Sun exposure and health… by Dr. Marc Sorenson, Sunlight Institute…
Lack of vitamin D, which is produced by sun exposure, leads to rickets, osteoporosis, osteomalacia and other bone diseases. In addition, research well after the first discovery of vitamin D has shown that vitamin D deficiency and sunlight deprivation also lead to many cancers, heart disease and multiple additional maladies. Now, as the world has modernized, the population is moving indoors, and even in the areas that are sunny throughout the year, sunlight exposure and vitamin D deficiency is increasing, both in rural and urban populations. The bones become so weakened without regular sun exposure, that the slightest movement may cause a fracture. As an example, the mother of an acquaintance of mine—a woman who avoided the sun—turned over in bed one night and broke her hip. Osteoporosis often destroys all quality or life for those who suffer it.
The importance of the sun in maintaining and producing strong bones has been known since antiquity. Dr. Richard Hobday, author of The Healing Sun, writes the following comments along with a history in an online article. “Traditionally, sunlight deprivation has been linked with weak or brittle bones. One of the earliest references to this was made more than two thousand years ago by the Greek historian Herodotus (480-425 BC), who noted a marked difference between the remains of the Egyptian and Persian casualties at the site of battle of Pelusium which took place in 525 BC:
‘At the place where this battle was fought I saw a very odd thing, which the natives had told me about. The bones still lay there, those of the Persian dead separate from those of the Egyptian, just as they were originally divided, and I noticed that the skulls of the Persians were so thin that the merest touch with a pebble will pierce them, but those of the Egyptians, on the other hand, are so tough that it is hardly possible to break them with a blow from a stone. I was told, very credibly, that the reason was that the Egyptians shave their heads from childhood, so that the bone of the skull is indurated by the action of the sun — this is why they hardly ever go bald, baldness being rarer in Egypt than anywhere else. This, then, explains the thickness of their skulls; and the thinness of the Persian’s skulls rests upon a similar principle: namely that they have always worn felt skull -caps, to guard their heads from the sun.’
Herodotus, ‘The Histories’”
And here is a perhaps the transcendent study on hip fracture and sun exposure: research in Spain showed that women who were sun seekers had only about one-eleventh the risk of hip fracture as those who stayed indoors (See the chart below).
That is very powerful evidence of the efficacy of sun in preventing weak bones. In stark contrast to this research are studies done on women who completely avoid the sun and suffer from osteomalacia. Osteomalacia is a soft-bone disease known as adult rickets, resulting from severe vitamin D deficiency, which deficiency prevents bone from properly mineralizing. Women who seldom go outdoors, or who are nearly always fully covered with clothing, have an extremely high incidence of osteomalacia at a very young age, even if they live in geographical areas with abundant sunlight.  If one is never exposed to the available sun, the sun will not be able to produce its beneficial effects on the body, so one may as well live at the North Pole.
Sunbed use also is associated with stronger bones and higher vitamin D levels. An excellent study compared 50 people who used sunbeds regularly with 106 who did not. The sunbed group had 90% higher vitamin D, significantly higher bone density and lower PTH levels (high PTH levels are associated with lower bone mass). The users had healthful vitamin D levels of 46 ng/ml [115 nmol/L] compared to only 24 ng/ml [60 nmol/L] for those who did not regularly use sunbeds.
Scientists at one time believed that sunlight and vitamin D were good only for preventing rickets, osteoporosis and other bone weaknesses. That belief has been supplanted by myriad research studies that show the efficacy of both sun exposure and vitamin D repletion on protection against numerous additional diseases. Nevertheless, we should never forget the extraordinary, never-changing value of sun exposure to maintaining a strong skeleton well into old age.
Richard Hobday. The Healing sun: Sunlight, Brittle Bones, and Osteoporosis. http://sunlightenment.com/the-healing-sun-sunlight-brittle-bones-and-osteoporosis/. (accessed February 5, 2016)
 Larrosa M, Casado E, Gómez A, Moreno M, Berlanga E, Ramón J, Gratacós J. Vitamin D deficiency and related factors in patients with osteoporotic hip fracture. Med Clin (BARC) 2008;130:6-9.
