While many doctors know that ultraviolet radiation (UVR) from sunlight reduces risk of breast cancer, they have missed something. UVR stimulates production of vitamin D in human skin. Therefore, many health professionals assume that vitamin D is responsible for the reduced cancer risk. This may lead them to advocate the use of vitamin D supplementation and totally miss the bigger picture. In addition to vitamin D, UVR from sunlight or sunlamps produces many supplementary healthful photoproducts. Among others, nitric oxide, serotonin, endorphin and BDNF are produced by sunlight, and these photoproducts are vital to health. And, it is likely that these healthful photoproducts lead to an inhibition of breast cancer.
New research shows that sun exposure per se is capable of reducing the risk of breast cancer.
Consequently, it should not surprise us that for breast cancer, sunlight’s effects go beyond vitamin D. Researchers at Children’s Hospital Oakland Research Institute, used a murine model (mice) that easily develops breast cancer, and treated them with UVR. Much as we might expect, they found that UVR treatments produced significant anti-cancer effects. Furthermore, they found that neither dietary vitamin D nor topical vitamin D influenced cancer risk. Because of their findings, they stated the following: “UVR’s inhibitory effects occur irrespective of whether or not the treatment increases circulating D3 in the mice.” Also, they made one more important comment regarding their research on breast cancer and UVR. “Therefore, supplemental D3 may not mimic all possible beneficial effects of UVR, and uncovering non-D3-mediated mechanisms of UVR tumor inhibition may lead to novel strategies for cancer prevention.”
An important point about vitamin D, sunlight and breast cancer.
Finally, there is no doubt that vitamin D has anticancer benefits. This research however, is especially relevant in that it corroborates what I have said in my soon-to-be-released book, Embrace the Sun. First of all, we must not put all of the benefits of sunlight in the vitamin D box. Secondly, sun exposure performs myriad miracles beyond vitamin D. One of those miracles may be breast cancer prevention and inhibition. Thirdly, if we erroneously believe that we can obtain all of the sun’s benefits from popping a vitamin D pill, we may miss the holistic effects of the sun, which provide a cornucopia of salubrious results.
So, safely (without burning) embrace the sun and ease your mind about breast cancer.
 Anastasia M. Makarova, Flora Frascari, Parastoo Davari, Farzam Gorouhi, Philip Dutt, Lynn Wang, Akash Dhawan, Grace Wang, Jeffrey E. Green, Ervin H. Epstein, Jr. Ultraviolet radiation inhibits mammary carcinogenesis in an ER negative murine model by a mechanism independent of vitamin D3. Downloaded from cancerpreventionresearch.aacrjournals.org on April 12, 2018.
Although liver cancer is generally thought to be related to drinking, other factor such as obesity, HIV infection, smoking, diabetes, socioeconomic factors, drugs and others come into play. A recent study compared sun exposure to liver cancer and adjusted for the aforementioned factors. Sun exposure was shown to be a major factor in reducing the risk of the most prevalent and deadly liver cancer, called hepatocellular carcinoma.
Major finding for liver cancer:
The subjects were divided into five groups, or quintiles, based on their sun exposure. In addition such factors as as outdoor activity, geographical residence, urban or rural settings, etc. were adjusted for.
Most noteworthy, was the fact that for each quintile of increasing sun exposure, there was a 17% decrease in the liver cancer risk.
The only disappointing part to the study was this: The researchers assumed that the positive influence of sun exposure on liver cancer was due to vitamin D production. And, they may have been correct. Yet the sun causes the body to produce many other photoproducts. Due to the sun’s myriad effects, serotonin, endorphin, BDNF, nitric oxide, and dopamine are all increased. Therefore, it is impossible to know if vitamin D alone was the reason for the reduced risk of liver cancer. However, vitamin D undoubtedly played a large part in the positive results. And, there is a problem with giving vitamin D the credit without knowing for sure. People may believe, due to this research, that they need only to take a vitamin D supplement to receive all benefits of sunlight. Therefore, they can make very bad assumptions.
This is the first study on sun exposure and liver cancer.
