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Health expert: Sunlight more important for health than previously thought

Published 10 June 2024
– By Editorial Staff
If you avoid burning yourself, there is no danger, says the health professional.

Nutritionist Fredrik Paulún, author of The Light Revolution (Ljusrevolutionen), says there are many serious misconceptions about the sun. One of the best things you can do for your health, Paulún says, is to make sure you get enough sunlight.

– We shouldn’t burn ourselves, but we should be in the sun as much as possible, he says.

Here are Paulún’s best tips and observations for the sunniest months of the year.

Fredrik Paulún is perhaps one of Sweden’s best-known health profiles and a trained nutritionist. In The Light Revolution, he describes how the sun, and especially light, is directly vital to us. While elsewhere people are often encouraged to sunbathe cautiously, he argues instead that people in Sweden today generally have a sun or light deficiency and should make sure they get much more sunlight.

Among other things, he explains that endorphins are produced when sunlight hits the skin, which he believes shows that the sun is beneficial to humans. What we are naturally attracted to is often based on the production of endorphins, and Paulún says it is perfectly logical to assume that the sun is necessary for human survival. According to the health expert, the sun’s bad reputation is “completely undeserved” and is at least as important for health as exercise and a good diet.

Sick without sun

Paulún believes that the sun has a positive effect on the entire body system, from the brain to the organs. In particular, it increases the energy production of the body’s mitochondria, whose function is to convert energy from food. “A lot of diseases have a ‘bone’ in poor mitochondrial function”, says the health expert.

– Without mitochondria, we’re screwed, he says in the podcast Health for the Unhealthy (Hälsa för ohälsosamma).

Paulún believes that the advice to avoid the sun is actually making us sick. Among other things, he points to a large number of studies that have been done comparing where you live on Earth, where latitude 0 is the equator, and it has been found that, for example, the autoimmune disease MS is almost non-existent at the equator, in other words, where there is a lot of sun. The disease increases the further away you are from the equator, where, for example, Sweden is quite affected by the disease.

The same goes for high blood pressure, which according to the health profile is more prevalent in countries further from the equator, where there is less sun. This is partly because the sun stimulates the production of nitric oxide, which dilates blood vessels and reduces the risk of cardiovascular disease. In addition, mortality rates during the winter months are reported to be about 25% higher in countries far from the equator.

Sun avoidance as bad as smoking

Lack of sunlight can also contribute to increased body weight. Paulún also says that the risk of autoimmune diseases in particular is significantly reduced by getting enough sun, and that those who suffer from them can improve their symptoms by getting plenty of sun.

According to the profile, other research suggests that avoiding the sun carries the same risk of premature death as smoking. According to other research, after 20 years of sun exposure, people are generally 40% less likely to die from all forms of cancer.

The sun also stimulates the immune system, which reduces the risk of respiratory infections. Paulún points out that the sun also has a big practical impact when it comes to COVID, saying that in Sweden, people with darker skin are more affected by the disease because they have a higher need for sunlight.

– We now know that the sun also had a great impact on how severely ill people became from covid, for example, many people with darker skin died. This is a very important aspect when we talk about human health. We have different sun needs.

No sun protection factor

A large number of researchers and experts believe that sun protection is essential, and preferably as high a factor as possible. Dermatologist Petra Kjellman, for example, recently advised Swedish state broadcaster SVT to use at least SPF 30 or 50 during the summer.

However, Paulún argues that sunscreens can actually increase the risk of skin cancer because they remove the natural instinct to retreat from the sun. For example, a large study involving 50 regions and countries found that the more UV light you get without sunscreen, the less likely you are to develop the skin cancer malignant melanoma.

– Because it protects us, it is a hormetic stressor. It is simply a repair of the skin cells, he says.

He also points out that some sunscreens contain chemicals and endocrine disruptors that are absorbed into the skin. He says that while sunscreen protects against burning, it doesn’t protect against things like cancer or sun-induced wrinkles.

– Wearing sunscreen in Sweden is terrible, he says.

On the other hand, Paulún admits that he might use sunscreen on extremely rare occasions, it might be a bit on the nose when he goes out to sea. Otherwise, he avoids it altogether.

Sunbathe smart

Although natural sunlight is beneficial to health, too much UV radiation can cause damage to biological tissues. This can lead to sun damage, increased risk of malignant melanoma and skin aging. Paulún also mentions a study of 29,000 Swedish women in the southern part of the country. The women were divided into non-tanners, moderate tanners and active tanners. The women who were active tanners had a 1.1% risk of developing malignant melanoma, while the non-tanners had a 0.8% risk – in other words, a very small margin. However, the study found that the mortality rate was lower among active tanners than among non-tanners. For those who did not sunbathe, the mortality rate for skin cancer was nearly 36%, compared to only 11% for active sunbathers.

However, it is important not to get too much sun and not to burn yourself, Paulún emphasizes. “What you should focus on is building up a good tan, then you will not burn so easily. If you build up a good tan, you have protection equivalent to about 10 to 15 SPF”, he says. It is also important to be logical and sunbathe in moderation, get out of the sun if you get too much, and wear a hat and protective clothing. Have children wear UV protective clothing and a hat or cap.

