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· · Sun is healthy despite skin cancer risk

A little more sunshine might help you live longer, according to new study findings suggesting that for some people health benefits from the sun outweigh the risk of skin cancer.

Sunlight spurs the body to produce vitamin D but fear of skin cancer is keeping many people in the shade and depriving them of an important protection from a range of diseases, researchers said.

"The skin cancer risk is there but the health benefits from some sun exposure are far larger than the risk," said Johan Moan, a researcher at the Institute for Cancer Research in Oslo, who led the study. "What we find is modest sun exposure gives enormous vitamin D benefits."

A number of studies have found protective effects from higher vitamin D intake for some cancers and ailments such as rickets, osteoporosis and diabetes, Moan said. Certain foods contain vitamin D but the body's main source comes from the sun.

The researchers calculated that given the same amount of time spent outside, people living just below the equator in Australia produced 3.4 times more vitamin D than people in Britain and 4.8 times more than Scandinavians. This means even though rates of internal cancers such as colon cancer, lung cancer, breast cancer and prostate cancer rise from north to south, people in the sunnier latitudes were less likely to die from all these diseases, the researchers said.

"The current data provide a further indication of the beneficial role of sun-induced vitamin D for cancer prognosis," said Richard Setlow of the U.S. Department of Energy's Brookhaven National Laboratory, who worked on the study.

Getting more vitamin D -- which helps the body's immune system work properly -- is also critical for people living in places like Scandinavia where long winters and short days during the year limit sun exposure, Moan added. In Norway, Moan estimated that doubling the sun exposure for the general population would also double the number of annual skin cancer deaths to about 300 but that 3,000 fewer people would die from other cancers.

"The benefits could be significant for people in other countries as well," he said in a telephone interview. "I would be surprised if they were any different."

Moan, whose findings were published in the Proceedings of the National Academy of Sciences, recommended daily sun exposure for about half the time it takes a person to get sunburned.

Another way to get more vitamin D could be designing sunscreen that blocks long ultraviolet wavelengths that trigger the deadliest forms of skin cancer while letting through short ultraviolet wavelengths that produce Vitamin D, the researchers said.

Dr. Cinque's comments: There is an interesting theory that Vitamin D deficiency causes or contributes to high blood cholesterol. Supposedly, when the body is depleted in Vitamin D, it makes more cholesterol because cholesterol is the precursor to Vitamin D, and the hope is that if the clouds clear and the sun breaks through, that there will be plenty of cholesterol in the skin from which to make Vitamin D. It's a case of providing more of a substrate to push the equation when the time is right. And it is noteworthy that sunbathing does have the effect of lowering blood cholesterol. The effect is small, but it is measurable and significant. But the question of how much sun people should get continues to be controversial. I have known dermatologists who believe very strongly that the ideal amount of sun is zero, and they are quick to point out that the youngest skin on your body is the skin covering your buttocks. But I am inclined to refer the argument back to Nature, and I think there is no question that we humans are light-dwelling creatures. We are children of the light, and our very happiness is fostered by sunlight. And I think the research clearly shows that moderate sun exposure does imcrease your chances for good health and long life. Leastways, I'm placing my bets on that side of the table.

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