From GrassrootsHealth
It is well known that the sun provides many health benefits, one of them being the production of vitamin D in the skin when the circumstances are right. Unfortunately, during the winter months at latitudes above ∼35°, there is minimal, if any, vitamin D3 production in the skin from sun exposure. What can be done during the winter months, or when going outside at midday is not an option for you?
In a previous post, we analyzed data from the GrassrootsHealth cohort to show that participants who did not supplement with vitamin D could reach the recommended level of 40-60 ng/ml (100-150 nmol/L) with the regular use of indoor tanning. This is great news!
To get even more data on the sources of indoor UV that participants use and their effect on vitamin D levels, we have added a few new questions to our questionnaire that ask if participants have used any UV equipment, such as a table top light or sunbeds at tanning salons, what type of device(s) were used, how often and for what length of time they were used, followed by a question about skin type.
The studies reviewed below also show that using indoor UVB devices can help keep your vitamin D levels on track when sunshine is not an option, and may even be preferred among individuals who may not respond as well to supplementation, such as those with digestive conditions or on certain medications that may inhibit absorption.
In a study published to address the use of indoor UV sources to produce vitamin D, Dr. Michael Holick concluded that exposure to lamps that produce UVB radiation are an excellent source for producing vitamin D3 in the skin.
For this study, fifteen healthy adult participants were exposed to 0.75 minimal erythemal dose (MED) three times a week. One MED of UVB, the amount of UV radiation that will produce minimal redness or sunburn, is roughly equivalent to ingesting between 10,000 and 25,000 IU of vitamin D.
Using the Fitzpatrick classification of skin phototype, Dr. Holick found that healthy adults with skin type 2 (fair, burns easily) and skin type 3 (darker white skin, tans after initial burn) experienced dramatic improvement in vitamin D status after exposure to UVB radiation in a commercial tanning bed. After 1 week, vitamin D levels had risen by 50% and continued to rise over 5 weeks to approximately 150%. After 5 weeks, vitamin D levels plateaued and were sustained until week 7.
When considering using a source of artificial UV light, it is important to be aware of the type of UV, its safety, and the physiological effects it may produce, especially in terms of vitamin D.
A study by Kimball et al. (2017) on sunbeds and vitamin D in Canada found that individuals following standard sunbed tanning protocols in a typical tanning salon can achieve physiological levels of vitamin D when the sunbed emits UVB light in the range equivalent to outdoor summer sunshine, which most sunbed lamps do. More than 75% of all four study groups were considered vitamin D deficient (<30 ng/mL, or <75 nmol/L) at the start of the study, in the wintertime.
As shown in the chart above, vitamin D levels increased by an average of 17 ng/ml (42 nmol/L) in participants using sunbeds that used 100W and 160W fluorescent bulbs with 2.2% and 4.2% UVB. Vitamin D levels continued to increase after a base tan was achieved, all the way to the end of the 12-week study, with no adverse events or skin burns reported. This study supports the use of artificially derived UVB light to raise serum vitamin D levels when the UV index of the sun is low, especially in the winter months of northern countries.
Indoor sun and UVB lamps and bulbs are also available and effective at helping to boost vitamin D production in the skin. Be mindful that some of these lamps may only offer UVB and no UVA exposure, so vitamin D may be produced with exposure, but not nitric oxide, and the full benefits of sunshine may not be achieved.
If considering using indoor tanning options, such as sunbeds, do your research and be sure to follow safety guidelines, such as those set by Health Canada.
Practicing safe sun exposure is a natural way to increase your vitamin D levels. As reviewed above, studies have shown that you can also reach recommended vitamin D levels (>40 ng/ml or >100 nmol/L) using sunbeds containing UVB and following time exposure guidelines for your skin type without adverse events.
The need to make up for our sunshine deficit, beyond vitamin D deficiency, is certainly there! Which option will you choose? Let us know when you answer your next questionnaire.
Click here to read more from GrassrootsHealth.
SmartTan.com news articles regularly report medical and scientific information to keep you abreast of current events related to UV light. This information is not intended to be used by any party to make unwarranted health claims to promote sunbed usage. Indoor tanning businesses are obligated to communicate a fair and balanced message to all clients about your products and services including the potential risks associated with indoor tanning. Contact your Smart Tan representative to find out more about what you can and can’t say in your tanning salon business.
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