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Is sunscreen the new margarine? (2019)(outsideonline.com)
65 points by markgavalda 18 hours ago | 65 comments
krupan an hour ago | parent | next [-]

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 15 minutes ago | parent | next [-]

I did[1], and would be curious if anyone is familiar with the underlying study. How did they attempt to control for other factors?

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.

IcyWindows an hour ago | parent | prev | next [-]

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"

boxed 4 minutes ago | parent | prev | next [-]

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.

dghlsakjg 5 minutes ago | parent | prev | next [-]

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.

XorNot 18 minutes ago | parent | prev [-]

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".

jondcallahan 2 hours ago | parent | prev | next [-]

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.

eurleif 8 minutes ago | parent | next [-]

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.

Arubis 2 hours ago | parent | prev | next [-]

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!

mreid 20 minutes ago | parent [-]

laughs in Australian

https://www.bom.gov.au/climate/maps/averages/uv-index/?perio...

fullykubed an hour ago | parent | prev | next [-]

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.

hankbond an hour ago | parent | prev [-]

This is awesome thank you for making this!

dang 2 hours ago | parent | prev | next [-]

Related:

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

Zenbit_UX 14 hours ago | parent | prev | next [-]

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 an hour ago | parent | next [-]

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 2 minutes ago | parent | next [-]

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

eager_learner 28 minutes ago | parent | prev [-]

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 2 hours ago | parent | prev | next [-]

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.

Rendello an hour ago | parent | next [-]

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 a minute ago | parent [-]

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.

thih9 2 hours ago | parent | prev | next [-]

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...

layman51 2 hours ago | parent | prev [-]

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.

krupan an hour ago | parent | prev | next [-]

Who cares about your skin looking a little older when it prevents cardiovascular related deaths??

floren 30 minutes ago | parent | prev | next [-]

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)

JR1427 14 hours ago | parent | prev [-]

I've not heard that grey hair is sun damage.

Do you have any sources for that?

Zenbit_UX 12 hours ago | parent | next [-]

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 10 hours ago | parent [-]

After a quick skim, that article seems to be talking about something other than typical age-related greying. More photobleaching.

Zenbit_UX 10 hours ago | parent [-]

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 10 hours ago | parent | next [-]

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 an hour ago | parent [-]

Now I'm curious why it starts on the temples (it's where mine started too, then my fringe)

JR1427 10 hours ago | parent | prev [-]

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 25 minutes ago | parent [-]

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 39 minutes ago | parent | prev [-]

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_...

layman51 2 hours ago | parent | prev | next [-]

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.

krupan an hour ago | parent [-]

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 13 hours ago | parent | prev | next [-]

https://www.sciencedirect.com/science/article/pii/S135382922... this is better source on the underlying study

dntrkv 16 hours ago | parent | prev | next [-]

So everything in moderation? Cool, glad my philosophy still applies.

halffullbrain an hour ago | parent | next [-]

Moderation is good, just don't overdo it...

TacticalCoder 2 hours ago | parent | prev [-]

Extreme tension leads to breakage. Something something in buddhism about not trying to put too much tension in a bow or it'll break.

Also known as the middle way.

Moderation is a great philosophy.

echelon_musk an hour ago | parent [-]

> something in buddhism about not trying to put too much tension in a bow or it'll break

Perhaps you are referencing AN 6.55 Sona Sutta.

https://www.accesstoinsight.org/tipitaka/an/an06/an06.055.th...

sevenseacat 13 hours ago | parent | prev | next [-]

Coming from the skin cancer capital of the world (Australia) - no, no it is not

kirrent 18 minutes ago | parent | next [-]

The title is inadvertently correct only because modern margarine is healthier than alternatives such as butter.

kulahan an hour ago | parent | prev | next [-]

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 2 hours ago | parent | prev [-]

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.

ericmcer an hour ago | parent | prev | next [-]

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 an hour ago | parent [-]

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.

Cider9986 2 hours ago | parent | prev | next [-]

Do we really have to reapply every 2 hours?

layman51 36 minutes ago | parent [-]

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).

SilverElfin 16 hours ago | parent | prev | next [-]

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 15 hours ago | parent | next [-]

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 15 hours ago | parent | prev [-]

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 15 hours ago | parent [-]

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 13 hours ago | parent [-]

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 5 hours ago | parent | next [-]

The worst sunburn I ever got was on a boat while overcast. I don't trust them clouds no more.

plorkyeran 2 hours ago | parent [-]

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 12 hours ago | parent | prev [-]

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.

jrflowers 15 hours ago | parent | prev | next [-]

No. It is terrible on noodles. Every brand.

Jblx2 an hour ago | parent [-]

Yeah, but it is better than margarine?

danparsonson 42 minutes ago | parent [-]

I can't believe it's not better.

jml7c5 13 hours ago | parent | prev | next [-]

(2019)

Cockbrand 12 hours ago | parent [-]

A bit unclear - it says

> Weller’s largest study yet is due to be published later in 2019

But in the header, it also says

> Updated May 31, 2024

I'd still love to know whether there has been further research in the meantime.

dang 2 hours ago | parent [-]

And https://web.archive.org/web/20260000000000*/https://www.outs... seems to suggest 2021. I guess we'll put that above, although we had 2019 in the 2022 thread (https://news.ycombinator.com/item?id=48715020) :)

jml7c5 an hour ago | parent [-]

It was published early 2019, maybe late 2018.

Searching for the title of the article ("Is sunscreen the new margarine?") makes it easy to pinpoint: there is a open letter responding to the article, dated January 15, 2019. https://www.asds.net/Portals/0/PDF/LetterToTheEditor-Outside...

dang an hour ago | parent [-]

Ok, let's go with 2019!

erelong 16 hours ago | parent | prev [-]

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)