
The Tanning Industry’s Base
Belief
The professional indoor tanning industry’s
scientifically supported position is summed up in this declaration: Moderate
tanning, for individuals who can develop a tan, is the smartest way to maximize
the potential benefits of sun exposure while minimizing the potential risks
associated with either too much or too little sunlight.
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This position
is founded on the following tenets:
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Ultraviolet
light exposure from the sun or from an indoor tanning unit is essential for
human health, and getting it in a non-burning fashion is the smartest way.
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The
professional indoor tanning industry promotes and teaches what we refer to as
The Golden Rule of Smart Tanning: Don’t ever sunburn.
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For the past
decade, the indoor tanning industry has been more effective at teaching
sunburn prevention than those who promote complete sun avoidance. Since the
mid-1990s, tanning industry research has supported what millions of indoor
tanners have known all along: that non-tanners sunburn outdoors more often
than people who tan indoors. The professional indoor tanning salon industry is
part of the solution in the ongoing battle against sunburn and in teaching
people how to identify a proper and practical life-long skin care regimen.
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A tan is the
body’s natural protection against sunburn. Your skin is designed to tan as a
natural body function.
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Every year,
millions of indoor tanners successfully develop “base tans” before embarking
on sunny vacations – tans that, combined with the proper use of sunscreen
outdoors, help them prevent sunburn.
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There are
known physiological and psychological benefits associated with sunlight
exposure and there are many other potential benefits that appear linked to sun
exposure, but need further research. The potential upside of these benefits is
considerable and deserves further consideration. Because sunlight is free and
vitamin D is a relatively cheap pharmaceutical product, research into the many
benefits of vitamin D has not been funded to its natural conclusion.
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The body
produces Vitamin D naturally when the skin is exposed to sunlight. Vitamin D
deficiency has become a recognized epidemic in North America and overzealous
sun protection practices likely have contributed to this.
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The risks
associated with UV overexposure are manageable for anyone who has the ability
to develop a tan. [top]
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Indoor
tanning, if you can develop a tan, is an intelligent way to minimize the risk of
sunburn while maximizing the enjoyment and benefit of having a tan. We call this
SMART TANNING because tanners are taught by trained tanning facility personnel
how their skin type reacts to sunlight and how to avoid sunburn outdoors, as
well as in a salon.
Tanning in a
professional facility today minimizes risk because the government regulates
indoor tanning in the United States and Canada. In the United States, exposure
times for every tanning session are established by a schedule present on every
piece of equipment that takes into account the tanner’s skin type and the
intensity of the equipment to deliver a dosage of sunlight designed to minimize
the risk of sunburn. The schedule, as regulated by the U.S. Food and Drug
Administration and Health Canada, also takes into account how long an individual
has been tanning, increasing exposure times gradually to minimize the
possibility of burning.
That kind of
control is impossible outdoors, where variables including seasonality, time of
day, weather conditions, reflective surfaces and altitude all make outdoor
tanning a random act and sunburn prevention more difficult.
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New research
has shown that vitamin D deficiency is epidemic in American adults today,
suggesting that up to 90 percent of North Americans are vitamin D deficient. It
is likely that over-usage of sunscreen in climates and seasons when sunburn is
not a possibility has contributed to this epidemic. This is especially
significant because:
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A 2006
systematic review of 63 studies on vitamin D status in relation to cancer risk
has shown that vitamin D sufficiency can reduce one’s risk of colon, breast
and ovarian cancers by up to 50 percent. The landmark paper, published in the
February 2006 issue of The American Journal of Public Health, is the most
comprehensive paper on vitamin D written to date.
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Additionally, vitamin D deficiency is a leading cause of osteoporosis, a
disease affecting 25 million Americans which leads to 1 million hip and bone
fractures every year. In elderly individuals, such fractures are often deadly.
Encouraging everyone to wear sunscreen all year long in any climate
undoubtedly is contributing to this problem, as vitamin D is necessary for the
body to properly process calcium.
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While
environmental correlations have established for years that people in sunny
climates have lower risks of many forms of cancer, in recent years the
mechanism by which Vitamin D slows or retards the growth of tumor cells has
been researched and identified. It was once thought that only the kidneys
could produce active vitamin D, but we now know that many cells in the body
perform this function, including cells in the breast, prostate, colon, brain
and skin.
