Is sunscreen the new margarine? (2019)

(outsideonline.com)

102 points | by markgavalda 1 day ago

21 comments

  • krupan 7 hours ago
    Wow, it feels like nobody read the article. Findings:

    - high blood pressure leads to a lot of deaths

    - people that spend more time in the sun have lower blood pressure

    - skin cancer is caused by sun exposure, but it kills far, far less people than high blood pressure

    - people that spend more time in the sun have a lower rate of dying from skin cancer than people who spend less time in the sun!

    Summary: more sun exposure makes you less likely to die on at least two fronts!

    It's really very simple. You skin adapts to sunlight and doesn't burn if you increase your exposure gradually, and then you get some amazing benefits from it!

    • tqi 6 hours ago
      I did[1], and would be curious if anyone is familiar with the underlying study. How did they attempt to control for other factors? (I assume that they did, and am interested to know how)

      Also do you have to get a sunburn for sun damage to increase the risk of skin cancers? My understanding was accumulated sun exposure was the issue.

      [1] 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... 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.

      • aeonfox 5 hours ago
        The article cites another study by Richard Weller:

        > Sure enough, when he exposed volunteers to the equivalent of 30 minutes of summer sunlight without sunscreen, their nitric oxide levels went up and their blood pressure went down.

        I can't find information on the methods for this particular study. So I'm curious if he just set up UV lights on a timer and sat his subjects under them. That's something anyone can set up in their home office if they live somewhere gloomy. Instead of taking a vitamin D pill, turn the timer switch on for 30 minutes of a properly calibrated and positioned low-dose UV light (and out of direct line of sight to anyone not under it)

        Or just take a nitric oxide supplement :)

        • appplication 1 hour ago
          > turn the timer switch on for 30 minutes of a properly calibrated and positioned low-dose UV light (and out of direct line of sight to anyone not under it)

          Gosh. Or just go outside! It has the added benefit of being somewhat enjoyable.

    • LarsDu88 5 hours ago
      Correction. More sun exposure is CORRELATED with being less likely do die. I don't think there's a single causal connection in this article.
      • thayne 3 hours ago
        > Sure enough, when he exposed volunteers to the equivalent of 30 minutes of summer sunlight without sunscreen, their nitric oxide levels went up and their blood pressure went down.

        That is a causal connection.

      • lucisferre 4 hours ago
        You are technically correct. The best kind of correct.
    • jshier 6 hours ago
      Or active people spend more time outside and have a lower rate of heart disease, regardless of whether the sun is shining.
      • cush 6 hours ago
        That’s not what the article said though. It had nothing to do with physical activity. Ironic considering the comment you replied to
    • IcyWindows 7 hours ago
      What I got from this is if we mandate the hospitals open their rooms to the sun, the new correlation will cause people to avoid the sunlight because "it leads to more deaths"
    • jorvi 6 hours ago
      I guess all the grandmas on the beach that look like they have a leather hide for a skin didn't get the memo that the sun doesn't cause damage after all.

      In all seriousness: don't listen to OP, use sunscreen whenever possible.

      • krupan 5 hours ago
        You are still missing the point. Leathery skin is (by current beauty standards) undesirable but avoiding sunlight is deadly. Pick your poison
        • zarzavat 4 hours ago
          There are other ways to lower blood pressure than sun exposure. Article is insane and confuses necessary and sufficient conditions.
    • tiffanyh 1 hour ago
      > Summary: more sun exposure makes you less likely to die on at least two fronts!

      Is the “more sun exposure” with or without wearing sunscreen?

    • XorNot 6 hours ago
      I read the article and it conjectures a bunch of stuff but fails to prove it or link relevant studies.

      So consider then: we just did a round of "gloves are contaminating basically all micro plastics research" - it might be worthwhile to be slightly skeptical of a suspiciously anti-sunscreen adjacent narrative (coz "sunscreen might be bad for you" is in the article too).

      And we should absolutely be suspicious of narratives which have the benefit of confirming someone should do what they already wanted to do: nobody likes putting on sunscreen.

