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Quality in Sport

Effectiveness of Sun Protection in Outdoor Athletes in the Prevention of Skin Cancer – A Literature Review
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  • Effectiveness of Sun Protection in Outdoor Athletes in the Prevention of Skin Cancer – A Literature Review
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Effectiveness of Sun Protection in Outdoor Athletes in the Prevention of Skin Cancer – A Literature Review

Authors

  • Alicja Tabian Faculty of Medicine. Collegium Medicum, Cardinal Stefan Wyszynski University in Warsaw https://orcid.org/0009-0009-9485-5483
  • Paulina Kozłowska Międzyleski Specialist Hospital in Warsaw, Poland https://orcid.org/0009-0004-8037-9862
  • Jakub Smęt National Medical Institute of the Ministry of the Interior and Administration, Warsaw, Poland https://orcid.org/0000-0001-8532-4044
  • Aleksandra Chojnacka Central Clinical Hospital of UCC WUM, Warsaw, Poland https://orcid.org/0009-0009-9940-2264
  • Jacek Borawski St. Anne's Hospital in Piaseczno, Piaseczno, Poland https://orcid.org/0009-0003-4051-9990
  • Julia Burdon-Sajnóg SPZZOZ in Lipsko, Poland https://orcid.org/0009-0002-3883-9330
  • Zofia Szymona-Kuciewicz Międzyleski Specialist Hospital in Warsaw, Poland https://orcid.org/0009-0003-7403-6938
  • Klaudia Bartela Cardinal Stefan Wyszyński University, Faculty of Medicine, Warsaw, Poland https://orcid.org/0009-0003-1233-9423
  • Julia Dusiel Cardinal Stefan Wyszyński University, Faculty of Medicine, Warsaw, Poland https://orcid.org/0009-0007-0695-8964
  • Anna Wałachowska Bielański Hospital named after Father Jerzy Popiełuszko, Warsaw, Poland https://orcid.org/0009-0008-1096-3827

DOI:

https://doi.org/10.12775/QS.2025.48.66836

Keywords

athletes, outdoor sports, sun protection, sunscreen, SPF, UV protective clothing, photoprotection, skin cancer, melanoma, non-melanoma skin cancer

Abstract

Introduction and objective: Athletes practising outdoor sports are particularly exposed to prolonged and intense ultraviolet (UV) radiation, which significantly increases the risk of developing skin cancer, including melanoma and non-melanoma types. Despite growing awareness of these risks, the effectiveness of photoprotection in this population remains insufficient, mainly due to irregular sunscreen use, incorrect application habits, and numerous environmental and organisational barriers. The aim of this review is to present the current state of knowledge on the effectiveness of sun protection methods used by outdoor athletes and to assess their role in skin cancer prevention.

Review methods: All data were collected from publicly available sources. This article's databases were accessed via PubMed, Scopus and Web of Science.

A brief description of the state of knowledge: Research shows that athletes often use sun protection incorrectly - applying too little sunscreen, skipping reapplication and inconsistently using physical barriers like UPF clothing or headgear. Long-distance runners, cyclists, skiers and water sports enthusiasts are most exposed to UV radiation. Effective protection is further hampered by intense sweating, reflection of rays from water or snow, sporting pressure and concerns about comfort.  Although awareness is growing, it rarely becomes routine. Educational programmes, coach support and technologies such as UV sensors or mobile apps show promising results.

Summary: Effective protection requires a multidimensional approach combining education, behavioural support and UV policies in sports settings. Best results come from using both chemical and physical methods, but only when applied regularly and correctly. Technology and stronger involvement of sports organisations can improve adherence. With rising skin cancer rates, sport-specific, practical UV-prevention guidelines are urgently needed.

References

1. Apalla Z, Lallas A, Sotiriou E, Lazaridou E, Ioannides D. Epidemiological trends in skin cancer. Dermatol Pract Concept. 2017;7(2):1-6.

