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Capture the healthy vitamin D of the sun with Ultra Tan’s fluorescent light tubes that give you more vitamin D. © Skyddat enligt upphovsrättslagen Sunbathing is good for you Av Leif Bring Scientific studies Not just cancer An increasing number of scientific reports and medical articles are now acknowledging the importance of the body receiving an adequate amount of vitamin D. One of the most important studies was presented in the spring of 2005 by Professor Edward Giovannucci at the American Association for Cancer Research’s annual conference in Anaheim, California. Professor Giovannucci – a leading cancer researcher – states that mortality from cancer would drop in general by 30 % if the body received an adequate amount of vitamin D (1). Sunbathing does not just counteract cancer. Heart and cardiovascular diseases are also counteracted by sunbathing (8). There are studies that show that, as regards heart attacks and strokes, sunbathing reduces cholesterol levels and blood pressure (9). There are also studies that show that we actually feel good when we sunbathe – but in order to back this up there are also studies that show that you in fact feel in good physical shape as a result of sunbathing – and this does not depend on feeling good from having a healthy looking tan but is due to the body secreting endorphins that result in us feeling physically better (10, 11). Around 75 % of the vitamin D our bodies receive is produced when we are exposed to sunlight. Without sun we do not get enough vitamin D. We are especially exposed in the Nordic latitudes – particularly during the winter months. It is no coincidence that osteoporosis is a major problem in Scandinavia. Osteoporosis and vitamin D deficeincy go hand in hand. Last but not least there are studies that show that osteoporosis is caused by sunlight deficiency (8, 12). This is as we previously pointed out a major problem in our sun starved region. Sensational discovery Professor Giovannucci was quite provocative when he presented his new tubes at Anaheim. He stated that “vitamin D can prevent 30 deaths for each death that is caused by skin cancer”. He also added “I challenge anyone to try to find an area or nutritive substance or indeed anything that is able to neutralize cancer as well as vitamin D” He also said “What we have discovered is really sensational!” Sunbathing is an effective form of treatment for lung cancer It has long been known that vitamin D prevents the development of many forms of cancer. This study is the first one to show the positive effects of vitamin D with respect to the treatment of those who already have cancer – in this case lung cancer. A number of the 456 patients with lung cancer in its early stages were studied. Those having a high concentration of vitamin D in the blood had a significantly greater chance of surviving than those that had a low level of vitamin D: A five year rate of survival was 72 % for those that had high levels compared to 29 % for those who had low levels. Vitamin D has many positive attributes that can explain why it can be used for treating cancer such as its ability to suppress uncontrolled cell growth. In principle, all forms of cancer can be counteracted by vitamin D Professor Giovannucci’s studies show that in principle all forms of cancer can be reduced if the body receives more vitamin D. An increase of 25hydroxy vitamin D (see fact box on vitamin D) in the body with 25 nmol/L would reduce: • the development of cancer by 17 % • the mortality from cancer by 29 % • the development of cancer in the digestive system by 43 % There are also several other independent studies that show that different forms of cancer can be neutralised by the vitamin D that is formed when you sunbathe. By way of example we can mention studies that show that prostate cancer (2, 3, 4), breast cancer (5), lymph gland cancer (6) and skin cancer (7) reduce as a result of the vitamin D that is formed when sunbathing. We need more sun – not less In order to get a sufficient amount of 25-hydroxy vitamin D, Professor Giovannucci says that you need to supply your body with 1,500 IE of vitamin D3 per day orally. This is a higher dose than what is normally recommended which also indicates that we would need to spend substantially more time in the sun than previously recommended. (See fact box – vitamin D). Several studies also show that the more you sunbathe the lower the risk you have of developing cancer (6, 14). Advice on sunbathing is changing Professor Giovannucci’s presentation arose a lot of attention and the speech