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1.
Photochem Photobiol Sci ; 21(11): 2001-2009, 2022 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-35904704

RESUMEN

BACKGROUND: UVB absorption by 7-dehydrocholesterol (7DHC) in the skin triggers the production of vitamin D and its metabolites, which maintain calcium homeostasis. Detection and measurement of 7DHC in skin using modern liquid chromatography-tandem mass spectrometry (LC-MS/MS) techniques have been lacking, yet there is need for such a technique to provide more information on 7DHC concentration and its UVB responses in human skin. OBJECTIVES: To develop and validate a reliable method to measure 7DHC concentration in skin. METHODS: Human skin punch biopsies of 5 mm diameter obtained through the Manchester Skin Health Biobank were utilised. 7DHC was extracted with ethyl acetate:methanol 1:1 (v/v) and derivatised using 4-phenyl-1,2,4-triazoline-3,5-dione (PTAD), to allow for improved ionisation of 7DHC through Electrospray Ionisation Mass Spectrometry (ESI-MS). Solid supported liquid extraction (SLE) was also employed to allow the removal of larger lipids from 7DHC and minimise potential matrix effects. RESULTS: The LC-MS/MS assay satisfied International Council for Harmonisation research standards for method validation. Calibration curve was linear with a typical r2 of 0.997, coefficient of variation was 11.1% and 4.32% for inter-assay and intra-assay imprecision, respectively. Lower limit of quantification was 1.6 µg/g and upper limit of quantification was 100 µg/g, SLE recovery of 7DHC was on average 91.4%. CONCLUSIONS: We have developed a robust, precise and accurate assay for the detection and quantification of 7DHC in small samples of human skin (0.2 cm2 surface area). This novel method of extraction and quantification will be valuable to future vitamin D photobiology research.


Asunto(s)
Espectrometría de Masas en Tándem , Humanos , Cromatografía Liquida/métodos , Fotobiología , Espectrometría de Masas en Tándem/métodos , Vitamina D
2.
Photodermatol Photoimmunol Photomed ; 36(5): 378-383, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-32274870

RESUMEN

BACKGROUND: Cutaneous exposure to sunlight is a major source of vitamin D. Individuals with photosensitivity disorders have symptoms provoked by sunlight and may not achieve the brief sunlight exposures that convey vitamin D acquisition. OBJECTIVE: To explore knowledge, behaviour and attitudes towards vitamin D and its acquisition in patients with photosensitivity. METHODS: Patients (n = 19) diagnosed with solar urticaria, erythropoietic protoporphyria or polymorphic light eruption at a specialist photoinvestigation centre participated in semi-structured focus groups to discuss vitamin D knowledge, acquisition behaviours and attitudes towards vitamin D acquisition through sunlight and diet. Discussions were analysed by thematic analysis using MAXQDA11. RESULTS: Knowledge of vitamin D was variable. There was good awareness that sunlight exposure is an important source but knowledge of dietary sources was poor. Patients had little concern for their own vitamin D status prior to attending the photoinvestigation centre. Most patients avoided sunlight exposure, were unable to achieve the guidance on sun exposure for healthy individuals and were aware this could affect their vitamin D status. Use of oral vitamin D supplements was common, and all were willing to consider supplements if required. Patients recommended improving education of clinicians to increase patient awareness of vitamin D, CONCLUSIONS: More targeted guidance is required on acquisition of vitamin D for patients with photosensitivity, supported by increased patient and clinician education.


Asunto(s)
Conocimientos, Actitudes y Práctica en Salud , Trastornos por Fotosensibilidad/complicaciones , Vitamina D/administración & dosificación , Adulto , Anciano , Dieta , Femenino , Grupos Focales , Humanos , Masculino , Persona de Mediana Edad , Investigación Cualitativa , Luz Solar
3.
Adv Exp Med Biol ; 1268: 387-405, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32918230

