Optimizing sun exposure

For most of my adult life I carefully limited my sun exposure. More recently—after discovering that the more sun exposure I got the better I felt—I’ve been trying to get as much as I could without getting burned. Just lately I’ve been groping towards something more nuanced.

Back in maybe the 1980s I briefly tried to follow the advice of dermatologists to never go out without sunblock. That didn’t work well—inevitably there would come the day when I was unexpected out in the sun longer than expected, and (not having built up a protective tan) I’d end up burned.

After that, for a decade or two, I came up with some simple rules: Unlimited sun before 8:00 AM and after 5:00 PM, but I’d aim to get 20 minutes of mid-day sun. If I was going to get more than that, I’d wear sunblock, but I tried to get that much sun every sunny day. That worked pretty well—I’d get enough of a tan to provide some protection on those days that I was unexpectedly out in the sun.

That schedule, of course, fell out pretty much automatically from working at a regular job. I stuck with it even after I wasn’t working at a regular job because it worked pretty well.

For various reasons, such as needing to take very long walks to train for our big Kal-Haven trail walk, I started spending more time out in the sun, and began to observe that the more time I spent in the sun the better I felt, leading me to get what was probably more sun than is really wise.

Since recently running into the idea that certain frequencies of red and near-infrared light are good for your skin and deeper tissues, I’ve been prompted to think about all this in a more systematic way, and have been trying to come up with a plan that maximizes the benefits while reducing the harm caused by sun exposure.

I’m still in the research stage, but here are the early changes that I’m making:

First, I’m reducing the amount of mid-day sun I’m getting. I’ve been going for around 40 minutes (as much as I can get without risk of burning), but I’m bringing that back to around 20 minutes. Still enough time to make plenty of vitamin D.

Having gotten the amount of mid-day (2:27 PM) sun exposure I wanted, I moved the rest of my walk into the woods.

Second, I’m replacing that 20 minutes of mid-day sun with 20 (or more) minutes of sunlight during the period that the UV index is between 1 and 3. (This time of year, where I live, that’s maybe 7:30 AM until 9:00 AM.) My hope is that part of the reason more sun makes me feel better is the red light (rather than the UV), and that morning and evening sun can provide those frequencies.

Taken during at 8:59 AM during a walk in the prairie.

Third, I’m trying to get some very early (dawn) sun exposure. This is specifically for the effect early morning light has on the circadian rhythm.

Early morning (6:53 AM) sun over the Lake Park/Winfield Village prairie.

Only in the middle of writing this did I realize the extent to which I’ve come back to what I did for most of my working years—except that instead of having to squeeze my morning sun exposure into the time I spent crossing the parking lot, now I can extend it to 20 minutes or longer, and combine it with a proper walk in nature for some sweet, sweet vitamin N.

Hang out with healthy biomes

Everybody knows that you come to be like the people you hang out with, and most people understand that you can take advantage of this to improve your life. If you want to be more productive, hang out with productive people. If you want to be an intellectual, hang out with intellectuals. If you want to be healthy, hang out with healthy people.

I rather suspect this last is something hardwired in our brains, probably explaining part of the stigma faced by people who are disabled or disfigured. Probably strongly selected for in circumstances where infectious disease is a major cause of mortality.

I have always assumed that this is primarily mediated by lifestyle, with the shift largely produced by adopting pieces of the lifestyles of the people you hang out with. Hanging out with people who read a lot normalizes reading a lot. Hanging out with runners normalizes taking up running.

It should have been obvious—maybe it is obvious to everybody else—but it only recently occurred to me that a large part of this may well be mediated by microbiomes.

Your microbiome will shift to converge with the microbiome of people you hang out with. (Of course, theirs will also shift to converge with yours.) If you share meals with someone, your intestinal microbiome with shift toward theirs—probably more so and more quickly if you share a kitchen, utensils, or food prep tasks, and probably more so yet if you share a bathroom. If you share a touch with someone, your skin microbiome will shift—again, more so and more quickly if you share a bed with them.

Actually, an anecdote on this last: When I met Jackie she had a fungal infection of the skin that she’d picked up in India, and that had persisted for years. She treated it with tolnaftate, which worked adequately to knock it down when it became annoying, but had not cleared it up, either in India or after she came home. However, a few years after we got married I noticed that it seemed to be gone. With no evidence whatsoever, I’m inclined to take credit for this, figuring that my skin microbiome contributed useful organisms that her skin microbiome integrated in a way that eventually let it displace the fungal organisms.

So far, all the efforts to find an “optimal” microbiome have foundered, probably because the problem is intractably complex, being inextricably connected with the genes of the host, multi-generational epigenetic history, the immune system (and its lifetime history of chemical and biological insults), along with all the obvious factors—what organisms initially seeded the microbiome, history of antibiotic use, diet, etc.

Because of that, I’m much less interested now in interventions such as probiotics. More and more I’m inclined to prefer what used to be pretty obvious: Trust your immune system to cultivate a healthy microbiome (and hang out with healthy people to give it a little extra to work with).

Deadly actinic rays

I shared a link to this article by Rowan Jacobsen, with the comment “This article falls so squarely in the sweet spot of reinforcing my own preconceptions, I almost hesitate to tweet it.” But I did, with a few brief quotes.

Freed of the limitations of twitter, here’s a more extended excerpt:

Lindqvist tracked the sunbathing habits of nearly 30,000 women in Sweden over 20 years. Originally, he was studying blood clots, which he found occurred less frequently in women who spent more time in the sun—and less frequently during the summer. Lindqvist looked at diabetes next. Sure enough, the sun worshippers had much lower rates. Melanoma? True, the sun worshippers had a higher incidence of it—but they were eight times less likely to die from it.

So Lindqvist decided to look at overall mortality rates, and the results were shocking. Over the 20 years of the study, sun avoiders were twice as likely to die as sun worshippers.

There are not many daily lifestyle choices that double your risk of dying. In a 2016 study published in the Journal of Internal Medicine, Lindqvist’s team put it in perspective: “Avoidance of sun exposure is a risk factor of a similar magnitude as smoking, in terms of life expectancy.”

Source: Is Sunscreen the New Margarine? | Outside Online

Jacobsen later mentions the app dminder, which I’ve been using for several years now. It helps you optimize your sun exposure (getting maximum vitamin D production without getting sunburned, based on time of year, time of day, location, and skin pigmentation). I just checked the app, which tells me that it’s just 8 days until the vitamin D window reopens here in Savoy, Illinois!

I concluded my little tweet storm with this: Pretty much every nice day of the spring, summer, and fall, I announce to my wife around midday that “I’m going out to expose my integument to the deadly actinic rays of the sun.” And then I do. I feel so much better since I started doing this.