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People that take oral steroid medications, particularly children, could be at an increased risk for serious vitamin D deficiency. So says a recent study published in the Journal of Clinical Endocrinology & Metabolism.  Some conditions people take these drugs for are asthma, certain types of arthritis such as rheumatoid arthritis and autoimmune diseases like Crohn’s disease, lupus and multiple sclerosis.

Researchers looked at nearly 23,000 Americans in a government health survey, and found that those using oral steroid medications were twice as likely as non-users to have a severe vitamin D deficiency. Eleven percent (2,530 people) of those on steroids had a vitamin D level below 10 ng/mL–far below the minimum requirement to remain healthy. That compared with five percent (1,150 people) of study participants not on steroids.

Blood levels of vitamin D lower than 10 ng/mL:

associated with the most severe deficiency diseases: rickets in infants and children, and osteomalacia in adults. A concentration above 15 ng/ml (37.5 nmol/L) is generally considered adequate for those in good health. Levels above 30 ng/ml (75 nmol/L) are proposed by some as desirable for achieving optimum health, but there is not yet enough evidence to support this. ~ Wikipedia (as of 10/31/11)

The link was especially strong among children. Steroid users younger than 18 were 14 times more likely to have a vitamin D deficiency than kids not taking the medications.

The authors of the study point out the findings do not prove causality, but this should alert doctors and parents to keep an eye on vitamin D levels of the children taking these drugs.  Something else parents can do is make sure their children are out in the sun as much as possible. Some parents may inadvertently keep their asthmatic kids indoors, but I think this is a mistake. Lots of sunshine is necessary for the production of vitamin D. At the very least, the inhaler should be countered each time with a good vitamin D supplement.

As the severity of vitamin D insufficiency in North America is dismissed, data showing its pervasiveness continues to accumulate.  The smart reader will continue to get plenty of sun-screen free sun, and supplement if necessary (not so for those getting sun daily). And making sure that if you or your child are on oral steroids, you get your blood vitamin D levels checked.

Get those kids in the sun, parents–one out of every five American children aged 1 to 11 is vitamin D deficient. Dang! And the numbers are worse for blacks and Hispanics. Almost 90% of African American children and 80% of Hispanic children could be vitamin D deficient. Double Dang! All this coming from a new analysis at Harvard Medical School and Children’s Hospital in Boston.

Vitamin D deficiency can lead to many illnesses including infections, diabetes and even some cancers. Even the severity of asthma symptoms has been shown to be increased in children with low vitamin D levels. But the most common ailment attached to vitamin D deficiency is bone weakness, or rickets, common a century ago but still happening today with all to often frequency. D-D-D-Dang!

The RDA for treating and preventing rickets is 400 IU vitamin D daily, which can be obtained by drinking four glasses of fortified milk. Vitamin D can also be obtained from sun exposure, which unfortunately may be lacking in children residing in northern climates and those with darker skin tones. The explosion of computers and video games is also a risk factor for children that do not spend enough time outdoors. Further, many kids are not getting enough milk, cheese or fish–all good sources of vitamin D.

So what’s the answer? How about a good vitamin D supplement for junior? Can’t get them off the Madden 2010 and playing outdoors??? (many children found to be vitamin D deficient were also overweight or obese–D-D-D-Duh!). Then you’ve got to pick up a good supplement, period.

Then slap yourself across the noggin AND GET JUNIOR RUNNING OUTDOORS D-D-D-DANGIT! I mean, what’s the major malfunction??? It’s not rocket science: Kids need to be outdoors running, playing, wrestling, carousing, whatever–it’s the natural order of things. Video games–and that includes the Wiisorry–are for “sometimes“. That’s it, d-d-d-dagnamit! Vitamin D deficiency is no joke–don’t treat it like one.

Well, it’s that time. Sun’s coming out and you know what that means–go to the tanning salon to get your starter tan. For some people, tanning in a UV bed is a year long practice. Well indoor tanners beware: Tanning beds can up your risk of skin cancer.

British cancer experts report that melanoma, a deadly type of skin cancer, is now the leading form of cancer found in women in their 20s. And based on the current numbers, they predict that it will be the the fourth most common cancer for men and women of all ages by 2024. What makes this especially worrying is that people in their 20s are not generally susceptible to melanoma–it’s usually found in people over 75.

This trend is thought to be the result of heavy tanning salon use. According to one researcher,

“Spending time on sunbeds is just as dangerous as staying out too long in the sun. The intensity of UV rays in some sunbeds can be more than 10 times stronger than the midday sun.”

The World Health Organization (WHO) has recommended that tanning beds be regulated because of their potential to damage DNA. 29 states have regulations against minors using tanning beds without the consent of a parent.

It never ceases to amaze me this tanning salon phenomenon. Someone please tell me, what’s wrong with the sun?!?! Oh no, I gotta be tan…now! Whatever. I personally take the middle ground here: Humans need sun–it provides us with vitamin D. And based on a recent report that Americans on average are low in their D levels, we need more sun.