RESUMEN

Exposure to sunlight is a major source of vitamin D for most people. Yet public health advice has focused overwhelmingly on avoiding exposure of unprotected skin because of the risks of erythema and skin cancer. Given that there are also health risks associated with low vitamin D status, we explore the possibilities of achieving a range of targets associated with vitamin D and the accompanying erythema risk. We have calculated the exposure required to gain a number of proposed oral-equivalent doses of vitamin D, as functions of latitude, season, skin type and skin area exposed, together with the associated risk of erythema, expressed in minimum erythema doses. The model results show that a recommended daily intake of 400 IU is readily achievable through casual sun exposure in the midday lunch hour, with no risk of erythema, for all latitudes some of the year, and for all the year at some (low) latitudes. We also show that such daily, sub-erythemal doses at lunchtime during the summer months is sufficient to avoid winter-time vitamin D deficiency for the UK all-weather climate, provided that lower arms and legs are exposed in the warmer months. At the higher proposed vitamin D dose of 1000 IU, lunchtime sun exposure is still a viable route to the vitamin but requires the commitment to expose greater areas of skin and is effective for a shorter period of the year. The highest vitamin D requirement considered was 4000 IU per day. For much of the globe and much of the year, this is not achievable in a lunchtime hour and where it is possible large areas of skin must be exposed to prevent erythema. When the only variable considered was skin type, latitudinal and seasonal limits on adequate vitamin D production were more restrictive for skin type 5 than skin type 2.


Asunto(s)
Eritema/etiología , Piel/metabolismo , Piel/efectos de la radiación , Rayos Ultravioleta/efectos adversos , Vitamina D/biosíntesis , Humanos , Medición de Riesgo , Piel/patología , Deficiencia de Vitamina D/prevención & control
4.
PLoS Biol ; 13(4): e1002127, 2015 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-25884537

RESUMEN

Twilight is characterised by changes in both quantity ("irradiance") and quality ("colour") of light. Animals use the variation in irradiance to adjust their internal circadian clocks, aligning their behaviour and physiology with the solar cycle. However, it is currently unknown whether changes in colour also contribute to this entrainment process. Using environmental measurements, we show here that mammalian blue-yellow colour discrimination provides a more reliable method of tracking twilight progression than simply measuring irradiance. We next use electrophysiological recordings to demonstrate that neurons in the mouse suprachiasmatic circadian clock display the cone-dependent spectral opponency required to make use of this information. Thus, our data show that some clock neurons are highly sensitive to changes in spectral composition occurring over twilight and that this input dictates their response to changes in irradiance. Finally, using mice housed under photoperiods with simulated dawn/dusk transitions, we confirm that spectral changes occurring during twilight are required for appropriate circadian alignment under natural conditions. Together, these data reveal a new sensory mechanism for telling time of day that would be available to any mammalian species capable of chromatic vision.


Asunto(s)
Relojes Circadianos/fisiología , Color , Animales , Ratones , Ratones Noqueados , Estimulación Luminosa , Opsinas de Bastones/fisiología , Núcleo Supraquiasmático/fisiología
5.
Photochem Photobiol Sci ; 16(4): 564-574, 2017 Apr 12.
Artículo en Inglés | MEDLINE | ID: mdl-28138687

RESUMEN

Solar ultraviolet radiation (UVR) exposure of human skin has beneficial and harmful effects on health, including impact on immune function, inflammation and reportedly mood, but these are not fully elucidated. Since the endocannabinoid system is implicated in many activities including mood alteration, our objective was to (i) determine and quantify circulating levels of a wide range of endocannabinoid and N-acyl ethanolamine (NAE) species (ii) evaluate whether these are modulated by cutaneous UVR exposures, as attained through repeated low level summer sunlight exposure. Wearing goggles to prevent eye exposure, 16 healthy volunteers (23-59 y; 10 light skin, phototype II, and 6 dark skin, phototype V) received the same UVR exposures (1.3 SED, 95% UVA/5% UVB) thrice weekly for 6 weeks, whilst casually dressed to expose ∼35% skin surface area. Blood samples were taken at baseline, days 1, 3 and 5 of week one, then at weekly intervals, and analysed by LC-MS/MS. Eleven endocannabinoids and NAEs were detected and quantified at baseline, with N-palmitoyl ethanolamine the most abundant (30% of total). Levels did not vary according to phototype (p > 0.05), except for the NAE docosapentaenoyl ethanolamide, which was higher in phototype II than V (p = 0.0002). Level of the endocannabinoid, 2-AG, was elevated during the UVR exposure course (p < 0.05 vs. baseline for all subjects; p < 0.01 for each phototype group), with maximum levels reached by week 2-3, while NAE species did not significantly alter. These findings suggest differential involvement of the cutaneous endocannabinoid system in low dose solar UVR responses in humans.