2. Harrison SC, Soyer HP. Ultraviolet light and skin cancer in athletes. Clinics in Dermatology. 2009;27(4):351 356.

3. Beissert S, Loser K. Molecular and cellular mechanisms of photocarcinogenesis. Photochem Photobiol. 2008;84(1):29-34.

4. Garcia-Mouronte E, Pérez-González LA, Naharro-Rodriguez J, Fernández Guarino M. Understanding Active Photoprotection: DNA-Repair Enzymes and Antioxidants. Life. 2024; 14(7):822.

5. Snyder A, Valdebran M, Terrero D, Amber KT, Kelly KM. Solar Ultraviolet Exposure in Individuals Who Perform Outdoor Sport Activities. Sports Med Open. 2020;6(1):42.

6. Kliniec K, Tota M, Zalesińska A, Łyko M, Jankowska-Konsur A. Skin Cancer Risk, Sun-Protection Knowledge and Behavior in Athletes-A Narrative Review. Cancers (Basel). 2023;15(13):328.

7. Sander M, Sander M, Burbidge T, Beecker J. The efficacy and safety of sunscreen use for the prevention of skin cancer. CMAJ. 2020;192(50):E1802-E1808.

8. Fernandez-Ruiz J, Montero-Vilchez T, Buendia-Eisman A, Arias-Santiago S. Knowledge, Behaviour and Attitudes Related to Sun Exposure in Sportspeople: A Systematic Review. International Journal of Environmental Research and Public Health. 2022; 19(16):10175.

9. Arslan E, Ayvaz Çelik HH, Cinkara O, Ercan E, Gonedi F, Cetin C . Skin Cancer and Sun Knowledge Level and Dermatoscopic Examination Results of Outdoor and Indoor Athletes: A Cross-sectional Research. J Turk Acad Dermatol. 2022;16(4):86-93.

10. De Castro-Maqueda G, Gutierrez-Manzanedo JV, Lagares-Franco C, de Troya-Martin M. Sun Exposure during Water Sports: Do Elite Athletes Adequately Protect Their Skin against Skin Cancer? International Journal of Environmental Research and Public Health. 2021; 18(2):800.

11. Pfeifer GP. Mechanisms of UV-induced mutations and skin cancer. Genome Instab Dis. 2020;1(3):99-113.

12. Hussein MR. Ultraviolet radiation and skin cancer: molecular mechanisms. J Cutan Pathol. 2005;32(3):191-205.

13. Garibyan L, Fisher DE. How sunlight causes melanoma. Curr Oncol Rep. 2010;12(5):319-326.

14. Fan W, Rokohl AC, Guo Y, Chen H, Gao T, Kakkassery V, Heindl LM. Mechanism of ultraviolet radiation-induced basal cell carcinoma. Front Oral Maxillofac Med. 2023;5:9.

15. Narayanan DL, Saladi RN, Fox JL. Ultraviolet radiation and skin cancer: Molecular mechanisms. Journal of Carcinogenesis. 2010;9:19.

16. Moehrle M. Outdoor sports and skin cancer. Clinics in Dermatology. 2008;26(1):12-15.

17. Gilaberte Y, Trullàs C, Granger C, de Troya-Martín M. Photoprotection in Outdoor Sports: A Review of the Literature and Recommendations to Reduce Risk Among Athletes. Dermatol Ther (Heidelb). 2022;12(2):329-343.

18. Gambichler T, Laperre J, Hoffmann K. The European standard for sun-protective clothing: EN 13758. J Eur Acad Dermatol Venereol. 2006;20(2):125-130.

19. Thieden E, Philipsen PA, Heydenreich J, Wulf HC. UV radiation exposure related to age, sex, occupation, and sun behavior based on time-stamped personal dosimeter readings. Arch Dermatol. 2004;140(2):197-203.

20. Keshavarzi F, Knudsen NØ, Komjani NM, Ebbesen MF, Brewer JR, Jafarzadeh S, et al. Enhancing the sweat resistance of sunscreens. Skin Res Technol. 2022;28(2):225-235.

