Doctor, is it true that

Shouldn’t young children be out in the sun? Here are some tips and advice on how to protect them

The team of doctors and fact-checking experts from the National Medical Association addresses the main health concerns

Boy and girl playing on the beach on summer holidays. Children building a sandcastle at sea candy1812 - stock.adobe.com

5' min read

Translated by AI
Versione italiana

5' min read

Translated by AI
Versione italiana

Playing outdoors is good for young children’s physical and mental health: it helps them reach key milestones in their emotional and cognitive development, provides a setting in which to develop and test their skills, and aids the development of their motor skills.

For this reason, time permitting, we should try to take our children outdoors every day and let them play freely. But, especially in summer, is it safe to let children be out in the sun? Whilst it is true that the sun offers real benefits, young children’s skin is thinner and the cells that produce melanin – the natural defence against ultraviolet (UV) rays – are less responsive than those of an adult. For this reason, young children’s exposure to the sun must be managed according to specific guidelines, particularly during the first few months of life.

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What are the risks of sun exposure?

Children’s skin is thinner and more delicate, and the cells that produce melanin – the pigment that protects against ultraviolet rays – are less responsive than those of adults. Exposure to the sun therefore carries various risks, particularly for young children. The first risk is undoubtedly sunburn, which is also the most immediate consequence.

In the case of a first-degree burn, without blisters, apply emollient or cortisone creams. In the case of a second-degree burn, where blisters have formed, go to the nearest A&E department; if you are on holiday, consult your paediatrician or a dermatologist for any necessary treatment.

Other consequences are medium- and long-term in nature, and will become apparent in adulthood. These include premature ageing of the skin and the risk of developing skin cancer. Exposure to high levels of sunlight during childhood is, in fact, a major risk factor for melanoma, a very aggressive form of skin cancer, although exposure in adulthood also plays a role.

Up to what age should you avoid direct sunlight, and at what times of day?

First of all, it is important to bear in mind that the sun’s rays are more intense in summer and that exposure to the sun (and consequently the risk of sunburn) is greater in the mountains and/or in the presence of surfaces that reflect the sun’s rays, such as snow, water or sand. Babies under six months of age must never be exposed to direct sunlight, not even in the city.

For older children, direct exposure during the middle of the day – roughly between 11.00 and 17.00 – should be avoided, whilst the safest times remain in the morning, until around 10.30, and in the afternoon, after 17.00.

How can I protect my child from the sun?

The first line of defence in protecting young children from the sun is physical barriers. Even at the beach, children should be made to wear protective clothing (UV-protective clothing), a hat and sunglasses.

For children with more sensitive skin, there are special protective garments that filter out the sun’s rays whilst allowing the skin to breathe and drying quickly, so they can even be worn whilst swimming.

Sunglasses chosen for children must provide at least 99 per cent protection against UVA and UVB rays, and should not be regarded as merely an accessory. Remember, too, that the sun’s rays can still penetrate clothing and beach umbrellas, and even when it is cloudy.

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What about sun cream?

Sun cream should not be used on children under six months of age, nor should they be exposed to the sun. If you find yourself in a situation where you have no choice but to expose them to the sun, seek advice from your paediatrician. Furthermore, up to around the age of three, sun cream is the last line of defence recommended: you should prioritise shade and avoid the sun; you should opt for clothing made from fabrics that filter UV rays, hats and sunglasses, so as to physically protect the skin from radiation.

Sun cream provides an extra layer of protection, but it should be used in addition to the advice given above, not as a substitute for it. This is also because it is worth noting that no sun cream completely filters out ultraviolet rays.

You should also follow a number of recommendations: use very high sun protection, SPF 50 or 50+; for older children, use high SPF factors as well, and only reduce the SPF once they have developed a sufficient tan (never less than SPF 30); apply sun cream at least twenty minutes before going out in the sun; reapply sun cream every two hours and after every swim, bearing in mind that drying off with a towel removes most of the cream; Apply a thick layer of sun cream; if you use sun sprays – often preferred by children because they are easier to use – take care when applying them to the face and be mindful of the amount used (with sprays, it is more likely that you will use less sun cream than is necessary for adequate protection).

Are all creams the same?

No, you need to know how to choose the right sun cream for your child’s age. There are, in fact, suncare products specifically designed for children (which often feature the word ‘kids’ on the label), which generally offer high or very high protection and often contain fewer potentially problematic ingredients and fragrances that could trigger allergies, as they are designed for children’s sensitive skin.

You should also opt for sun creams with physical filters, based on zinc oxide, which remain on the surface of the skin without penetrating it. Some sun creams containing chemical filters may, in fact, contain ingredients which, when absorbed through the skin, can interfere with the endocrine system. In any case, to be on the safe side, it is always best to ask your paediatrician for advice on which sun cream to use and how to apply it.

As well as the dangers of the sun, do I also need to worry about the heat?

Generally speaking, young children need to be protected from the heat in summer, as their body temperature rises quickly due to their reduced ability to regulate their body temperature. Furthermore, as they sweat more, they are at risk of becoming dehydrated.

Here are a few tips: offer your child water to drink frequently and breastfeed newborns more often; choose a diet rich in fruit and vegetables, with a high content of fluids and minerals; check the body temperature of infants and young children, cool them down with a lukewarm shower and, where possible, leave their nappy off; keep the rooms where your child spends time cool (for more information, read the factsheet on air conditioning); if your child shows mild symptoms of heat exhaustion (including nausea, vomiting, fatigue and headache), keep them in the shade, cool them with water and leave large areas of their body uncovered; if there are moderate or severe symptoms (including reduced urine output, intense thirst, exhaustion, irritability, low blood pressure, rapid pulse or fever), contact your paediatrician or the emergency services immediately.

Read the full factsheet on the dottoremaeveroche website run by Fnomceo.

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