Asunto(s)
Endocannabinoides/sangre , Etanolaminas/sangre , Piel/efectos de la radiación , Espectrometría de Masas en Tándem , Rayos Ultravioleta , Adulto , Cromatografía Líquida de Alta Presión , Femenino , Humanos , Masculino , Persona de Mediana Edad , Adulto Joven
6.
Photodermatol Photoimmunol Photomed ; 33(4): 203-208, 2017 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-28449308

RESUMEN

BACKGROUND: Solar UVR is a major cause of skin cancer but also an important source of vitamin D (VitD), essential for musculoskeletal health. Conflicting public health messages may confuse patients with skin cancer prone to further skin cancer. OBJECTIVE: To explore the knowledge, behaviour and attitudes of patients with skin cancer to sunlight exposure and VitD sources. METHODS: Patients (n = 10) previously treated for multiple basal cell cancer in a hospital setting participated in focus group sessions with semi-structured discussions to explore: knowledge of VitD, sun-avoidance behaviour and attitude towards sunlight exposure messages. Thematic data analysis was performed using software programme MAXQDA11. RESULTS: Pre-existing knowledge of VitD was low. Most patients practised sun avoidance and were not inclined to increase exposure. Patients did not perceive VitD deficiency as a substantial risk to their own health, or a need to take VitD supplements. They aimed to increase VitD status through dietary intake, but knowledge of food VitD content was lacking. CONCLUSIONS: The patients with skin cancer, appropriate to their heightened skin cancer risk, appeared unlikely to increase their sun exposure to gain VitD. However, education is required regarding the generally low levels of VitD in foodstuffs, and the requirement for supplements/fortified foods if strict sun avoidance is employed.


Asunto(s)
Conductas Relacionadas con la Salud , Neoplasias Basocelulares/terapia , Educación del Paciente como Asunto , Neoplasias Cutáneas/terapia , Luz Solar , Vitamina D , Adulto , Anciano , Femenino , Humanos , Conocimiento , Masculino , Persona de Mediana Edad
7.
J Nutr ; 145(10): 2419-25, 2015 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-26290010

RESUMEN

BACKGROUND: To enable food-based strategies for the prevention of vitamin D deficiency to be evidence-based, there is a need to develop integrated predictive models of population serum 25-hydroxyvitamin D [25(OH)D] that are responsive to both solar and dietary inputs of vitamin D. OBJECTIVES: The objectives of this work were to develop and validate an integrated mathematical model with the use of data on UVB availability, exposure, and dietary intake to predict serum 25(OH)D concentrations in a nationally representative sample of adults, and then test the model's performance with the use of 3 hypothetical fortification scenarios as exemplars. METHODS: Data on UVB availability and hours of sunlight in Ireland were used in a mathematical model to predict serum 25(OH)D in Irish adults aged 18-64 y. An equation from our dose-related vitamin D supplementation trial in adults was developed and integrated into the model, which allowed us to predict the impact of changes in dietary vitamin D on the contribution to annual serum 25(OH)D concentrations, accounting for seasonality of UVB availability. Recently published estimates of the impact of 3 vitamin D food fortification scenarios on vitamin D intake in a representative sample of Irish adults were used in the model as a test. RESULTS: The UVB- and vitamin D intake-serum 25(OH)D components of the integrated model were both validated with the use of independent data. The model predicted that the percentage of vitamin D deficiency [serum 25(OH)D <30 nmol/L] in the adult population during an extended winter period was 18.1% (vs. 18.6% measured), which could be reduced in a stepwise manner with the incorporation of an increased number of vitamin D-fortified foods, down to 6.6% with the inclusion of enhanced fortified dairy-related products, fat spreads, fruit juice and drinks, and cereal products. CONCLUSION: Mathematical models have the ability to inform how vitamin D food fortification in various constructs may affect population serum 25(OH)D concentrations and the prevalence of vitamin D deficiency.