 Sahibzada AS, Khan MS, Javed M. Presentation of osteomalacia in Kohistani women. J Ayub Med Coll Abbottabad 2004;16:63-5
 Al-Jurayyan NA, El-Desouki ME, Al-Herbish AS, Al-Mazyad AS, Al-Qhtani MM. Nutritional rickets and osteomalacia in school children and adolescents. Saudi Med J 2002;23:182-85.
 Tangpricha V, Turner A, Spina C, Decastro S, Chen TC, Holick MF. Tanning is associated with optimal vitamin D status (serum 25-hydroxyvitamin D concentration) and higher bone mineral density. Am J Clin Nutr. 2004 Dec;80(6):1645-9.
By Marc Sorenson, EdD, Sunlight Institute
After coming across some research having to do with sun exposure and the seasonality of fractures, I thought it wise to share it with my readers.
In high latitude areas, which have far less sun availability than lower latitude areas, we would expect rates of hip fracture to be high, and such is the case. Sweden is a country that has large differences in latitude, and in research performed there it was shown that the higher the latitude and the lesser the sun exposure, the greater was the risk of hip fracture. In other words, significantly more hip fractures occurred in the northern part of the country compared to the middle and southern parts. Another Swedish investigation demonstrated that in men, hip fracture risk was 37.5% lower in summer than winter. Women had a 23.5% reduced risk in summer.
Research from Norway showed similar results. Hip fracture risk in men was 40% higher in winter than summer, and in women the risk was 25% higher.These fluctuations in seasonal hip fractures indicate a loss of bone mass during periods of low sun exposure (winter) and an increase in bone mass during periods of high sun exposure (summer). In other words, sun exposure is able to reverse bone loss, or osteoporosis. Other studies show similar patterns of bone strength based on sun exposure or lack thereof.
The importance of sunlight in maintaining and producing strong bones has been known since antiquity. Dr. Richard Hobday, author of The Healing Sun, writes the following comments and a history in an online article. “Traditionally, sunlight deprivation has been linked with weak or brittle bones. One of the earliest references to this was made more than two thousand years ago by the Greek historian Herodotus (480-425 BC), who noted a marked difference between the remains of the Egyptian and Persian casualties at the site of battle of Pelusium which took place in 525 BC:
‘At the place where this battle was fought I saw a very odd thing, which the natives had told me about. The bones still lay there, those of the Persian dead separate from those of the Egyptian, just as they were originally divided, and I noticed that the skulls of the Persians were so thin that the merest touch with a pebble will pierce them, but those of the Egyptians, on the other hand, are so tough that it is hardly possible to break them with a blow from a stone. I was told, very credibly, that the reason was that the Egyptians shave their heads from childhood, so that the bone of the skull is indurated by the action of the sun — this is why they hardly ever go bald, baldness being rarer in Egypt than anywhere else. This, then, explains the thickness of their skulls; and the thinness of the Persian’s skulls rests upon a similar principle: namely that they have always worn felt skull-caps, to guard their heads from the sun.’ Herodotus, ‘The Histories’”
The message is this: Don’t hide yourself from the sun; rather, embrace it in a safe manner, and that will protect your bones.
 Nilson F, Moniruzzaman S, Andersson R. A comparison of hip fracture incidence rates among elderly in Sweden by latitude and sun exposure. Scand J Public Health. 2014 Mar;42(2):201-6.
 Odén A, Kanis JA, McCloskey EV, Johansson H. The effect of latitude on the risk and seasonal variation in hip fracture in Sweden. J Bone Miner Res. 2014 Oct;29(10):2217-23.
 Solbakken SM1, Magnus JH, Meyer HE, Emaus N, Tell GS, Holvik K, Grimnes G, Forsmo S, Schei B, Søgaard AJ, Omsland TK.
 Grønskag AB1, Forsmo S, Romundstad P, Langhammer A, Schei B. Incidence and seasonal variation in hip fracture incidence among elderly women in Norway. The HUNT Study. Bone. 2010 May;46(5):1294-8.
