Vitamin D deficiency prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]

Overview

Prevention

Effective measures for the primary prevention of vitamin D deficiency include dietary intake and cutaneous synthesis. Cutaneous synthesis requires enough sun exposure and it depends on multiple factors including season, latitude, altitude, duration and skin pigmentation. However, there is a concern regarding sun exposure that increases skin cancer. So, it is not recommended to prevent vitamin D deficiency. [1]

  • In 2011, the Institute of Medicine (IOM) recommended 600 IU/d of vitamin D for healthy persons over 1 year of age until 70. Recommended Dietary Allowance (RDA) of vitamin D for individuals over 70 years of age is 800 IU/d. RDA for pregnant and lactating women is the same as for nonpregnant adults. [2]
  • The National Osteoporosis Foundation (NOF) recommends higer dose 800-1000 IU/d of vitamin D for adults age 50 and older.[3]
  • In the UK, the Scientific Advisory Committee on Nutrition (SACN) recommends 400 IU/d of vitamin D (10 micrograms) for everyone above one year of age. Infants, from birth up to one year of age, as a precaution, should consume 340-400 IU/d of vitamin D (8.5-10 micrograms). [4]
  • For the Europeans, the European Food Safety Authority (EFSA), published the recommendation as follows: [5]
    • Infants aged 7-11 months: 10 µg/day
    • for all other population groups aged one year and more (including pregnant/lactating women): 15 µg/day

References

  1. "Overview of Vitamin D - Dietary Reference Intakes for Calcium and Vitamin D - NCBI Bookshelf".
  2. Institute of Medicine (US) Committee to Review Dietary Reference Intakes for Vitamin D and Calcium; Ross AC, Taylor CL, Yaktine AL, et al., editors. Dietary Reference Intakes for Calcium and Vitamin D. Washington (DC): National Academies Press (US); 2011. 5, Dietary Reference Intakes for Adequacy: Calcium and Vitamin D. Available from: https://www.ncbi.nlm.nih.gov/books/NBK56056/
  3. Cosman, F.; de Beur, S. J.; LeBoff, M. S.; Lewiecki, E. M.; Tanner, B.; Randall, S.; Lindsay, R. (2014). "Clinician's Guide to Prevention and Treatment of Osteoporosis". Osteoporosis International. 25 (10): 2359–2381. doi:10.1007/s00198-014-2794-2. ISSN 0937-941X.
  4. "SACN vitamin D and health report - GOV.UK".
  5. "Joint note by SACN and EFSA" (PDF).


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