Asunto(s)
25-Hidroxivitamina D 2/sangre , Calcifediol/sangre , Suplementos Dietéticos , Alimentos Fortificados , Modelos Biológicos , Deficiencia de Vitamina D/prevención & control , Vitamina D/uso terapéutico , 25-Hidroxivitamina D 2/metabolismo , Adolescente , Adulto , Calcifediol/metabolismo , Dieta/efectos adversos , Humanos , Irlanda , Cinética , Persona de Mediana Edad , Política Nutricional , Estaciones del Año , Piel/metabolismo , Piel/efectos de la radiación , Luz Solar , Rayos Ultravioleta , Vitamina D/administración & dosificación , Vitamina D/metabolismo , Deficiencia de Vitamina D/sangre , Adulto Joven
8.
Photochem Photobiol Sci ; 14(6): 1073-81, 2015 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-25969962

RESUMEN

A detailed map of the available UV across the UK from 2003 to 2012 is provided. A suite of data derived from climatologies and satellite observations are used to calculate spectral UV irradiance and related weighted doses (erythema, DNA damage, vitamin D). The result is a well-validated tool that has two advantages: (i) the output is simulated spectral UV irradiance that can be weighted with any action spectrum for use in any research studies that require ambient UV data, (ii) reliance on instruments with planned operational lives of at least several years that ensures data and method homogeneity for extension to future studies. The model-derived doses are satisfactory validated against spectral ground-based measurements at two sites. According to the calculated climatology, the southern part of the UK receives 1.5-2 times more UV than the north during spring, summer and autumn. During wintertime, the UV doses in the far north are an order of magnitude lower than southern values. Even for the same latitude, regional variations of cloudiness result in doses at coastal sites being up to 25% higher than inland areas.


Asunto(s)
Indicadores de Salud , Modelos Teóricos , Rayos Ultravioleta , Humanos , Irlanda , Dosis de Radiación , Reino Unido
9.
Adv Exp Med Biol ; 810: 406-22, 2014.
Artículo en Inglés | MEDLINE | ID: mdl-25207379

RESUMEN

Exposure to sunlight is a major source of vitamin D for most people yet public health advice focuses overwhelmingly on avoiding exposure of unprotected skin because of the risks oferythema and skin cancer. We have calculated the exposure required to gain a number of proposed oral-equivalent doses of vitamin D, as functions of latitude, season, skin type and skin area exposed, together with the associated risk of erythema, expressed in minimum erythema doses. The model results show that the current recommended daily intake of 400 IU is readily achievable through casual sun exposure in the midday lunch hour, with no risk of erythema, for all latitudes some of the year and for all the year at some (low) latitudes. At the higher proposed vitamin D dose of 1000 IU lunchtime sun exposure is still a viable route to the vitamin, but requires the commitment to expose greater areas of skin, or is effective for a shorter period of the year. The highest vitamin D requirement considered was 4000 IU per day. For much of the globe and much of the year, this is not achievable in a lunchtime hour and where it is possible large areas of skin must be exposed to prevent erythema. When the only variable considered was skin type, latitudinal and seasonal limits on adequate vitamin D production were more restrictive for skin type 5 than skin type 2.


Asunto(s)
Eritema/prevención & control , Neoplasias Cutáneas/prevención & control , Piel/efectos de la radiación , Deficiencia de Vitamina D/prevención & control , Vitamina D/metabolismo , Relación Dosis-Respuesta en la Radiación , Eritema/metabolismo , Eritema/patología , Humanos , Radiometría , Factores de Riesgo , Estaciones del Año , Piel/metabolismo , Neoplasias Cutáneas/metabolismo , Neoplasias Cutáneas/patología , Pigmentación de la Piel/fisiología , Factores de Tiempo , Rayos Ultravioleta , Deficiencia de Vitamina D/metabolismo , Deficiencia de Vitamina D/patología
10.
Nutrients ; 16(10)2024 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-38794727

RESUMEN

A paucity of vitamin D is a common deficiency globally, with implications for many aspects of health besides the well-known impact on musculoskeletal health. The two sources of vitamin D are through oral intake, or through endogenous synthesis in the skin when exposed to ultraviolet radiation in sunlight. Assessing nutritional needs, whether by food, food fortification or supplementation, is aided by an understanding of local potential for cutaneous synthesis of the vitamin, dependent on latitude and climate, personal skin type and local culture. To aid these discussions we provide indicative exposure times for the maintenance of vitamin D status as a function of latitude, month and skin type, for the clear-sky case and all-sky conditions, for an ambulatory person wearing modest skirt/shorts and T-shirt. At latitudes greater than ±40 degrees, lack of available sunlight limits vitamin D synthesis in some months for all, while at the equator exposure times range from 3 to 15 min at noontime, for white and black skin, respectively. Rather than a sun exposure prescription, the data are intended to show where nutritional vitamin D intake is necessary, advisable, or can be mitigated by sun exposure, and allows for such advice to be personalized to account for different sub-groups in a multicultural population.


