Information about how much vitamin d
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Your browser version may not work well with NCBI's Web applications. More information here... 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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Related articles ---------------- ReviewEffectiveness and safety of vitamin D in relation to bone health.
Evid Rep Technol Assess (Full Rep). 2007 Aug; (158):1-235. Evid Rep Technol Assess (Full Rep). 2007
ReviewSun protection and Vitamin D: three dimensions of obfuscation. J Steroid Biochem Mol Biol. 2007 Mar; 103(3-5):655-63. Epub 2007 Jan 11.
J Steroid Biochem Mol Biol. 2007 ReviewSun exposure and vitamin D sufficiency.
Am J Clin Nutr. 2008 Aug; 88(2):570S-577S. Am J Clin Nutr. 2008
ReviewThe a-B-C-ds of sensible sun protection. Skin Therapy Lett. 2008 Jun; 13(5):1-5.
Skin Therapy Lett. 2008 ReviewUltraviolet radiation: sun exposure, tanning beds, and vitamin D levels. What you need to know and how to decrease the risk of skin cancer.
J Am Osteopath Assoc. 2003 Aug; 103(8):371-5. J Am Osteopath Assoc. 2003
» See reviews... » See all... 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.
Pigment Cell Melanoma Res. 2008 » See all...
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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