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Research has
shown that the active form of vitamin D, when present in cells throughout the
body, inhibits the growth and spread of abnormal cells, including cancer
cells. [top]
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Exposure to
UVB from sunshine is the body’s natural way to produce vitamin D, accounting for
90 percent of vitamin D production. Dietary “supplements” are just that:
Supplemental ways to produce vitamin D.
Research has
shown that people who utilize indoor tanning equipment that emits UVB – which
most tanning equipment does – also produce vitamin D. And studies have also
shown that indoor tanning clients have higher vitamin D blood levels than
non-tanners.
While the
North American indoor tanning industry promotes itself as a cosmetic service,
one undeniable side-effect of that cosmetic service is vitamin D production.
Even though it is not necessary to develop a tan to produce vitamin D, this
should be considered: Because research suggests that the risks associated with
sun exposure are related to intermittent sunburns, it is credible to believe
that the benefits of regular, moderate non-burning exposure outweigh the easily
manageable risks associated with overexposure.
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What is SPF?
SPF stands for Sun Protection
Factor. The SPF number indicates the amount of time you can spend in the sun
before you will start to burn. So, if you're wearing an SPF 8, you take that
number, multiply by 10, and that's how long you have...80 minutes...before
you'll start to turn rosy. However, this formula works under the pretense that
the lotion is evenly and thickly applied for the entire duration - so if you're
running, swimming, and even laying on a towel - some lotion will come off.
Remember: reapply evenly and often.
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How long does it take
to get a tan?
The best tans are those
achieved through short but frequent sessions. You only need 10-15 minutes of sun
to start tanning. But to maintain an even, natural and dark tan, you need sun
exposure every 1-2 days. To get the best tan, tan for 10-15 minutes, every other
day for one week, depending on your skin type.
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If I can't tan in the
sun, will I be able to tan indoors?
No. Your skin type is
predetermined, and the UV rays from the beds are no different than the ones
coming from the sun. If you burn easily in the sun, you will burn easily in a
bed. [top]
Do I have to wear
goggles in a tanning bed?
YES. The damage that direct UV
rays can do to your eyes is very serious and very real. UV radiation has been
linked to corneal and retinal injury, cataracts and blindness. Fortunately,
goggles have been designed to be as unnoticeable as possible, so you don't have
to worry about raccoon eyes anymore. Always wear your goggles!
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Can I tan if I am
pregnant?
Working with your doctor on this topic is a wise
choice. Every pregnancy has it's own considerations so it is always suggested
you get input from your doctor when considering tanning while pregnant. At this
time there are no studies on the effects of tanning beds on the unborn child, so
anything you hear is nothing but myths. Because the UV light used in tanning
beds do not reach the child, your baby is not at risk. During the first
trimester your doctor will most likely advise you not to do anything that will
raise your body's temperature, such as hot tubs, saunas, and tanning beds.
However, after the first trimester, it may be okay to have moderate sessions
while using a tanning bed or booth. The most important thing to remember is to
stay cool and drink plenty of fluids. Your skin during pregnancy is also
sensitive to burning, so you should start with short sessions until your body is
tanned. [top]
Are All Dermatologists Against
Indoor Tanning?
While most of
the dermatology profession has an inexplicably myopic view about tanning, some
enlightened dermatologists have broken ranks with their peers in recent years,
urging their profession to re-think its one-sided dogma about sun exposure. Two
of the most recent:
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Research
dermatologist Dr. Sam Shuster, professor emeritus to the Department of
Dermatology at Newcastle University in northern England, challenged his peers
to quantify the alleged increase in skin cancer incidence, which is not based
on actual numbers but only estimates. In the book, “Panic Nation: Unpicking
the Myths We’re Told About Food and Health” Shuster calls his peers to
acknowledge that a tan is the body’s natural protection against sunburn – a
reality that has been all but stampeded under the establishment’s rhetoric.
“Unfortunately our attitude to sun and ultra-violet (UV) light is subject to
much perverse and dubious technical ‘advice’, which society has passively
accepted without questioning its provenance,” Shuster writes.