Asunto(s)
Luz Solar , Rayos Ultravioleta , Deficiencia de Vitamina D , Vitamina D , Humanos , Suplementos Dietéticos , Estado Nutricional , Estaciones del Año , Piel/metabolismo , Piel/efectos de la radiación , Factores de Tiempo , Vitamina D/administración & dosificación , Vitamina D/sangre
11.
Nutrients ; 16(8)2024 Apr 12.
Artículo en Inglés | MEDLINE | ID: mdl-38674838

RESUMEN

Vitamin D3 synthesis in human skin is initiated by solar ultraviolet radiation (UVR) exposure of precursor 7-dehydrocholesterol (7DHC), but influence of age on the early stage of vitamin D3 metabolism is uncertain. We performed a prospective standardised study in healthy ambulant adults aged ≥65 and ≤40 years examining (1) if baseline skin 7DHC concentration differs between younger and older adults and (2) the impact of older age on serum vitamin D3 response to solar simulated UVR. Eleven younger (18-40 years) and 10 older (65-89 years) adults, phototype I-III, received low-dose UVR (95% UVA, 5% UVB, 1.3 SED) to ~35% of the body surface area. Biopsies were taken for 7DHC assay from unexposed skin, skin immediately and 24 h post-UVR, and blood sampled at baseline, 24 h and 7 d post-UVR for vitamin D3 assay. Samples were analysed by HPLC-MS/MS. Baseline skin 7DHC (mean ± SD) was 0.22 ± 0.07 and 0.25 ± 0.08 µg/mg in younger versus older adults (no significant difference). Baseline serum vitamin D3 concentration was 1.5 ± 1.5 and 1.5 ± 1.7 nmol/L in younger versus older adults, respectively, and showed a significant increase in both groups post-UVR (no significant differences between age groups). Thus, skin 7DHC concentration was not a limiting factor for vitamin D3 production in older relative to younger adults. This information assists public health guidance on sun exposure/vitamin D nutrition, with particular relevance to the growing populations of healthy ambulant adults ≥65 years.


Asunto(s)
Colecalciferol , Deshidrocolesteroles , Piel , Rayos Ultravioleta , Humanos , Deshidrocolesteroles/sangre , Adulto , Anciano , Colecalciferol/sangre , Piel/efectos de la radiación , Piel/metabolismo , Masculino , Adulto Joven , Femenino , Anciano de 80 o más Años , Adolescente , Estudios Prospectivos , Factores de Edad
12.
Aust N Z J Public Health ; 48(1): 100117, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38350754

RESUMEN

OBJECTIVE: To describe the development of a new position statement regarding balancing the risks and benefits of sun exposure for Australian adults. METHODS: We conducted a Sun Exposure Summit in March 2021, with presentations from invited experts and a workshop including representation from academic, clinical, policy, and patient stakeholder organisations. The group considered advice about balancing the risks and benefits of sun exposure for Australian adults and developed a revised consensus position statement. RESULTS: The balance of risks and benefits of sun exposure is not the same for everybody. For people at very high risk of skin cancer, the risks of exposure likely outweigh the benefits; sun protection is essential. Conversely, people with deeply pigmented skin are at low risk of skin cancer but at high risk of vitamin D deficiency; routine sun protection is not recommended. For those at intermediate risk of skin cancer, sun protection remains a priority, but individuals may obtain sufficient sun exposure to maintain adequate vitamin D status. CONCLUSIONS: The new position statement provides sun exposure advice that explicitly recognises the differing needs of Australia's diverse population. IMPLICATIONS FOR PUBLIC HEALTH: Mass communication campaigns should retain the focus on skin cancer prevention. The new position statement will support the delivery of personalised advice.


