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Research says older people need more sun

Spending more time in the sunshine could help older people to reduce
their risk of developing heart disease and diabetes.

Exposure to sunlight stimulates vitamin D in the skin and older people
are more likely to have a vitamin D deficiency due to the natural aging
process and changes in lifestyle.

Researchers at the University of Warwick have shown vitamin D deficiency
is significantly associated with metabolic syndrome, a combination of
medical and metabolic disorders that increase the risk of developing
cardiovascular disease and diabetes.

The research team, led by Dr Oscar Franco at Warwick Medical School,
investigated the association between vitamin D levels in the blood and
the prevalence of metabolic syndrome in 3,262 people aged 50-70 years
old in China.

His team found a high correlation between low vitamin D levels and the
prevalence of metabolic syndrome. They found 94% of people in the study
had a vitamin D (25-hydroxyvitamin D) deficiency or insufficiency. The
results showed 42.3% of these people also had metabolic syndrome.

The results of the study, published in Diabetes Care journal, are
consistent with the findings of other studies in Western populations and
Dr Franco suggests vitamin D deficiency could become a global health
problem.

He said: "Vitamin D deficiency is becoming a condition that is causing a
large burden of disease across the globe with particular deleterious
impact among the elderly. Our results are consistent with those found in
British and American populations. We found that low vitamin D levels
were associated with an increased risk of having metabolic syndrome, and
was also significantly associated with increased insulin resistance."

Dr Franco said there were many factors which could explain why older
people had less vitamin D in their blood, including changes in lifestyle
factors such as clothing and outdoor activity.

He added: "As we get older our skin is less efficient at forming vitamin
D and our diet may also become less varied, with a lower natural vitamin
D content. Most importantly, however, the dermal production of vitamin D
following a standard exposure to UVB light decreases with age because of
atrophic skin changes. When we are older we may need to spend more time
outdoors to stimulate the same levels of vitamin D we had when we were
younger."

Vitamin D deficiency exists when the concentration of 25-hydroxy-vitamin
D (25-OH-D) in the blood serum occurs at 12ng/ml (nanograms/millilitre)
or less. The normal concentration of 25-hydroxy-vitamin D in the blood
serum is 25-50ng/ml.

This study was carried out in collaboration with colleagues from the
Shanghai Institute of Biological Sciences in China. The team recruited
3,262 community residents aged 50-70 from Beijing and Shanghai in China
as part of the Nutrition and Health of Aging Population in China (NHAPC)
project.

Dr Franco added: "Vitamin D deficiency is now recognised as a worldwide
concern and metabolic syndrome has become a global epidemic. More
research is needed to find out why older people are more likely to have
lower levels of vitamin D and how this is linked to the development of
metabolic syndrome and related metabolic diseases."

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