rct
    2013
    High Quality

    Sunscreen and prevention of skin aging: a randomized trial

    Hughes MC

    Published in Annals of Internal Medicine

    Methodology

    Randomised controlled community-based intervention (ACTRN12610000086066) with four arms combining daily or discretionary broad-spectrum sunscreen with 30 mg beta-carotene or placebo; outcome was change in skin microtopography 1992-1996 graded by blinded assessors.

    Key Findings

    903 adults under 55 in Nambour, Australia were randomised in a four-arm community trial to daily or discretionary sunscreen and to 30 mg beta-carotene or placebo, with skin microtopography graded blind between 1992 and 1996. The daily sunscreen group showed no detectable increase in skin aging over 4.5 years, and photoaging was 24% less than in the discretionary sunscreen group (relative odds 0.76, 95% CI 0.59 to 0.98). Beta-carotene supplementation had no overall effect on skin aging, with only contrasting associations in subgroups defined by baseline severity.

    Conclusions

    Daily sunscreen slowed skin aging; beta-carotene supplementation had no overall effect.

    Limitations

    Some outcome data were missing and power to detect moderate treatment effects was modest; participants were a single subtropical Australian community, and the sunscreen comparison was against discretionary use rather than no use.

    Related Health Concerns

    Study Details

    Year:2013
    Sample Size:903
    Duration:234 weeks
    Quality Score:9/10

    Disclosures

    Funding

    National Health and Medical Research Council of Australia

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