Asunto(s)
Neoplasias Cutáneas , Deficiencia de Vitamina D , Adulto , Humanos , Luz Solar/efectos adversos , Australia , Vitamina D/uso terapéutico , Deficiencia de Vitamina D/prevención & control , Deficiencia de Vitamina D/tratamiento farmacológico , Deficiencia de Vitamina D/epidemiología , Neoplasias Cutáneas/etiología , Neoplasias Cutáneas/prevención & control , Medición de Riesgo
13.
Anticancer Res ; 42(10): 5101-5106, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36192005

RESUMEN

BACKGROUND/AIM: Ultraviolet-B (UV-B) radiation initiates vitamin D synthesis in the skin, making sun exposure a major source of vitamin D. We aimed to determine whether office lighting containing ultra-low levels of UV-B radiation could modify the winter decline in vitamin D status in the UK, while being safe and well tolerated. PATIENTS AND METHODS: Twenty commercial office desk lamps were modified with the addition of UV-B LEDs. Ten hospital office administrative staff received UV-modified lamps with UV-on, and 10 staff received identical placebo lamps with UV switched off, in a double-blind, cross-over pilot study during the winter of 2021/22. Circulating 25-hydroxyvitamin D [25(OH)D] was measured every 4 weeks for 20 weeks: at baseline and during an 8-week trial period, 4-week washout, and a cross-over 8-week trial period. RESULTS: The linear regression combining the complete datasets for phase 1 and 2 of the trial showed that an 8-week UV light intervention significantly increased 25OHD by 7.13 nmol/l with a p-Value=0.02, compared to the placebo group. Similar results were confirmed by cross-over analyses using the datasets of those completing both phases of the trial both with and without using the inverse probability weighing method to handle dropouts. CONCLUSION: The UV-B-modified lighting was well-tolerated and safe with weekly doses of UV-B of 0.5 - 0.9 Standard Erythema Dose [SED=100 Jm-2 erythema weighted UV radiation] measured at chest level. This ultra-low dosing was effective in reducing the winter decline in vitamin D status.


Asunto(s)
Iluminación , Rayos Ultravioleta , Vitamina D , Estudios Cruzados , Método Doble Ciego , Humanos , Proyectos Piloto , Estaciones del Año , Vitamina D/efectos de la radiación , Vitaminas
14.
Nutr Bull ; 47(2): 246-260, 2022 06.
Artículo en Inglés | MEDLINE | ID: mdl-36045095

RESUMEN

Vitamin D is truly unique-not a 'vital' amine in the true sense of the word, but rather a prohormone, which is produced in the skin during exposure to sunlight (UVB radiation at 290-315 nm) and which can also be obtained from food and from supplements. A high prevalence of low vitamin D status has been reported across the world in a wide range of population groups, and this includes communities living in low latitude areas despite the abundance of sunlight. It is accepted that vitamin D status is reflected by the level of the circulating metabolite 25-hydroxyvitamin D (25[OH]D), which is produced by hepatic hydroxylation of vitamin D, derived either from the skin from UV exposure or the gut from oral intake. Vitamin D has been associated with a wide range of health outcomes, but controversies remain as to their exact nature and extent and whether associations are in the causal pathway. In order to enable wider discussions on this nutrient, a 'Hot Topic' Vitamin D Workshop achieved funding from the UK Nutrition Research Partnership Medical Research Council call. The objectives of the workshop were (1) to elucidate the role of vitamin D in human health and (2) develop strategies to improve vitamin D status in the UK population. This paper provides a detailed resume of the discussions of the workshop; of the presentations and concomitant Q&As; and of identified areas for future research.


Asunto(s)
Deficiencia de Vitamina D , Humanos , Estaciones del Año , Reino Unido/epidemiología , Vitamina D , Deficiencia de Vitamina D/epidemiología , Vitaminas
15.
Endocr Connect ; 10(10): R248-R266, 2021 Oct 15.
Artículo en Inglés | MEDLINE | ID: mdl-34519278

