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