Probably, this is the first research to show a link between liver cancer and inadequate sun exposure. However, there are indications that sun exposure is associated with a reduced risk of another liver ailment, called fatty liver disease.
In conclusion, if you are a liver lover, you can love your liver by protecting it from liver cancer. Hence, you should obtain your share of unscreened, direct, non-burning sun exposure. Happy sunning!
 Trang VoPham, Kimberly A. Bertrand, Jian-Min Yuan, Rulla M. Tamimi, Jaime E. Hart,
and Francine Laden. Ambient ultraviolet radiation exposure and hepatocellular carcinoma incidence in the United States. Environmental Health (2017) 16:89.
 Gorman S, Black LJ, Feelisch M, Hart PH, Weller R. Can skin exposure to sun prevent liver inflammation? Nutrients 2015 May 5;7(5):3219-39.
Bipolar disorder, or bipolar depression, may lead to early death. It is a mental condition characterized by alternating mania and depression, usually interspersed with normal mood. And, it also may include psychosis. Because of the alternating moods, bipolar disorder was previously called manic-depressive illness. The word “manic” means excessive activity, euphoric mood, and impaired judgement.
Bipolar disorder affects about 5.7 million adult Americans, and one in 5 people who have the condition commits suicide. Furthermore, the U.S. has the highest bipolar rate in the world. Bipolar disorder is also the sixth leading cause of disability in the world. In addition, it results in a 9.2-year reduction in the expected life span.
New (and very exciting) research demonstrates that bright-light therapy has a profound and positive influence on this disease. The researchers conducted a 6-week program to investigate the value of bright light therapy at midday for bipolar depression. The study participants were chosen from depressed adults who were receiving stable dosages of anti-manic medication. The subjects were randomly assigned to treatment in one of two groups: the bright-white light (7,000 lux) group or dim-red light (50 lux) group.
At the end of the six-week period, 68% of the bright-light group went into remission of their bipolar problems, compared with 15% of the dim-light group. This is a most noteworthy result.
The study provides transcendently important information for those who suffer from this debilitating mental disorder. Therefore, the researchers summarized their findings thusly: “The data from this study provide robust evidence that supports the efficacy of midday bright light therapy for bipolar depression.”
The mechanism by which bright-light therapy performs its anti-depressive miracles is probably through production of serotonin in the brain. When we are surrounded by bright light, the light enters the eye and stimulates the brain to produce serotonin. Serotonin is the master mood enhancer, and anti-depressant drugs work by manipulating serotonin. Hence, these drugs are called selective serotonin uptake inhibitors (SSRI). However, SSRI often have serious, sometimes deadly, side effects. We should therefore obtain our serotonin naturally, through regular sun exposure. Why? Because serotonin can be increased by as much as 800% by spending a day in the sunlight. What a marvelously simple therapy bright light is. And what is the easiest way to obtain it? Go outside during the day, for goodness sake!
It is not necessary to go outside at midday. Any time of day, when the sun is shining brightly, should work very well. However, we should never look directly at the sun. That may cause eye damage. Sufficient light enters just by being outside.
In conclusion: Safely embrace the sunlight whenever possible, and remove the risk of bipolar disorder.
 Amanda Gardner. U.S. has highest bipolar rate in 11-nation study. Heath.com. March 7, 2011. http://www.cnn.com/2011/HEALTH/03/07/US.highest.bipolar.rates/
 Bipolar Disorder Statistics. BDS Alliance. http://www.dbsalliance.org/site/PageServer?pagename=education_statistics_bipolar_disorder.
 Sit DK, McGowan J, Wiltrout C, Diler RS, Dills JJ, Luther J, Yang A, Ciolino JD, Seltman H, Wisniewski SR, Terman M, Wisner KL. Adjunctive Bright Light Therapy for Bipolar Depression: A Randomized Double-Blind Placebo-Controlled Trial. Am J Psychiatry. 2017 Oct 3: [Epub ahead of print].
 Lambert GW, Reid C, Kaye DM, Jennings GL, Esler MD. Effect of sun and season on serotonin turnover in the brain. Lancet. 2002 Dec 7;360(9348):1840-2.