impressed the American Cancer Society (ACS) epidemiology chief, Michael Thun so much that the ACS will now be changing its sunbathing advice. Michael Thun also said “There is now proof that vitamin D can both prevent the development of cancer and be used for the treatment of cancer that has already developed.” Professor Giovannucci considers that “government authorities spend much to mush time frightening Americans away from the sun. The same can be said for many European authorities. But in the US the results of the latest research have made their mark. Is sunbathing in the solarium also good for you? It is a general perception that vitamin D is not formed in the solarium as solariums do not generate any UVB radiation in the wave range 295-315 nm. This is incorrect – Ultra Tan’s new solariums and tubes generate UVB radiation in the active vitamin D production range (295-315 nm) and this has been verified by the Swedish Testing and Research Institute. New Ultra Tan tubes give you more Vitamin D Ultra Tan has produced entirely new tubes that produce more vitamin D than the old tubes. The new tubes are called Ultra Tan XR 800 High Power (full length tubes) and Ultra Tan Extender 50 (spaghetti tubes). All new Ultra Tan solariums are now equipped with these tubes. The Swedish Testing and Research Institute has been engaged to measure Ultra Tan’s new tubes. These measurements show that the new Ultra Tan tubes are active with respect to the production of vitamin D. In one of the studies researchers at three different cancer institutes compared 450 patients with very serious prostate cancer with 455 men of a similar age and with similar backgrounds but without the disease. It was discovered that men exposed to too little sun had twice as much chance of developing prostate cancer than men who were regularly exposed to a lot of sun (3). In the Swedish National Board of Health and Welfare journal “Cancer in Numbers 2005” it states on Page 59 that “Pancreas cancer is, however, extremely rare in Africa and India”. This indicates that there are important protective factors against the disease in these countries. As everyone knows there is a lot of strong sunlight in Africa. The results from the cited studies are sensational to say the least. Studies that were wrong Professor Ulrik Ringborg and seven other leading skin specialists made an extensive study a few years ago. The aim of the study was to attempt to prove the connection between sunbathing in a solarium and the malignant melanoma skin disease. It was decided to study the 18-49 age group from six European countries who sunbathed extensively in solariums. The report states: “The use of solariums with this group was greater than in any other study made”. The interesting thing is that no connection could be made between sunbathing in a solarium and malignant melanoma – despite extensive efforts. The report states that “there was nothing that showed any connection between sunbathing in a solarium and malignant melanoma” (13). Another attempt to show that sunbathing is harmful was made by a Swedish/Danish group. The study was presented in 2005 (6). The study involved the sunbathing habits of 3187 people who had developed lymph gland cancer. An attempt was made to show that sunbathing contributed to the development of lymph gland cancer. To the amazement of the research team, it was discovered that those that had sunbathed a lot showed 30-40 % less risk of developing lymph gland cancer (NonHodgkin Lymphoma) than those that had not sunbathed at all. The study also showed that the more you sunbathe the less the risk of developing lymph gland cancer. Both of these studies were “wrong” although they were actually right. Fact box - irradiance Irradiance is in principle radiant intensity and it is usually calculated in Watts per square centimetre. Roughly speaking you could say that the light intensity of a normal light bulb is also calculated in Watts – a 60 W bulb has a greater luminance than a 25 W bulb. (The Watt figure for the bulb is actually electrical power). Irradiance is usually specified for different wavelengths and is given in nanometre (nm). A nanometre is the same as a thousandth of a millimetre. Radiation “oscillates back and forth” when it moves. When the wavelength is short, the radiation “oscillates” faster than when it is long. The radiation oscillates therefore slower up at 390 nm than down at 295 nm. It is also where the radiation oscillates fastest – in the 90-320 nm range where the skin is most easily irritated – and a redness develops. The graph in the graphic is adjusted to ensure that it