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暴露于阳光下以维持充足维生素D水平的益处与风险。

Benefits and Risks of Sun Exposure to Maintain Adequate Vitamin D Levels.

作者信息

Raymond-Lezman Jonathan R, Riskin Suzanne I

机构信息

Foundational Sciences, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Clearwater, USA.

Department of Internal Medicine, Foundational Sciences, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Clearwater, USA.

出版信息

Cureus. 2023 May 5;15(5):e38578. doi: 10.7759/cureus.38578. eCollection 2023 May.

Abstract

Vitamin D is a hormone that can be generated in the skin upon ultraviolet light exposure or ingested through supplementation. Vitamin D deficiency may have numerous deleterious effects on health. Sun avoidance strategies should be avoided due to the unwanted health risks associated with hypovitaminosis D. We present an objective investigation of the benefits and risks of using sun exposure to increase vitamin D levels and how it impacts human health. A review of the literature was conducted using Embase and PubMed to examine the relationship between UV exposure, vitamin D levels, health benefits, and risks. UV exposure is the primary method of boosting serum vitamin D levels, which accounts for numerous health benefits. Higher levels of vitamin D are associated with protection against cancer development, including melanoma. Latitude, season, skin color, and sun protection determine UV absorption and vitamin D production. Public health sun protection guidelines decrease the incidence of skin cancer, but sun avoidance can cause hypovitaminosis D. Serum vitamin D levels less than 16 nmol/L increase morbidity through increased non-cutaneous disease. Sun protection strategies should still be implemented to reduce skin cancer, and sunscreen only minimally lowers vitamin D production. Vitamin D deficiency can increase chronic diseases and cancer, while adequate vitamin D levels can help prevent them. UV exposure and vitamin D production are dependent on many factors. Increasing UV exposure without causing sunburn maximizes vitamin D production.

摘要

维生素D是一种激素,可在皮肤暴露于紫外线时产生,也可通过补充剂摄入。维生素D缺乏可能对健康产生诸多有害影响。由于维生素D缺乏症相关的不良健康风险,应避免采取防晒策略。我们对通过晒太阳增加维生素D水平的益处和风险及其如何影响人类健康进行了客观研究。利用Embase和PubMed对文献进行了综述,以研究紫外线暴露、维生素D水平、健康益处和风险之间的关系。紫外线暴露是提高血清维生素D水平的主要方法,这带来了诸多健康益处。较高水平的维生素D与预防包括黑色素瘤在内的癌症发展有关。纬度、季节、肤色和防晒措施决定紫外线吸收和维生素D生成。公共卫生防晒指南降低了皮肤癌的发病率,但避免晒太阳会导致维生素D缺乏症。血清维生素D水平低于16纳摩尔/升会通过增加非皮肤疾病导致发病率上升。仍应实施防晒策略以降低皮肤癌风险,且防晒霜只会略微降低维生素D的生成。维生素D缺乏会增加慢性病和癌症风险,而充足的维生素D水平有助于预防这些疾病。紫外线暴露和维生素D生成取决于许多因素。在不引起晒伤的情况下增加紫外线暴露可使维生素D生成最大化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7a99/10239563/2496a0caafa2/cureus-0015-00000038578-i01.jpg

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