21. Sieniawska D, Proszowska P, Madoń M, Kotowicz Z, Orzeł A, Pich-Czekierda A, et al. Ultraviolet-Protective Clothing and Sunscreen: Sun-Protection for Healthy Skin. J Educ Health Sport. 2024;71:51237.

22. Kohmura Y. Importance of vision and sun protection in outdoor sports: a narrative review. JPES. 2021;22(4):424 32.

23. Aguilera J, Navarrete-de Gálvez E, Sánchez-Roldán C, Herrera-Ceballos E, de Gálvez MV. Sun-protective Properties of Technical Sportswear Fabrics 100% Polyester: The Influence of Moisture and Sweat on Protection against Different Biological Effects of Ultraviolet (UV) Radiation. Photochem Photobiol. 2023;99(1):184-192.

24. Horsham C, Ford H, Hacker E. Promoting sunscreen use in adolescents playing outdoor sports using UV detection stickers. Prev Med Rep. 2020;19:101166.

25. García-Malinis AJ, Gracia-Cazaña T, Zazo M, Rivaz-Ruis F, de Troya Martín M, Gilaberte Y, et al. Sun Protection Behaviors and Knowledge in Mountain Marathon Runners and Risk Factors for Sunburn. Hábitos y conocimientos sobre fotoprotección y factores de riesgo para quemadura solar en corredores de maratones de montaña. Actas Dermosifiliogr (Engl Ed). 2021;112(2):159-166.

26. Tenforde AS, Fredericson M, Toth KES, Sainani KL. Sun Protective Behaviors and Attitudes of Runners. Sports (Basel). 2021;10(1):1.

27. Tertipi N, Sfyri E, Kefala V, Rallis E. Prevalence of sunscreen use and sunburn in Greek athletes: a cross-sectional study. J Sports Med Phys Fitness. 2024;64(5):496-503.

28. Petersen B, Wulf HC. Application of sunscreen--theory and reality. Photodermatol Photoimmunol Photomed. 2014;30(2-3):96-101.

29. Moehrle M, Koehle W, Dietz K, Lischka G. Reduction of minimal erythema dose by sweating. Photodermatol Photoimmunol Photomed. 2000;16(6):260-262.

30. Buljan M, Kolić M, Šitum M, Šekerija M, Franceschi N. Do Athletes Practicing Outdoors Know and Care Enough About the Importance of Photoprotection?. Acta Dermatovenerol Croat. 2020;28(1):41-42.

31. Zaslow T, Patel AR, Coel R, Katzel M, Wren T. The effects of sport, setting, and demographics on sunscreen use and education in young athletes. Research in Sports Medicine: An International Journal. 2023;32(1):1 9.

32. Jinna S, Adams BB. Ultraviolet radiation and the athlete: risk, sun safety, and barriers to implementation of protective strategies. Sports Med. 2013;43(7):531-537.

33. Peters CE, Koehoorn MW, Demers PA, Nicol AM, Kalia S. Outdoor Workers' Use of Sun Protection at Work and Leisure. Saf Health Work. 2016;7(3):208-212.

34. Wysong A, Gladstone H, Kim D, Lingala B, Copeland J, Tang J Y. Sunscreen use in NCAA collegiate athletes: identifying targets for intervention and barriers to use. Prev Med. 2012;55(5):493-496.

35. Ellis RM, Mohr MR, Indika SH, Salkey KS. Sunscreen use in student athletes: a survey study. J Am Acad Dermatol. 2012;67(1):159-160.

36. Stölzel F, Wolff M, Fieber V, Glausch M, Wachs C, Breitbart E, et al. UV protection for young athletes: using participatory program planning to address barriers in training and competition. Environ Health Prev Med. 2020;25(1):39.

37. Andrews L, Shope C, Snyder A, Valdebran M. Commentary: Sport-specific Factors Impacting Solar Ultraviolet Exposure in Individuals Who Perform Outdoor Sport Activities. J Dermatol & Skin Sci. 2022;4(2):7-9.

