Exploratory study of ultraviolet B (UVB) radiation and age of onset of bipolar disorder

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  • Michael Bauer
  • Tasha Glenn
  • Eric D. Achtyes
  • Martin Alda
  • Esen Agaoglu
  • Kürsat Altınbaş
  • Ole A. Andreassen
  • Elias Angelopoulos
  • Raffaella Ardau
  • Memduha Aydin
  • Yavuz Ayhan
  • Christopher Baethge
  • Rita Bauer
  • Bernhard T. Baune
  • Ceylan Balaban
  • Claudia Becerra-Palars
  • Aniruddh P. Behere
  • Prakash B. Behere
  • Habte Belete
  • Tilahun Belete
  • Gabriel Okawa Belizario
  • Frank Bellivier
  • Robert H. Belmaker
  • Francesco Benedetti
  • Michael Berk
  • Yuly Bersudsky
  • Şule Bicakci
  • Harriet Birabwa-Oketcho
  • Thomas D. Bjella
  • Conan Brady
  • Jorge Cabrera
  • Marco Cappucciati
  • Angela Marianne Paredes Castro
  • Wei Ling Chen
  • Eric Y.W. Cheung
  • Silvia Chiesa
  • Marie Crowe
  • Alessandro Cuomo
  • Sara Dallaspezia
  • Maria Del Zompo
  • Pratikkumar Desai
  • Seetal Dodd
  • Bruno Etain
  • Andrea Fagiolini
  • Frederike T. Fellendorf
  • Ewa Ferensztajn-Rochowiak
  • Jess G. Fiedorowicz
  • Kostas N. Fountoulakis
  • Mark A. Frye
  • Pierre A. Geoffroy
  • Michael J. Gitlin
  • Ana Gonzalez-Pinto
  • John F. Gottlieb
  • Paul Grof
  • Bartholomeus C.M. Haarman
  • Hirohiko Harima
  • Mathias Hasse-Sousa
  • Chantal Henry
  • Lone Hoffding
  • Josselin Houenou
  • Massimiliano Imbesi
  • Erkki T. Isometsä
  • Maja Ivkovic
  • Sven Janno
  • Simon Johnsen
  • Flávio Kapczinski
  • Gregory N. Karakatsoulis
  • Mathias Kardell
  • Seong Jae Kim
  • Barbara König
  • Timur L. Kot
  • Michael Koval
  • Mauricio Kunz
  • Beny Lafer
  • Mikael Landén
  • Erik R. Larsen
  • Melanie Lenger
  • Rasmus W. Licht
  • Carlos Lopez-Jaramillo
  • Alan MacKenzie
  • Helle Østergaard Madsen
  • Simone Alberte Kongstad A. Madsen
  • Jayant Mahadevan
  • Agustine Mahardika
  • Mirko Manchia
  • Wendy Marsh
  • Monica Martinez-Cengotitabengoa
  • Julia Martini
  • Yuki Mashima
  • Declan M. McLoughlin
  • Ybe Meesters
  • Ingrid Melle
  • Fátima Meza-Urzúa
  • Pavol Mikolas
  • Yee Ming Mok
  • Scott Monteith
  • Muthukumaran Moorthy
  • Gunnar Morken
  • Enrica Mosca
  • Anton A. Mozzhegorov
  • Rodrigo Munoz
  • Starlin V. Mythri
  • Fethi Nacef
  • Ravi K. Nadella
  • Takako Nakanotani
  • René Ernst Nielsen
  • Claire O’Donovan
  • Adel Omrani
  • Yamima Osher
  • Uta Ouali
  • Maja Pantovic-Stefanovic
  • Pornjira Pariwatcharakul
  • Joanne Petite
  • Johannes Petzold
  • Andrea Pfennig
  • Yolanda Pica Ruiz
  • Marco Pinna
  • Maurizio Pompili
  • Richard J. Porter
  • Danilo Quiroz
  • Francisco Diego Rabelo-da-Ponte
  • Raj Ramesar
  • Natalie Rasgon
  • Woraphat Ratta-apha
  • Michaela Ratzenhofer
  • Maria Redahan
  • M. S. Reddy
  • Andreas Reif
  • Eva Z. Reininghaus
  • Jenny Gringer Richards
  • Philipp Ritter
  • Janusz K. Rybakowski
  • Leela Sathyaputri
  • Angela M. Scippa
  • Christian Simhandl
  • Daniel Smith
  • José Smith
  • Paul W. Stackhouse
  • Dan J. Stein
  • Kellen Stilwell
  • Sergio Strejilevich
  • Kuan Pin Su
  • Mythily Subramaniam
  • Ahmad Hatim Sulaiman
  • Kirsi Suominen
  • Andi J. Tanra
  • Yoshitaka Tatebayashi
  • Wen Lin Teh
  • Leonardo Tondo
  • Carla Torrent
  • Daniel Tuinstra
  • Takahito Uchida
  • Arne E. Vaaler
  • Eduard Vieta
  • Biju Viswanath
  • Maria Yoldi-Negrete
  • Oguz Kaan Yalcinkaya
  • Allan H. Young
  • Yosra Zgueb
  • Peter C. Whybrow

