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7/22/2021 0 評論

如何正確攝取維他命D呢? 聽聽美國皮膚科醫學會的建議與實證

點選美國皮膚科醫學會AAD原文連結: https://bit.ly/3y8kLPn

  • 來自太陽和助曬機的紫外線UV會導致皮膚癌,AAD不建議從陽光或助曬機獲得維生素D。這當中包括了「黑色素癌」,一種可能致命的皮膚癌。​
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  • 為預防紫外線誘發的皮膚癌,AAD建議民眾做好防曬工作﹕找尋騎樓與樹蔭等遮蔽陽光的路線、衣服覆蓋皮膚、未覆蓋的皮膚則塗上SPF大於30的廣效型防水防曬霜。
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  • AAD建議從健康飲食中獲取維生素D,如富含維生素D的食物、食品和飲料、及 #維生素D補充劑。

  • 雖然維生素D對健康的骨骼很重要,也有些研究發現維生素D可降低癌症發病率、癌症死亡、提高癌症存活率。但是其他研究尚未能夠確切證實維生素D與癌症的關聯性。
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美國國家醫學科學院(NAM)根據目前鈣和維生素D在骨骼健康的科學實證,建議每日維生素D的膳食攝取量(RDA):國際單位(IU)
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  1. 400 IU 適用於 0-1 歲的嬰兒/兒童
  2. 600 IU 適用於1-70歲的兒童,青少年和成人
  3. 800 IU 適用於 71 歲以上的成年人 
  4. 維生素D攝入量不應超過每天4000 IU

(每個人從太陽接受的維生素D量並不一樣,而紫外線又有導致皮膚癌的風險,因此NAM的RDA是基於接受最少或沒有陽光照射的人的建議。)
 
參考資料 :
 
Related AAD resources
  • Skin Cancer Resource Center


1 U.S. Department of Health and Human Services, Public Health Service, National Toxicology Program. Report on carcinogens, 14th ed: Ultraviolet-radiation-related exposures. 2016.
2 ARC Monographs on the Evaluation of Carcinogenic Risks to Humans, No. 100D. IARC Working Group on the Evaluation of Carcinogenic Risks to Humans. Lyon (FR): International Agency for Research on Cancer; 2012.
3 O'Sullivan DE, Brenner DR, Demers PA, et al. Indoor tanning and skin cancer in Canada: A meta-analysis and attributable burden estimation. Cancer Epidemiol. 2019;59:1-7. doi:10.1016/j.canep.2019.01.004
4 Colantonio S, Bracken MB, Beecker J. The association of indoor tanning and melanoma in adults: systematic review and meta-analysis. J Am Acad Dermatol 2014;70:847–57.
5 Boniol M, Autier P, Boyle P, Gandini S. Cutaneous melanoma attributable to sunbed use: systematic review and meta-analysis. BMJ. 2012 Jul 24;345:e4757.
6 Arnold M, Kvaskoff M, Thuret A, Guenel P, Bray F and Soerjomatarm I. Cutaneous melanoma in France in 2015 attributable to solar ultraviolet radiation and the use of sunbeds. J Eur Acad Dermatol Venereol. Published online April 16, 2018. https://doi.org/10.1111/jdv.15022
7 Arnold M et al. Global burden of cutaneous melanoma attributable to ultraviolet radiation in 2012. Int J Cancer. 2018 April. https://doi.org/10.1002/ijc.31527.
8 Parkin DM, Mesher D and Sasieni P. Cancers attributable to solar (ultraviolet) radiation exposure in the UK in 2010. British Journal of Cancer. 2011. 105 (S66–S69). doi: 10.1038/bjc.2011.486.
9 Goulão B, Stewart F, Ford JA, MacLennan G, Avenell A. Cancer and vitamin D supplementation: a systematic review and meta-analysis [published correction appears in Am J Clin Nutr. 2020 Mar 1;111(3):729-730]. Am J Clin Nutr. 2018;107(4):652-663. doi:10.1093/ajcn/nqx047
10 Freedman DM, Looker AC, Abnet CC, Linet MS, Graubard BI. Serum 25-hydroxyvitamin D and cancer mortality in the NHANES III study (1988- 2006). Cancer Res 2010;70(21):8587-97.
11 Pilz S, Kienreich K, Tomaschitz A, Ritz E, Lerchbaum E, Obermayer-Pietsch B, Matzi V, Lindenmann J, Marz W, Gandini S, Dekker JM. Vitamin d and cancer mortality: systematic review of prospective epidemiological studies. Anticancer Agents Med Chem. 2013 Jan 1;13(1):107-17.
12 Bjelakovic G, Gluud LL, Nikolova D, Whitfield K, Krstic G, Wetterslev J, Gluud C. Vitamin D supplementation for prevention of cancer in adults. Cochrane Database Syst Rev. 2014 Jun 23;6:CD007469.
13 Mondul AM, Weinstein SJ, Layne TM , Albanes D. Vitamin D and Cancer Risk and Mortality: State of the Science, Gaps, and Challenges. Epidemiologic reviews 2017:1-21.
14 Ross AC, Manson JE, Abrams SA, Aloia JF, Brannon PM, Clinton SK, et al. The 2011 Report on Dietary Reference Intakes for Calcium and Vitamin D from the Institute of Medicine: What Clinicians Need to Know. J Clin Endocrinol Metab Nov 29 2010 (epub ahead of print)
15 Institute of Medicine. 2011 Dietary Reference Intakes for Calcium and Vitamin D. Washington, DC: The National Academies Press.
 

