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Vitamin D and Health

SACN_Vitamin_D_and_Health_report

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CIE spectrum for photoconversion of 7-DHC to pre-vitamin D<br />

3.16 The validity of the official CIE action spectrum for the photoconversion of 7-DHC to pre-vitamin D (see<br />

Figure 5) has been disputed. However, it continues to be used to calculate the vitamin D efficacy of<br />

solar UVB under different climatic conditions <strong>and</strong> these calculations have been used for risk/benefit<br />

assessments. For example, one study concluded that the best time to obtain vitamin D is around noon<br />

because the relative efficacy for vitamin D production is greater than that for erythema (Sayre &<br />

Dowdy, 2007). The risk-benefit calculations were based on the pre-vitamin D action spectrum <strong>and</strong><br />

assumed that the action spectrum is accurate <strong>and</strong> that there is no spectral interaction. There is<br />

uncertainty about both these assumptions.<br />

FIGURE 5 - CIE action spectra for erythema <strong>and</strong> the formation of pre-vitamin D (note<br />

considerable overlap in the solar UVB region).<br />

3.17 One study using ex vivo neonatal foreskin has suggested that UVA degrades vitamin D (Webb et al.,<br />

1989) but this has not been investigated in vivo.<br />

Effect of latitude on skin synthesis of vitamin D<br />

3.18 UVB radiation is sufficient for year round vitamin D synthesis at latitudes below ~37ᵒN. At higher<br />

latitudes, vitamin D is not synthesised during the winter months (Webb et al., 1988). However, the<br />

extent of the effect of latitude on vitamin D synthesis in the UK is not clear. While it probably has<br />

some influence, it could be relatively small compared to other factors. A study which compared<br />

serum 25(OH)D concentrations in postmenopausal women (< 65y) in the North (Aberdeen; 57ᵒN) <strong>and</strong><br />

South (Guildford; 51ᵒN) of the UK reported a difference of approximately 10 nmol/L (Macdonald et al.,<br />

2011). However, the difference in serum 25(OH)D concentration might not be due to solar radiation.<br />

Although UVB (as a proportion of UVR) lessens with increasingly northern latitudes, the weather also<br />

gets progressively colder which means that people spend less time outdoors <strong>and</strong> expose less skin.<br />

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