Information about sunshine vitamin





 
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Vitamin D and Sunshine: an essential vitamin! Protects against cancer,
heart and bone disease
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Contents
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  1. How much
  1. Sunshine
  1. Dietary
  1. How to get more vitamin D
  1. Vitamin D supplements
  1. Sunning
  1. Related Tests
  1. Related Articles
  1. References
Western cultures have become almost phobic about any exposure of
unprotected skin to sunshine with the well-recognised association
between skin cancer and exposure to sunshine. Indeed the US
Environmental Protection Agency is currently advising that ultraviolet
light, and therefore sunlight, is so dangerous that we should "protect
ourselves against ultraviolet light whenever we can see our shadow".

But a certain amount of sun exposure is essential for normal good
health in order to produce vitamin D - and partly as a result of
current recommendations, we are seeing declining levels of vitamin D
and the problems that go with it.
Human beings evolved over hundreds of thousands of years in equatorial
areas and were daily exposed to sunshine. Dark skins evolved to
protect against sun damage. However, as hominids migrated north, those
races which retained their dark skins were unable to make sufficient
vitamin D in the skin and did not survive. Only those hominids with
paler skins survived. Thus the further away from the Equator, the
paler the skin became. Races in polar areas survived because they were
able to get an alternative source of vitamin D from fish and seafood.

There is an interesting inverse correlation between sunshine exposure,
vitamin D levels, and incidence of disease as one moves away from the
Equator. Even correcting for other factors such as diet, there is
strong evidence to show that vitamin D protects against
osteoarthritis, osteoporosis, bone fractures (vitamin D strengthens
the muscles thereby improving balance, movement and preventing falls),
cancer, hypertension, hypercholesterolaemia, diabetes, heart disease,
multiple sclerosis and vulnerability to infections. Multiple sclerosis
is a particularly interesting example of a possible vitamin D
deficiency disease. Indeed mice bred for susceptibility to multiple
sclerosis can be completely protected against development of this
disease by feeding them high doses of vitamin D.
How much
--------

For people living in equatorial areas, blood levels of 25 (OH) D)
usually exceed 100nnmol/l and often 200nnmol/l. Since we evolved in
hot climates, this is probably what is physiologically desirable.
However, normal ranges in laboratories are still stated at around 40
to 100nnmol/l. This almost certainly represents sub-optimal levels -
it may be enough to prevent rickets and osteomalacia, but is not
sufficient for optimal health.
Sunshine
--------

For a pale skinned Caucasian, whole body sunlight exposure barely
sufficient to trigger tanning (the so called minimum melanogenesis
dose) is as little as 15 minutes and is equivalent to the consumption
of 10,000i.us of vitamin D. If this is compared to the US recommended
dietary allowance now standing at 200i.us (which is the amount in a
teaspoon of cod liver oil) one can readily see that the best source of
vitamin D is sunshine.
Dietary
-------

It is extremely difficult to get blood levels up to an optimum level
on diet alone. Furthermore, dark-skinned individuals need very much
more sunshine exposure in order to achieve the same blood levels of
vitamin D. As people get older their requirements also increase -
however, typically they spend less time in the sunshine and are much
more prone to vitamin D deficiency and the problems that go with it.
In a study in which groups of elderly people started to take calcium
and vitamin D, the occurrence of fractures is reduced by a third in
the first year even though bone density is not increased sufficiently
to account for the fewer fractures. What is not yet common knowledge
is that vitamin D improves muscle strength and balance and it is
thought that this is what reduces the occurrence of falls leading to
fractures.

How to get more vitamin D
-------------------------
So what do you need to do to optimise your vitamin D levels?

During the summer months you need to get the equivalent of at
least 15 minutes per day whole body exposure to sunshine, probably
more depending on the colour of your skin, to trigger tanning, but
not burning of the skin.
During the winter months it is impossible for people living in
Britain to get adequate vitamin D levels through full spectrum
light. This is an excellent excuse to book a holiday in a sunny
climate during the winter! Otherwise you need to take vitamin D
supplements. In order to get an equivalent dose through eating
fish, one would have to consume 25 teaspoonfuls of cod liver oil
or its equivalent. Eskimos and Inuit Indians probably achieve this
easily with their diet, but I cannot see myself persuading my
teenage daughters to do this. A foreign holiday sounds much more
attractive or take a supplement say 5,000iu daily.

Vitamin D supplements
---------------------
In choosing a good vitamin D supplement, one needs to know a little of
the biochemistry. Vitamin D2, ergocalciferol is made from yeast and is
about a quarter as potent as vitamin D3. In order for D3 to be
activated it needs to be twice hydroxylated in the liver and the
kidney - bear in mind that anybody with liver or kidney problems may
have a requirement for the active twice hydroxylated vitamin D
(calcitriol) rather than D3.

In studies where vitamin D3 is supplemented at 10,000i.u. daily there
have been no cases of hypercalcaemia. 5,000i.u. daily seems a
reasonable dose for the winter months, higher amounts where there is
pathology such as osteoporosis.
Sunning
-------

People will be delighted to hear that sunshine is good for them - the
overwhelming majority feel much better for sitting out in the
sunshine. If the skin goes red then they are having too much exposure
- they need just sufficient to promote mild tanning.
People with dark skins need much more than people with fair skins, but
again they can judge this from the degree to which their skin darkens
with exposure to sunshine. Redness means inflammation due to skin
damage and should be avoided. It's the old story - with any substance
from water to sunshine, there is potential to underdose and overdose -
it's all about getting the balance right!

Related Tests
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Related Articles
----------------

Vitamin D - the science behind by Vasquez
References
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