Sunscreen doesn't interfere with Vitamin D synthesis

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Rosie
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Sunscreen doesn't interfere with Vitamin D synthesis

Post by Rosie »

Vitamin D is a very important to our health, and low levels can inhibit our recovery. But some of us have trouble tolerating the Vit D supplements when we are in a flare. The good news from a recent article in Science Daily is that we can get it the old-fashioned way from the sun, even when wearing sunscreen.

https://www.sciencedaily.com/releases/2 ... 115443.htm
Sunlight is the main source of vitamin D. Sunscreens can prevent sunburn and skin cancer, but there has been a lot of uncertainty about the effects of sunscreens on vitamin D," said lead author Prof. Antony Young, of King's College London. "Our study, during a week of perfect weather in Tenerife, showed that sunscreens, even when used optimally to prevent sunburn, allowed excellent vitamin D synthesis."

The findings indicate that the benefits of sunscreen use can be obtained without compromising vitamin D levels.
Rosie
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tex
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Post by tex »

Hi Rosie,

I'm probably gettin' senile and shouldn't be critiquing research articles, but so many of them reach bogus conclusions these days, that I'm suspicious of the motives of any group that publishes data that appear to contradict common sense. I find that in general, when a report runs counter to logic, there's usually a fly in the ointment. I can't help but wonder who sponsored (financed) this research.

So I looked at their "supporting evidence" connected with the original research article (published in the British Journal of Dermatology) to see if they listed supporters. The didn't, but lo and behold, on Figure S2, they list the before and after vitamin D levels of the subjects in the study. I was a bit surprised to find that the average vitamin D levels of almost all of the subjects in the study were below 5 mmol/l (which translates to less than 2 ng/ml. Only one in the discresionary group was slightly over 10 mmol/L (4 ng/ml). So obviously the researchers selected people who had critically low vitamin D levels — people who would be the most likely to show a pronounced response. But the sad point is, the "significant" gains in vitamin D levels that the research article refers to are on the order of about 1 mmol/l (1/2 ng/ml). That's significant? Not to me (or anyone who's vitamin D deficient). I really hope I made a mistake with my math when doing the conversions, because if I didn't, this research was a sad waste of money (most likely spent by a sunscreen manufacturer's organization, which made it a very smart advertising expenditure).

Of course it could be argued that the conclusion is quite correct, the sunscreen group did show a positive gain, but that depends on one's opinion. Is a vitamin D level of 2-1/2 ng/ml really any better than a level of 2 ng/ml? The subjects in the study probably absorbed that much sunlight while they were smearing on the sunscreen. :roll: Why didn't they include a comparison with a control group who absorbed a similar amount of sun — without the sunscreen? Because it would have dwarfed their results, and exposed their slight of hand trick. When one considers that the average vitamin D boost with an equivalent sun exposure (without sunscreen) normally runs in the thousands or tens of thousands of IUs, I have to view this research conclusion with the same jaundiced eye as my grandfather would have viewed a horse trader back in his day.

I guess I'm just a suspicious old phart who believes that when something sounds too good to be true . . . it is. In almost every case.

Tex
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Post by tex »

OK, Never mind. I figured I must have been misinterpreting the data. I was looking at the supporting information for the abstract (image S2), which is totally confusing/misleading). As Rosie pointed out, when I downloaded the PDF of the full article, I can see in table 1 that all the vitamin D levels are much higher (in the 30+ ng/ml range). So the data are legit, after all. I wonder why S2 of the supporting information for the abstract is so misleading? : :shrug:

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by tex »

I still believe that this presents a conumdrum that needs to be addressed. There's too much incongruence here. Let's look at this from a macroscopic viewpoint:

Sunscreen's claim to fame is it's ability to filter out UV (both UVA and UVB)rays, and that's the sole reason so many people use it.

Skin exposure to UVB rays is required in order to generate vitamin D. A by-product of cholesterol that's created by body chemistry and is present in the outer layers of the skin, (known as 7-dehydrocholesterol), is converted by UVB into previtamin D3, which is converted by additional chemistry into vitamin D3 (25-hydroxyvitamin D). Additional chemistry (involving methylation processes, which require the presence of sufficient magnesium) convert it into 1,25-dihydroxyvitamin D, which is the active form that the immune system can use to fight disease and heal (or replace) damaged cells.

