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What Causes What
Lifestyle & environment

Time outdoors

hours / day

UV-B exposure, movement, and a SES-coded leisure habit.

Outdoor time is the hidden common cause of 25(OH)D and of 'having a life that looks healthy'. Desk-bound high earners in high latitudes can be rich and deficient; outdoor workers can be poorer and replete. That is why D is a terrible SES instrument.

Also called sun exposure, UV-B.

Connected relationships

MECHANISM+ INCREASES

Observational · High confidence

Time outdoors→25-hydroxyvitamin D

Higher Time outdoors increases 25-hydroxyvitamin D.

Skin makes 25(OH)D from UV-B; Samefors 2021 then showed that encouraging 40 Swedish nursing-home residents outdoors for two summer months raised median serum 25(OH)D from 42.5 to 53.5 nmol/L.

Read the full evidence

Cases

Sources