Background: Sunlight contains ultraviolet B (UVB) radiation that triggers the production of vitamin D by skin. Vitamin D has widespread effects on brain function in both developing and adult brains. However, many people live at latitudes (about > 40 N or S) that do not receive enough UVB in winter to produce vitamin D. This exploratory study investigated the association between the age of onset of bipolar I disorder and the threshold for UVB sufficient for vitamin D production in a large global sample. Methods: Data for 6972 patients with bipolar I disorder were obtained at 75 collection sites in 41 countries in both hemispheres. The best model to assess the relation between the threshold for UVB sufficient for vitamin D production and age of onset included 1 or more months below the threshold, family history of mood disorders, and birth cohort. All coefficients estimated at P ≤ 0.001. Results: The 6972 patients had an onset in 582 locations in 70 countries, with a mean age of onset of 25.6 years. Of the onset locations, 34.0% had at least 1 month below the threshold for UVB sufficient for vitamin D production. The age of onset at locations with 1 or more months of less than or equal to the threshold for UVB was 1.66 years younger. Conclusion: UVB and vitamin D may have an important influence on the development of bipolar disorder. Study limitations included a lack of data on patient vitamin D levels, lifestyles, or supplement use. More study of the impacts of UVB and vitamin D in bipolar disorder is needed to evaluate this supposition.

OriginalsprogEngelsk
Artikelnummer22
TidsskriftInternational Journal of Bipolar Disorders
Vol/bind11
Udgave nummer1
Antal sider9
ISSN2194-7511
DOI
StatusUdgivet - 2023

Bibliografisk note

Funding Information:
Open Access funding enabled and organized by Projekt DEAL. Ole A. Andreassen is supportet by the Research Council of Norway (#223273) and the South Eastern Norway Health Region (#2019–108). Michael Berk is supported by a NHMRC Senior Principal Research Fellowship (1156072). Pierre A. Geoffroy, Chantal Henry and Josselin Houenou received grants from the French Agence Nationale pour la Recherche (ANR-11-IDEX-0004 Labex BioPsy “Olfaction and Bipolar Disorder” collaborative project, ANR-10-COHO-10–01 psyCOH and ANR-DFG ANR-14-CE35–0035 FUNDO). Seong Jae Kim is supported by research funds from the Institute of Medical Science, Chosun University, Republic of Korea, 2022. Mok Yee Ming, Mythily Subramaniam, and Wen Lin Teh received funding from the National Medical Research Centre (NMRC) Centre Grant (Ref No: NMRC/CG/M002/ 2017_IMH). Raj Ramesar is supported by the South African Department of Science and Innovation and Medical Research Council. Eduard Vieta acknowledges the support by CIBER -Consorcio Centro de Investigación Biomédica en Red- (CB07/09/0004), Instituto de Salud Carlos III, Spanish Ministry of Science and Innovation. EV thanks the support of the Spanish Ministry of Science and Innovation (PI18/00805, PI21/00787) integrated into the Plan Nacional de I + D + I and co-financed by the ISCIII-Subdirección General de Evaluación and the Fondo Europeo de Desarrollo Regional (FEDER); the Instituto de Salud Carlos III; the Secretaria d'Universitats i Recerca del Departament d'Economia i Coneixement (2017 SGR 1365), the CERCA Programme, and the Departament de Salut de la Generalitat de Catalunya for the PERIS grant SLT006/17/00357. Thanks the support of the European Union Horizon 2020 research and innovation program (EU.3.1.1. Understanding health, wellbeing and disease: Grant No 754907 and EU.3.1.3. Treating and managing disease: Grant No 945151). Biju Viswanath is supported by the Intermediate (Clinical and Public Health) Fellowship (IA/CPHI/20/1/505266) of the DBT/ Wellcome Trust India Alliance.

Publisher Copyright:
© 2023, The Author(s).

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