      And how strange the conclusion is mostly "you don't need sunscreen" versus "use a lower SPF".

      • jona-f 1 hour ago
        I agree, that article is suspicious. One thing, what if you are not at risk of heart disease? I'm not fat, fairly active, have a low blood pressure and use sunscreen to slow down skin aging. Lots of health advice does not apply to me, cause it is meant for the overweight population. There are the biggest possible health gains to have, so statistically everything that makes people less fat is going to "be healthy for humans".

        When standing up from a longer squat I tend to blacken out a bit (never fully fainted) and this gets much worse with sun exposure. So I can totally confirm the underlying scientific finding of this article. Sun exposure does seem to lower blood pressure, but the rest is all conjecture and lacks differentiation.

    • boxed 6 hours ago
      That logic is extremely broken. People who spend more time outside do so because of more physical activity. The sun exposure is a side effect. Drawing the conclusion that sun exposure is therefore safe is just totally bonkers.
      • cush 6 hours ago
        The study in the article controlled for that
      • krupan 5 hours ago
        He specifically mentions sunbathers. Not landscapers or construction workers
        • anon373839 5 hours ago
          That is also selection bias. People who spend more time outside relaxing may have lower stress levels? Stress definitely contributes to cardiovascular illness.
    • dghlsakjg 6 hours ago
      Sigh.

      Correlation != causation

      It could be that people that spend more time in the sun are busy getting exercise. Which lowers blood pressure.

      It could be that people that spend a lot of time in the sun know that they have skin damage, and are more likely to detect melanomas due to more frequent checks of their damaged skin.

      Summary: More sun exposure may or may not lead to lower risk of death on two fronts. It seems far more likely that getting exercise and frequent melanoma checks lead to better outcomes, and both of those are correlated with being in the sun, but by no means necessary to the outcome.

      • decimalenough 5 hours ago
        Sigh indeed, since that's patently obvious and the study thus controlled for it.
  • jondcallahan 8 hours ago
    I made a small little web app calculator for myself and my family to figure out how long we could stay outside without needing sunscreen based on current UV and skin type. I use it daily in the summer and a couple thousand people use it every month also. You can check it out at https://sunburntimer.com. It's also free and open source software, github link in footer.
    • rasso 13 minutes ago
      Amazing idea! A little Feedback: I tan easily but still have freckles.
    • tuckwat 6 hours ago
      This is neat if you are avoiding the "getting red". My understanding is that the damage occurs with or without the sunburn but maybe this goes without saying.
    • eurleif 6 hours ago
      It would be useful to have an option to change the time of day, rather than always using the current time; e.g. for planning at night what to do tomorrow.
      • tele_ski 4 hours ago
        I came here to post this so glad I'm not the only one looking for specific time of day. Or at least give the user the estimated time they can be outside before getting burned? The timer feels great to fire and forget but I might want to plan and I couldn't figure out from the UI what the duration is "safe"
    • Arubis 7 hours ago
      Denver, CO, USA resident here -- this looks _super_ useful and I'm likely to start using it heavily. Our weather here is usually very outside-encouraging (if getting hotter over the years) and our UV is _ridiculous_; I see the index hit 11 and 12 with some regularity. Thanks for the link!
    • ahmadalli 6 hours ago
      Awesome project! I wanted its Home Assistant equavelant and there's an official integration for it: https://www.home-assistant.io/integrations/openuv/
    • fullykubed 7 hours ago
      Looks like the weather might be a bit off, I imagine from your upstream provider. In Indianapolis, all stats look correct except it says we have thunderstorms. Couldn't be a clearer day and nothing on the radar.
    • giwook 5 hours ago
      This is a clever idea.

      Unfortunately, UV exposure is cumulative. So your skin is still getting damaged by the UV rays even if you're not getting burnt.

      • TurdF3rguson 5 hours ago
        Cumulative but with a repair mechanism. There's not necessarily "rollover exposure".
        • littlexsparkee 1 hour ago
          There are temporary as well as permanent effects and the repair mechanism can be overwhelmed: photoaging, age spots, mutations.
    • hankbond 7 hours ago
      This is awesome thank you for making this!
  • Zenbit_UX 20 hours ago
    The article seems to be a meta analysis of a bunch of conflicting research to support a narrative that we don’t really know shit.

