The Latest Research on Vitamin D and COVID-19 Prevention - AARP The first hydroxylation, which occurs in the liver, converts vitamin D to 25-hydroxyvitamin D [25(OH)D], also known as "calcidiol." Moderate use of commercial tanning beds that emit 2% to 6% UVB radiation is also effective [13,29]. The Endocrine Society states, for example, that to maintain serum 25(OH)D levels above 75 nmol/L (30 ng/mL), adults might need at least 37.5 to 50 mcg (1,5002,000 IU)/day of supplemental vitamin D, and children and adolescents might need at least 25 mcg (1,000 IU)/day [11]. For example, three meta-analyses of clinical trial evidence found that vitamin D supplementation does not affect cancer incidence but does significantly reduce total cancer mortality rates by 1213% [90-92]. low calcium or phosphate levels or an unexplained increase in serum alkaline phosphatase, unexplained limb pain near a joint in older people. However, comparing vitamin D intakes to serum 25(OH)D levels is problematic. The data on supplemental vitamin D and cholesterol levels are mixed, as shown in one meta-analysis of 41 clinical trials in a total of 3,434 participants (mean age 55 years). Sunscreens with an SPF of 8 or more appear to block vitamin D-producing UV rays. Vitamin D: the underappreciated D-lightful hormone that is important for skeletal and cellular health. N Engl J Med 2019;381:1785-6. [, Logan VF, Gray AR, Peddie MC, Harper MJ, Houghton LA. Excess amounts of vitamin D are toxic. Vitamin D is a fat-soluble vitamin indicated for use in the treatment of hypoparathyroidism, refractory rickets, also known as vitamin D resistant rickets, and familial hypophosphatemia. [, Jagannath VA, Filippini G, Di Pietrantonj C, Asokan GV, Robak EW, Whamond L, Robinson SA. Vitamin D deficiency and depression in adults: Systematic review and meta-analysis. [, Bjelakovic G, Gluud LL, Nikolova D, Whitfield K, Krstic G, Wetterslev J, Gluud C. Vitamin D supplementation for prevention of cancer in adults. Here I am giving scientific names for Vitamin-B. These differences are a result of an incomplete understanding of the biology and clinical implications of vitamin D, different purposes for the guidelines (e.g., for public health in a healthy population or for clinical practice), and/or the use in some guidelines of observational studies in addition to randomized clinical trials to establish recommendations [9,15]. The VITAL trial found no association between vitamin D supplementation and the risk of colorectal adenomas or serrated polyps [103]. Vitamin D is essential for healthy bones and teeth. You can find vitamin D in the following foods (1): It can be hard to get enough vitamin D each day through sun exposure and food alone, so taking vitamin D supplements could help. Vitamin D - Health Professional Fact Sheet - National Institutes of Health [, U.S. Preventive Services Task Force. In addition, 26% of participants aged 25 years and 14% of those aged 611 years took supplements; rates increased with age from 10% of those aged 1219 years to 49% of men and 59% of women aged 60 and older. These compounds are converted by the liver into a hormone called calcidiol. Ann Oncol 2018;29:1468-75. For example, almost all of the U.S. milk supply is voluntarily fortified with about 3 mcg/cup (120 IU), usually in the form of vitamin D3 [23]. Experts do not believe that excessive sun exposure results in vitamin D toxicity because thermal activation of previtamin D3 in the skin gives rise to various non-vitamin D forms that limit formation of vitamin D3. [, Singh P, Trivedi N. Tanning beds and hypervitaminosis D: A case report. Vitamin D Deficiency: Are Stress and High Cortisol Depleting You? Vitamin D3 is made by your individual physique if you find yourself uncovered to daylight. Yes. Levels of 1,25(OH)2D do not typically decrease until vitamin D deficiency is severe [2]. But be careful about being in the sun for too long without sunscreen. Osteomalacia (softening of bones in adults). [, Ekwaru JP, Zwicker JD, Holick MF, Giovannucci E, Veugelers PJ. Healthline Media does not provide medical advice, diagnosis, or treatment. J Womens Health 2013:22,915-29. Both forms are well absorbed in the small intestine. N Engl J Med 2006;354:684-96. Homebound individuals; people who wear long robes, dresses, or head coverings for religious reasons; and people with occupations that limit sun exposure are among the groups that are unlikely to obtain adequate amounts of vitamin D from sunlight [62]. Nutrients 2018; 10, 277;doi:10.3390/nu10030277. Your body more easily absorbs D3 than D2. It can also be obtained