A recent sunshine article in the UK online newspaper, The Mail, led with the headline, “Sunshine breaks could mean better mental health.” It then went on to describe how many shift workers, as well as other residents of the UK, are deficient in vitamin D. Quoting from research published in the Journal BMC Public Health, the article stated that about 91% of residents are at least insufficient in vitamin D.
Vitamin D deficiency of that extent is a health crisis, of that there is no doubt. It is also a surety that the way to combat vitamin D deficiency is by taking “sunshine breaks.” However, it is misleading to assume it is vitamin D deficiency that is responsible for the entire problem with mental health and other diseases as they relate to sun exposure. Consider the fact that lack of sunshine deficiency also causes problems beyond vitamin D deficiency. For example, the natural 24-hour cycles, called circadian rhythms, are desynchronized by lack of sunshine in the morning. This causes us to feel out of synch and to be more susceptible to many diseases including cancer.
Sunshine is vital to mental and physical health, and that health is not due to vitamin D alone. Take a holistic view of the importance of sunshine.
 Sowah D, Fan X, Dennett L, Hagtvedt R, Straube S. Vitamin D levels and deficiency with different occupations: a systematic review. BMC Public Health. 2017 Jun 22;17(1):519.
 Lambert GW, Reid C, Kaye DM, Jennings GL, Esler MD. Effect of sun and season on serotonin turnover in the brain. Lancet. 2002 Dec 7;360(9348):1840-2.
 Asta Juzeniene and Johan Moan. Beneficial effects of UV radiation other than via vitamin D production: Dermato-End Holick, M. The UV Advantage 2. Ibooks 2003, New York. Ocrinology 2012;4(2):109–117.
 Holick, M. The UV Advantage 2. Ibooks 2003, New York.
 Molendijk ML, Haffmans JP, Bus BA, Spinhoven P, Penninx BW, Prickaerts J, Oude Voshaar RC, Elzinga BM. Serum BDNF concentrations show strong seasonal variation and correlations with the amount of ambient sun. PLoS One. 2012;7(11):e48046.
The Vitamin D Society of Canada has just released one of the best articles on the relationship of sun exposure and its potential for vitamin D production. Sun exposure is the natural way to obtain your essential vitamin D, and of course provides other essential photoproducts such as nitric oxide, serotonin, endorphin and BDNF.
Here is the press release from the Vitamin D Society, in full:
For Immediate Distribution
TORONTO, Ont (April 4, 2017) – The daylight hours are getting longer, the sun is getting stronger and summer is just around the corner. Make this the year that you optimize your vitamin D levels through effective sun exposure. Enjoy the health benefits and disease prevention from optimal vitamin D levels and learn to control your risks from sun exposure.
Vitamin D is made naturally in your body when UVB rays from the sun convert cholesterol in your skin to pre-vitamin D3. We make about 90% of our vitamin D from UVB sun exposure. UVB rays are short and only reach the earth when the sun is directly above us. We can’t make vitamin D in the winter in Canada because the sun is at too low of an angle and the UVB rays are absorbed in the atmosphere.
You make vitamin D in Canada between the months of May and October. The best time for exposure is around midday, between 10am and 2pm, when the UV index is above 3 and your shadow is shorter than your height. The further you get from noon, the lower the amount of vitamin D you’ll make. The sun’s visible light may penetrate through glass, but UVB light will not; therefore you will not make vitamin D.
Full body sun exposure at non-burning levels can create between
10,000-25,000 IU of vitamin D in your skin. You can never get too much vitamin D from the sun as your skin self regulates, whereas ingesting vitamin D does not have the same control. In addition, vitamin D that you make from the sun lasts twice as long in your body as vitamin D taken through supplements or food.
Statistics Canada reports that Canadian vitamin D levels have dropped by 10% over the past six years. The root cause of this decrease is lower sun exposure. People are just not getting outside around midday in the summer and making vitamin D, and when they are outside they are using sunscreen, which if applied correctly prevents 95%+ of vitamin D production.
