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在工作时间使用低剂量紫外线-B 照明解决方案:维持健康维生素 D 水平的有效性的探索性研究。

Using a low-dose ultraviolet-B lighting solution during working hours: An explorative investigation towards the effectivity in maintaining healthy vitamin D levels.

机构信息

Human-Technology Interaction, School of Innovation Sciences, Eindhoven University of Technology, Eindhoven, the Netherlands.

Signify Research, Eindhoven, the Netherlands.

出版信息

PLoS One. 2023 Mar 31;18(3):e0283176. doi: 10.1371/journal.pone.0283176. eCollection 2023.

Abstract

OBJECTIVE

This study examined whether daily safe, low-dose ultraviolet-B (UVB) exposure using a home-based lighting solution could maintain healthy serum 25(OH)D during winter.

METHODS

Twenty-eight (12 male, 16 female) daytime (~9:00 to 17:00) indoor workers (mean age = 42.46; SD = 14.23) participated in this study and were allocated to one of the two study conditions. During an 8-week period, fourteen participants received extra UVB exposure (max 0.3 standard erythema dose (SED) daily), while fourteen participants in the control group did not receive extra UVB exposure. Daily questionnaires were used to measure UVB exposure time, exposed body surface area (BSA), and time spent outside in daylight. Serum 25(OH)D, vitamin D related food intake, and secondary parameters (i.e., subjective fatigue, sleep timing and quality) were investigated at baseline, Week 4, and Week 8.

RESULTS

Serum 25(OH)D significantly declined over the 8-week study period in both groups. The combination of using a low-dose UVB exposure, a small BSA, and a lower-than-expected amount of exposure hours likely resulted in an insufficient UVB dose to significantly improve serum 25(OH)D. Changes in serum 25(OH)D over time did not significantly correlate with changes in secondary parameters of sleep and fatigue.

CONCLUSION

The received low-dose UVB exposure in this study did not significantly change serum 25(OH)D during the winter period. Future research could explore whether a longer lasting exposure period and/or using different exposure positions of the device (maximizing exposed skin surface) yields more promising results for improving serum 25(OH)D.

TRIAL REGISTRATION

Trial registration: https://www.isrctn.com/ISRCTN47902923.

摘要

目的

本研究旨在探讨使用家庭照明设备进行日常安全、低剂量的紫外线-B(UVB)照射是否能在冬季维持健康的血清 25(OH)D 水平。

方法

本研究纳入了 28 名(男性 12 名,女性 16 名)白天(约 9:00 至 17:00)在室内工作的参与者(平均年龄=42.46;标准差=14.23),并将其分配到两个研究条件之一。在 8 周的时间内,14 名参与者接受额外的 UVB 照射(每天最多 0.3 个标准红斑剂量(SED)),而对照组的 14 名参与者则不接受额外的 UVB 照射。每天使用问卷来测量 UVB 照射时间、暴露的身体表面积(BSA)和在日光下的时间。在基线、第 4 周和第 8 周时检测血清 25(OH)D、与维生素 D 相关的食物摄入量以及次要参数(即主观疲劳、睡眠时间和质量)。

结果

在 8 周的研究期间,两组的血清 25(OH)D 水平均显著下降。低剂量 UVB 照射、小 BSA 和低于预期的照射时间的组合可能导致 UVB 剂量不足,无法显著改善血清 25(OH)D 水平。血清 25(OH)D 随时间的变化与睡眠和疲劳的次要参数的变化没有显著相关性。

结论

本研究中接受的低剂量 UVB 照射在冬季并未显著改变血清 25(OH)D 水平。未来的研究可以探索更长的暴露时间和/或使用设备的不同暴露位置(最大限度地暴露皮肤表面)是否能更有效地提高血清 25(OH)D 水平。

试验注册

https://www.isrctn.com/ISRCTN47902923。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2abe/10065255/53b00550ecc0/pone.0283176.g001.jpg

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