Abstract
Background
Many people in modern society have insufficient exposure to ultraviolet B (UVB) sunlight, which may lead to vitamin D deficiency. We aimed to investigate the effect of a proto-type wearable light-emitting diode (LED) device emitting UVB light on serum 25-hydroxyvitamin D levels.
Methods
A total of 136 healthy adults were randomly assigned to receive either an active device emitting UVB light with a peak wavelength of 285 nm (n = 64) or a sham device emitting visible light (n = 72). All participants wore the device for a total of two minutes, one minute on each forearm, every day for 4 weeks. Serum 25-hydroxyvitamin D levels were assessed at baseline, 2, and 4 weeks of intervention, and 2 weeks after the end of the intervention.
Results
A significant difference was found between the experimental and control groups in changes in serum 25-hydroxyvitamin D levels from baseline after two (0.25 ± 3.10 ng/mL vs. −1.07 ± 2.68 ng/mL, p = 0.009) and 4 weeks of intervention (0.75 ± 3.98 ng/mL vs. −1.75 ± 3.04 ng/mL, p < 0.001). In the experimental group, the dropout rate due to mild, self-limiting adverse skin reactions was 11.8% (9/76). The mean total 25-hydroxyvitamin D production after UVB exposure was estimated at 0.031 ng/mL per 1 cm2 of skin area.
Conclusions
A prototype wearable LED UVB device was effective for improving 25-hydroxyvitamin D status. The development of a safer wearable LED device for phototherapy may provide a novel daily, at-home option for vitamin D supplementation.
This is a preview of subscription content, access via your institution
Access options
Subscribe to this journal
Receive 12 print issues and online access
$259.00 per year
only $21.58 per issue
Buy this article
- Purchase on SpringerLink
- Instant access to the full article PDF.
USD 39.95
Prices may be subject to local taxes which are calculated during checkout


Similar content being viewed by others
Data availability
The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
References
Heaney RP. Vitamin D in health and disease. Clin J Am Soc Nephrol. 2008;3:1535–41.
Holick MF, MacLaughlin J, Clark M, Holick S, Potts J, Anderson R, et al. Photosynthesis of previtamin D3 in human skin and the physiologic consequences. Science. 1980;210:203–5.
Engelsen O, Brustad M, Aksnes L, Lund E. Daily duration of vitamin D synthesis in human skin with relation to latitude, total ozone, altitude, ground cover, aerosols and cloud thickness. Photochem Photobiol. 2005;81:1287–90.
Matsuoka LY, Wortsman J, Hanifan N, Holick MF. Chronic sunscreen use decreases circulating concentrations of 25-hydroxyvitamin D: a preliminary study. Arch Dermatol. 1988;124:1802–4.
MacLaughlin J, Holick MF. Aging decreases the capacity of human skin to produce vitamin D3. J Clin Investig. 1985;76:1536–8.
Pettifor JM, Moodley GP, Hough FS, Koch H, Chen T, Lu Z, et al. The effect of season and latitude on in vitro vitamin D formation by sunlight in South Africa. S Afr Med J. 1996;86:1270–2.
Malacova E, Cheang PR, Dunlop E, Sherriff JL, Lucas RM, Daly RM, et al. Prevalence and predictors of vitamin D deficiency in a nationally representative sample of adults participating in the 2011–2013 Australian Health Survey. Br J Nutr. 2019;121:894–904.
Amrein K, Scherkl M, Hoffmann M, Neuwersch-Sommeregger S, Köstenberger M, Berisha AT, et al. Vitamin D deficiency 2.0: an update on the current status worldwide. Eur J Clin Nutr. 2020;74:1498–513.
Sallander E, Wester U, Bengtsson E, Wiegleb Edström D. Vitamin D levels after UVB radiation: effects by UVA additions in a randomized controlled trial. Photodermatol Photoimmunol Photomed. 2013;29:323–9.
Osmancevic A, Landin-Wilhelmsen K, Larkö O, Krogstad AL. Vitamin D status in psoriasis patients during different treatments with phototherapy. J Photochem Photobiol B. 2010;101:117–23.
Tangpricha V, Turner A, Spina C, Decastro S, Chen TC, Holick MF. Tanning is associated with optimal vitamin D status (serum 25-hydroxyvitamin D concentration) and higher bone mineral density. Am J Clin Nutr. 2004;80:1645–9.
Pelaez EA.Villegas ER, LED power reduction trade-offs for ambulatory pulse oximetry. In: Proceedings of annual international conference on IEEE Engineering in Medicine and Biology Society. 2007;2007:2296–9.