 Richard Hobday. The Healing sun: Sunlight, Brittle Bones, and Osteoporosis. http://sunlightenment.com/the-healing-sun-sunlight-brittle-bones-and-osteoporosis/. (accessed February 5, 2016)
By Marc Sorenson, EdD Sunlight Institute…
The obesity pandemic, brought about by horrendous eating patterns, lack of exercise and lack of sunlight, has spawned millions of nutritionally bizarre diet programs and numerous strange medical procedures. One of the strangest is gastric bypass surgery, a procedure that cuts calorie absorptions by bypassing part of the stomach and intestinal area that absorbs nutrients. It is another case, similar to open-heart bypass, of a surgery that “bypasses” the real problem: preposterous lifestyle habits.
Any thinking person realizes that a surgery that reduces the calorie absorption also reduces the absorption of calcium and dietary vitamin D. It is a recipe for osteoporosis and hip fractures; these nutrients are essential for optimal bone health. Research by Dr. J Fleischer and colleagues showed that one year after gastric bypass, bone loss at the hip was 8%.[i] Just how important is this finding? One assessment showed that the risk of fracture increases two to three times for every 10 percent drop in bone density,[ii] and another showed that for every loss of 0.12g (.043 oz) per square centimeter (.15 square inch) of bone mass, the risk of a fracture increased by 360% in women and 340% in men.[iii]
Remember that this bone loss was reported only one year after the bypass surgery. If this rate of bone loss continued for several years, it would weaken the skeleton to the point that the slightest movement would cause a fracture. The bypass procedure is a horror, and the bone loss brought on by lack of absorption of calcium and vitamin D is even worse.
In the case of decreased absorption of vitamin D, increased dietary intake of vitamin D may not work to improve bone strength; it is likely that only a very small quantity of the increased intake would be absorbed into the system, meaning that the only way to ensure adequate vitamin D levels in the blood is to expose the skin to sunlight around midday in summer or light from sunlamps in winter. Vast quantities of vitamin D are produced in this manner, and the entire quantity is delivered to the blood, where it can work to increase calcium absorption in both the intestine and the bone. Calcium absorption in the intestine, for example, is 65% higher in people whose vitamin D levels are at the high end of “normal” when compared with those who are at the low end of normal.[iv]
Osteoporosis is not inevitable, and it is to a certain extent reversible. It is a problem caused by sunlight deficiency, excessive protein consumption, smoking, and lack of activity. Now we have added another revolting cause: the doctor’s scalpel. I wonder just how many doctors advise their patients about bone loss, sunlight and vitamin D before performing this atrocity. Interestingly, however, sunlight exposure has a positive influence on gastric bypass. Adverse effects of these surgeries are directly associated with the season and latitude in which they occur.[v] Seasons or latitudes of low sunlight availability were inversely correlated to prolonged stays in the hospital (39.4% longer stay), increased dehiscence (bursting open of a surgically closed wound) and wound infection. This surgery is a horror to begin with, but if it must be done, it appears that one should have it done in a sunny season of the year, or at a sunny latitude.
An ounce of prevention is worth tons of cure in the case of obesity. Good nutrition and ample sunlight exposure is essential to optimal human health.
[i] Fleischer J, Stein EM, Bessler M, Della Badia M, Restuccia N, Olivero-Rivera L, McMahon DJ, Silverberg SJ. The decline in hip bone density after gastric bypass surgery is associated with extent of weight loss. J Clin Endocrinol Metab. 2008 Oct;93(10):3735-40.
[ii] Nguyen T, Sambrook P, Kelly P, Jones G, Lord S, Freund J, Eisman J. Prediction of osteoporotic fractures by postural instability and bone density. BMJ 1993;307:1111-15.
[iii] Nguyen ND, Pongchaiyakul C, Center JR, Eisman JA, Nguyen TV. Identification of high-risk individuals for hip fracture: a 14-year prospective study. J bone Miner Res 2005;20:1921-28.
[iv] Heaney RP, Dowell MS, Hale CA, Bendich A. Calcium Absorption Varies within the Reference Range for Serum 25-Hydroxyvitamin D. J Am Coll Nutr 2003;22:142-46.