reflects what is happening when radiation hits human skin – bearing in mind how the skin gets red when you sunbathe. This is called weighted radiant intensity – or more scientifically put “erythema weighted irradiance”. The radiation in the 290-320 nm range is usually called UVB radiation, while radiation in the 320-400 nm range is usually called UVA radiation. Where the irradiance graph “goes up” the radiation is strongest – it is strongest at the peaks. It is radiation in the 290-315 nm range (the green section) where vitamin D is produced when radiation hits human skin. As you can see in the graphic, the new Ultra Tan tubes produce radiation in the whole range where vitamin D is formed – the graph shoots up as early as 295 nm and there is a large peak in the 310-315 nm range. Those of us who like to sunbathe in the solarium have got it right: • It is good for your health • You’ll be tanned and healthy • You feel demonstrably better (scientific studies show that you feel physically healthy from sunbathing). Congratulations! Fact box – vitamin D We ingest most vitamins in an adequate amount via our diet and with the help of vitamin supplements. However, this does not apply to vitamin D (calciferol) where the largest share - around 75 % - is generated when the skin is exposed to the sun’s UV rays (15). The vitamin D in the blood is transformed in the liver to 25-hydroxy vitamin D (calcifediol) which in turn is converted in the kidneys to 1.25-dihydroxy vitamin D3 (calcitriol). Studies made since 2003 show that most Americans suffer from vitamin D deficiency. American studies also show that the vitamin D level in the blood varies according to latitude and the groups of population that live furthest north suffer the greatest deficiency of vitamin D (16). Around 6 IE of vitamin D forms per square centimetre and hour on white skin that is exposed to UVB radiation. Three hours of summer sunshine on the face is estimated to produce 10 micrograms = 400 IE vitamin D (which is traditionally the recommended daily need). At a rough estimate, (latitude, cloud cover, skin type etc. having an impact) you can calculate that this dose of vitamin D is achieved if you allow a third of your body to be exposed to sunlight for half an hour a day at our latitudes. New studies (1) recommend a significantly higher daily intake– up to four times as much (1500 EI) as the traditional daily intake. Sun shield creams substantially reduce the skin’s ability to produce vitamin D (17). Source index: (1). The Role of Vitamin D in Cancer Incidence and Mortality, Professor Edward Giovannucci, D.Sc., M.D. Harvard School of Public Health, Boston, MA, 2005. (2). CCAAT/Enhancer-Binding Protein: A Molecular Target of 1.25-Dihydroxy vitamin D3 in Androgen-Responsive Prostate Cancer LNCaP Cells. Cancer Res. 2005 Jun 1;65(11):4762-8. Ikezoe T, Gery S, Yin D, O’kelly J., Binderup L, Lemp N., Taguchi H, Koeffler HP. (3). Sun Exposure, Vitamin D Receptor Gene Polymorphisms and Risk of Advanced Prostate Cancer. Cancer Research 65, 5470-5479, June 15, 2005. Esther M john, Gary G Schwartz, Jocelyn Koo, David Van Berg and Sue Ingles. (4). Prediagnostic Plasma Vitamin D Levels, Vitamin D Receptor Gene Polymorphisms, and Susceptibility to Prostate Cancer. American Society of Clinical Oncology. Hoijie Li, M. Stampfer m.fl. (5). Plasma 25-hydroxy vitamin D concentrations, vitamin D receptor genotype and breast cancer risk in UK Caucasian population. Eur J Cancer, 2005 May;41(8):1164-1169. Epub 2005 Apr 14. Lowe LC, Guy M, Mansi JL, Peckitt C, Bliss J, Wilson RG, Colston KW. (6). Ultraviolet Radiation Exposure and Risk of Malignant Lymphomas. Journal of the National Cancer Institute, Vol. 97, No 3, 199-209, Feb 2, 2005. Karin Ekström Smedby, Henrik Hjalgrim m.fl. (7). Sun exposure and mortality from melanoma. J Natl Cancer Inst. 2005 Feb 2;97(3):195-9. Berwick M, Armstrong BK, Ben-Porat L, Fine J, Kricker A, Eberie C, Barnhill R. (8). Sunlight and vitamin D for bone health and prevention of autoimmune diseases, cancers, and cardiovascular disease. Am J Clin Nutr. 2004 dec;80(6 Suppl):1678S-88S. Hollick MF. (9). Dr. sc. med. Hans Joachim Winterfeld, University Hospital of Cardiovascular Surgery, 2000 (10). Dr. Dietmar Alf, Olympic bae Rhein-Ruhr, 2000. (11). Psychologist Dr. Jürgen Zuley, Schlafmedizines Zentrum der Universitätsklinik Regensburg ). (12) Dr. Zofia IshShalom, Rambam Medical Center Haifa, Israel, 2000 (13) Sunbed use and risk of melanoma: results from a large multicentric European study. P.H. Autier, E. De Vries, A.M.M Eggermont, J.W. Coebergh, U.Ringborg, Y. Bandberg, V. Bataille and