Pengaruh Penggunaan Tabir Surya Terhadap Sintesis Vitamin D

Oleh :

dr.SK Sulistyaningrum, Sp.KK, FINSDV, IFAAD

Penggunaan tabir surya apakah dapat mempengaruhi sintesis vitamin D pada lapisan epidermis dan dermis. Kekhawatiran ini mungkin muncul pada individu yang secara rutin menggunakan tabir surya, terutama yang tinggal di daerah tropis.

Tabir surya telah menjadi agen proteksi kulit terhadap radiasi ultraviolet (UV) yang populer dalam 40 tahun terakhir. Tabir surya dibuat untuk mencegah penetrasi radiasi UV ke dalam kulit, karena radiasi UV dapat menyebabkan berbagai masalah misalnya tanning, sunburn, aging skin, dan gangguan pigmen kulit seperti melasma, efelid, dan lentigo. Radiasi UV dipercaya sebagai faktor risiko kondisi imunosupresi pada sel Langerhans, dan karsinogenesis seperti karsinoma sel basal, karsinoma sel skuamosa, dan melanoma.[1,2]

Radiasi Ultraviolet

(Konten ini khusus untuk dokter. Registrasi untuk baca selengkapnya)

Referensi

1. Bens G. Sunscreens. In: Sunlight, Vitamin D and Skin Cancer. New York, NY: Springer New York; cited 2021 Feb 22. p. 429–63. http://link.springer.com/10.1007/978-1-4939-0437-2_25
2. Yeager DG. Lim HW. What’s New in Photoprotection: A Review of New Concepts and Controversies. Dermatologic Clinics. 2019 Apr;37(2):149–57.
3. Cohen LE. Grant RT. Sun Protection: Current Management Strategies Addressing UV Exposure. Clinics in Plastic Surgery. 2016 Jul;43(3):605–10.
4. Passeron T. Bouillon R. Callender V. et al. Sunscreen photoprotection and vitamin D status. Br J Dermatol. 2019 Nov;181(5):916–31.
5. Nimitphong H. Holick MF. Vitamin D status and sun exposure in southeast Asia. Dermato-Endocrinology. 2013 Jan;5(1):34–7.
6. Jungert A. Spinneker A. Nagel A. Neuhäuser-Berthold M. Dietary intake and main food sources of vitamin D as a function of age, sex, vitamin D status, body composition, and income in an elderly German cohort. Food & Nutrition Research. 2014 Jan;58(1):23632.
7. Matsui MS. Vitamin D Update. Curr Derm Rep. 2020 Dec;9(4):323–30.
8. Wolf P. Vitamin D: one more argument for broad‐spectrum ultraviolet A + ultraviolet B sunscreen protection. Br J Dermatol. 2019 Nov;181(5):881–2.
9. Holick MF. Sunlight, UV-Radiation, Vitamin D and Skin Cancer: How Much Sunlight Do We Need? In: Reichrath J, editor. Sunlight, Vitamin D and Skin Cancer. New York, NY: Springer New York; cited 2021 Feb 22. p. 1–15. (Advances in Experimental Medicine and Biology; vol. 624). http://link.springer.com/10.1007/978-0-387-77574-6_1
10. Saraff V. Shaw N. Sunshine and vitamin D. Arch Dis Child. 2016 Feb;101(2):190–2.
11. Setiati S. Vitamin D status among Indonesian elderly women living in institutionalized care units. Acta Med Indones. 2008 Apr;40(2):78–83.
12. Grigalavicius M, Iani V. Juzeniene A. Layer Thickness of SPF 30 Sunscreen and Formation of Pre-vitamin D. Anticancer Res. 2016 Mar;36(3):1409–15.
13. Singh S. Jha B. Tiwary N. Agrawal N. Does using a high sun protection factor sunscreen on face, along with physical photoprotection advice, in patients with melasma, change serum vitamin D concentration in Indian conditions? A pragmatic pretest-posttest study. Indian J Dermatol Venereol Leprol. 2019;85(3):282.
14. Neale RE. Khan SR. Lucas RM. Waterhouse M. Whiteman DC. Olsen CM. The effect of sunscreen on vitamin D: a review. Br J Dermatol. 2019 Nov;181(5):907–15.
15. Young AR. Narbutt J. Harrison GI. et al. Optimal sunscreen use, during a sun holiday with a very high ultraviolet index, allows vitamin D synthesis without sunburn. Br J Dermatol. 2019 Nov;181(5):1052–62.