B3057 - Sun exposure and mental health - 31/01/2018

B number: 
B3057
Principal applicant name: 
Carolina Bonilla | MRC-IEU (UK)
Co-applicants: 
Prof. Paul Moran, Dr. Becky Mars
Title of project: 
Sun exposure and mental health
Proposal summary: 

It is widely accepted that climate and season have an effect on psychological traits(1,2). General mood and mood disorders such as depression, anxiety, bipolar disorder and particularly, seasonal affective disorder, have been shown to vary with seasonality, weather, latitude and exposure to sunlight(3–7). For instance, in summer mania admissions and suicidal behaviour were reported to be higher(8,9) and depressive episodes less frequent(8). Whilst direct and indirect sunlight was found to influence the sleep cycle, anxiety and depressed mood(4).Biological explanations for this relationship involve neurotransmitter regulation and vitamin D synthesis. Sunlight exposure on the retina stimulates intrinsically sensitive retinal ganglion cells, and as a consequence the secretion of melatonin, which is critical for regulating the sleep-wake cycle (circadian rhythm). Sunlight also plays a role in the production of serotonin, a neurotransmitter that elevates mood, whereas bright light affects endocrine and neurophysiological responses in the brain that trigger alertness(4). Additionally, sun exposure is the main source of the hormone vitamin D, which exerts its biological effects throughout the body (at least 36 human tissues have been found to contain vitamin D responsive elements, including the brain)(7). Vitamin D deficiency has been associated with mental disorders and increased depressive symptoms in a range of populations, as well as with poorer cognitive performance(5,10). In an earlier study carried out in ALSPAC children we generated polygenic scores, using polymorphisms in pigmentation genes, that were strongly associated with the participant’s pigmentation characteristics and in turn with their reaction to the sun and use of sun protection(11). In this new study we would like to explore the potential association of similar polygenic scores –as proxies for sun exposure- with mental health problems experienced by ALSPAC now young adults and their mothers.

References
1. Kent ST, McClure LA, Crosson WL, Arnett DK, Wadley VG, Sathiakumar N. Effect of sunlight exposure on cognitive function among depressed and non-depressed participants: A REGARDS cross-sectional study. Environ Heal A Glob Access Sci Source. 2009;8.
2. Beute F, de Kort YAW. Salutogenic effects of the environment: Review of health protective effects of nature and daylight. Appl Psychol Heal Well-Being. 2014;6:67–95.
3. O’Hare C, O’Sullivan V, Flood S, Kenny RA. Seasonal and meteorological associations with depressive symptoms in older adults: A geo-epidemiological study. J Affect Disord. 2016;
4. An M, Colarelli SM, Brien KO, Boyajian ME. Why We Need More Nature at Work : Effects of Natural Elements and Sunlight on Employee Mental Health and Work Attitudes. PLoS One. 2016;11:1–17.
5. Berk M, Sanders KM, Pasco JA, Jacka FN, Williams LJ, Hayles AL, Dodd S. Vitamin D deficiency may play a role in depression. Med Hypotheses. 2007;69:1316–9.
6. Bauer M, Glenn T, Alda M, Andreassen OA, Angelopoulos E, Ardau R, Baethge C, Bauer R, Baune BT, Bellivier F, et al. Influence of light exposure during early life on the age of onset of bipolar disorder. Journal of Psychiatric Research. 2015.
7. Stewart AE, Roecklein KA, Tanner S, Kimlin MG. Possible contributions of skin pigmentation and vitamin D in a polyfactorial model of seasonal affective disorder. Med Hypotheses. Elsevier Ltd; 2014;83:517–25.
8. Dominiak M, Swiecicki L, Rybakowski J. Psychiatric hospitalizations for affective disorders in Warsaw, Poland: Effect of season and intensity of sunlight. Psychiatry Res. 2015;229:287–94.
9. Akkaya-Kalayci T, Vyssoki B, Winkler D, Willeit M, Kapusta ND, Dorffner G, Özlü-Erkilic Z. The effect of seasonal changes and climatic factors on suicide attempts of young people. BMC Psychiatry. BMC Psychiatry; 2017;17:1–7.
10. Thomas J, Al-Anouti F. Sun Exposure and Behavioral Activation for Hypovitaminosis D and Depression: A Controlled Pilot Study. Community Ment Health J. Springer US; 2017;0:1–6.
11. Bonilla C, Ness AR, Wills AK, Lawlor DA, Lewis SJ, Davey Smith G. Skin pigmentation, sun exposure and vitamin D levels in children of the Avon Longitudinal Study of Parents and Children. BMC Public Health. 2014;14:597.

Date proposal received: 
Monday, 29 January, 2018
Date proposal approved: 
Wednesday, 31 January, 2018
Keywords: 
Epidemiology, Mental health, Genetic epidemiology analysis, Mendelian randomization, Environment - enviromental exposure, pollution, Genetic epidemiology, Mendelian randomisation, mental health, pigmentation, sunlight