Sunscreen photoprotection and vitamin D status

T. Passeron, R. Bouillon, V. Callender, T. Cestari, T. L. Diepgen, A. C. Green, J. C. van der Pols, B. A. Bernard, F. Ly, F. Bernerd, L. Marrot, M. Nielsen, M. Verschoore, N. G. Jablonski, A. R. Young

Research output: Contribution to journalReview article

5 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)916-931
Number of pages16
JournalBritish Journal of Dermatology
Volume181
Issue number5
DOIs
StatePublished - Nov 1 2019

Fingerprint

Sunscreening Agents
Vitamin D
Photosensitivity Disorders
Sun Protection Factor
Public Health
Photobiology
Protective Clothing
Vitamin D Deficiency
Anthropology
Endocrinology
Solar System
Erythema
Dermatology
Consensus
Epidemiology

All Science Journal Classification (ASJC) codes

  • Dermatology

Cite this

Passeron, T., Bouillon, R., Callender, V., Cestari, T., Diepgen, T. L., Green, A. C., ... Young, A. R. (2019). Sunscreen photoprotection and vitamin D status. British Journal of Dermatology, 181(5), 916-931. https://doi.org/10.1111/bjd.17992
Passeron, T. ; Bouillon, R. ; Callender, V. ; Cestari, T. ; Diepgen, T. L. ; Green, A. C. ; van der Pols, J. C. ; Bernard, B. A. ; Ly, F. ; Bernerd, F. ; Marrot, L. ; Nielsen, M. ; Verschoore, M. ; Jablonski, N. G. ; Young, A. R. / Sunscreen photoprotection and vitamin D status. In: British Journal of Dermatology. 2019 ; Vol. 181, No. 5. pp. 916-931.
@article{d6cbe2ed26af4720b8ab737af8d4c02a,
title = "Sunscreen photoprotection and vitamin D status",
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.",
author = "T. Passeron and R. Bouillon and V. Callender and T. Cestari and Diepgen, {T. L.} and Green, {A. C.} and {van der Pols}, {J. C.} and Bernard, {B. A.} and F. Ly and F. Bernerd and L. Marrot and M. Nielsen and M. Verschoore and Jablonski, {N. G.} and Young, {A. R.}",
year = "2019",
month = "11",
day = "1",
doi = "10.1111/bjd.17992",
language = "English (US)",
volume = "181",
pages = "916--931",
journal = "British Journal of Dermatology",
issn = "0007-0963",
publisher = "Wiley-Blackwell",
number = "5",

}

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 2019, 'Sunscreen photoprotection and vitamin D status', British Journal of Dermatology, vol. 181, no. 5, pp. 916-931. https://doi.org/10.1111/bjd.17992

Sunscreen photoprotection and vitamin D status. / Passeron, T.; Bouillon, R.; Callender, V.; Cestari, T.; Diepgen, T. L.; Green, A. C.; van der Pols, J. C.; Bernard, B. A.; Ly, F.; Bernerd, F.; Marrot, L.; Nielsen, M.; Verschoore, M.; Jablonski, N. G.; Young, A. R.

In: British Journal of Dermatology, Vol. 181, No. 5, 01.11.2019, p. 916-931.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Sunscreen photoprotection and vitamin D status

AU - Passeron, T.

AU - Bouillon, R.

AU - Callender, V.

AU - Cestari, T.

AU - Diepgen, T. L.

AU - Green, A. C.

AU - van der Pols, J. C.

AU - Bernard, B. A.

AU - Ly, F.

AU - Bernerd, F.

AU - Marrot, L.

AU - Nielsen, M.

AU - Verschoore, M.

AU - Jablonski, N. G.

AU - Young, A. R.

PY - 2019/11/1

Y1 - 2019/11/1

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=85066308260&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85066308260&partnerID=8YFLogxK

U2 - 10.1111/bjd.17992

DO - 10.1111/bjd.17992

M3 - Review article

C2 - 31069788

AN - SCOPUS:85066308260

VL - 181

SP - 916

EP - 931

JO - British Journal of Dermatology

JF - British Journal of Dermatology

SN - 0007-0963

IS - 5

ER -

Passeron T, Bouillon R, Callender V, Cestari T, Diepgen TL, Green AC et al. Sunscreen photoprotection and vitamin D status. British Journal of Dermatology. 2019 Nov 1;181(5):916-931. https://doi.org/10.1111/bjd.17992