In Canada, 12 million Canadians (35%) have vitamin D blood levels below the recommendations from Health Canada. This puts these people at a higher risk for several diseases, including cardiovascular disease, cancer, osteoporosis, diabetes, multiple sclerosis, Alzheimer’s disease and many more. In fact, a study completed in 2016 reported that if Canadians increased their vitamin D levels to the recommended level of 100 nmol/L, we would save $12.5B in healthcare costs and 23,000 premature deaths annually.
A recent study reported that women who avoided the sun have twice the risk of all cause death. The authors said that “avoidance of sun exposure is a risk factor for death of a similar magnitude as smoking.”
Skin cancer is a concern and risk of sun exposure must be managed and balanced with the benefits from vitamin D and other photoproducts. Research has shown that people with higher sun exposure such as outdoor workers, who have 3-10 times the sun exposure as indoor workers, have a lower incidence of melanoma. The National Cancer Institute reports that
melanoma risk is increased as a result of intermittent acute sun
exposure leading to sunburn. People who are a skin type 1, with white or very pale skin colour, red or blonde hair colour and who always burn and never tan, should severely limit their sun exposure.
The Vitamin D Society offers the following tips:
– Know your own skin and skin type. Don’t burn. Never overexpose yourself.
– Acclimatize or condition your skin for sun exposure by gradually
building or lengthening exposure times as your skin begins to tan to reduce your risk of burning
– Prevent burning and overexposure when required through the use of hats, clothing, shade and sunscreens.
– For vitamin D, get sun exposure at midday, between 10 am and 2 pm, when the UV index is above 3 and your shadow is shorter than your height.
– Expose more skin for a shorter period of time to generate more vitamin D while reducing your risk of overexposure.
It’s important to manage the risk and enjoy the rewards of moderate sun exposure for good health. Cancer Research UK, through the Consensus Vitamin D Position Statement, offers the following recommendation:
“Enjoying the sun safely, while taking care not to burn, can help provide the benefits of vitamin D without unduly raising the risk of skin cancer.”
“This advice may go against what current health organizations
recommend,” says Perry Holman, Executive Director of the Vitamin D Society. “They typically recommend you stay out of the sun at midday and use sunscreen when outdoors. But this would reduce your potential vitamin D production and does not consider the benefits as well as the risks of sun exposure on overall health. You need to have balance.”
About the Vitamin D Society:
The Vitamin D Society is a Canadian non-profit group organized to increase awareness of the many health conditions strongly linked to vitamin D deficiency; encourage people to be proactive in protecting their health and have their vitamin D levels tested annually; and help fund valuable vitamin D research. The Vitamin D Society recommends people achieve and maintain optimal 25(OH)D blood levels between 100 –
150 nmol/L (Can) or 40-60 ng/ml (USA).
To learn more about vitamin D, please visit www.vitamindsociety.org
For more information, please contact:
Melissa Andrade, Enterprise Canada 905-346-1230
THIS PRESS RELEASE CONTAINS MUCH OF WHAT YOU NEED TO KNOW ABOUT VITAMIN D, SUN EXPOSURE AND HEALTH. Please read it carefully, as it could save your life.
Babies who cry at night rather than sleep can wreak havoc on the health, wellbeing and work performance of their parents, so any natural method of helping the baby to sleep well would be welcomed in most families. One of the best natural methods is to expose the baby to outdoor light, and research showed that infants who slept well were exposed to significantly more early-afternoon light than their counterparts who did not sleep well. We have discussed previously in this blog that circadian rhythms are controlled to a great extent by sun or the lack thereof, and these researchers stated, “These data suggest that light in the normal domestic setting influences the development of the circadian system.” Proper circadian rhythms are also vitally important for adults, and when disrupted predict an increase in illness and death from many maladies, particularly from our number-one killer, cardiovascular disease.
Melatonin, which should exhibit high levels at night, is a sleep inducer, and its production is enhanced when the lights go out at night. But, for that to happen, there must be sufficient bright light earlier in the day.
For babies or adults, here is how the system should work: When we awake to sunshine, light enters the eye and stimulates serotonin production; we then quickly become awake and invigorated, and melatonin is suppressed. At day’s end, however, the bright light disappears (or at least that is how nature intended it), melatonin levels rise, and serotonin levels diminish. We begin to feel sleepy and ideally go to bed for a good night’s rest. It is a perfect system for our needs—that is until we stay up far beyond biologically natural hours by using artificial lighting.
