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J Am Acad Dermatol. 2006 Feb;54(2):301-17. Epub 2006 Jan 4.
The vitamin D questions: how much do you need and how should you get
it?
====================================================================

Wolpowitz D, Gilchrest BA.
Department of Dermatology, Boston University School of Medicine,
Boston, Massachusetts 02118, USA.

UV radiation is a well-documented human carcinogen, indisputably
linked to the current continued increased rate of skin cancer. UV
radiation is also responsible for cutaneous synthesis of vitamin (vit)
D3, a substance that is then sequentially hydroxylated in the liver
and kidney to yield 1,25(OH)2 vit D, a hormone critical for calcium
homeostasis and skeletal maintenance. Because the UV action spectra
for DNA damage leading to skin cancer and for vit D photosynthesis are
virtually identical, the harmful and beneficial effects of UV
irradiation are inseparable. This has given rise to the argument that
sun avoidance, with a goal of skin cancer prevention, may compromise
vit D sufficiency. Public interest in this matter has been heightened
in recent years by multiple studies correlating the level of 25-OH vit
D, the readily measurable "storage" precursor form of the vit, with a
variety of benefits separate from skeletal health. Although the
studies are of variable quality and all alleged treatment benefits are
based on dietary supplementation with vit D, not on increased sun
exposure, they have been interpreted by some as support for advocating
increased sun exposure of the public at large. The goal of this review
is to provide a detailed, balanced, and referenced discussion of the
complex literature underlying the current popular interest in vit D
and sun exposure for the purpose of increasing vit D photosynthesis.
We review the nomenclature, metabolism, and established functions of
vit D; the evidence supporting the less well-established but purported
vit D effects; the concept of vit D insufficiency; populations at risk
for vit D deficiency; and finally the risk/benefit of obtaining vit D
from cutaneous photosynthesis versus diet or supplementation.
PMID: 16443061 PubMed - indexed for MEDLINE

Publication Types, MeSH Terms, Substances
-----------------------------------------
Publication Types:

Review
MeSH Terms:

DNA Damage/radiation effects
Dietary Supplements

Homeostasis/physiology
Humans

Hyperparathyroidism/physiopathology
Muscle, Skeletal/physiopathology

Osteomalacia/physiopathology
Skin Aging/physiology

Sunlight/adverse effects
Sunscreening Agents

Terminology as Topic
Ultraviolet Rays/adverse effects

Vitamin D/metabolism
Vitamin D/physiology

Substances:
Sunscreening Agents

Vitamin D
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Cited by 4 PubMed Central articles
----------------------------------
Circulating vitamin d and risk of epithelial ovarian cancer.

Arslan AA, Clendenen TV, Koenig KL, Hultdin J, Enquist K, Agren A,
Lukanova A, Sjodin H, Zeleniuch-Jacquotte A, Shore RE, et al. J
Oncol. 2009; 2009:672492. Epub 2009 Aug 27.
J Oncol. 2009

Association between serum 25(OH)D and death from prostate cancer.
Tretli S, Hernes E, Berg JP, Hestvik UE, Robsahm TE. Br J Cancer.
2009 Feb 10; 100(3):450-4. Epub 2009 Jan 20.

Br J Cancer. 2009
ReviewUV and pigmentation: molecular mechanisms and social
 controversies.

Tran TT, Schulman J, Fisher DE. Pigment Cell Melanoma Res. 2008
Oct; 21(5):509-16.
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Patient drug information
------------------------

Sunscreens (Bullfrog®, Coppertone®, Hawaiian Tropic®, ...)
Sunscreens help to prevent sunburn and reduce the harmful effects
of the sun such as premature skin aging and skin cancer.

Source: AHFS Consumer Medication Information
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