– UV light just makes us feel good, says Fredrik. It is important. But we can also burn ourselves. So it’s important to find the right balance.

Morning sun the best

The most beautiful part of the day is the morning, according to Paulún. The sun is low and the UV light is filtered in the atmosphere, so almost nothing reaches you. At the same time, your body wakes up in the morning and your eyes get light. The sunlight is also milder in the evenings.

The sun is strongest during the day and if you want to avoid burning, it is probably best to sit in the shade or indoors if you are in even warmer latitudes such as Australia.

Vitamin D

UV light triggers the production of vitamin D, and Paulún says research suggests that naturally produced levels of the vitamin and high sun exposure are linked to the same health effects. However, supplements of the vitamin do not have the same effects. Studies show that vitamin D supplements reduce mortality from all causes in humans, but do not protect against diseases such as Alzheimer’s and type 2 diabetes. The health profile says that supplements can’t replace light, and if you have low levels of the vitamin, you probably don’t get enough sun.

Red light in winter

In Sweden there are few hours of sunshine during the winter, but Paulún still encourages people to try to get sun on their skin on the days when it is available. However, red light lamps can also be used in winter as a dietary supplement, which he strongly advocates.

In his book, Paulún explains that the sun emits electromagnetic radiation, which includes different forms of light, including ultraviolet (UV), in different wavelengths. The sun emits light in all the colors of the rainbow, but when all the wavelengths are mixed, the light looks white, for example, you can often see more red light in the evening, then you can often see more blue light during the day.

The red light, according to the health profile, is the one that produces the most biological effects. Red light lamps are available for home use and are also used in treatments. Paulún himself has a red light lamp at home that he routinely sits in front of for about 15 minutes every morning.

Fredrik Paulún

Photo: AndreasArgirakis/CC BY-SA 3.0

Nutritionist and writer, born July 20, 1970, who frequently appears on television, in newspapers and on radio programs. Paulún is also known for introducing Swedes to the now famous GI diet.

Paulún's brand was launched in Sweden in 2005, but since 2010 it has been owned by Orkla Foods Sverige AB.

He has written about 20 books on nutrition and health, including 50 Shortcuts to a Sugar-Free Life, The Truth About GI and LCHQ. His latest book, The Light Revolution (Ljusrevolutionen), was published last year.

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Iron deficiency common among Swedish high school girls

Published 6 April 2025
– By Editorial Staff
Iron deficiency can cause concentration difficulties.

More than one in three Swedish female high school students has an iron deficiency, according to a study from Lund University. The risk was found to be particularly high among vegetarians and vegans.

The study, published in the European Journal of Nutrition, involved 475 upper secondary school students from two schools in Malmö and Lund. Participants answered questions about dietary habits and menstruation, among other things, and then provided blood samples.

The blood samples were analyzed with a focus on iron status, which was then compared to the participants’ diet. The results showed that 38% of high school girls were iron deficient. Among vegetarians and vegans, the percentage was close to 70%, compared to 30% among meat eaters. Even pescatarians – who exclude red meat and chicken – had a higher prevalence of iron deficiency.

It is positive that many young people are choosing a more plant-based diet, which reduces the risk of various chronic diseases such as cancer and cardiovascular disease and is also good for the environment. But you need to think about how you get iron. We hope that the results draw attention to the importance of replacing meat with iron-rich foods, says Anna Stubbendorff, dietician and PhD student in nutritional epidemiology at Lund University, in a press release.

Iron deficiency can cause fatigue, difficulty concentrating and in severe cases anemia. The body’s ability to absorb iron is affected by what else you eat, whether the iron comes from meat or plant sources.

It’s important to eat plenty of whole grains and legumes such as beans, peas, and lentils. Vitamin C and acids – for example, sauerkraut, kimchi, or sourdough bread – consumed at the same time as the meal increase iron absorption. Coffee and tea reduce absorption. We also saw that those who reported eating more fruit had a lower incidence of iron deficiency.

The researchers now want to develop a screening method that can help school health services identify high school girls at risk of iron deficiency.

Omega-3 found to slow down biological aging

Published 31 March 2025
– By Editorial Staff

Omega-3 can clearly slow down biological aging in all age groups, according to a new study. The effect was even greater when combined with strength training and vitamin D.

The study, which was conducted by researchers at the University of Zurich, the Hospital University of Toulouse and Harvard University, among others, examined the effect of vitamin D, omega-3 and exercise on biological ageing.

In total, the DO-HEALTH study involved 2,157 participants from several European countries. The aim of the long-term study is to prevent healthy ageing and to study the effects of omega-3 and vitamin D.

Participants were divided into different groups, with some receiving vitamin D or omega-3 daily, while others received a placebo. In addition, strength training (30 minutes, three times a week) was compared with joint mobility training of the same duration.

By varying the combinations, the researchers were able to analyze both individual and combined effects, for example in those who received both vitamin D and omega-3.