RESUMEN

A systematic review of publications addressing change in vitamin D status (25-hydroxyvitamin D (25OHD)) after exposure to UV radiation identified 2001 independent peer-reviewed publications. Of these, 21 used artificial sources of UV radiation, met all inclusion criteria and were quality assured; 13 publications used solar radiation and met sufficient inclusion criteria to be retained as supporting evidence; 1 further included publication used both solar and artificial sources. The review consistently identified that low dose, sub-erythemal doses are more effective for vitamin D synthesis than doses close to a minimum erythema dose; increasing skin area exposed increases the amount of vitamin D synthesised although not necessarily in a linear manner; constant dosing leads to a dose-dependent plateau in 25OHD, and dose-response is greatest at the start of a dosing regime; there is a large interpersonal variation in response to UV exposure. Fourteen of the studies using artificial sources of radiation were used to determine a dose-response relationship for change in 25OHD on whole-body exposure to repeated sub-erythemal doses of UV radiation, taking the form Δ25OHD (nmol/L) = A ln(standard vitamin D dose) + B. This helps quantify our understanding of UV as a source of vitamin D and enables exposure regimes for safe synthesis of vitamin D to be assessed. Specific studies of people with pigmented skin (Fitzpatrick skin types 5 and 6) were rare, and this dose-response relationship is only applicable to white-skinned individuals as skin type is a determinant of response to UV radiation. Findings provide information for vitamin D guidance updates.

16.
Artículo en Inglés | MEDLINE | ID: mdl-33805086

RESUMEN

Vitamin D3 can be produced by exposing skin to UVB radiation or sourced through dietary products. It is often stated that vitamin D status declines in older adults, yet little is known about differences in current-day lifestyle and dietary behaviours influencing vitamin D outcomes in younger (18-40 years old) and older adults (65-89 years old). Our objectives were to perform a pilot study to compare sun exposure behaviours, i.e., time spent outdoors, holiday behaviour and use of sunscreen/clothing, and dietary vitamin D intake, in young and older adults in the UK, together with assessment of their vitamin D status. A total of 13 young and 11 older volunteers completed a four-page questionnaire to assess sun exposure and photoprotective behaviour and an eleven-page one-week vitamin D diet diary, alongside their plasma 25(OH)D measurement. It was found that the older group tended to spend more time outdoors during the working week in summer, to take more summer and winter holidays each year, take longer winter holidays and have similar sunscreen use when compared to younger adults. Older adults had a significantly higher daily dietary intake of vitamin D (4.0 µg) than young adults (2.4 µg). Mean winter 25(OH)D concentration was higher in older (56.9 nmol/L) than in young adults (43.2 nmol/L), but there was no statistical difference between the groups. Contrary to common assumptions, in this study, older adults had sun exposure and dietary behaviours conferring a vitamin D status at least as good as that of younger adults.


Asunto(s)
Deficiencia de Vitamina D , Vitamina D , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Dieta , Suplementos Dietéticos , Humanos , Proyectos Piloto , Estaciones del Año , Luz Solar , Adulto Joven
17.
Epilepsia ; 51(7): 1146-51, 2010 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-19919663

RESUMEN

PURPOSE: To determine the potential risk of epileptic seizures from wind turbine shadow flicker under various meteorologic conditions. METHODS: We extend a previous model to include attenuation of sunlight by the atmosphere using the libradtran radiative transfer code. RESULTS: Under conditions in which observers look toward the horizon with their eyes open we find that there is risk when the observer is closer than 1.2 times the total turbine height when on land, and 2.8 times the total turbine height in marine environments, the risk limited by the size of the image of the sun's disc on the retina. When looking at the ground, where the shadow of the blade is cast, observers are at risk only when at a distance <36 times the blade width, the risk limited by image contrast. If the observer views the horizon and closes their eyes, however, the stimulus size and contrast ratio are epileptogenic for solar elevation angles down to approximately 5 degrees. DISCUSSION: Large turbines rotate at a rate below that at which the flicker is likely to present a risk, although there is a risk from smaller turbines that interrupt sunlight more than three times per second. For the scenarios considered, we find the risk is negligible at a distance more than about nine times the maximum height reached by the turbine blade, a distance similar to that in guidance from the United Kingdom planning authorities.


Asunto(s)
Fuentes Generadoras de Energía , Epilepsia Refleja/etiología , Estimulación Luminosa/efectos adversos , Convulsiones/etiología , Luz Solar/efectos adversos , Tiempo (Meteorología) , Viento , Humanos , Factores de Riesgo , Energía Solar
18.
Artículo en Inglés | MEDLINE | ID: mdl-32971923

RESUMEN

In recent years, UK public health messages about the risks of sunlight exposure (skin cancer) have been increasingly balanced by messages about its benefits (vitamin D production). Currently, data about the effects of this shift on public knowledge, awareness, and behaviour are scant. Thus, the objective of this paper is to report the findings of the first large-scale and representative survey of the awareness, knowledge, and behaviour of adults in Great Britain (England, Scotland, and Wales) (n = 2024) with respect to sunlight exposure, vitamin D, and sunburn and skin cancer. The findings suggest that the public in Great Britain is much more aware of public promotion of the risks of sunlight exposure than its benefits. That said, knowledge about sunlight exposure and vitamin D is fairly strong, though not with respect to the detail of the 'little and often' approach. However, the survey also suggests that levels of sunlight exposure among the public are often excessive. The survey indicates that knowledge and behaviour are both less satisfactory among men and people in lower socio-economic groups. The paper concludes with recommendations for public health communications and for research in this area.