[v] Petersen L, Canner J, Cheskin L, Prokopowicz G, Schweitzer M, Magnuson T, Steele, K. Proxy measures of vitamin D status—season and latitude, correlate with adverse outcomes after bariatric surgery in the Nationwide Inpatient Sample, 2001-2010; a retrospective cohort study. 2015;9:88-96.
.Marc Sorenson, EdD, Sunlight Institute
While perusing the medical and scientific literature for research that would be pertinent for my upcoming book on the value of sunlight exposure, I found a most interesting paper on sunlight exposure and bone strength.[i] The researchers searched the literature on three groups of patients, Alzheimer’s, Parkinson’s and Stroke which correlated to very high fracture rates among patients suffering from those diseases. They then found three randomized, controlled studies that determined the efficacy of sunlight exposure for reducing the risk of hip fractures in patients with these diseases.
In each study, there was a control group that did not receive the exposure and an experimental group that received regular sunlight exposure to a small part of the body daily for a year. The results were impressive: For Alzheimer’s patients, the reduction in hip fractures was 78% compared to the controls who stayed inside; for Parkinson’s patients, 73%; for stroke patients, 83%. Overall, the risk of the hip fracture was reduced by 77% in the sunlight exposed groups. Bone mass also increased in each sunlight-exposed group, so osteoporosis was obviously reversed. Did you even realize that such a thing was possible? You probably knew it only if you have been reading the Sunlight Institute blogs. There is an even more impressive study that I always mention when writing about sunlight and osteoporosis. For example, an investigation from Spain in 2008 concluded that women who actively participated in sun exposure had one-eleventh the chance of a hip fracture as those who stayed indoors.[ii] It appears from the materials on the different disease groups mentioned above, that reversibility is a reality, but how much more important is it to prevent the disease in the first place? The women in Spain did exactly that.
The National Osteoporosis Foundation estimates that osteoporosis was responsible for more than 2 million fractures in 2005, including 297,000 hip fractures, 547,000 vertebral fractures, 397,000 wrist fractures, 135,000 pelvic fractures and 675,000 fractures at other sites. The foundation also estimates that the number of osteoporotic fractures is expected to rise to more than 3,000,000 by 2025, and that an average 24 % of hip-fracture patients aged 50 and over die within one year following the occurrence of their fracture.[iii] If we take 24% of just the hip fractures that cause death we see that osteoporosis kills at least 71,280 people per year. Larrosa, M. Vitamin D deficiency and related factors in patients with osteoporotic hip fracture. Med Clin (BARC) 2008;130:6-9.
Do you believe that it might be worth a daily sunbath to save the lives of 70,000 people per year? Do you believe that it would be worth daily exposure (unprotected by sunscreen) to the sun (when possible) to reduce your own risk of fracture? Then why don’t we know about these statistics and the marvelous prophylactic effects of sunlight? That answers are simple: (1) it doesn’t sell any Fosamax or Boniva. (2) It doesn’t sell any noxious, deadly sunscreens. (3) It would be unthinkable for most dermatologists to admit that soaking up a little sun each day might be good for us. It has been said, “And ye shall know the truth and the truth shall make you free.”[iv] Now you have boned up on bone strength and sunlight, and you know the truth.
My fervent hope is that all may be free from the deceptions of those who would ignore the truth in favor of making another dollar.
[i] Iwamoto J, Takeda T, Matsumoto H. Sunlight exposure is important for preventing hip fractures in patients with Alzheimer’s disease, Parkinson’s disease, or stroke. Acta Neurol Scand. 2012 Apr;125(4):279-84
[ii] Larrosa, M. Vitamin D deficiency and related factors in patients with osteoporotic hip fracture. Med Clin (BARC) 2008;130:6-9.
