagnosis is between sixty and seventy years, and I was adopted so I have no reason to think I have a genetic predisposition, I finally learned my lesson. After these several wake up calls, I now understand that the risk at which my genes and my mistakes have placed me warrant monthly self-examination, regular professional skin exams and daily sun protection. No exceptions.

If you, like me, are thick skinned due to sun exposure and thick sculled due to a stubborn nature, and have yet to learn your lesson, then you may want to consider a few salient facts:

Here are some prevention tips that I follow:

What are your tips? What were your lessons? We’d like to hear from you.

 

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