Pulli T, Dönsberg T, Poikonen T, Manoocheri F, Kärhä P, Ikonen E. Advantages of white LED lamps and new detector technology in photometry. Light Sci Appl. 2015;4:e332.
Barnkob LL, Argyraki A, Petersen PM, Jakobsen J. Investigation of the effect of UV-LED exposure conditions on the production of vitamin D in pig skin. Food Chem. 2016;212:386–91.
Kalajian T, Aldoukhi A, Veronikis A, Persons K, Holick M. Ultraviolet b light emitting diodes (leds) are more efficient and effective in producing vitamin D 3 in human skin compared to natural sunlight. Sci Rep. 2017;7:1–8.
Veronikis AJ, Cevik MB, Allen RH, Shirvani A, Sun A, Persons KS, et al. Evaluation of a ultraviolet B light emitting diode (LED) for producing vitamin D3 in human skin. Anticancer Res. 2020;40:719–22.
Cashman KD, van den Heuvel EG, Schoemaker RJ, Prévéraud DP, Macdonald HM, Arcot J. 25-Hydroxyvitamin D as a biomarker of vitamin D status and its modeling to inform strategies for prevention of vitamin D deficiency within the population. Adv Nutr. 2017;8:947–57.
Bikle DD. Vitamin D metabolism, mechanism of action, and clinical applications. Chem Biol. 2014;21:319–29.
Nah EH, Kim S, Cho H-I. Vitamin D levels and prevalence of vitamin D deficiency associated with sex, age, region, and season in Koreans. Lab Med Online. 2015;5:84–91.
Pfotenhauer KM, Shubrook JH. Vitamin D deficiency, its role in health and disease, and current supplementation recommendations. J Am Osteopath Assoc. 2017;117:301–5.
Ravichandran AK. Evaluation of a novel light-emitting diode device for producing vitamin D. (Boston University, 2015).
Park BS, Youn JI. Topographic measurement of skin color by narrow‐band reflectance spectrophotometer and minimal erythema dose (MED) in Koreans. Ski Res Technol. 1998;4:14–7.
Youn J, Oh J, Kim B, Suh D, Chung J, Oh S, et al. Relationship between skin phototype and MED in Korean, brown skin. Photodermatol Photoimmunol Photomed. 1997;13:208–11.
Lo C, Paris P, Clemens T, Nolan J, Holick M. Vitamin D absorption in healthy subjects and in patients with intestinal malabsorption syndromes. Am J Clin Nutr. 1985;42:644–9.
Marcinowska-Suchowierska E, Kupisz-Urbańska M, Łukaszkiewicz J, Płudowski P, Jones G. Vitamin D toxicity–a clinical perspective. Front Endocrinol. 2018:550.
Piotrowska A, Wierzbicka J, Żmijewski MA. Vitamin D in the skin physiology and pathology. Acta Biochim Pol. 2016;63:17–29.
Norman AW. Sunlight, season, skin pigmentation, vitamin D, and 25-hydroxyvitamin D: integral components of the vitamin D endocrine system. Am J Clin Nutr. 1998;67:1108–10.
Young AR, Morgan KA, Ho T-W, Ojimba N, Harrison GI, Lawrence KP, et al. Melanin has a small inhibitory effect on cutaneous vitamin D synthesis: a comparison of extreme phenotypes. J Investig Dermatol. 2020;140:1418–26.e1.
Funding
This work was supported by the Engineering Research Center of Excellence (ERC) Program supported by the National Research Foundation (NRF), Korean Ministry of Science & ICT (MSIT) (Grant No. NRF-2017R1A5A1014708).
Author information
Authors and Affiliations
Contributions
HJL, SY, TK, JP, and I-YY: designed the research; JKH, JSA, and EL conducted the research study; SY, HM, SK, and JP provided essential research materials; HJL, JP, and I-YY: performed statistical analyses and wrote the manuscript; HJL, SY, JP, and I-YY critically reviewed the manuscript; I-YY had primary responsibility for the final content. All authors read and approved the final manuscript.
Corresponding authors
Ethics declarations
Competing interests
The authors declare no competing interests.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Lee, H.J., Yoo, S., Hong, J.K. et al. The effect of proto-type wearable light-emitting devices on serum 25-hydroxyvitamin D levels in healthy adults: a 4-week randomized controlled trial. Eur J Clin Nutr 77, 342–347 (2023). https://doi.org/10.1038/s41430-022-01241-z
Received:
Revised:
Accepted:
Published:
Version of record:
Issue date:
DOI: https://doi.org/10.1038/s41430-022-01241-z
This article is cited by
-
UVB-emitting cloth to prevent low serum 25-hydroxyvitamin D caused by clothing
European Journal of Clinical Nutrition (2023)