[iii] National Osteoporosis Foundation, Fast Facts on Osteoporosis. Accessed Nov. 20, 2009 at http://www.nof.org/osteoporosis/diseasefacts.htm
[iv] John 8:32 (KJV)
The Indian Menopause Society (IMS), is an organization whose motto is to keep women fit at 40, active at 60 and independent at 80. One of their suggestions is that women stop soaking up sunscreen and start getting outside at peak sunlight time–for at least 15 minutes daily. The idea is to use the most natural manner possible to optimize vitamin D levels and thereby reduce the risk of osteoporosis and other bone diseases.
It is gratifying to see that there are women’s health organizations that understand the life-saving importance of sunlight. India is to be congratulated for cutting past the anti-sun nonsense and leading the world back to enlightenment. This is an excellent article from the Times of India.
The evidence has been mounting for some time that sunlight exposure can halt osteoporosis in its tracks. For example, an investigation from Spain in 2008 concluded that women who actively participated in sun exposure had one-eleventh the chance of a hip fracture as those who stayed indoors. There is no bone drug that can create such dramatic results, and neither has vitamin D supplementation been able to create such results, although vitamin D was doubtlessly a major factor in the results of the Spanish research.
The beauty of sunlight exposure is the fact that it is irrefutably capable of reversing osteoporosis. A study from Japan furnishes the proof: Over twelve months, 129 elderly, hospitalized women were exposed to regular sunlight and another 129 stayed received no sunlight. The results were impressive. In these sedentary women, the sunlight group increased bone mass by an average 3.1%; in the non-sunlight-exposed group, it decreased by 3.3%. More importantly, the women who had the benefit of sunlight had only one bone fracture in their group. The sunlight-deprived group had six fractures! Sunlight reversed osteoporosis. Vitamin D produced by the skin in response to sunlight likely played a large role in the reversal; blood levels increased by nearly 400% during the year. Nevertheless, the women remained vitamin D deficient, reaching levels of about 19 ng/ml. This may mean that something beyond vitamin D production—perhaps another photoproduct produced by the skin in response to sunlight—made a difference. Certainly, no study using vitamin D supplements alone has produced such results.
The aforementioned studies conclusively demonstrate that sunlight is the key to strong, healthy bones; nevertheless, corroborating information continues to emerge. Recently published research from Sweden showed the results of an investigation regarding the correlations among fracture rates, latitude and UV radiation (the light spectrums of sunlight that stimulate the skin to produce vitamin D and other photoproducts such as nitric oxide, endorphins, etc.). The higher the latitude, the lower is the exposure to UV radiation. The investigators showed that there were statistically significant correlations between hip-fracture rates and latitude as well as UV radiation in Sweden. Obviously, this is another instance of sunlight exposure preventing osteoporosis and fracture.
Osteoporosis, like many other degenerative diseases, is an absolutely unnecessary malady. Plenty of sunshine and a healthful nutrition program can prevent and even reverse these illnesses.
 Larrosa, M. Vitamin D deficiency and related factors in patients with osteoporotic hip fracture. Med Clin (BARC) 2008;130:6-9.
 Sato, Y. Metoki N, Iwamoto J, Satoh K. Amelioration of osteoporosis and hypovitaminosis D by sunlight exposure in stroke patients. Neurology 2003;61:338-42.)
 Nilson F, Moniruzzaman S, Andersson R. A comparison of hip fracture incidence rates among elderly in Sweden by latitude and sunlight exposure. Scand J Public Health. 2013 Nov 21. [Epub ahead of print].
By: Marc Sorenson, Sunlight Institute–
In 1997, Dr. Y Sato and colleagues showed that sunlight deprivation (due to being hospitalized) in Parkinson’s patients resulted in compensatory hyperparathyroidism, which in turn led to reduced bone mass and excessive hip fractures. In 1998, he made the same observation regarding elderly women with Alzheimer’s disease. Then, in 2003, he reported that sunlight deprivation was also a cause of hip fractures in elderly women who suffered from stroke. This time, however, he studied the effects of sunlight—or the lack thereof—on the bone mass of elderly women who were either exposed to sunlight or were kept inside a care facility. Over twelve months, 129 women were exposed to regular sunlight and another 129 received no sunlight exposure. The results were startling: in these sedentary women, the sunlight group increased bone mass by an average 3.1%; in the non-sunlight-exposed group, it decreased by 3.3%, a swing of 6.4%.
