Prevalence and Clinicopathological Features of Actinic Cheilitis in Lifeguards in a Northeastern Brazil
DOI:
https://doi.org/10.17765/2176-9206.2026v19e13511Keywords:
Actinic cheilitis, Lifeguards, Epidemiology, Lip neoplasmsAbstract
The objective of this study was to evaluate the prevalence of actinic cheilitis among lifeguards in a city on the northeastern coast of Brazil. This was a cross-sectional study conducted in March 2023 with 32 lifeguards from Ilhéus, Bahia, Brazil, in which sociodemographic data, occupational information, health-related data, and the presence and severity of actinic cheilitis were collected, and descriptive statistics, including mean, standard deviation, and frequency distributions, were calculated using SPSS version 21.0 (Chicago, IL, USA). A total of 11 cases (34.3%) of actinic cheilitis were diagnosed among the lifeguards, all of whom were male, with a mean age of 20 years, predominantly white or mixed race skin color (91%), alcohol consumption (63.6%), and lack of use of lip sunscreen (63.6%). Most cases of actinic cheilitis were classified as grade I or II (81.8%), while lifeguards with more than 15 years of service were diagnosed with grades III and IV. The prevalence of actinic cheilitis among lifeguards was 34.4%, with most individuals presenting mild lesions, and the severity of the condition appears to increase with years of occupational exposure.
Downloads
References
1. Carneiro MC, Quenta-Huayhua MG, Peralta-Mamani M, Honório HM, Santos PSDS, Rubira-Bullen IRF, Rubira CMF. Clinicopathological Analysis of Actinic Cheilitis: A Systematic Review with Meta-analyses. Head Neck Pathol. 2023;17(3):708-721. https://doi.org/10.1007/s12105-023-01543-z.
2. Warnakulasuriya S, Kujan O, Aguirre-Urizar JM, Bagan JV, González-Moles MÁ, Kerr AR, Lodi G, Mello FW, Monteiro L, Ogden GR, Sloan P, Johnson NW. Oral potentially malignant disorders: A consensus report from an international seminar on nomenclature and classification, convened by the WHO Collaborating Centre for Oral Cancer. Oral Dis. 2021;27(8):1862-1880. https://doi.org/10.1111/odi.13704.
3. Mello FW, Melo G, Modolo F, Rivero ER. Actinic cheilitis and lip squamous cell carcinoma: Literature review and new data from Brazil. J Clin Exp Dent. 2019;11(1):e62-e69. https://doi.org/10.4317/jced.55133.
4. Rodriguez-Archilla A, Irfan-Bhatti A. Risk factors for actinic cheilitis: A meta-analysis. J Dent Res Dent Clin Dent Prospects. 2021;15(4):285-289. https://doi.org/ 10.34172/joddd.2021.047.
5. Medeiros CK, Lopes ML, Silveira ÉJ, Lima KC, Oliveira PT. Actinic cheilitis: Proposal of a clinical index. Med Oral Patol Oral Cir Bucal. 2022;27(4):e310-e318. https://doi.org/10.4317/medoral.25243.
6. Seoane J, Warnakulasuriya S, Bagán JV, Aguirre-Urizar JM, López-Jornet P, Hernández-Vallejo G, González-Moles MÁ, Pereiro-Ferreiros M, Seoane-Romero J, Varela-Centelles P. Assembling a consensus on actinic cheilitis: A Delphi study. J Oral Pathol Med. 2021;50(10):962-970. https://doi.org/10.1111/jop.13200.
7. Poitevin NA, Rodrigues MS, Weigert KL, Macedo CLR, Dos Santos RB. Actinic cheilitis: proposition and reproducibility of a clinical criterion. BDJ Open. 2017;3:17016. https://doi.org/10.1038/bdjopen.2017.16.
8. Lucena EES, Costa DC, da Silveira EJ, Lima KC. Prevalence and factors associated to actinic cheilitis in beach workers. Oral Dis. 2012;18(6):575-9. https://doi.org/10.1111/j.1601-0825.2012.01910.x.
9. Vieira RA, Minicucci EM, Marques ME, Marques SA. Actinic cheilitis and squamous cell carcinoma of the lip: clinical, histopathological and immunogenetic aspects. An Bras Dermatol. 2012;87(1):105-14. https://doi.org/10.1590/s0365-05962012000100013.
10. Santos RFD, Oliveira RL, Gallottini M, Caliento R, Sarmento DJS. Prevalence of and Factors Associated with Actinic Cheilitis in Extractive Mining Workers. Braz Dent J. 2018;29(2):214-221. https://doi.org/10.1590/0103-6440201801605.