Asunto(s)
Neoplasias Cutáneas , Luz Solar , Deficiencia de Vitamina D , Adulto , Inglaterra , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Masculino , Escocia , Neoplasias Cutáneas/etiología , Neoplasias Cutáneas/prevención & control , Encuestas y Cuestionarios , Reino Unido , Vitamina D , Gales
19.
Curr Biol ; 29(15): 2580-2585.e4, 2019 08 05.
Artículo en Inglés | MEDLINE | ID: mdl-31353185

RESUMEN

Although UVA radiation (315-400 nm) represents 95% of the UV radiation reaching the earth's surface, surprisingly little is known about its effects on plants [1]. We show that in Arabidopsis, short-term exposure to UVA inhibits the opening of stomata, and this requires a reduction in the cytosolic level of cGMP. This process is independent of UVR8, the UVB receptor. A cGMP-activated phosphodiesterase (AtCN-PDE1) was responsible for the UVA-induced decrease in cGMP in Arabidopsis. AtCN-PDE1-like proteins form a clade within the large HD-domain/PDEase-like protein superfamily, but no eukaryotic members of this subfamily have been functionally characterized. These genes have been lost from the genomes of metazoans but are otherwise conserved as single-copy genes across the tree of life. In longer-term experiments, UVA radiation increased growth and decreased water-use efficiency. These experiments revealed that PDE1 is also a negative regulator of growth. As the PDE1 gene is ancient and not represented in animal lineages, it is likely that at least one element of cGMP signaling in plants has evolved differently to the system present in metazoans.


Asunto(s)
Proteínas de Arabidopsis/genética , Arabidopsis/efectos de la radiación , GMP Cíclico/metabolismo , Fosfodiesterasas de Nucleótidos Cíclicos Tipo 1/genética , Rayos Ultravioleta , Arabidopsis/genética , Arabidopsis/metabolismo , Proteínas de Arabidopsis/metabolismo , Fosfodiesterasas de Nucleótidos Cíclicos Tipo 1/metabolismo , Transducción de Señal
20.
Adv Exp Med Biol ; 624: 72-85, 2008.
Artículo en Inglés | MEDLINE | ID: mdl-18348448

RESUMEN

Exposure to sunlight is a major source of vitamin D for most people yet public health advice focuses overwhelmingly on avoiding exposure of unprotected skin because of the risks of erythema and skin cancer. We have calculated the exposure required to gain a number of proposed oral-equivalent doses of vitamin D, as functions of latitude, season, skin type and skin area exposed, together with the associated risk of erythema, expressed in minimum erythema doses. The model results show that the current recommended daily intake of 400 IU is readily achievable through casual sun exposure in the midday lunch hour, with no risk of erythema, for all latitudes some of the year and for all the year at some (low) latitudes. At the higher proposed vitamin D dose of 1000 IU lunchtime sun exposure is still a viable route to the vitamin, but requires the commitment to expose greater areas of skin, or is effective for a shorter period of the year. The highest vitamin D requirement considered was 4000 IU per day. For much of the globe and much of the year, this is not achievable in a lunchtime hour and where it is possible large areas of skin must be exposed to prevent erythema. When the only variable considered was skin type, latitudinal and seasonal limits on adequate vitamin D production were more restrictive for skin type 5 than skin type 2.


Asunto(s)
Eritema/etiología , Modelos Biológicos , Neoplasias Cutáneas/prevención & control , Rayos Ultravioleta/efectos adversos , Vitamina D/administración & dosificación , Vitamina D/biosíntesis , Humanos , Medición de Riesgo , Factores de Riesgo , Estaciones del Año , Factores de Tiempo , Vitaminas/administración & dosificación , Vitaminas/biosíntesis
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