Inside Health June 25

sunshine – links

My bottom line: it’s all about being honest about uncertainty

https://www.bmj.com/content/341/bmj.c4641
https://www.nice.org.uk/guidance/ng34/evidence/expert-paper-7-overview-of-sunlight-exposure-messages-pdf-2311152883

lack of vitamin D 

but lack of evidence that taking vitamin D gives benefits 

systematic review 2023

https://pmc.ncbi.nlm.nih.gov/articles/PMC10146299

vitamin D supplementation appears to decrease the risk of ACM (especially convincing in the fair- and good-quality RCTs)

https://pubmed.ncbi.nlm.nih.gov/24703049

Our findings suggest that vitamin D supplementation with or without calcium does not reduce skeletal or non-skeletal outcomes in unselected community-dwelling individuals by more than 15%.

https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD007470.pub3/full

The differences between the results of these meta-analyses seem largely due to the methods adopted by the authors, such as their choice of studies that are included, how co-administration of calcium is dealt with, and how the studies are divided in subgroup analyses.

https://adeadamson.com
https://www.sciencedirect.com/science/article/pii/S1353829224001564?via%3Dihub
https://www.nice.org.uk/guidance/ng34/chapter/supporting-information-for-practitioners#:~:text=In%20the%20UK%2C%20sunlight%20is,%2C%20hands%20or%20lower%20legs).

Click to access DN_sunscreen_supp_NICEv3%20%282%29.pdf

BAD response to draft NICE guidance on Sunlight Exposure: Benefits and Risks
https://pubmed.ncbi.nlm.nih.gov/25646772
https://www.bmj.com/content/352/bmj.i789
https://pmc.ncbi.nlm.nih.gov/articles/PMC2290997/#:~:text=The%20best%2Dknown%20benefit%20of,lack%20of%20outdoor%20sun%20exposure.
https://www.nature.com/articles/s41574-021-00593-z
https://link.springer.com/article/10.1007/s43630-025-00743-6

NICE history of sun ‘awareness’

https://www.nice.org.uk/guidance/ph32/evidence/expert-paper-3-national-campaigns-uk-and-worldwide-pdf-428732317#:~:text=Sun%2520Know%2520How,543k%2520HEA%2520%25E2%2580%2593%2520Sun%2520Know%2520How

Campaigns sponsored by sun cream manufacturers

https://www.bad.org.uk/brits-slapdash-approach-to-sunscreen-putting-lives-at-risk

Review article 

https://pmc.ncbi.nlm.nih.gov/articles/PMC2290997/#sec6

Other health benefits 

https://openresearch.nihr.ac.uk/articles/5-51/v1

NHS advice for patients 

https://www.nhs.uk/live-well/seasonal-health/sunscreen-and-sun-safety

NICE advice for professionals 

https://www.nice.org.uk/guidance/ng34/chapter/supporting-information-for-practitioners
https://www.sciencedirect.com/science/article/abs/pii/S1568163720302245
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