from foods containing vitamin D, and D2/D3 supplements. However, clinical trials do not support a cause-and-effect relationship between vitamin D and weight loss. Vitamins D and K are crucial for your health, but some say vitamin D is harmful to those low in vitamin K. Here's a look at the science behind this, Vitamin D is needed to build strong bones, but many people don't get enough of this essential nutrient. [, Creo AL, Thacher TD, Pettifor JM, Strand MA, Ficsher PR. A meta-analysis of 3 randomized controlled trials in 1,273 men with prostate cancer found no significant differences in total mortality rates between those receiving vitamin D supplementation (from 10 mcg [400 IU]/day for 28 days to 45 mcg [1,800 IU] given in three doses total at 2-week intervals) and those receiving a placebo [116]. [, Wactawski-Wende J, Kotchen JM, Anderson GL, Assaf AR, Brunner RL, O'Sullivan MJ, et al. [, Vogiatzi MG, Jacobson-Dickman E, DeBoer MD. It stimulates insulin secretion via the vitamin D receptor on pancreatic beta cells and reduces peripheral insulin resistance through vitamin D receptors in the muscles and liver [143]. One study found that when the 25(OH)D content of beef, pork, chicken, turkey, and eggs is taken into account, the total amount of vitamin D in the food is 2 to 18 times higher than the amount in the parent vitamin alone, depending on the food [20]. Surg Obes Relat Dis 2016;12:693-702. Calcium plus vitamin D supplementation and the risk of colorectal cancer. Vitamin D can also be ingested - either in a few foods or in vitamin supplements. One meta-analysis of 20 clinical trials compared the effects of 0.5 mcg (20 IU)/day to 1,250 mcg (50,000 IU)/week vitamin D supplementation for 26 months with those of placebo on glycemic control in 2,703 adults from around the world who had diabetes [143]. It comes in many forms. [, Chakhtoura MT, Nakhoul N, Akl EA, Mantzoros CS, El Hajj Guleihan GA. In one meta-analysis of 46 clinical trials that included 4,541 participants, vitamin D supplements (typically 40 mcg [1,600 IU]/day or less) for a minimum of 4 weeks had no significant effects on systolic or diastolic blood pressure [127]. DOI: 10.1002/14651858.CD008422.pub3. [, Lehmann U, Hirche F, Stangl GI, Hinz K, Westphal S, Dierkes J. Bioavailability of vitamin D2 and D3 in healthy volunteers, a randomised placebo-controlled trial. Vitamin D helps regulate the renin-angiotensin-aldosterone system (and thereby blood pressure), vascular cell growth, and inflammatory and fibrotic pathways [118]. Cleveland (OH): Cleveland Clinic; c2022. Vitamin D Test: MedlinePlus Medical Test People with obesity might need greater intakes of vitamin D to achieve 25(OH)D levels similar to those of people with normal weight [1,64,65]. One of its best-known roles is to keep bones healthy by increasing calcium absorption. Bone is constantly being remodeled. Vitamin A Names: What Else Is Vitamin A Called? - NatureWord [, Durup D, Jorgensen HL, Christensen J, Tjonnland A, Olsen A, Halkjaer J, et al. 7- Etretinate Etretinate is another name for vitamin A. Etretinate denominates a particular form of vitamin A that is used as a medicine. How much vitamin D should I take? Medically reviewed by Drugs.com. Vitamin D toxicity can lead to an increase in your blood calcium levels. Vitamin D deficiency is a common vitamin deficiency that causes issues with your bones and muscles. Evidence Synthesis Number 118. [, Munger K, Hongell K, Aivo J, Soilu-Hanninen M, Surcel H-M, Ascherio A. In one Minnesota county, the incidence rate of rickets in children younger than 3 years in the decade beginning in 2000 was 24.1 per 100,000 [48]. Ann Oncol 2019;30:733-43. Serum vitamin D and risk of breast cancer within five years. People with darker skin tend to have higher levels of the vitamin, while people with lighter skin have lower levels. Beef liver, egg yolks, and cheese have small amounts of vitamin D, primarily in the form of vitamin D3 and its metabolite 25(OH)D3. Am J Clin Nutr 2017;106:481-90. A systematic review and meta-analysis of 14 observational studies that included a total of 31,424 adults (mean age ranging from 27.5 to 77 years) found an association between deficient or low levels of 25(OH)D and depression [130]. [, Gotfredsen A, Westergren Hendel H, Andersen T. Influence of orlistat on bone turnover and body composition. Overdoing vitamin D can lead to calcium in the urine, which can cause kidney stones. Vitamin D supplements and prevention of cancer and cardiovascular disease. Vitamin D3 has historically been made from lanolin extracted from sheep wool, but recently, a