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

Dermato-Endocrinology Pub Date : 2017-10-17 eCollection Date: 2017-01-01 DOI:10.1080/19381980.2017.1375635
Samantha M Kimball, Jasmine Lee, Reinhold Vieth
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引用次数: 5

Abstract

Vitamin D3 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.

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有UVB辐射的日光浴床可以使健康志愿者的血清25-羟基维生素D达到生理水平。
维生素D3是皮肤在紫外线照射下产生的,无论是阳光照射还是日光浴床。本研究的目的是通过几种灯输出,按照各自的暴露时间建议,来表征血清25(OH)D对常规日光浴浴床使用的反应。在冬季的几个月里,有三组在专用的日光浴床上晒黑超过12周,这是基于灯的输出(100 W和160 W低压荧光灯和700 W高压过滤金属卤化物灯),对照组在基线和研究结束时提供血清25(OH)D样本。日晒时间是根据加拿大卫生部的指导方针计算的,以保持在红斑水平以下。在使用100 W和160 W荧光的日光浴床中,平均25(OH)D平均增加42 nmol/L。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、BMI、Fitzpatrick型或日晒累积时间的影响。在使用700w过滤金属卤化物灯日光浴浴床的参与者或对照组参与者中,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:见文)均显著增加,皮肤亮度(L*)在12周时显著降低。L*和[公式:见文本]与荧光灯发射UVB (100 W和160W)的日光浴床的25(OH)D浓度显著相关。遵循符合加拿大卫生部规定的标准化暴露时间表的参与者在日光浴床上接受足够的UVB照射后,即使在以受控方式晒黑后,25(OH)D也持续增加到生理水平。ClinicalTrials.gov注册:NCT02334592。
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