title: Melanoma markers in marathon runners: increase with sun exposure and physical strain.
abstract: BACKGROUND
  Marathon runners seem to have an increased melanoma risk.
  
  
  OBJECTIVE
  To identify potential melanoma markers.
  
  
  METHODS
  150 marathon runners volunteered to take part in the skin cancer screening campaign. After the runners completed a questionnaire about melanoma risk factors, types of sportswear and training programs, they received a total skin examination. The number of lentigines and nevi on the left shoulder and the left buttock were counted in each participant using templates in standardized positions. The potential association of training sportswear and training parameters with the number of lentigines and nevi on the left shoulder was evaluated.
  
  
  RESULTS
  The mean number of lentigines on the left shoulder was 19.6 +/- 18.2 (SD), whereas no lentigines were found on the left buttock (p = 0.000). The number of nevi also differed significantly between the 2 localizations with higher numbers on the left shoulder (p = 0.000). While lifetime sunburn history and type of sportswear correlated with the number of lentigines, training parameters had an impact on the number of nevi. Independent of their mean weekly running time, runners with higher heart rates while training, higher training velocities and higher physical strain indexes showed more nevi on the shoulder than the other runners (p = 0.029, 0.046, 0.038, respectively).
  
  
  CONCLUSIONS
  Sun exposure and high physical strain lead to an increase in melanoma markers such as lentigines and nevi in marathon runners.
authors: Department of Dermatology, Medical University of Graz, AT-8036, Graz, Austria. erika.richtig@meduni-graz.at
authors: Erika
authors: E
authors: Richtig
authors: Christina M
authors: CM
authors: Ambros-Rudolph
authors: Michael
authors: M
authors: Trapp
authors: Helmut K
authors: HK
authors: Lackner
authors: Rainer
authors: R
authors: Hofmann-Wellenhof
authors: Helmut
authors: H
authors: Kerl
authors: Guenther
authors: G
authors: Schwaberger
mesh_terms: D000328:Adult; D000368:Aged; D000704:Analysis of Variance; D003020:Clothing; D005260:Female; D006339:Heart Rate; D006801:Humans; D007911:Lentigo / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D008297:Male; D008545:Melanoma / Q000453:epidemiology* / Q000209:etiology; D008875:Middle Aged; D009506:Nevus / Q000175:diagnosis / Q000453:epidemiology* / Q000209:etiology; D011446:Prospective Studies; D012307:Risk Factors; D012420:Running / Q000502:physiology*; D012782:Shoulder / Q000473:pathology; D012867:Skin / Q000473:pathology; D012878:Skin Neoplasms / Q000453:epidemiology* / Q000209:etiology; D012880:Skin Pigmentation; D018709:Statistics, Nonparametric; D013471:Sunburn / Q000453:epidemiology; D013472:Sunlight / Q000009:adverse effects*; D011795:Surveys and Questionnaires