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Infant sunbathing 30 minutes a week raises vitamin D levels to only 20 ng in 6 months – Sept 2017

30-minute sunbath a week can make infants Vitamin-D sufficient: Study

  • “The study found that an exposure of as low as about 30 minutes of sunlight per week with about 40 per cent of the child’s body exposed to the sunlight can help achieve adequate vitamin-D status at 6 months of age. “
  • “The researchers also found that the ideal time to give the sunbath is between 10 AM and 3 PM.”
  • “ . . we have reported that for the winter months if the child is fully clothed with only face and hands are exposed, the required sunbath is calculated to be two hours per week or approximately 17 minutes per day.”

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Sunlight Exposure and Vitamin D Status in Breastfed Infants - Feb 2017

Indian Pediatr. 2017 Feb 15;54(2):105-111. Epub 2016 Dec 5.
Meena P1, Dabas A, Shah D, Malhotra RK, Madhu SV, Gupta P.

To correlate the sunlight exposure in first 6 months to vitamin D status at 6 months of age in predominantly breastfed infants; and to quantify the sunlight exposure required to achieve serum 25(OH)D level >20 ng/mL, by 6 months of age.

DESIGN: Design: Prospective cohort.

SETTING: Tertiary-care hospital predominantly catering to urban poor population in Delhi.

132 healthy infants, delivered at term, and predominantly breastfed were enrolled at 6-8 weeks of age. Of these, 100 infants were available for final evaluation at 6 months of age (mean (SD) follow-up: 126 (17) days).

Baseline maternal vitamin D (serum 25(OH)D) levels were obtained at enrolment. The mothers were asked to maintain a daily record of duration of sunlight exposure, timing of exposure, and body surface area exposed, for the infant, on a pre-designed proforma, till the child was 6 months of age. Infant's serum 25(OH)D was measured at 6 months of age.

Cumulative Sun Index was calculated as a composite measure of overall duration/time/body surface area exposed to sunlight; and correlated with the infant serum 25(OH)D after adjusting for baseline maternal serum 25(OH)D levels, season of exposure, and skin color of the infant. Sun index for exposure in morning (before 10 am) and afternoon (10 am-3 pm) were also correlated to vitamin D status.

Of 100 mother-infant pairs completing the study, 90 mothers had vitamin D deficiency (serum 25(OH)D <12 ng/mL). The median duration of exposure of infants to sunlight was 17 min per week, on 6% of body surface area. Vitamin D levels of 67 (67%) infants at 6 months were less than 12 ng/mL and another 23% had insufficient levels (12-20 ng/mL). Cumulative sun index correlated positively to infant's serum 25(OH)D level at 6 months of age (r= 0.461, P<0.001). Increment in afternoon sun index by 1 unit increased the serum 25(OH)D level by 1.07 ng/mL (95% CI 0.37, 1.78; P= 0.003). A minimum 30 minute weekly afternoon sunlight exposure, between 10 am and 3 pm, over 40% body area (infant clothed in diapers, in prone position) for at least 16 weeks, was estimated requirement to achieve sufficient vitamin D levels (>20 ng/mL) by 6 months of age.

There is a significant positive correlation between afternoon sunlight exposure and infant's vitamin D levels, independent of maternal vitamin D status. Randomized controlled trials are suggested to explore the effectiveness of this simple intervention to prevent or treat vitamin D deficiency in children.

Created by admin. Last Modification: Friday November 10, 2017 19:17:45 GMT-0000 by admin. (Version 3)

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8704 Sunbathe.pdf admin 10 Nov, 2017 19:06 45.06 Kb 627
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