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Boston
University Professor Dr. Michael Holick – the scientist who was involved in
the discovery of the active form of vitamin D in the early 1970s – wrote the
book “The UV Advantage” in 2004, urging people to embrace moderate exposure to
ultraviolet light as the body’s natural way to produce Vitamin D. Holick is
one of the world’s leading authorities on vitamin D production. “Since some
exposure to sunlight is beneficial to your health, it is reasonable that if
you wish to be exposed to sunlight, that you can do so with relative safety if
you make sure that you do not receive a sunburn,” Holick says.
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Many
rank-and-file dermatologists have more moderate views about sensible sun
exposure, but have been intimidated by their peers not to discuss these views
publicly. Indeed, upon publishing “The UV Advantage” in 2004, Holick was
forced to resign his post at Boston University as a professor of dermatology,
with the chair of that department calling his work “schlock science.” In spite
of such rhetoric, in the two years since publishing his book, most of Holick’s
positions have become mainstream thinking.
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In the past
few years the dermatology industry’s lobbyists have argued that teenagers should
be totally prohibited from tanning in salons despite having no solid evidence
that tanning in a non-burning fashion results in any significant risk. In fact,
such prohibitions would likely do more harm than good. Consider:
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Studies have
shown that teens who tan in salons are less likely to sunburn outdoors
compared to non-tanners.
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83 percent
of teenagers who tan indoors prior to taking sunny vacations report that their
indoor tan, combined with the proper use of sunscreen, helped them to prevent
sunburn.
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Further, 72
percent of teenagers who currently tan indoors say they would simply tan more
aggressively outdoors or purchase home tanning units – both of which are more
likely to produce sunburns – if they were unable to utilize indoor tanning
salons. If teenagers are unable to tan in salons, sunburn incidence actually
will increase, and it is likely that total UV exposure in this age group will
increase. This would be hurting people, not helping them.
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There is no
data to suggest that tanning is more dangerous for any specific age group.
Photobiology suggests that burning (not tanning) at an early age could
increase risk later in life. As we just discussed, it appears that indoor
tanners sunburn less than non-tanners, including teen-agers who tan outdoors.
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Indoor
tanning facilities today are at the forefront in teaching teenagers outdoor
sunburn prevention, including the proper use of sunscreens to prevent sunburn
outdoors. If teenagers are denied access to indoor tanning, sunburn incidence
will increase.
The tanning
industry supports existing laws requiring parental consent for minors who wish
to tan in salons, and would support constructive efforts to bolster enforcement
of this standard. [top]
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There arguably
is more misinformation about skin cancer than any other form of cancer, and most
of it involves distorting the nature of skin cancer’s complex relationship with
sun exposure. Consider:
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Melanoma
skin cancer is most common in people who work indoors – not in those who work
outdoors.
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Melanoma
skin cancer occurs most often on parts of the body that are not regularly
exposed to the sun.
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18 of 22
studies examining melanoma and indoor tanning have shown no statistically
significant association, including the most recent and largest study, which
showed no connection at all. The four older studies that alleged a connection
did not adequately control for important confounding variables such as the
subjects’ outdoor exposure to sunlight, childhood sunburns, type of tanning
equipment utilized (many of which were unsupervised home units) and duration
and quantity of exposures.
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Melanoma
mortality rates in the United States are not rising among young women, but are
increasing dramatically among older men, according to National Cancer
Institute data. (In Canada, melanoma rates for women under 50 have actually
declined in the past 20 years). Yet the majority of the marketing message
about this disease is directed at young women, who are the highest consumers
of dermatological services.
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The
photobiology research community has determined that most skin cancers are most
likely related to a strong pattern of burning and intermittent sun exposure in
those people who are genetically predisposed to skin cancer and not simply to
cumulative exposure. That suggests that a pattern of repeated sunburning is
what we need to prevent. And that kind of prevention is exactly what the
indoor tanning industry is doing effectively.
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Skin cancer
generally has a 20- to 30-year latency period. The rates of skin cancer we are
seeing today in older individuals mostly are a function of the ignorant
misbehavior of the 1970s and early 1980s. Recall: Society used to view
sunburns as an inconvenient right of spring, or as a “precursor” to developing
a summer tan. Severe burns were commonplace. Today we know how reckless that
approach was, and the incidence rates of skin cancer today in those over 50
years of age reflect that ignorance.
The indoor
tanning industry believes that our role in teaching sunburn prevention will help
to reverse the increases that largely are a result of misbehavior that took
place years ago before the professional tanning industry existed and before we
were organized to teach sunburn prevention.
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