    And fair, we don’t.

    But a couple of things we do know that weren’t covered - egregiously so - is that aging is UV damage. Sometimes called photoaging, wrinkles, sun spots, discoloration, fine lines, grey hair, all of that shit that you associate with someone visibly looking old is sun damage.

    So the picture that the article paints of some pasty nerds in offices shielding themselves from all UV and thus: they might as well be smoking… it doesn’t even touch on why people might be doing this.

    Both kurgezadt and veritasium did some really great videos on photoaging and it’s worth checking out if this is new information to you.

    • tasty_freeze 7 hours ago
      I often embarrass my daughter when she has some new friend over. If the topic comes up, I give a demonstration. I'm 62 and I've never tried to get a tan and work indoors, and I haven't had a serious sunburn in close to 40 years. On the other hand, I lived spent the last 20 years in Austin, TX. I mow the yard and I ride a bike and in the summer months I put on sunblock before doing the bike rides an sometimes mowing.

      The exposed parts of my arms look like I'm 62 -- freckles, some age spots, the skin has lost a lot of elasticity. But then I roll up my T-shirt sleeve to expose my shoulder and my skin is like it was when I was 25: not just pale, but no freckles, no age spots, still supple.

      • jodrellblank 6 hours ago
        Photo claiming to be a 92 year old woman who used suncream on her face, but not her neck, for 40 years:

        https://i.ytimg.com/vi/ITlo7TAy_Hs/maxresdefault.jpg

        (She also appears to have Frank's Sign: https://en.wikipedia.org/wiki/Frank%27s_sign )

        • DANmode 5 hours ago
          and then staying in the sun too long, over and over again.

          Don’t forget that step.

      • eager_learner 6 hours ago
        the culprit is not the sun-- but overdoing it. If you overdrink water, it is fatal, too.

        The sun is responsible for benefiting over 200 processes in the body. And you don't need to be out in the sun all day to get the benefits (if your job does not demand it).

    • asdff 8 hours ago
      Pro golfers look a good 10-20 years older than their real age sometimes fwiw. In contrast to most other pro athletes in indoor disciplines who generally look better than their age. There's also examples of truckers who spent most of their career with the window rolled down and you can tell straight up what side of the road they drove on.
      • thih9 8 hours ago
        Truckers, plural? Is there an example that isn’t William McElligott from the famous photo[1]?

        Edit: self answer, yes[2] (left side!)

        [1]: https://www.cbsnews.com/news/trucker-accumulates-skin-damage...

        [2]: https://www.mirror.co.uk/news/health/lorry-driver-ages-drama...

      • Rendello 7 hours ago
        I first took sun exposure seriously after backpacking and spending time with other young travellers in hostels. It was apparent who spent their time exposed to the sun, I remember a girl my age who was in the middle of a multi-year cycle tour, and although I envied her journey, her skin looked quite rough. I decided that if I ended up doing that, I'd get one of those cycle helmet brim visors and would probably just cover my face during a lot of the riding portions.

        Then I met a man who did kayak tours of a city. He was awesome, but really leathery due to the 20 years in a boat without shade and having the UV reflections off the water. Your skin cancer risk is off the charts at that point.

        • dghlsakjg 6 hours ago
          I used to work on boats in the Caribbean.

          After my first few months there I realized that the people who didn't look like an old leather bag wore long sleeve shirts and big hats pretty much constantly.