Is there and answer to a disrupted circadian rhythm and poor sleep quality? Yes! A paper entitled Circadian clocks optimally adapt to sun for reliable synchronization has the answer. In it, the authors explain that circadian rhythms are best synchronized by sun. It therefore occurs that to escape the ravages of electric lighting, it would be a good idea to reset our biological clocks daily by being out in the morning sun and at other times, when possible, and to avoid long hours of light exposure at night. This could be one of the best therapies possible when we feel “out of synch.” And, catching some sun throughout the day would also keep serotonin levels higher and keep our moodiness in check. All of us know that we feel better when we are in the sun. This, coupled with enhancement of health, demonstrates that our friend, the sun, is an essential companion for optimal living.
So take care of your babies as nature intends, and also take care of yourself with non-burning daily sun exposure.
 Harrison Y. The relationship between daytime exposure to light and night-time sleep in 6-12-week-old infants. J Sleep Res. 2004 Dec;13(4):345-52.
 Jason Brainard, Merit Gobel, Benjamin Scott, Michael Koeppen and Tobias Eckle. Health implications of disrupted circadian rhythms and the potential for daylight as therapy. Anesthesiology. 2015 May ; 122(5): 1170–1175.
 Hasegawa Y, Arita M. Circadian clocks optimally adapt to sun for reliable synchronization. J R Soc Interface. 2013 Dec 18;11(92):20131018.
Benefits of sun exposure, by Marc Sorenson, EdD…
Interesting research regarding the critical necessity of sun exposure continues to mount.
There is no doubt that lack of sun exposure leads to disease, and a major factor in that scenario is a disrupted circadian rhythm. Researchers have stated that “Exposure to sunlight during the day, and darkness at night, optimally entrains biological rhythms to promote homeostasis and human health. Unfortunately, a major consequence of the modern lifestyle is increased exposure to sun-free environments during the day and artificial lighting at night.” Night-shift work is one of the worst contributors to the disruption of our natural biological rhythms, also known as circadian rhythms, and it certainly defines the sun-free environment discussed. There is a strong association of night-shift work to many diseases, but one of the most prevalent of these is breast cancer.
So what is natural and good for the health? Researchers have shown that a disrupted circadian rhythm can be reprogrammed, or “entrained” by exposure to a natural summer, meaning a cycle of 14 hours, 40 minutes of summer light, to 9 hours, 20 minutes of darkness. The authors state that this “light-dark cycle programs the human circadian clock to solar time, such that the internal biological night begins near sunset and ends near sunrise.”
Such a cycle would certainly seems natural for humans who were raised on ranches or farms where the day’s activities begins early in the morning sunlight and usually end near sunset. I know, because that pattern described my youth. For primitive peoples, that cycle was probably a necessity to gather the food necessary for survival. It is now ingrained in to our DNA, and disruption leads to disease.
So how are circadian rhythms reset to help our health? According to the aforementioned research (footnote 2), it can be accomplished by either a week of natural light exposure, or a weekend spent camping in nature. I am a camper, and I know that when the sun goes down, I am ready to sleep, and when the sun rises the next morning, I’m ready to start my day’s adventures.
The message here is that daytime should be spent outside in natural light. This will probably reduce the risk of many diseases, including breast cancer. It is also imperative that our skin receives its sun exposure to produce vitamin D and other healthful photoproducts. In addition being outside in the sun will increase our production of serotonin and enhance our moods.
Safely embrace the sun and save your life! Be sure not to burn.
 Ball L, Palesh, O, Kriegsfeld L. The Pathophysiologic Role of Disrupted Circadian and Neuroendocrine Rhythms in Breast Carcinogenesis. Endocr Rev. 2016 Oct;37(5):450-466.
 Stothard ER, McHill AW, Depner CM, Birks BR, Moehlman TM, Ritchie HK, Guzzetti JR, et al.
