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带有UVB辐射的日光浴床可使健康志愿者的血清25-羟基维生素D达到生理水平。

Sunbeds with UVB radiation can produce physiological levels of serum 25-Hydroxyvitamin D in healthy volunteers.

作者信息

Kimball Samantha M, Lee Jasmine, Vieth Reinhold

机构信息

Department of Research Pure North S'Energy Foundation, 800 - 326 11th Avenue SW, Calgary, AB, Canada.

Li Ka Shing Knowledge Institute, St. Michael's Hospital, 326.75 - 209 Victoria St. Toronto ON, Canada.

出版信息

Dermatoendocrinol. 2017 Oct 17;9(1):e1375635. doi: 10.1080/19381980.2017.1375635. eCollection 2017.

Abstract

Vitamin D is produced in the skin in response to UVB irradiation, from either sun exposure or UVB sunbeds. The objective of the current study was to characterize serum 25(OH)D response to regular sunbed use from several lamp outputs following their respective time exposure recommendations. There were three groups that tanned over 12 weeks during the winter months in dedicated sunbeds based on lamp outputs (100 W and 160 W low pressure fluorescent and 700 W high pressure filtered metal halide lamps) and a control group provided serum 25(OH)D samples at baseline and end-of-study. Tanning session lengths were calculated based on Health Canada guidelines to stay below the erythema levels. Mean 25(OH)D were increased by an average of 42 nmol/L in the sunbeds that used 100 W and 160 W fluorescents. Change in 25(OH)D was dependent on baseline 25(OH)D levels and sunbed (p = 0.003) and age (p = 0.03), but was not affected by gender, BMI, Fitzpatrick type or cumulative length of tanning sessions. There was no significant increase in 25(OH)D levels in participants using the 700 W filtered metal halide lamp sunbed or in the control participants. Skin pigmentation, [Formula: see text], was markedly increased in all tanners and skin lightness, L*, significantly decreased at 12 weeks. Both L* and [Formula: see text] were significantly correlated with 25(OH)D concentrations for the sunbeds with fluorescent lamps emitting UVB (100 W and 160W). Participants following standardized exposure schedules meeting Health Canada regulations in sunbeds irradiating adequate UVB showed continuous increases of 25(OH)D to physiological levels even after producing a tan in a controlled manner. ClinicalTrials.gov Registration: NCT02334592.

摘要

维生素D是皮肤在紫外线B(UVB)照射下产生的,这种照射可来自阳光照射或UVB日光浴床。本研究的目的是根据各自的时间暴露建议,对定期使用日光浴床后血清25(羟基)维生素D[25(OH)D]的反应进行特征描述。有三组人在冬季的12周内,在专门的日光浴床中根据灯的输出功率(100瓦和160瓦的低压荧光灯以及700瓦的高压过滤金属卤化物灯)进行晒黑,还有一个对照组在基线和研究结束时提供血清25(OH)D样本。晒黑疗程的时长根据加拿大卫生部的指导方针计算,以保持在红斑水平以下。使用100瓦和160瓦荧光灯的日光浴床中,平均25(OH)D平均增加了42纳摩尔/升。25(OH)D的变化取决于基线25(OH)D水平、日光浴床(p = 0.003)和年龄(p = 0.03),但不受性别、体重指数、菲茨帕特里克皮肤分型或晒黑疗程的累计时长影响。使用700瓦过滤金属卤化物灯日光浴床的参与者或对照组参与者的25(OH)D水平没有显著增加。所有晒黑者的皮肤色素沉着(公式:见正文)均显著增加,皮肤亮度L在12周时显著降低。对于发射UVB的荧光灯日光浴床(100瓦和160瓦),L和(公式:见正文)均与25(OH)D浓度显著相关。即使以可控方式产生晒黑效果后,按照加拿大卫生部规定的标准化暴露时间表在能照射足够UVB的日光浴床中进行照射的参与者,其25(OH)D仍持续增加至生理水平。临床试验注册:NCT02334592 。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/be1b/5821157/b9bbd9e33abb/kder-09-01-1375635-g001.jpg

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