      • layman51 8 hours ago
        Those drivers don't even need to have the window rolled down as far as I know. That's because most door auto glass lets UVA rays through and that's what causes premature aging. If you want to block those UVA rays, you would need to apply some kind of additional film to the side window.
      • pneumic 5 hours ago
        The sunny side of the road?
    • aranelsurion 6 hours ago
      > kurgezadt

      I suffered with German too, in fact, still do :)

      As a trivia: "kurz gesagt" -> kurz: short, gesagt: said. "sagen" is the verb "to say", "ge"+"t" is to form the past participle. (but not always :)

    • floren 6 hours ago
      I'd rather look old than be one of those lunatics who goes for a summer walk in a longsleeve shirt, gloves, and a hat with built-in veil (a pretty common sight in the Bay Area)
      • littlexsparkee 1 hour ago
        Sounds like my parents, I would always sweat our beach walks with my mom wearing a nose protector that resembled a beak
    • JR1427 20 hours ago
      I've not heard that grey hair is sun damage.

      Do you have any sources for that?

      • Zenbit_UX 18 hours ago
        There’s plenty, though please evaluate the veracity of their claims for yourself, I’m not a scientist nor do I excel at parsing scientific articles. Here’s one I’ve come across after a few minutes which references many others https://www.sciencedirect.com/science/article/abs/pii/S10111...
        • JR1427 16 hours ago
          After a quick skim, that article seems to be talking about something other than typical age-related greying. More photobleaching.
          • Zenbit_UX 16 hours ago
            From the conclusions:

            > Sun radiation affects hair properties as color, luster, mechanical resistance, the content of proteins and others.

            TLDR Yes it impacts color. Further reading can be found in the 75 studies that can be found in the references section.

            • JR1427 16 hours ago
              If hair greying was mostly caused by UV damage, I would expect that the pattern of greying would be even, and begin on the top of the head.

              In contrast (based on my own unscientific observations!) greying typically begins in small areas, and often on the temples - not what I'd expect if caused by UV damage.

              • gib444 7 hours ago
                Now I'm curious why it starts on the temples (it's where mine started too, then my fringe)
            • JR1427 16 hours ago
              When most people think of age-related hair greying (which you referenced in your original post), they think of the phenomenon whereby hair follicles stop producing pigments that colour hair.

              This is distinct from UV bleaching of the pigments in the hair.

              • mianos 6 hours ago
                Which grows out. So if it was substantial, you can just stay inside a while and eventually your hair will grow out and replace the faded hair.
      • ButlerianJihad 7 hours ago
        If you compare President Obama photos (2008) to President Obama photos (2016) you may conclude that he spent most of his time lounging on the beach?

        https://commons.wikimedia.org/wiki/File:20081217_PRESSER-504...

        https://commons.wikimedia.org/wiki/File:President_Obama_and_...

    • krupan 7 hours ago
      Who cares about your skin looking a little older when it prevents cardiovascular related deaths??
  • dang 8 hours ago
    Related:

    Current guidelines for sun exposure are unhealthy and unscientific – research (2019) - https://news.ycombinator.com/item?id=31471416 - May 2022 (335 comments)

  • andai 6 hours ago
    >These rebels argue that what made the people with high vitamin D levels so healthy was not the vitamin itself. That was just a marker. Their vitamin D levels were high because they were getting plenty of exposure to the thing that was really responsible for their good health—that big orange ball shining down from above.

    Yeah, it's not just UV. Infrared light has beneficial effects on deep tissue, including the brain. There's no way to get that from a pill.

  • sunnydeedee 1 hour ago
    Since biological evolutionary forces have forever been fighting the sun are our bodies MORE or LESS suited to dealing with UV damage vs oxybenzone damage? Since oxybenzone can intercalate DNA rungs under extremely high local concentrations (forcing some molecules into cavities), or by photo-oxidation converting to radical cation, or in the presence of ethanol which lowers DNA hydration layers and can widen the inter-pair base gaps, then is it causing MORE DNA damage or LESS DNA damage than the Sun's ultraviolet radiation which can contribute to cancer under real world conditions?
  • stevage 4 hours ago
    > Homo sapiens have been around for 200,000 years. Until the industrial revolution, we lived outside. How did we get through the Neolithic Era without sunscreen? Actually, perfectly well. What’s counterintuitive is that dermatologists run around saying, ‘Don’t go outside, you might die.’”

    At least in Australia a big difference is that there is a hole in the ozone layer that stone age people did not have. Sun exposure is much more harmful now.

