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Should You Tan to Avoid Vitamin D Deficiency?

Steven Senne / AP
 

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A slew of recent books and studies have touted the benefits of vitamin D and the perils of not getting enough vitamin D; some even encourage lying in the sun and taking vitamin supplements in order to prevent depression. But dermatologists say more time soaking up the rays isn't necessary—most Americans get all the vitamin D they need just by going outside in the course of their daily duties, and beyond that, it's easy to get adequate levels of the vitamin through nutrients in food. "Sunlight helps us produce vitamin D, but the amount of sunlight you need is so low that you could walk outside for probably five minutes and have enough," says Craig Austin, a New York-based dermatologist and founder of AB Skincare.

Vitamin D is important because it helps with calcium absorption; it's found in foods ranging from milk and cheese to liver, beef, fish and eggs. Many cereals are now fortified with vitamin D, as well; most people who follow normal diets probably don't need to take vitamin D or calcium supplements, Austin says. "Vitamin D deficiency, I don't think, is really all that common."

During the winter, people who live in northern climates might consider taking daily supplements, says New Jersey-based dermatologist Eric Siegel. But overdoing the vitamins has side effects, too, including nausea, vomiting, poor appetite and constipation. "You can also start suffering kidney disease, and, believe it or not, once you go past a certain dose of vitamin D, you can start clogging up the kidneys, because there's too much calcium absorbed into the blood," he says.

So don't use vitamin D as a reason to lie in the sun that extra half hour, Siegel says. "Why not get [vitamin D] out of food or supplements?" he asks. "Why give yourself skin cancer?"

© 2008

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Member Comments

  • Posted By: AllenJ @ 08/26/2008 8:19:59 AM

    Where did the Dr. get the information that walking for 5 minutes will be enough? For Who? What should that person be wearing? Please don't use Sun Scare messages,. Overdoing anything has side effects, so focus on a conservative approach. God gave us a system that has a very delicate balance, we need to keep that balance to get the maximum benefits while we are on this earth.

  • Posted By: hoosierville @ 08/23/2008 5:02:56 PM

    Fact: There is an epidemic of Vitamin D defieciency in this country and the rest of the globe above and below certain latitudes. Two deseases that have become epidemic since the sunscreen industry and their co-horts in the dermatological community told us to stay out of the sun and slather a chemical on our skin are MS and Autism. But let's just talk about MS. It rarely occurs in equatorial regions and if you track the incidences of MS in North America they are almost always above a certain latitude. That alone should have led the doctors in this country to at least investigate this phenomena. But no.

    I hope the good doctors in the above article are prepared for a massive class action lawsuit because the blanket statement Craig Austin makes regarding vitamin D deficiency has already been pretty much disputed and proven false.

    Please ask Eric Seigel to explain how a person can go outside and in about 30 minutes of sun exposure manufacture 40,000 IUS of vitamin D, yet he claims taking a supplement with much less can cause toxicity. What a joke. If this is what passes for health professionals in this country I want no part of it.

    If you want good information on Vitamin D please go to http://www.vitamindcouncil.org It's a non-profit group of physicians trying to educate people about Vitamin D. Which by the way is not a a vitamin but a pro-hormone. Please do yourselves a favor and read beyond these two idiots blanket statements.



  • Posted By: clubby @ 08/23/2008 9:56:33 AM

    Readers should note that neither Dr Austin or Dr Siegel provided any research to substanciate their claims. However, there have been studies done that suggest the contrary.

    The best way to get your vitamin D is to get regular, moderate UV exposure. A sensible
    amount would be to get 1/4 the amount of exposure that it would take to get pink. That
    amount will vary based on latitude, time of day, season, altitude, cloud cover, as well as
    skin color. Someone that is fair skinned, but has a tan will require more exposure time
    than if they had no tan. A tan acts as an SPF and could block as much as 90% to 99% of
    the vitamin D producing UVB radiation*.
    *Dr. Holick's article Vitamin D deficiency, N Engl J Med 2007;357:266-81.
    Copyright © 2007 Massachusetts Medical Society.)

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