Four possible scenarios come to mind:

1. The data from this research are presented accurately, and the effectiveness of sunscreen as a UV blocker is grossly misrepresented by the manufacturers.

or,

2. Sunscreen works as advertised, and the data from this research project are somehow "creatively" tweaked to distort the facts.

or,

3. The basic theory of how previtamin D is formed in the skin is corrupt (maybe UVB is not actually required, for example).

or,

4. Some combination of the above scenarios.

Are there any other possible explanations?

I wonder which scenario is correct.

Tex
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It is suspected that some of the hardest material known to science can be found in the skulls of GI specialists who insist that diet has nothing to do with the treatment of microscopic colitis.
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Post by Rosie »

I have another possible explanation.

The skin apparently doesn't need a huge amount of sunlight to produce Vitamin D. It seems reasonable that enough can through the sunscreen to be effective. Here is a quote from the Vitamin D Council web site:
The most natural way to get vitamin D is by exposing your bare skin to sunlight (ultraviolet B rays). This can happen very quickly, particularly in the summer. You don’t need to tan or burn your skin to get vitamin D. You only need to expose your skin for around half the time it takes for your skin to begin to burn. How much vitamin D is produced from sunlight depends on the time of day, where you live in the world and the color of your skin. The more skin you expose the more vitamin D is produced.
At high UV index it takes about 20 min to burn. Half that time is 10 min. Using SPF 30 sunscreen, it would take about 5 hours of high UV Index sunlight to get enough for substantial Vitamin D synthesis. If you work outdoors, or spend a lot of time in outdoor recreational activities, you can most likely get sufficient Vitamin D while being conscientious with sunscreen.

Rosie
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tex
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Post by tex »

Hi Rosie,

Please be assured, I don't have a beef with you — it's the choice of words in the original research article title that sticks in my craw. What you are saying is quite correct. It appears to fall under scenario number 4 in my post above.

Sure, I'll grant you that people who work as roofers and other jobs that normally provide long hours of sun exposure, can still get more-than-enough vitamin D from the sun, whether they use sunscreen or not. But then most roofers probably rarely use sunscreen. The problem I have with this research article is that (as is so often the case) it's poorly-written and because of that it's misinterpreted by most people so that by the time the research trickles down to the general public, the general impression is very misleading. It leads readers to infer that they can still get plenty of vitamin D from the sun even if they use sunscreen. That's simply not true for the majority of people. If it were true, there wouldn't be a world-wide epidemic of vitamin D deficiency.

Look at the title of the original article:
Optimal sunscreen use, during a sun‐holiday with a very high UV index, allows vitamin D synthesis without sunburn
That's correct because apparently a reduced level of vitamin D synthesis does get through the sunscreen. The problem is, it's a half-truth because the title doesn't acknowledge that this is a reduced level (and you and I both know that it is). So when Science Daily interpreted the article, their title was:
Does sunscreen compromise vitamin D levels? Maybe not
I believe you'll agree that this seems to imply that the pass-through synthesis of vitamin D is not necessarily limited by sunscreen. Because even though you're a trained scientist, you used this title:
Sunscreen doesn't interfere with Vitamin D synthesis
See what I mean? That removes all doubt about any limiting factor. The original title was a half-truth, and this was misinterpreted at every step down the line until the final verdict appears to be that sunscreen does not limit vitamin D synthesis (at all).

My point is, if you're going to use sunscreen, you're going to require significantly more sun exposure than you would if you were not using it, if you intend to achieve the same level of vitamin D synthesis from sun exposure.

Tex (who's never used sunscreen in his life, and who has to take vitamin D supplements in order to maintain a decent vitamin D level, even though he's lived and worked on a farm in sunny Central Texas all his life).
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Post by KarenT »

Tex,

I'd trust your research any day!!
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Erica P-G
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Post by Erica P-G »

I find that the nice Higher levels of VitD in my body (83) help me to not burn when spending longer periods of time outside such as in gardening etc. Don't get me wrong, I can still get pink and even get a little burn but I used to burn within a 1/2 hour outside when I gardened before I got my VitD levels high. I had been at 9 way back in 2008 and always thought because I am light skinned I just Naturally burned...hogwash....I just had critical low levels of VitD in my body.

For anyone that can tolerate sun screen all over exposed skin there is no issue with this topic, but for me less is more on my skin these days :wink:

If I go on a lengthy excursion outside I'll bring a hat or wear clothing that has UV protectant in it, hoping my skin doesn't absorb anything from the clothing, :grin:
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