Comment by coldtea

Comment by coldtea 4 days ago

32 replies

Unless you're non-native and have redhead-style very white skin or some history, the doctor sounds overly cautious to paranoid.

Hundreds of millions live in such climates (including people with fairer skin) and have no problems, even though they don't do anything extreme like "avoid the sun at all costs, always wear suncreen and a hat, don't go out in the daytime".

I'm white and I lived near the tropics for a few years, big white and asian population, everybody was out in the sun all the time, hardly covered too. Skin cancer stats as good as Europe or US.

drob518 4 days ago

I think we’re starting to find that the “if you get sunlight you will develop skin cancer” mantra is way overblown, if not outright wrong. Being out in the sun is good for humans. In fact, we need it. But modern life largely conspires to prevent it for most of the developed world. Even when we do, we slather ourselves with sunscreen that might be doing more harm than good. Better to wear long sleeves and a hat that you can take off and at least get reflected sunlight while wearing. Oddly, it turns out that our bodies have been tuned to survive outside. Whodathunkit?

  • chongli 4 days ago

    Here’s my hypothesis: it’s not total sun exposure that causes issues, it’s inconsistent sun exposure. Those of us in northern climates experience an annual cycle of very high and then nonexistent sun exposure. This causes our skin to stop producing melanin during the winter and then leaves us vulnerable to sunburn in the spring and summer. If we had year-round sun then our skin would consistently maintain melanin levels and we wouldn’t have sunburn.

    I’d love to know if there are any studies trying to answer my question.

    • dgfl 3 days ago

      This is precisely the picture that I seemed to get when looking at this in depth some time ago. Most meta-reviews highlight a correlation between _number of blistering sunburns_ and melanoma. Not between actual amount of UV exposure. You may think that they’re the same, but they’re not. In fact, the same meta-review was noticing weak anti-correlation between chronic sun exposure and melanoma, I.e. people who work outside shirtless actually have better odds than baseline.

      Most risk seems to come from occasional exposure to extremely strong sunlight compared to your day-to-day baseline. Practically speaking, if your skin is able to tan, absorbing as much sunlight as your environment allows for most of the year, with the intrinsic gradual build-up over spring, should be harmless if not even beneficial.

      Of course, this highly depends on your genetics and your location. Avoid sunbathing around the equator regardless. And if you’re physically unable to tan, as some people do, then this might not be true either. I couldn’t determine that as easily.

      • ch4s3 3 days ago

        I’ve read the exact opposite of this claim in tons of papers. What are you looking at?

    • tomtomistaken 3 days ago

      This, and we are staying inside most of the time, so when spring arrives, we won't have gradual exposure but exposure all at once on the first sunny weekend we decide to get some sun.

      • VBprogrammer 3 days ago

        Funny story. I started doing the couch to 5k running plan a few years back in January. Come March I realised I'd actually managed to get a tan (living in the outskirts of London, UK being further north than practically all of the inhabited North Americas).

        Just being outside in whatever the weather consistently for 30 minutes or so every other day.

    • ch4s3 4 days ago

      It’s just sunburns that cause skin cancer. It’s really that simple.

  • shakna 4 days ago

    There's a hole in the atmosphere where I live. Incidentally, one of the highest skin cancer occurrences in the world.

    Calling it overblown, is... A dangerous sentiment.

    We tore a hole in our atmosphere. This is not the natural way of things, no. But we do have to live with the consequences.

    • coldtea 3 days ago

      Unless you live in Antarctica, the above is simply not true...

    • dmd 3 days ago

      You live in Antarctica?

      • shakna 3 days ago

        Not literally above me, no.

        But considering it affects everyone, its not something to ignore - especially in a region that is already 10% more UV intense than most of the world.

  • hollerith 4 days ago

    I agree. When it is sunny, I get at least 20 min of sun on my bare skin and in my eyes (not protected from UV by glasses) every other day as recommended by neuroscientist Andrew Huberman. I am however careful not to get a lot more than that at once and have high-UPF clothing, hat and sunglasses to protect myself if I ever do need to be out in the sun for an extended period. (I am of Northern European ancestry.)