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美容醫學療程效果因人而異,術後可能有風險與副作用。術前請諮詢專業醫師,並注重術後照護。

雷射等美容醫學光電治療後可能有皮膚紅腫、黑色素沉澱、單純皰疹復發、灼傷等副作用

電波或音波治療後可能有泛紅、水腫、緊繃感。少數情況有水泡、燙傷、疤痕、
神經麻痺、單純泡疹復發等副作用。

玻尿酸填充劑注射後可能有瘀青、紅腫、腫塊、單純泡疹復發、皮膚壞死、感染等副作用。

肉毒桿菌素注射術後可能有表情不自然、頭痛、眉形改變、眼皮下垂等副作用


倍克脂注射術後可能有瘀青、腫脹、疼痛、毛髮脫落、吞嚥困難、皮膚局部壞死、感染、神經受傷等副作用。

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在醫師的指導之下,可以得到最適合自己臉上泛紅跟黑斑的治療方式,亦精確了解後續雷射療程,如何作用在自己身上,過程具專業解說,後續且伴隨有效率的追蹤,讓我感覺很安心。感謝醫生及團隊。

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在醫師的巧手下,我發現微整形居然讓我找回了手機舊照片中年輕時的自己。因為是自己的樣子、不用成為別的樣子,所以現在每天照鏡子時,充滿了幸福感呢^^~

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Dr. Chang is precise and punctual. It's easy to see that her knowledge and experience is outstanding. I couldn't be in better hands. Thank you!

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"Dr. Chang is amazing at her work and was very attentive to my needs. I am from the United States, North Carolina, and I came to Taipei on a
business trip with my husband. Dr. Chang was very informative and knowledgeable and explained everything to me in terms that I could understand. I met with Dr. Chang because of issues with fine lines and wrinkles, sun damage and an uneven skin tone. I received Fraxel Laser to my face and also Restylane injections to my chin, lips and under my eyes. I am extremely pleased with my results because they look very natural!! I would highly recommend Dr. Chang."


Theresa K.

I came across Dr I-Jing Chang's page on the Taiwan Medical University website by happy coincidence! I was looking for a good Taipei dermatology service that specialized in lip fillers, as that part of my face has lost volume as I have aged. I had a bad experience with lip filler some years ago in Taiwan at another clinic, and had since heard from other dermatologists here that fillers, especially for the lip, are not as common a procedure in TW as in the West. I had almost run out of hope that I could get a good treatment until I met Dr Chang.

From the first moment I met her, I had great confidence in her expert knowledge, her evaluation of my aesthetic needs and her true concern for patients. Now after having several treatments, including lip filler and Botox, my great first impression of Dr Chang has been more than confirmed. She is deeply knowledgeable about skin and aesthetic issues, and well trained in the US and in Taiwan. She is deeply empathetic, she is encouraging, she knows exactly what pain you might feel (and takes steps to minimize it), and she is an artist. She knows so much about what she is doing, and she truly cares about her patients.  The same goes for all her staff. The experience has been very positive, and I recommend her clinic very highly!
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Mary G.

Hello, I am a patient who is from California in the US. I have travelled to Taiwan for this particular skin treatment (fraxal) because the doctor is so amazing. In the past, I have tried so many luxury skincare lines, acid peels, microdermabrasion, and other such treatments for my acne and acne scarring. However, NONE of them can even compare to the wonderful effectiveness of this doctor. She has helped me so very much and I am extremely grateful. I cannot recommend her enough. She is the best and will give you the skin results you have always wanted. Definitely worth travelling around the world for! Book an appointment NOW!

Henry Hsu
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