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Can active sun exposure decrease the risk of giant cell arteritis and polymyalgia rheumatica in women?

Gisslander, Karl LU orcid ; de Boer, Raïssa LU ; Ingvar, Christian LU ; Turesson, Carl LU ; Isaksson, Karolin LU ; Jayne, David and Mohammad, Aladdin LU (2023) In Rheumatology Advances in Practice 7(3).
Abstract
Objectives

To study if active sun exposure among women affects the risk of developing GCA or PMR in a prospective cohort study with restricted latitudinal variability.

Methods
We linked the response to questions relating to sun exposure from the Melanoma Inquiry in Southern Sweden (MISS) prospective cohort study in women to the risk of developing GCA or PMR. Healthcare data were gathered from the Skåne Healthcare Register (SHR), covering all public healthcare consultations. The direct effect of active sun exposure on the risk of developing GCA or PMR was assessed using Cox proportional hazards models adjusted for covariates based on a directed acyclic graph.

Results
A total of 14 574 women were included... (More)
Objectives

To study if active sun exposure among women affects the risk of developing GCA or PMR in a prospective cohort study with restricted latitudinal variability.

Methods
We linked the response to questions relating to sun exposure from the Melanoma Inquiry in Southern Sweden (MISS) prospective cohort study in women to the risk of developing GCA or PMR. Healthcare data were gathered from the Skåne Healthcare Register (SHR), covering all public healthcare consultations. The direct effect of active sun exposure on the risk of developing GCA or PMR was assessed using Cox proportional hazards models adjusted for covariates based on a directed acyclic graph.

Results
A total of 14 574 women were included in the study; 601 women were diagnosed with GCA or PMR (144 and 457, respectively) during the follow-up time. Women with moderate or high sun exposure were not less likely to develop GCA or PMR compared with women that indicated they avoided sun exposure [hazard ratio (HR) 1.2 (CI 0.9, 1.6) and 1.3 (0.9, 1.9), respectively] when adjusted for diabetes, hyperlipidaemia, hypertension, smoking, obesity and stratified by age. Similar patterns were observed when studying only GCA [HR 1.2 (CI 0.7, 2.3) and 1.3 (0.7, 2.6)] and only PMR [HR 1.3 (CI 0.9, 1.8) and 1.4 (0.9, 2.0)].

Conclusion
Active sun exposure did not affect the risk of developing GCA or PMR in women in a cohort with restricted latitudinal variability. (Less)
Please use this url to cite or link to this publication:
author
; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Rheumatology Advances in Practice
volume
7
issue
3
publisher
Oxford University Press
external identifiers
  • scopus:85172211040
  • pmid:37675201
ISSN
2514-1775
DOI
10.1093/rap/rkad071
language
English
LU publication?
yes
id
154d9dbd-697c-480e-9d3e-282fdbd7ed89
date added to LUP
2023-10-06 09:13:51
date last changed
2024-01-09 15:45:55
@article{154d9dbd-697c-480e-9d3e-282fdbd7ed89,
  abstract     = {{Objectives<br/><br/>To study if active sun exposure among women affects the risk of developing GCA or PMR in a prospective cohort study with restricted latitudinal variability.<br/><br/>Methods<br/>We linked the response to questions relating to sun exposure from the Melanoma Inquiry in Southern Sweden (MISS) prospective cohort study in women to the risk of developing GCA or PMR. Healthcare data were gathered from the Skåne Healthcare Register (SHR), covering all public healthcare consultations. The direct effect of active sun exposure on the risk of developing GCA or PMR was assessed using Cox proportional hazards models adjusted for covariates based on a directed acyclic graph.<br/><br/>Results<br/>A total of 14 574 women were included in the study; 601 women were diagnosed with GCA or PMR (144 and 457, respectively) during the follow-up time. Women with moderate or high sun exposure were not less likely to develop GCA or PMR compared with women that indicated they avoided sun exposure [hazard ratio (HR) 1.2 (CI 0.9, 1.6) and 1.3 (0.9, 1.9), respectively] when adjusted for diabetes, hyperlipidaemia, hypertension, smoking, obesity and stratified by age. Similar patterns were observed when studying only GCA [HR 1.2 (CI 0.7, 2.3) and 1.3 (0.7, 2.6)] and only PMR [HR 1.3 (CI 0.9, 1.8) and 1.4 (0.9, 2.0)].<br/><br/>Conclusion<br/>Active sun exposure did not affect the risk of developing GCA or PMR in women in a cohort with restricted latitudinal variability.}},
  author       = {{Gisslander, Karl and de Boer, Raïssa and Ingvar, Christian and Turesson, Carl and Isaksson, Karolin and Jayne, David and Mohammad, Aladdin}},
  issn         = {{2514-1775}},
  language     = {{eng}},
  month        = {{08}},
  number       = {{3}},
  publisher    = {{Oxford University Press}},
  series       = {{Rheumatology Advances in Practice}},
  title        = {{Can active sun exposure decrease the risk of giant cell arteritis and polymyalgia rheumatica in women?}},
  url          = {{http://dx.doi.org/10.1093/rap/rkad071}},
  doi          = {{10.1093/rap/rkad071}},
  volume       = {{7}},
  year         = {{2023}},
}