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户外阳光暴露与社区样本中 25-羟维生素 D 水平:电子剂量计定量评估两者关联。

Sun exposure and 25-hydroxyvitamin D levels in a community sample: Quantifying the association with electronic dosimeters.

机构信息

Section of Epidemiology and Biostatistics, School of Population Health, University of Auckland, Auckland, New Zealand.

National Institute of Water and Atmospheric Research, Lauder, New Zealand.

出版信息

J Expo Sci Environ Epidemiol. 2017 Sep;27(5):471-477. doi: 10.1038/jes.2016.51. Epub 2016 Sep 7.

Abstract

There is uncertainty about the amount of sun exposure required to increase low blood 25-hydroxyvitamin D (25(OH)D) levels, a possible disease risk factor. The study aimed to quantify the association between sun exposure and serum 25(OH)D concentrations in a multiethnic community sample (n=502) living in Auckland (37°S) and Dunedin (46°S), New Zealand, aged 18-85 years. They wore electronic ultraviolet dosimeters between March and November (autumn, winter and spring) for 8 weeks to record their sun exposure. This was converted to standard erythemal doses (SEDs), corrected for clothing to generate equivalent full-body exposures, SED. Blood samples were collected at the end of weeks 4 and 8 to measure 25(OH)D. Median weekly SED was 0.33 during weeks 1-4 and 0.34 during weeks 5-8. Weekly exposures <0.5 SED during weeks 5-8 were associated with decreasing 25(OH)D concentrations at the end of week 8. There was a non-linear association between sun exposure and 25(OH)D, with most of the increase in 25(OH)D being at exposures <2 SED per week. This finding suggests that vitamin D status is increased by regular small sun exposures (<2 SED per week), and that greater exposures result in only small additional increases in 25(OH)D.

摘要

关于增加低血 25-羟维生素 D(25(OH)D)水平所需的阳光暴露量存在不确定性,而 25(OH)D 水平可能是疾病的一个风险因素。本研究旨在定量评估在新西兰奥克兰(南纬 37°)和达尼丁(南纬 46°)生活的多民族社区样本(n=502)中,阳光暴露与血清 25(OH)D 浓度之间的关联。他们在 3 月至 11 月(秋季、冬季和春季)期间佩戴电子紫外线剂量计 8 周,以记录他们的阳光暴露情况。这被转换为标准红斑剂量(SED),并根据衣物进行校正,以生成等效的全身暴露量 SED。在第 4 周和第 8 周末采集血样以测量 25(OH)D。第 1-4 周的每周 SED 中位数为 0.33,第 5-8 周为 0.34。第 5-8 周每周暴露量<0.5 SED 与第 8 周末 25(OH)D 浓度降低有关。阳光暴露与 25(OH)D 之间存在非线性关联,每周 25(OH)D 的大部分增加发生在每周<2 SED 的暴露量下。这一发现表明,维生素 D 状态通过定期的小剂量阳光暴露(每周<2 SED)得到改善,而更大的暴露量只会导致 25(OH)D 水平的微小额外增加。

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