  • pazimzadeh 6 hours ago
    Sunlight does way more than just produce vitamin D:

    Photo-neuro-immuno-endocrinology: How the ultraviolet radiation regulates the body, brain, and immune system

    https://www.pnas.org/doi/10.1073/pnas.2308374121

  • dntrkv 22 hours ago
    So everything in moderation? Cool, glad my philosophy still applies.
  • layman51 8 hours ago
    Does anyone know whether UVA or UVB is more conducive to producing vitamin D naturally? A quick search shows me that it is mainly UVB that's responsible for that, but unfortunately, this is what gets blocked out by glass windows and sunscreen. On the other hand, UVA is what causes early aging.

    So this is just an unfortunate situation because I don't think there's a way of just getting UVB into you in a safe way.

    • jodrellblank 4 hours ago
      UVB makes it.

      UBA denatures it[1], which I thought was how we avoid overdose levels building up in the skin when outside, but can't find a source for that.

      Suggested as a reason why fair-skinned indoor workers are getting more melanomas, (ref glass blocking UVB and passing UVA): https://www.sciencedirect.com/science/article/abs/pii/S03069...

      • picofarad 1 hour ago
        Offhand, what was the overdose level? Because 150ng/ml (adjust if I messed units up) isnt an overdose and most people are around ~50 unless they supplement (I mean people outside the 25th parallel.) I think even approaching 300ng/ml is possibly safe as long as you're accounting for the calcium.

        I aim to be around 105ng/ml.

    • krupan 7 hours ago
      The article explains that it is much safer than not getting UVB. Nothing in this universe is completely safe, but the evidence is that getting UVB is bar far safer than not getting it
  • _visgean 19 hours ago
    https://www.sciencedirect.com/science/article/pii/S135382922... this is better source on the underlying study
  • sevenseacat 19 hours ago
    Coming from the skin cancer capital of the world (Australia) - no, no it is not
    • kulahan 7 hours ago
      Australia is kind of an exception. You’ve got a super outdoor culture, a bunch of fair-skinned people, thin ozone, and very clear skies.
    • jhbadger 7 hours ago
      Yeah, lack of Vitamin D may or may not be a problem (well, obviously in extreme cases it leads to rickets, but that's rare). But skin cancer unquestionably is a problem, and not infrequently a deadly one. Pick your battles.
      • amanaplanacanal 5 hours ago
        Very infrequently. Total death rate per year in the US is something like 900 per 100,000 adults, of which less than 3 are from skin cancer. Heart disease, stroke, other cancers, accidents, are all much bigger.
    • kirrent 6 hours ago
      The title is inadvertently correct only because modern margarine is healthier than alternatives such as butter.
      • picofarad 1 hour ago
        Seed oil is healthier than milk fat? Going to need some framing definitions, here...
  • Cider9986 8 hours ago
    Do we really have to reapply every 2 hours?
    • kixiQu 5 hours ago
      https://hidefromit.substack.com/p/there-is-no-evidence-you-s... <-- somebody claims that's kind of a ghost citation effect. (for what it's worth, I'm quite pro-sunscreen, it just seems to keep working over time better than this advice implies)
      • picofarad 1 hour ago
        This is one of those things that will start a fight at a beach party so I'm just goongtto forget the two tenuous studies the FDA used to stand up the guidelines.
    • layman51 6 hours ago
      I have heard that some Asian or European sunscreens have some UV blockers that are much more stable than the ones that are mainly used in sunscreens available in the USA. So if you’re using one of these, the need to reapply isn’t as much of a concern. The only thing is that they aren’t FDA approved.

      Some examples I have heard of are “ethylhexyl triazone”, “diethylamino hydroxybenzoyl hexyl benzoate”, and “bemotrizinol”.

      EDIT: The last chemical on my list was actually approved by the FDA this month (June 2026).