vegan/vegetarian form has become available. Vitamin D2 supplements can also be made synthetically by irradiating fungus and plant matter that naturally contain ergosterol. The vitamin D paradox in Black Americans: A systems-based approach to investigating clinical practice, research, and public healthexpert panel meeting report. [. Individuals with a body mass index (BMI) of 30 or more have lower serum 25(OH)D levels than individuals without obesity. Overall, vitamin D supplementation, when compared with placebo administration, had no effect on relevant clinical outcomes, such as recurrent relapse or worsened disability. N Engl J Med 2007;357:266-81. Association of serum level of vitamin D at diagnosis with breast cancer survival: A case-cohort analysis in the Pathways Study. Most people know that vitamin D is good for calcium absorption and bone health, but vitamin D is also important for many other vital bodily processes. Serum 25-hydroxyvitamin D and the risk of cardiovascular disease: Dose-response meta-analysis of prospective studies. 13-05183-EF-1. A vitamin D level measures levels of 25(OH)D in the blood (see the flowchart above for an overview of the different forms of vitamin d). [, Xu Y, Shao X, Yao Y, Xu L, Chang L, Jiang Z, Lin Z. Statins [, Keum N, Giovannucci E. Vitamin D supplements and cancer incidence and mortality: A meta-analysis. J Cancer Res Clin Oncol 2014;140:1465-77. In contrast, a meta-analysis of 6 trials in 49,282 older adults found that daily vitamin D (10 or 20 mcg [400 IU or 800 IU]/day) and calcium (800 or 1,200 mg/day) supplementation for a mean of 5.9 years reduced the risk of any fracture by 6% and of hip fracture by 16% [81]. A more mild lack of vitamin D can be referred to as insufficiency. Your provider may order a vitamin D test if you have signs or symptoms of a bone condition that may be related to a vitamin D deficiency (very low levels of vitamin D), such as: A vitamin D insufficiency (mildly low levels of vitamin D) usually doesn't cause symptoms. [, Song Z-y, Yao Q, Zhuo Z, Ma Z, Chen G. Circulating vitamin D level and mortality in prostate cancer patients: A dose-response meta-analysis. Dietary supplements Grber U, Kisters K. Influence of drugs on vitamin D and calcium metabolism. Our website services, content, and products are for informational purposes only. Rickets is a bone condition characterized by the softening and weakening of bones in children. Its most well-known role is aiding in calcium absorption and therefore supporting good bone health. Is a Vitamin D Deficiency Causing Your Depression? Curr Osteoporos Rep 2017;15:293-302. https://www.healthcare.siemens.com/laboratory-diagnostics/assays-by-diseases-conditions/bone-metabolism-assays/vitamin-d/types-of-vitamin-d. Vitamin D. Hormone Health Network. The United States mandates the fortification of infant formula with 12.5 mcg/100 kcal (40100 IU) vitamin D; 12 mcg/100 kcal (4080 IU) is the required amount in Canada [1]. Questions about vitamin D for primary care practice: Input from an NIH conference. [, Schwartz JB. Vegan Vitamin D: Plant-Based Nutrition Guide for Beginners Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, et al. A dose-response analysis found that each 20 nmol/L [8 ng/mL] increase in 25(OH)D was associated with a 9% lower risk of both all-cause and prostate cancer-specific mortality. Sempos CT, Carter GD, Binkley NC. Another study included 2,259 healthy individuals aged 45 to 75 years who had had one or more serrated polyps (precursor lesions to colorectal cancer) that had been removed [102]. [, Travis RC, Perez-Cornago A, Appleby PN, Albanes D, Joshu CE, Lutsey PL, et al. Two earlier prospective studies of similar designone in the United States with 444 non-Hispanic White individuals [140] and the other with 576 individuals in northern Sweden [141]found that levels of 25(OH)D greater than 99.1 nmol/L (39.6 ng/mL) and at least 75 nmol/L (30 ng/mL), respectively, were associated with a 6162% lower risk of MS. No clinical trials have examined whether vitamin D supplementation can prevent the onset of MS, but several have investigated whether supplemental vitamin D can help manage the disease. Any mention in this publication of a specific product or service, or recommendation from an organization or professional society, does not represent an endorsement by ODS of that product, service, or expert advice. Vitamin D is also essential for maintaining a healthy immune system. For example, a meta-analysis included 34 observational studies that followed 180,667 participants (mean age greater than 50 years) for 1.3 to more