Funded in part by L'Oreal USA, Galderma, Symrise, L'Oréal
Sunscreen photoprotection and vitamin D status
Passeron T, Bouillon R, Callender V, Cestari T, Diepgen TL, Green AC, van der Pols JC, Bernard BA, Ly F, Bernerd F, Marrot L, Nielsen M, Verschoore M, Jablonski NG, Young AR
The British journal of dermatology · 118 citations
Review labels
Neutral facts our review recorded about how this study was done. They describe method, never whether we like the result.
How it was studied
- Design
- Expert or government fact sheet (classified by our AI screen)
- Studied in
- People
- Main outcome
- Health markers and function
Who paid for it
- Funding
- Industry funded
- Company
- L'Oreal USA
- Company
- Galderma
- Company
- Symrise
- Company
- L'Oréal
Based on 4 listed funder(s).
Publication
- Published
- 2019-05-09 · Br J Dermatol · vol. 181 · issue 5 · pp. 916–931
- Publisher
- Oxford University Press
- Cited
- 201 citations · more than 100% of similar papers · 18.1× the field average
- Impact
- Top 10% most cited in its field
- References
- 112 works
- Access
- Open access (hybrid journal) · CC-BY
- Research areas
- Skin Protection and Aging · Vitamin D Research Studies · Acne and Rosacea Treatments and Effects
- Keywords
- Photoprotection, Sun exposure, Vitamin D and neurology, Vitamin, Sunlight, Medicine, Dermatology, Environmental health, Chemistry, Physics, Internal medicine, Optics, Biochemistry
- MeSH
- skin, humans, skin neoplasms, vitamin d deficiency, vitamin d, sunscreening agents, mass screening, consensus, evidence-based medicine, sunlight, ultraviolet rays, reference values, recreation, sun protection factor, global health
15 authors
From FR, BE, BR, DE, AU, GB, CA, SN, US
- Thierry PasseronInserm; Université Côte d'Azur; Centre Hospitalier Universitaire de Nice
- Roger BouillonKU Leuven
- Valerie Dawn Callender
- Tânia Ferreira CestariUniversidade Federal do Rio Grande do Sul; Hospital de Clínicas de Porto Alegre
- Thomas Ludwig DiepgenHeidelberg University
- Adèle C. GreenQIMR Berghofer Medical Research Institute; Manchester Academic Health Science Centre; Health Sciences Centre; University of Manchester
Abstract
Background
Global concern about vitamin D deficiency has fuelled debates on photoprotection and the importance of solar exposure to meet vitamin D requirements.
Objectives
To review the published evidence to reach a consensus on the influence of photoprotection by sunscreens on vitamin D status, considering other relevant factors.
Methods
An international panel of 13 experts in endocrinology, dermatology, photobiology, epidemiology and biological anthropology reviewed the literature prior to a 1-day meeting in June 2017, during which the evidence was discussed. Methods of assessment and determining factors of vitamin D status, and public health perspectives were examined and consequences of sun exposure and the effects of photoprotection were assessed.
Results
A serum level of ≥ 50 nmol L-1 25(OH)D is a target for all individuals. Broad-spectrum sunscreens that prevent erythema are unlikely to compromise vitamin D status in healthy populations. Vitamin D screening should be restricted to those at risk of hypovitaminosis, such as patients with photosensitivity disorders, who require rigorous photoprotection. Screening and supplementation are advised for this group.
Conclusions
Sunscreen use for daily and recreational photoprotection does not compromise vitamin D synthesis, even when applied under optimal conditions. What's already known about this topic? Knowledge of the relationship between solar exposure behaviour, sunscreen use and vitamin D is important for public health but there is confusion about optimal vitamin D status and the safest way to achieve this. Practical recommendations on the potential impact of daily and/or recreational sunscreens on vitamin D status are lacking for healthy people. What does this study add? Judicious use of daily broad-spectrum sunscreens with high ultraviolet (UV) A protection will not compromise vitamin D status in healthy people. However, photoprotection strategies for patients with photosensitivity disorders that include high sun-protection factor sunscreens with high UVA protection, along with protective clothing and shade-seeking behaviour are likely to compromise vitamin D status. Screening for vitamin D status and supplementation are recommended in patients with photosensitivity disorders.
Abstract via Europe PMC. Copyright remains with the authors or publisher (CC BY-NC).
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