38. Ruvolo E, Aeschliman L, Cole C. Evaluation of sunscreen efficacy over time and re-application using hybrid diffuse reflectance spectroscopy. Photodermatol Photoimmunol Photomed. 2020;36(3):192-199.

39. Adams GJ, Goldstein EK, Goldstein BG, Jarman KL, Goldstein AO. Attitudes and Behaviors That Impact Skin Cancer Risk among Men. Int J Environ Res Public Health. 2021;18(19):9989.

40. Cafri G, Thompson JK, Roehrig M, Rojas A, Sperry S, Jacobsen PB, et al. Appearance motives to tan and not tan: evidence for validity and reliability of a new scale. Ann Behav Med. 2008;35(2):209-220.

41. Diffey BL. Sources and measurement of ultraviolet radiation. Methods. 2002;28(1):4-13.

42. Ally MS, Swetter SM, Hirotsu KE, Gordon J, Kim D, Wysong A, et al. Promoting sunscreen use and sun-protective practices in NCAA athletes: Impact of SUNSPORT educational intervention for student-athletes, athletic trainers, and coaches. J Am Acad Dermatol. 2018;78(2):289-292.e2.

43. Tabbakh T, Volkov A, Wakefield M, Dobbinson S. Implementation of the SunSmart program and population sun protection behaviour in Melbourne, Australia: Results from cross-sectional summer surveys from 1987 to 2017. PLoS Med. 2019;16(10):e1002932.

44. Crane LA, Schneider LS, Yohn JJ, Morelli JG, Plomer KD. "Block the sun, not the fun": evaluation of a skin cancer prevention program for child care centers. Am J Prev Med. 1999;17(1):31-37.

45. Horsham C, Antrobus J, Olsen CM, Ford H, Abernethy D, Hacker E. Testing Wearable UV Sensors to Improve Sun Protection in Young Adults at an Outdoor Festival: Field Study. JMIR Mhealth Uhealth. 2020;8(9):e21243.

46. Hacker E, Horsham C, Vagenas D, Jones L, Lowe J, Janda M. A Mobile Technology Intervention With Ultraviolet Radiation Dosimeters and Smartphone Apps for Skin Cancer Prevention in Young Adults: Randomized Controlled Trial. JMIR Mhealth Uhealth. 2018;6(11):e199.

47. Dobbinson SJ, Hayman JA, Livingston PM. Prevalence of health promotion policies in sports clubs in Victoria, Australia. Health Promot Int. 2006;21(2):121-129.

48. Dobbinson SJ, Wakefield MA, Jamsen KM, et al. Weekend sun protection and sunburn in Australia trends (1987-2002) and association with SunSmart television advertising. Am J Prev Med. 2008;34(2):94-101.

49. Eason CD, Rundle CW, Dunnick CA, Hugh J, Dellavalle R. National trends in free public sunscreen dispensers. Journal of the American Academy of Dermatology. 2021;84(1):213–215.

Quality in Sport

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Published

2025-12-31

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TABIAN, Alicja, KOZŁOWSKA, Paulina, SMĘT, Jakub, CHOJNACKA, Aleksandra, BORAWSKI, Jacek, BURDON-SAJNÓG, Julia, SZYMONA-KUCIEWICZ, Zofia, BARTELA, Klaudia, DUSIEL, Julia and WAŁACHOWSKA, Anna. Effectiveness of Sun Protection in Outdoor Athletes in the Prevention of Skin Cancer – A Literature Review. Quality in Sport. Online. 31 December 2025. Vol. 48, p. 66836. [Accessed 31 December 2025]. DOI 10.12775/QS.2025.48.66836.
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Vol. 48 (2025)

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Copyright (c) 2025 Alicja Tabian, Paulina Kozłowska, Jakub Smęt, Aleksandra Chojnacka, Jacek Borawski, Julia Burdon-Sajnóg, Zofia Szymona-Kuciewicz, Klaudia Bartela, Julia Dusiel, Anna Wałachowska

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