Of course, one might ask why a small increase in bone density in one group and a loss of bone density in the other makes any difference; the real question is whether it prevented hip fractures. Now consider this: as proof of the efficacy of improving bone mass, the women who had the benefit of sunlight had only one bone fracture in their group. The sunlight-deprived group had six fractures! This is obviously a reversal of osteoporosis and a reversal of fracture risk.
Sato was not through with his research; in 2005, he and his colleagues exposed a group of Alzheimer’s patients to sunlight for one year, and another was kept in a typical indoor hospital setting. In the sunlight group a 220% increase in vitamin D levels was found, and bone mass increased by 2.7%. In the indoor group, bone mass decreased by 5.6%. That is a difference of 7.3% in only one year! The final proof, of course, is with fractures. In the sunlight group, there were three fractures; in the sunlight-deprived group there were eleven, or 3.7 times more.
Finally, in 2011, Dr. Sato and his group did a similar study on elderly patients with Parkinson’s disease. A two-year program of sunlight exposure was compared to a two-year program of continued sunlight deprivation. This time, the sunlight group experienced an increase of 3.8% bone mass, whereas the sunlight-deprived group lost 2.6% bone mass. The sunlight group experienced three fractures and the sunlight deprived group, eleven fractures, as in the aforementioned study.
One more thought: An investigation in Spain concluded that women who actively participated in sun exposure had one-eleventh the chance of a hip fracture as those who stayed indoors.
The conclusion: sunlight exposure not only prevents, but can also reverse osteoporosis and fractures. Every physician who treats this disease should have sunlight exposure as his number-one treatment protocol. But is anyone listening?
 Sato Y, Kikuyama M, Oizumi K. High prevalence of vitamin D deficiency and reduced bone mass in Parkinson’s disease. Neurology. 1997 Nov;49(5):1273-8.<?xml:namespace prefix = o />
 Sato Y, Asoh T, Oizumi K. High prevalence of vitamin D deficiency and reduced bone mass in elderly women with Alzheimer’s disease. Bone. 1998 Dec;23(6):555-7.
 Sato, Y. Amelioration of osteoporosis and hypovitaminosis D by sunlight exposure in stroke patients. Neurology 2003;61:338-42.
 Sato Y, Iwamoto J, Kanoko T, Satoh K. Amelioration of osteoporosis and hypovitaminosis d by sunlight exposure in hospitalized, elderly women with Alzheimer’s disease: a randomized controlled trial. J Bone Miner Res. 2005;20:1327-33.
 Sato Y, Iwamoto J, Honda Y. Amelioration of osteoporosis and hypovitaminosis D by sunlight exposure in Parkinson’s disease. Parkinsonism Relat Disord 2011;17(1):22-6.
 Larrosa, M. Vitamin D deficiency and related factors in patients with osteoporotic hip fracture. Med Clin (BARC) 2008;130:6-9.
By: Marc Sorenson, Sunlight Institute–
A physician from Japan, Dr. Sato, proved several years ago that osteoporosis is reversible and that fracture risk is profoundly reduced by sunbathing (Sato, Y. Amelioration of osteoporosis and hypovitaminosis D by sunlight exposure in stroke patients. Neurology 2003;61:338-42). Research from Spain has also shown that women who actively seek the sun have about 1/11 the risk of a fracture as those women who stay indoors (Larrosa, M. Vitamin D deficiency and related factors in patients with osteoporotic hip fracture. Med Clin (BARC) 2008;130:6-9).
Considering that sunlight exposure is established as a preventer and reverser of osteoporosis, it is good to see that others in the medical field have recognized that lack of sunlight is leading to terrible bone weakness, in this case, osteopenia (what I call “osteoporosis light”). Because of a tendency of women in Dubai to cover up and avoid the sun, the risk of osteopenia is seen at much younger ages than in the rest of the world. The take-away is that the human race needs to return to its sunlight roots or risk crumbling and falling apart. Please read the studies and help spread the word about how bone diseases can be prevented and reversed by regular sun exposure.