Holick's rule and vitamin D from sunlight

JC Dowdy, RM Sayre, MF Holick - The Journal of steroid biochemistry and …, 2010 - Elsevier
JC Dowdy, RM Sayre, MF Holick
The Journal of steroid biochemistry and molecular biology, 2010Elsevier
Holick's rule says that sun exposure 1/4 of a minimal erythemal dose (MED) over 1/4 of a
body is equivalent to 1000 International Units (IU) oral vitamin D3. Webb and Engelsen
recently commented that the ultraviolet (UV) spectrum used to establish Holick's rule is
unknown. They consequently used a spring midday Boston solar spectrum to estimate
ample sunlight exposures for previtamin D3 (preD3) at various locations. Literature review
found the source upon which this rule is based was a fluorescent sunlamp (FS lamp). The …
Holick's rule says that sun exposure 1/4 of a minimal erythemal dose (MED) over 1/4 of a body is equivalent to 1000 International Units (IU) oral vitamin D3. Webb and Engelsen recently commented that the ultraviolet (UV) spectrum used to establish Holick's rule is unknown. They consequently used a spring midday Boston solar spectrum to estimate ample sunlight exposures for previtamin D3 (preD3) at various locations. Literature review found the source upon which this rule is based was a fluorescent sunlamp (FS lamp). The FS spectrum is known and its relative weighting against the action spectra for erythema and the preD3 is significantly different from the solar spectrum used to derive the standard vitamin D effective dose (SDD). The preD3 effectiveness of the solar spectrum per unit erythemal hazard is greater than the FS lamp by a factor of 1.32. Consequently, UV exposure estimates based on Boston reference sunlight, instead of the UV lamp employed in the originating experiments, over estimate UV exposure equivalent to ∼1000 IU orally by ∼1/3. This redefinition of SDD impacts risk/benefit assessments of optimal/feasible sun exposure for vitamin D maintenance and the application of Holick's rule to rational public health messages.
Elsevier
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