By Marc Sorenson, EdD… Sun exposure benefits…
A very important paper regarding the necessity for sun exposure has recently been published by the journal Medical Hypothesis. It is entitled Regular sun exposure benefits health, and it discusses the pros and cons of sun exposure. One of the salient statements in the paper is that intermittent sun exposure may increase the risk of skin cancer, whereas regular exposure to sunlight might benefit health. For those of us who have for years studied the beneficial effects of sun exposure, the use of the word “might” is the only drawback to the statement. There is no doubt that for the majority of the population, regular sun exposure absolutely protects and enhances health.
Among the diseases mentioned as being reduced or prevented by regular sun exposure are the following:
- Cancers: Colon, breast, prostate and non-Hodgkin lymphoma
- Multiple sclerosis
As the authors mention, most of these positive effects of sun exposure were previously ascribed to Vitamin D, but they point out that immune system function is enhanced by sun exposure beyond the effects of vitamin D, and list other non-vitamin D benefits of the sun, including:
- Production of nitric oxide
- Production of melatonin
- Production of serotonin
- Regulation of the circadian clock
I have discussed most of these items on the Sunlight Institute web site, but it was good to see new research that, in particular, separated the health benefits of sun exposure from vitamin D production. The idea that has become popularized during the past decade, that all benefits of sun exposure come from increased vitamin D production, is simply not true and can lead to the supplementation of vitamin D as a “cure” for diseases that may not be influenced by that hormone.
Of course, vitamin D is an exceptionally important photoproduct, and the only natural way to attain it is by exposure to the sun or to other sources of UVB light (such as a sunlamp or a tanning bed). The beauty of using these sources, rather than a vitamin-D capsule, is that all of the benefits of nitric oxide, melatonin, serotonin and circadian entrainment are included in the package.
Safely enjoy the sun, and you then will also safely enjoy better health. Remember not to burn, and to gradually develop a good tan.
 van der Rhee H, de Vries, E, Coebergh, J. Regular sun exposure benefits health. Medical Hypotheses 97 (2016) 34–37
In a new scientific paper, Dr. MS Razzaque shows that there may be some downsides to vitamin D supplementation, including “cardiovascular events and beyond.” He also states that “since hypovitaminosis D status usually reflects reduced sunlight exposure, the obvious primary replacement should be safe sunlight exposure, and not exogenous supplements.”
The paper specifically mentions that avoiding sunlight exposure may influence the initiation and progression of different types of tumors [cancer], high blood pressure, type 1 diabetes and multiple sclerosis. It also points out that there may be some deleterious consequences of vitamin D supplementation, although in my opinion, the dosage would need to by quite high.
As I have indicated in many of my posts on the Sunlight Institute site, sun exposure is the most natural way to obtain vitamin D, and it has no toxicity, since it is self-regulated.
What wasn’t mentioned was the production of health-promoting substances when sun touches the skin, e.g. endorphins and nitric oxide. And of course, the sun helps the brain to produce serotonin and BDNF, which are critical for proper brain function.
So soak up your sunlight but don’t burn.
 Razzaque MS. Sunlight exposure: Do health benefits outweigh harm? J Steroid Biochem Mol Biol. 2016 Sep 16. [Epub ahead of print].
By Marc Sorenson, EdD. Sunlight Institute… promoting safe sun exposure…
It has long been known that vitamin D deficiency is associated with hypertension. But could that association really be a measurement of inadequate sun exposure? A most interesting investigation was carried out this month (July 2016) in which the researchers evaluated over 1100 subjects from an ongoing study called “the Reasons for Racial and Geographic Differences in Stroke.” They measured vitamin D levels and also assessed sun exposure levels, and found that both high vitamin D levels and high sun exposure levels were associated with higher blood pressure.
What makes this research different is that when the data was adjusted for other factors, high sun exposure was even more impressive as a protective factor against high blood pressure. However, adjusting for vitamin D levels had no effect on the association of sun exposure to lower blood pressure; for each increase in sun exposure, there was a corresponding decrease in blood pressure, but the same was not true for increases or decreases in vitamin D levels.
The researchers made this statement: “We conclude that although 25(OH)D concentration is inversely associated with SBP, it did not explain the association of greater sunlight exposure with lower BP.”
