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Vitamin D and Health

SACN_Vitamin_D_and_Health_report

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UV doses effective for pre-vitamin D synthesis<br />

(Jm -2 )<br />

Seasonal variation in serum 25(OH)D concentration<br />

3.19 The main factor affecting skin synthesis is availability of UVB radiation (Webb & Engelsen, 2006).<br />

There is a well-observed seasonal cycle in serum/plasma 25(OH)D concentrations in the UK <strong>and</strong> other<br />

countries at mid-high latitudes (Poskitt et al., 1979; Beadle et al., 1980; Livesey et al., 2007) which<br />

relates to the greater UVB content of solar UVR in summer.<br />

3.20 During winter, the small amount of UVB in sunlight is insufficient to initiate synthesis of any<br />

biologically relevant quantities of vitamin D (Webb et al., 1988; Webb et al., 1989). In the UK,<br />

sunlight-induced vitamin D synthesis in the white-skinned populations becomes effective from April.<br />

Maximum serum 25(OH)D concentrations are observed in September after a summer of exposure,<br />

followed by a decline from October onwards through the winter months until the following spring.<br />

(Webb et al., 2010) measured serum 25(OH)D concentrations of white adults (n=125; age, 20-60 y)<br />

every month over 1 year <strong>and</strong> reported that mean concentration was highest in September (71 nmol/L)<br />

<strong>and</strong> lowest in February (46 nmol/L).<br />

3.21 A seasonal difference in serum/plasma 25(OH)D concentration of the UK population has also been<br />

observed in national surveys (see chapter 8). Figure 6 shows the estimated monthly average UV doses<br />

(Jm -2 ) effective for pre-vitamin D synthesis in the UK from 2008-2012.<br />

3.22 The metabolic implications of seasonal variation in serum 25(OH)D concentration are currently<br />

unknown.<br />

FIGURE 6: The modelled monthly averaged UV doses (Jm -2 ) effective for pre-vitamin D<br />

synthesis in the UK from 2008-2012. (Courtesy of O’Neill, Kazantzidis, Webb, Cashman, EU ODIN<br />

Project 28 )<br />

6000<br />

5000<br />

4000<br />

3000<br />

2000<br />

1000<br />

0<br />

Jan Feb Mar Apr May June July Aug Sept Oct Nov Dec<br />

Month<br />

28 This work was based on original model development funded by UK Department of <strong>Health</strong>.<br />

23

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