    Even though I believe that the vitamin D we can buy in bottles is probably just as good as the vitamin D my skin makes, I do not consider vitamin D supplementation an adequate replacement for getting UV light on my skin and in my eyes because vitamin D production is only one of the benefits of getting UV light on the skin and in the eyes. (BTW I think HN put way too much emphasis on vitamin D.)

    There are UV light receptors (that use a compound called neuropsin to sense the UV light) on the skin and in the parts of the brain that receive UV light (which gets into the skull mainly through the eyes). These receptors have nothing to do with vitamin D. Getting UV light onto these receptors is a more potent trigger for the release of endorphins in the brain than exercise is.

    Regular UV light exposure also increases levels of sex hormones in men and in women. In men, increasing testosterone increases optimism and motivation and drive. Again, IIUC this effect has nothing to do with vitamin D.

    When people eat plants, the compounds (e.g., lutein, zeaxanthin and lycopene) that plants use to protect themselves from UV light and blue light tend to be absorbed and to end up in high concentrations in the retina. If you do what I do, namely, get UV light from the sun every other day in moderate doses, then I suggest making sure you are getting plenty of these compounds. (Alexis Cowan says that omega 3 is helpful here, too.)

    • seattle_spring 3 days ago

      > I get at least 20 min of sun on my bare skin and in my eyes (not protected from UV by glasses) every other day as recommended by neuroscientist Andrew Huberman

      Andrew Huberman peddles nothing more than pop-science supplement grift. I highly recommend you get your health info from somewhere other than bro-optimization podcasts and "light therapy" hucksters.

  • m463 4 days ago

    I have known quite a few people personally who have found (and removed) skin cancer.

    I don't know if that means anything, it isn't n=1 sample size, it is more and my gut says it might be statistically significant.

  • estearum 4 days ago

    > I think we’re starting to find that the “if you get sunlight you will develop skin cancer” mantra is way overblown, if not outright wrong.

    Citation needed

theothertimcook 3 days ago

Big old hole in the ozone layer right over North East Australia, I see dark skinned south Americans blistering because they spent too long in the sun.

Legend has it why Aussies call the English Poms, short for pomegranate, because they come over and get burnt to shit, end up bright red.

  • chfk 3 days ago

    > Legend has it why Aussies call the English Poms, short for pomegranate, because they come over and get burnt to shit, end up bright red.

    I love Aussies’ sense of humour!

    Skin cancer is no joke, but I don’t wear much sunscreen because I don’t need to. I need all the vitamin D I can get. I wish I would’ve protected myself more earlier in life, though.

    • theothertimcook a day ago

      Same is a great part of the culture.

      I'm also in the same boat but more out of laziness and hating being greasy.

      Definitely wish I'd been more sun smart when younger though.

    • partomniscient 3 days ago

      Having lived in the UK and Australia, they're not kidding when they have don't get skin cancer promotions. The most remembered one from my youth is Slip, Slop, Slap. So Australian. Slip on a shirt, Slop on some suncream and Slap on a hat.

      And yet mostly living in Australia, (was only in the grey UK from 2.5 years in our 20's), I'm still vitamin D deficient, because the majority of my life I've been inside on computers, presumably like a large percentage of Hacker News readers.

      Ironically, our suncream QA is crap and all of the supposedly good sunscreens with high SPF factors failed indepdent testing - even including the one recommended by the Cancer Council.

      • theothertimcook a day ago

        The sunscreen thing is atrocious, about 7 years ago I bought a big expensive bottle of LeTan spf50 waterproof sunscreen, had a big day at the beach but applied and reapply diligently following the instructions.

        Burnt to a crisp, I emails them and never heard back, I can't image I was the only person to notice.

        Which is why Im probably vitD deficient too, the sun is toobharde to spend any amount of time outside unprotected here.

        It's now slip, slop, slap, seek, slide - shade and sunglasses!

  • dctoedt 3 days ago

    > why Aussies call the English Poms

    Many years ago I read that it's POME: Prisoner of Mother England, now shortened to just "pom."

    • theothertimcook a day ago

      I like that too, one day I'll look it up.

      • macartain 3 hours ago

        whereas i heard it was POHM (Prisoner of Her Majesty) stencilled on clothing and articles of folks who had been "transported"..