To me, this research indicates that sun exposure directly effects lower blood pressure levels, independently of vitamin D. This is not surprising, since clinical trials of vitamin D supplementation have found only small effects on blood pressure.
I hypothesize that nitric oxide (NO), is the mechanism by which sun exerts its impressive effects. NO is a potent vasodilator, and when it is released into the arteries by UVA stimulation, causes increased blood flow and lowers blood pressure.  Dr. Oplander and his colleagues wrote the first paper on the UVA, NO and blood pressure in 2009, and Dr. Richard Weller has been a leader in doing research and granting interviews on NO since that time. He has made two interesting statements: (1) “We suspect that the benefits to heart health of sun will outweigh the risk of skin cancer. The work we have done provides a mechanism that might account for this, and also explains why dietary vitamin D supplements alone will not be able to compensate for lack of sun.” (2) “Although the benefits of sun are often attributed to vitamin D, a gas called nitric oxide is also important. Made when the sun hits our skin, nitric oxide lowers blood pressure when it enters the bloodstream. Although the reduction is small, it could ‘make a big difference.”
A study from China also demonstrates that exposure to sun correlates to a lowered risk of hypertension. In a randomly selected population of Chinese residents from Macau (where the rate of hypertension is very high), the following risk factors for hypertension were assessed: lack of sun exposure, low intake of fish, smoking, obesity and lack of exercise. An average of more than one-half hour of sun exposure per day compared to none predicted a 40% reduced risk for hypertension.
Vitamin D has many marvelous health effects, but sun exposure per se has many more, because not only does the sun stimulate the production on vitamin D, it also produces other vital photoproducts such as NO, endorphins and serotonin. When we avoid the sun and simply take a vitamin D pill, we are short-changing ourselves for the total package of benefits derived from the sun. And in the case of high blood pressure, we may be receiving almost no benefit from vitamin D. Think about it, and enjoy the sun safely.
 Rostand SG, McClure LA, Kent ST, Judd SE, Gutiérrez OM. Associations of blood pressure, sunlight, and vitamin D in community-dwelling adults. J Hypertens. 2016 Jul 1. [Epub ahead of print]
 Beveridge LA, Struthers AD, Khan F, Jorde R, Scragg R, Macdonald HM, Alvarez JA, Boxer RS. Et. al. Effect of Vitamin D Supplementation on Blood Pressure: A Systematic Review and Meta-analysis Incorporating Individual Patient Data. AMA Intern Med. 2015 May;175(5):745-54.
 Liu D, Fernandez BO, Hamilton A, Lang NN, Gallagher JM, Newby DE, Feelisch M, Weller RB. UVA irradiation of human skin vasodilates arterial vasculature and lowers blood pressure independently of nitric oxide synthase. J Invest Dermatol. 2014 Jul;134(7):1839-46.
 D Liu, BO Fernandez, NN Lang, JM Gallagher, DE Newby, M Feelisch and RB Weller. UVA lowers blood pressure and vasodilates the systemic arterial vasculature by mobilization of cutaneous nitric oxide stores. Photobiology Abstract # 1247 May 2013.
 Opländer C, Volkmar CM, Paunel-Görgülü A, van Faassen EE, Heiss C, Kelm M, Halmer D, Mürtz M, Pallua N, Suschek CV.. Whole body UVA irradiation lowers systemic blood pressure by release of nitric oxide from intracutaneous photolabile nitric oxide derivates. Circ Res. 2009;105:1031–40.
 Quoted on Mercola.com http://articles.mercola.com/sites/articles/archive/2013/07/15/sun-exposure.aspx accessed July 2, 2015.
 Weller, R. Shunning the sun may be killing you in more ways than you think. New Scientist July 2, 2015.
 Ke L, Ho J, Feng J, Mpofu E, Dibley MJ, Feng X, Van F, Leong S, Lau W, Lueng P, Kowk C, Li Y, Mason RS, Brock KE. Modifiable risk factors including sun exposure and fish consumption are associated with risk of hypertension in a large representative population from Macau. J Steroid Biochem Mol Biol 2013 Nov 1 [Epub ahead of print].