But the fear mongers (in this case, dermatologists) have been working hard, and have been pushing this “stay out of the sun (and have every freckle burned off)” agenda. So what have people done? They either avoid sun altogether (porcelain dolls) or they go nuts inside the tanning booth (tanorexics). Yeah, yeah, yeah…don’t bother telling me about the Magic Tan. Everybody knows you’ve been sprayed–it’s not fooling anyone.

Listen, we all need sun. Get out and enjoy it. Use sunscreen and don’t allow yourself to get burned. Simple sun-enomics. Avoid the tanning salons, or increase your risks of getting skin cancer. Simple as that.

Did I say in the last post that anti-aging creams don’t work? I’m sure that should piss off a lot of cosmetics pushers and anti-aging enthusiasts. But, well…it’s true.

According to a recent study conducted at the University of Michigan, estrogen creams do not reduce wrinkles, especially those caused by the sun. So throw out those estrogen-laced sunscreen ladies–they’re bunk! Oh wait, wait…don’t throw them out yet…appears that there is some use for them. The same study found that the estrogen creams did increase collagen production…in skin not exposed to the sun. Whoa. How’s that?

The study looked at 70 men and women aged 75 on average (some were in their early 50s). They applied , the major form of estrogen, on their hips, faces and forearms three times every other day for two weeks. Because the hips were for the most part covered from the sun, the estrogen-treated skin started producing more collagen. But no changes in the appearance of wrinkles were noted on the faces or forearms of the subjects.

So bad news for anti-wrinkling, but not so bad for collagen production. Collagen is the main protein in connective tissue and the most abundant in the body. It is responsible for skin strength and elasticity, and when it breaks down it can lead to wrinkling. When skin is damaged by the sun it stops producing collagen, which leads to dry wrinkled skin.

My advice: forget the estrogen-laced creams, stay protected from too much sun with sunscreen (talking from sunbathing here, not just being outside), and load up on the vitamin C (I recommend 1,000 mg a day minimum). Vitamin C is necessary for the synthesis of collagen, and quite frankly, many people are probably deficient in it. No, no, no…not RDA deficient (they recommend 75-90 mg/day to prevent illness), but optimal health deficient. And preventing wrinkling is just another reason to start supplementing. Don’t buy it? What have you got to lose? Vitamin C is affordable and it can’t harm you (it’s water soluble so you’ll just pee it out fluorescent green). There you have it–anti-aging made simple.

What’s the best thing you can do for a loved one suffering from dementia? Open the shades and let the light shine through during the day, and give them melatonin supplements at night. This according to a recent study out of the Netherlands this month. The research, conducted at the Netherlands Institute for Neuroscience in Amsterdam, showed that increasing light exposure, either from the sun or from fluorescent lights, along with nightly melatonin supplementation, helped elderly people suffering from dementia improve their sleep, mood, and overall well-being.

The study looked at 189 elderly Dutch women who were split into groups according to whether they were exposed to bright lights, given melatonin supplements, or both. Other groups were given standard Alzheimer’s medication, while others were given nothing at all. They then looked at various mental factors such as cognitive function, mood (as in depression and agitation), and sleep function. The researchers found that the group receiving bright lights and melatonin fared as well as those on the Alzheimer’s medication. Considering the side effects which usually accompany the medication (nausea mostly), these findings offer a great deal of encouragement.

I find this study especially interesting as I believe we can extrapolate these observations to the general population. I highly advocate both regular sun exposure and melatonin supplementation for overall health and well-being. Think about it: the source of all energy in the solar system is our sun. Every plant, animal, microbe, fungus or algae needs energy either directly from the sun, or by consuming another energetic life form. Either way, the energetic chain begins with the sun. Nothing could survive without the life-giving force of our primary star. So why would anybody avoid it? Yes, I know: skin cancer propaganda is at its highest–dermatologist need to market too–but we all need sunlight, plain and simple.

Melatonin is a naturally produced hormone that helps regulate our circadian rhythms, or our sleep cycles (you’ve read about it in The Six Keys To Optimal Health, right?). It is also a great natural remedy for insomnia. Melatonin has many other non-sleep related benefits. For instance, it has antioxidant properties. It has also been studied as a therapy against certain cancers. And it has also shown promise as an agent to boost memory and learning ability. Throw this in with the current findings on dementia, and what you’ve got is a very useful little substance.

One does need to be careful with both sun exposure and melatonin, though. Obviously, too much sun-worship can cause serious health problems. And taking melatonin every day can cause dependence, nasty withdrawals, and sluggishness when taken in too large a concentration. So I recommend taking it a couple time a week only, and then laying off completely for longer stretches, like say a month or so. Other than that, both practices should be highly beneficial and therefore done by everyone.

Copyright © 2013 Dr. Nick Campos - All Rights Reserved.