The analysis, published in Nature Aging, shows that a daily intake of one gram of omega-3 for three years was able to slow biological aging by almost three months compared to those who did not take the supplement.

Effect the same regardless of age

In the group that combined omega-3, vitamin D and strength training, the effect was even greater, slowing down aging by almost four months. The combination also reduced the risk of invasive cancer by 61% and the risk of early osteoporosis by 39%.

The effect on biological ageing was the same regardless of gender, age or BMI.

Omega-3 fatty acids are mostly found in oily fish and are important for building and repairing cells, among other things. They can also affect blood pressure regulation, kidney function and the immune system.

In the next step, the researchers plan to include more participants to get a broader sample and study how different lifestyles affect the results.

Sweden to abolish burnout diagnosis under new WHO guidelines

Published 19 March 2025
– By Editorial Staff
The diagnostic criteria have long been criticized for being too broad and vague, leaving much room for interpretation by individual doctors.

Fatigue syndrome will be removed as a diagnosis by 2028, following new guidelines from the World Health Organization (WHO).

Sweden is currently the only country that has fatigue syndrome, also known as burnout, as a recognized diagnosis. The number of stress-related sick leaves is increasing and every year around 20,000 Swedes are taken ill with the diagnosis.

However, as of 2028, the diagnosis will disappear completely from Sweden, reports Psykologitidningen. The background to the decision is that the World Health Organization (WHO) is updating the international diagnosis system and no longer wants to see national diagnoses. In other words, it is not the National Board of Health and Welfare’s decision, but the new guidelines that form the basis for the removal.

Psychologist Elin Lindsäter, one of Sweden’s leading researchers in the field, basically welcomes the change and believes it can benefit patients, as the diagnosis has been broad and vague and used in different ways around the country. At the same time, she worries that the resulting void could lead to rapid decisions and differences between regions. Lindsäter has been in contact with the Minister for Social Affairs, Jakob Forssmed, where she has pointed out the need for national coordination.

– A government commission to investigate the situation seems to be underway, she told the paper.

“Can only get better”

At the same time, she understands that the change may cause concern among patients, who have already pointed out that it can be difficult to get the right care.

– This change puts the clinical picture on the table and forces us to act and think differently. I assume that things can only get better, but initially there may be legitimate concerns for many, with a risk of falling through the cracks.

Magdalena Fresk, Head of the Classifications and Terminology Unit at the National Board of Health and Welfare, says that the previous diagnosis system was many years old and that this is “a long-awaited, medically updated version”. This year they will be working on the translation for the new WHO guidelines.

We have a number of issues that we know we will need to work on to ensure that there are no problems for patients and that it works as well as possible in the future, she told the Bonnier newspaper DN.

Mental health crisis deepens in Swedish schools

Welfare collapse

Published 7 March 2025
– By Editorial Staff

Mental health problems among young Swedes have skyrocketed in recent decades, with the worst performers being those who fail to meet school targets.

A comprehensive study shows that there are clear links between psychiatric diagnoses such as anxiety and depression and poor school performance.

Researchers at Umeå University have followed over three million students between 1990 and 2018 and conclude that the results show that “school performance and mental illness have become increasingly interlinked”.

Psychiatric diagnoses have increased across the youth population, but the trend has been most dramatic among low-achieving students. Mortality from suicide and substance abuse has also increased in this group, while it has remained stable for other youth”, the university writes.

– The increase applies both in the short and long term. We study students when they are in grade 9, but also follow them for several years after they leave primary school. The increase in ill-health is evident even into their 20s, explains Associate Professor Björn Högberg, who participated in the study.

It is seen that mental illness among young people has increased since the 1990s and that Swedish schools have undergone several reforms and changes during this period. These changes have led to an increasing number of students failing to enter or complete their upper secondary education.

Increased risk of suicide

By following all students who completed grade 9 in Sweden between 1990 and 2018, we can see how the correlation between school failure and psychiatric diagnoses has become stronger over time.

– As far as we know, no similar studies have been conducted in any other country, so we do not know if this trend is unique to Sweden. What is known, however, is that self-reported mental illness and overdose mortality among young people have generally increased more in Sweden than in most other European countries, Högberg explains.

The trend is described as worrying and it is believed that those who perform poorly at school run a “significantly higher risk of suffering from serious psychiatric conditions” than others in the future and that there is also an increased risk of suicide and addiction.

– Another way of putting it is that mental health inequalities have increased, and that this has been driven mainly by girls and young people with a Swedish background. However, the trends for students with a foreign background are difficult to interpret as the most common countries of origin of the students vary over the period, continues the associate professor.

“Extensive need for support”

The researchers argue that it is necessary to carefully analyze the actual impact of the various school reforms on the mental health of young people and work actively to reduce the number of school failures.

They emphasize that so far we can only say with certainty that there is a link between excess risk of mental health problems and poor school performance we cannot say how the different factors interact.

– At the moment, we can’t comment on the causal link, but we plan to look at it more closely in the future. Regardless, this is a very vulnerable group with extensive support needs, needs that unfortunately do not seem to be adequately met today, concludes Björn Högberg.

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