11. Clima Ilhéus. Climate Date, Ilhéus, February 4, 2025. Available from: https://pt.climate-data.org/america-do-sul/brasil/bahia/ilheus-4467/. Accessed: February 4, 2025.
12. Instituto Brasileiro de Geografia e Estatística (IBGE). Pesquisa Nacional por Amostra de Domicílios Contínua: rendimento de todas as fontes 2022. Rio de Janeiro: IBGE; 2023. Available from: https://biblioteca.ibge.gov.br. Accessed: May 9, 2023.
13. Lucena IM, Santos IDS, Daroit NB, Salgueiro AP, Cavagni J, Haas AN, Rados PV. Sun protection as a protective factor for actinic cheilitis: Cross-sectional population-based study. Oral Dis. 2022;28(7):1802-1810. https://doi.org/10.1111/odi.13837.
14. Abrantes TC, Fonsêca TC, Cabral MG, Agostini M, Andrade BAB, Romañach MJ, Abrahão AC. Epithelial Dysplasia in Actinic Cheilitis: Microscopic Study of 70 Cases from Brazil. Head Neck Pathol. 2021;15(2):566-571. https://doi.org/10.1007/s12105-020-01250-z.
15. Azevedo AB, Dos Santos TCRB, Lopes MA, Pires FR. Oral leukoplakia, leukoerythroplakia, erythroplakia and actinic cheilitis: Analysis of 953 patients focusing on oral epithelial dysplasia. J Oral Pathol Med. 2021;50(8):829-840. https://doi.org/10.1111/jop.13183.
16. Abreu LM, Medina TDS, Cruz NLMJ, Bullen IRFR, Rubira CMF. Four decades of treatment for actinic cheilitis: Outcomes, challenges, and the introduction of a new clinical index. J Stomatol Oral Maxillofac Surg. 2025;126(3S):102227. https://doi.org/10.1016/j.jormas.2025.102227.
17. Faria MHD, Silva LMAC, Mafra RP, Santos MMD, Soares SCM, Moura JMBO. Actinic cheilitis in rural workers: prevalence and associated factors. Einstein (Sao Paulo). 2022;20:eAO6862. https://doi.org/10.31744/einstein_journal/2022AO6862.
18. Vasilovici A, Ungureanu L, Grigore L, Cojocaru E, ?enil? S. Actinic Cheilitis - From Risk Factors to Therapy. Front Med (Lausanne). 2022;9:805425. https://doi.org/10.3389/fmed.2022.805425.
19. Rodriguez-Blanco I, Florez Á, Paredes-Suárez C, Rodríguez-Lojo R, González-Vilas D, Ramírez-Santos A, Paradela S, Suárez Conde I, Pereiro-Ferreirós M. Use of lip photoprotection in patients suffering from actinic cheilitis. Eur J Dermatol. 2019;29(4):383-386. https://doi.org/10.1684/ejd.2019.3604.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2026 Saúde e Pesquisa

This work is licensed under a Creative Commons Attribution 4.0 International License.
A submissão de originais para a revista Saúde e Pesquisa implica na transferência da Carta Concessão de Direitos Autorais, pelos autores, dos direitos de publicação digital para a revista após serem informados do aceite de publicação.A Secretaria Editorial irá fornecer da um modelo de Carta de Concessão de Direitos Autorais, indicando o cumprimento integral de princípios éticos e legislação específica. Os direitos autorais dos artigos publicados nesta revista são de direito do autor, com direitos da revista sobre a primeira publicação. Os autores somente poderão utilizar os mesmos resultados em outras publicações, indicando claramente a revista Saúde e Pesquisa como o meio da publicação original. Em virtude de tratar-se de um periódico de acesso aberto, é permitido o uso gratuito dos artigos, principalmente em aplicações educacionais e científicas, desde que citada a fonte. A Saúde e Pesquisa adota a licença Creative Commons Attribution 4.0 International.
A revista se reserva o direito de efetuar, nos originais, alterações de ordem normativa, ortográfica e gramatical, com vistas a manter o padrão culto da língua e a credibilidade do veículo. Respeitará, no entanto, o estilo de escrever dos autores. Alterações, correções ou sugestões de ordem conceitual serão encaminhadas aos autores, quando necessário. Nesses casos, os artigos, depois de adequados, deverão ser submetidos a nova apreciação. As opiniões emitidas pelos autores dos artigos são de sua exclusiva responsabilidade.