A.R. Grivegne, Luxenbourg Health Institute). (14) Atlas of cancer mortality mortality in United States: 1950 – 1994. NIH Publication No. 99-4564, 1999), (Denvesa SS, Grauman MA. Blot, WJ, Penello GA, Hoover RN, Fraumeni JF). (15). Geographic variation in breast cancer mortality in the United States: a hypothesis involving exposure to solar radiation. Preventive Medicine, Vol. 19, 1990, pp 614-22. Garland, Frank C., et al. (16). Influence of season and latitude on the cutaneous synthesis of vitamin D3: exposure to winter sunlight in Boston and Edmonton will not promote vitamin D3 synthesis in human skin. J Clin Endocrinol Metab 1988; 67:373-8. (17). Sunscreens and melanoma: Implications for prevention. Journal of the National Cancer Institute, Vol. 86, No. 2, January 19, 1994, p.p. 78-9. Koh, Howard K. & Lew, Robert A. (18) Vitamin D Intake and the Risk for Pancreatic Cancer in Two Cohort Studies. Cancer Epidemiol Biomarkers Prev 2006 15: 1688-1695, Halcyon G. Skinner, Dominique S. Michaud, Edward Giovannucci, Walter C. Willett, Graham A. Colditz, and Charles S. Fuchs Capture the healthy vitamin D of the sun! Sunbathe to •Strengthen your body’s defences against cancer Professor Edward Giovannucci, D.Sc., M.D. Harvard School of Public Health, Boston, M A 2005, m.fl. •Strengthen the heart/vascular system In another study, 1029 men who had developed prostate cancer were compared with 1371 healthy men who were matched in relation to age and smoking habits. It was discovered that men who had levels that were higher than average of both 25-hydroxy vitamin D and 1.25-dihydroxy vitamin D had a 45 % lower probability of developing prostate cancer (4). There are around ten other forms of cancer that have shown to be dependent on sun deficiency. Two entirely new reports (of which one is Swedish) point to both kidney cancer and one of the most deadly forms of cancer, namely pancreas cancer, being dependent on the lack of sunlight. The study on pancreas cancer (18) is very important as it involves an extremely serious form of cancer. Those who get this type of cancer only survive for three months on average. The results of this research are also extra important to us in Scandinavia. If you look at the world map of pancreas cancer, you will see that the highest concentration is in the Nordic Region. Research Institute had just measured for our new tubes. This observation was included in the Läkartidningen which resulted in a researcher at Karolinska Hospital contacting Ultra Tan. The researcher was interested in getting to know more about the treatment of osteoporosis through sunbathing in a solarium. Everyone is right Professor Michael Hollick, University of Boston, 2000 •Strengthen your physical and mental health Dr. Dietmar Alf, Olympic base Rhein-Ruhr, 2000. Psychologist Dr. Jürgen Zuley, Schlafmedizines Zentrum der Universitätsklinik Regensburg Measurements for Ultra Tan’s solarium Paragon are fitted with the new tubes that are active in the vitamin D range. The green field specifies the vitamin D active range.. If you sunbathe in an Ultra Tan solarium with the Ultra Tan XR 800 High Power and Ultra Tan Extender 50 tubes you will receive vitamin D and all the health enhancing effects that this involves. And you will also have a tan and look and feel good into the bargain. Läkartidningen (Medical newspaper) At the end of 2006 the Swedish Läkartidningen included an article on osteoporosis under the heading ”Vitamin D deficiency behind osteoporosis”. The article was very interesting and highlighted the benefit of sunlight that contains UV radiation in the 295-315 nm range. The article also stated that “The short wavelength is not produced in normal solariums.....”. Ultra Tan reported in Läkartidningen the values the Swedish Testing and •Reduce the risk of osteoporosis Dr. Zofia IshShalom, Rambam Medical Center Haifa, Israel, 2000 •Lower blood pressure and expand blood vessels Dr. sc. med. Hans Joachim Winterfeld, University Hospital of Cardiovascular Surgery, 2000 •Protect your heart Professor Dr. med. Malte Bühring, Dr. med. Rolfdieter Krause, University hospital Benjamin Franklin, University of Berlin •Lower cholesterol level Dr. sc. med. Hans Joachim Winterfeld, University Hospital of Cardiovascular Surgery, 2000 •Treat neurodermitis (chronic eczema) Dr. Gregor von Kobyletzki, Hospital for Skin Diseases of the Ruhr University Bochum •Treat acne Dr. med. Nils Sönnichsen, Poliklinik for skin diseases, Charité Berlin •Increase the skin’s inherent sun protection (formation of light callus) Prof. Dr. V.E. Reeve, University of Sydney © Skyddat enligt upphovsrättslagen