{"id":424,"date":"2013-06-10T11:50:45","date_gmt":"2013-06-10T18:50:45","guid":{"rendered":"https:\/\/phcprimarycare.org\/?p=424"},"modified":"2014-02-19T12:46:13","modified_gmt":"2014-02-19T20:46:13","slug":"sunburn-is-very-becoming-but-only-when-it-is-even-one-must-be-careful-not-to-look-like-a-mixed-grill-noel-coward","status":"publish","type":"post","link":"https:\/\/phcprimarycare.org\/?p=424","title":{"rendered":"\u201cSunburn is very becoming, but only when it is even \u2013 one must be careful not to look like a mixed grill\u201d &#8212; Noel Coward"},"content":{"rendered":"<p>Sunscreen. Antioxidants. Much is touted about their ability to prevent skin aging. Well, in the sunny environs of Australia and New Zealand (at latitude 26<sup>o <\/sup>S \u2013 about the same distance from the equator as Corpus Christi, Texas), a clever study may <!--more-->shed some shade on the matter. Investigators followed 903 adults, younger than age 55, from 1992 to 1996, randomized to one of four skin care regimens consisting of:<\/p>\n<ul>\n<li>Daily use of a broad spectrum sunscreen and 30 mg of beta-carotene<\/li>\n<li>Daily use of a broad spectrum sunscreen and placebo<\/li>\n<li>Discretionary use of a broad spectrum sunscreen and 30 mg of beta-carotene<\/li>\n<li>Discretionary use of a broad spectrum sunscreen and\u00a0 placebo<\/li>\n<\/ul>\n<p>Comparisons in skin changes based on microtopography (sounds like small maps or something) were graded by assessors blinded to treatment allocation.<\/p>\n<p>The daily sunscreen groups showed no detectable increase in skin aging after 4.5 years. Skin aging from baseline to the end of the trial was 24% less in the daily sunscreen group than in the discretionary sunscreen group (OR 0.76 [95% CI, 0.59 to .98]).<\/p>\n<p>Beta-carotene supplementation had no overall effect on skin aging.<\/p>\n<p>Fine wrinkles in the study were that it was limited by some missing data and had only a moderate power to detect moderate treatment effects and further study was stated to be required.<\/p>\n<p>What with summer coming \u2013 all you middle-aged doctors and other clinicians \u2013 what are you going to do?<\/p>\n<p>Marshall Kubota, MD<\/p>\n<p>Maria Celia B. Hughes, MMedSci; Gail M. Williams, PhD; Peter Baker, PhD; and Ad\u00e8le C. Green, MBBS, PhD, &#8220;Sunscreen and Prevention of Skin Aging: A Randomized Trial,&#8221; <em>Ann Intern Med<\/em><em>. <\/em>2013;158(11):781-790. doi:10.7326\/0003-4819-158-11-201306040-00002<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Sunscreen. Antioxidants. Much is touted about their ability to prevent skin aging. Well, in the sunny environs of Australia and New Zealand (at latitude 26o S \u2013 about the same distance from the equator as Corpus Christi, Texas), a clever &hellip; <a href=\"https:\/\/phcprimarycare.org\/?p=424\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[15,13],"tags":[],"class_list":["post-424","post","type-post","status-publish","format-standard","hentry","category-medical-practice","category-prevention"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u201cSunburn is very becoming, but only when it is even \u2013 one must be careful not to look like a mixed grill\u201d - Noel Coward - PHC Primary Care Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/phcprimarycare.org\/?p=424\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u201cSunburn is very becoming, but only when it is even \u2013 one must be careful not to look like a mixed grill\u201d - Noel Coward - PHC Primary Care Blog\" \/>\n<meta property=\"og:description\" content=\"Sunscreen. Antioxidants. Much is touted about their ability to prevent skin aging. Well, in the sunny environs of Australia and New Zealand (at latitude 26o S \u2013 about the same distance from the equator as Corpus Christi, Texas), a clever &hellip; Continue reading &rarr;\" \/>\n<meta property=\"og:url\" content=\"https:\/\/phcprimarycare.org\/?p=424\" \/>\n<meta property=\"og:site_name\" content=\"PHC Primary Care Blog\" \/>\n<meta property=\"article:published_time\" content=\"2013-06-10T18:50:45+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2014-02-19T20:46:13+00:00\" \/>\n<meta name=\"author\" content=\"RMoore\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"RMoore\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/phcprimarycare.org\/?p=424\",\"url\":\"https:\/\/phcprimarycare.org\/?p=424\",\"name\":\"\u201cSunburn is very becoming, but only when it is even \u2013 one must be careful not to look like a mixed grill\u201d - Noel Coward - PHC Primary Care Blog\",\"isPartOf\":{\"@id\":\"https:\/\/phcprimarycare.org\/#website\"},\"datePublished\":\"2013-06-10T18:50:45+00:00\",\"dateModified\":\"2014-02-19T20:46:13+00:00\",\"author\":{\"@id\":\"https:\/\/phcprimarycare.org\/#\/schema\/person\/e2261897cb15c2610b283200b210f79c\"},\"breadcrumb\":{\"@id\":\"https:\/\/phcprimarycare.org\/?p=424#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/phcprimarycare.org\/?p=424\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/phcprimarycare.org\/?p=424#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/phcprimarycare.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"\u201cSunburn is very becoming, but only when it is even \u2013 one must be careful not to look like a mixed grill\u201d &#8212; Noel Coward\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/phcprimarycare.org\/#website\",\"url\":\"https:\/\/phcprimarycare.org\/\",\"name\":\"PHC Primary Care Blog\",\"description\":\"Partnership HealthPlan of California\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/phcprimarycare.org\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/phcprimarycare.org\/#\/schema\/person\/e2261897cb15c2610b283200b210f79c\",\"name\":\"RMoore\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/phcprimarycare.org\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/f0ba7e9946a1ad594a0070ed009f75ea00cb69b3f7271511fd722377966e54bd?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/f0ba7e9946a1ad594a0070ed009f75ea00cb69b3f7271511fd722377966e54bd?s=96&d=mm&r=g\",\"caption\":\"RMoore\"},\"url\":\"https:\/\/phcprimarycare.org\/?author=2\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"\u201cSunburn is very becoming, but only when it is even \u2013 one must be careful not to look like a mixed grill\u201d - Noel Coward - PHC Primary Care Blog","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/phcprimarycare.org\/?p=424","og_locale":"en_US","og_type":"article","og_title":"\u201cSunburn is very becoming, but only when it is even \u2013 one must be careful not to look like a mixed grill\u201d - Noel Coward - PHC Primary Care Blog","og_description":"Sunscreen. 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