    • DuckConference 6 hours ago
      Yes. Most modern sunscreens are photostable, but even if you aren't going in water or sweating, just moving around (and thus scrunching and un-scrunching your skin on a micro level over and over again) is enough to mess up the sunscreen layer you put on your skin.
  • ericmcer 7 hours ago
    I think this all stems from Baby boomers controlling the narrative. Baby boomers had an insane relationship with the sun. Getting crispy brown tan, using tanning oils, using that metal collar to blast sun directly into their face, and frequenting tanning beds were viewed as totally normal and healthy things.

    Big surprise they all got skin cancer. Then they swung the pendulum all the way back and now preach 24/7 sunscreen and never letting the sun touch you.

    • robertjpayne 7 hours ago
      The article doesn't make really controlled findings. There's an argument to be made that the increase to diseases isn't purely lack of vitamin D but lack of exercise.

      Our ancestors got lots of Vit D but they also got lots of exercise while absorbing the sun.

      I still don't think it's going to be wise to go out and just bake in the high UV of early afternoons but rather it's important to go outside early to mid morning or late afternoon and absorb some sun without copious amounts of sunblock.

  • jrflowers 21 hours ago
    No. It is terrible on noodles. Every brand.
    • Jblx2 7 hours ago
      Yeah, but it is better than margarine?
  • jml7c5 19 hours ago
    (2019)
  • erelong 22 hours ago
    tl;dr you probably should get a few minutes of sunlight daily on your unexposed skin without sunscreen for the "health gains"

    (you can also wear clothes to block sun instead of sunscreen so you don't necessarily need sunscreen at all)

  • poulpy123 18 hours ago
    [flagged]
    • dang 8 hours ago
      "Please respond to the strongest plausible interpretation of what someone says, not a weaker one that's easier to criticize. Assume good faith."

      "Don't be snarky."

      https://news.ycombinator.com/newsguidelines.html

    • d4ng 18 hours ago
      TFA says that many sunscreens block radiation causing sunburn, rather than radiation causing cancer.
      • abracadaniel 14 hours ago
        The US only just approved a new one for broad spectrum UV protection. That distinction has largely been a US only issue.
  • SilverElfin 22 hours ago
    It’s great that people are finally talking about this. It should have been obvious that sun exposure without sunscreen is needed to some extent. If you’re blocking the UV all the time, then how could you possibly be getting the minimum UV exposure that you do need. But people have become absolutely obsessed with sun protection.
    • rcxdude 20 hours ago
      Sunscreen isn't a 100% block, though. In fact it's advertised by what proportion of the UV it blocks. And in general it's far more common to have too much sun exposure than too little, and in the areas where people have too little, it's not exactly the norm to wear sunscreen every time you step outside.
    • flyingshelf 21 hours ago
      I don't know of anyone using sunscreen from the moment they wake up until they go to sleep. Guaranteed that even the best user will still receive a healthy amount of UV even if they refresh every few hours. As far as I'm concerned sunscreen is a 10am-5pm endeavor, not needed before or after
      • Zenbit_UX 21 hours ago
        Worth noting here for any readers new to UV guidelines that the above rule isn’t necessarily helpful for you. I’m currently traveling in an area that is 8:30am-4:30pm and live in an area that’s 10-6 pm in the summer and shifts throughout the year.

        The actual rule is derived from your location’s safe UV index zones, which is found out by determining what local time the UV Index <= 2. Above 2, wear some amount of protection.

        • sevenseacat 19 hours ago
          That's basically sun up to sun down, here.

          It's been completely grey, overcast, and raining here all day and the UV index sat between 3 and 5.

          • flyingshelf 11 hours ago
            The worst sunburn I ever got was on a boat while overcast. I don't trust them clouds no more.
            • plorkyeran 7 hours ago
              Clouds block a decent amount of UV on average, but it’s much less consistent than you might expect. 9/10 you might be completely fine with no sunscreen and then get a horrible sunburn the tenth, with no apparent visual distinction between them.
          • Zenbit_UX 17 hours ago
            Ya, the relationship between UV and sunlight is strange and unintuitive. For that reason I use a UV widget on my lock screen.

            I find that being exposed to the value (e.g. 4) while being able to see the suns effect (e.g. cloudy) gives me a better feel for conditions.