than 32 years. The amount of vitamin D you need each day depends on your age. The total vitamin D number is the important number. Glucocorticoid-induced osteoporosis: pathogenesis and management. If people don't get enough, they are at risk of diseases like rickets and osteoporosis. It's preventable and treatable. At baseline, participants had an adequate mean serum 25(OH)D level of 60 nmol/L (24 ng/mL). Overall, the available research suggests that consuming higher amounts of vitamin D or taking vitamin D supplements does not promote weight loss. Alitretinoin, also known as 9-cis-retinoic acid, is a form of vitamin A used as medication. In another study, 10 mcg (400 IU)/day vitamin D and 1,000 mg/day calcium supplementation slightly, but significantly, reduced weight gain amounts in comparison with placebo in postmenopausal women, especially those with a baseline total calcium intake of less than 1,200 mg/day [153]. Agency for Healthcare Research and Quality. Your body needs vitamin D to maintain strong bones and muscles. Vitamin D2 and D3 are two important forms of vitamin D. D2 comes from plants and D3 comes from mainly animal sources or it is made by our bodies when our skin is exposed to sunlight. Bethesda (MD): U.S. Department of Health and Human Services; NCI Dictionary of Cancer Terms: vitamin D [cited 2022 Mar 21]; [about 1 screens]. Work with your healthcare provider to find out if you need a vitamin supplement and how much to take, if needed. Vitamin D supplementation did not lower the risk of total fractures, hip fractures, or nonvertebral fractures as compared with placebo. Vitamin D is a fat-soluble vitamin in a family of compounds that includes vitamins D1, D2, and D3. A vitamin D test is used to screen for low levels of vitamin D in your blood so you can treat it with supplements before it causes health problems. Int J Cancer 2018;142:1189-201. The following groups are among those most likely to have inadequate vitamin D status. J Natl Cancer Inst 2007;100:1581-91. Hypercalcemia, in turn, can lead to nausea, vomiting, muscle weakness, neuropsychiatric disturbances, pain, loss of appetite, dehydration, polyuria, excessive thirst, and kidney stones. Many epidemiological and genetic studies have shown an association between MS and low 25(OH)D levels before and after the disease begins [137]. [, Helzlsouer KJ for the VDPP Steering Committee. Available from: National Institutes of Health: Office of Dietary Supplements [Internet]. Vitamin D2 and D3 are the two primary forms of vitamin D. Comparison of vitamin D2 and vitamin D3 supplementation in raising serum 25-hydroxyvitamin D status: A systematic review and meta-analysis. Overview of the Cohort Consortium Vitamin D Pooling Project of Rarer Cancers. [, de Koning EJ, Lips P, Penninx BWJH, Elders PJM, Heijboer AC, den Heijer M, et al. Having low levels of vitamin D is a common problem that can lead to bone disorders and other medical problems. [, Lukert BP, Raisz LG. Not getting enough vitamin D in your diet and/or through sunlight. Observational studies and clinical trials provide mixed evidence on whether vitamin D intakes or serum levels affect cancer incidence, progression, or mortality risk. Assessing vitamin D status by measuring serum 25(OH)D concentrations is complicated by the considerable variability of the available assays (the two most common ones involve antibodies or chromatography) used by laboratories that conduct the analyses [5,6]. Harvard health Sept 2017. Approximately 35% of adults in the United States have vitamin D deficiency. Vitamin D (also referred to as "calciferol") is a fat-soluble vitamin that is naturally present in a few foods, added to others, and available as a dietary supplement. [, Aloia JF, Li-Ng M, Pollack S. Statins and vitamin D. Am J Cardiol 2007;100:1329. [, Golzarand M, Shab-Bidar S, Koochakpoor G, Speakman JR, Djafarian K. Effect of vitamin D3 supplementation on blood pressure in adults: An updated meta-analysis. Rates of breast, prostate, and colorectal cancer did not differ significantly between the vitamin D and placebo groups. [, Rajakumar K. Vitamin D, cod-liver oil, sunlight, and rickets: A historical perspective. Interventions to prevent falls in older adults: Updated evidence report and systematic review for the US Preventive Services Task Force. [, Kahwati LC, Weber RP, Pan H, Gourlay M, LeBlanc E, Coker-Schwimmer M, Viswanathan M. Vitamin D, calcium, or combined supplementation for the primary prevention of fractures in community-dwelling adults: Evidence report and systematic review for the US Preventive Services Task Force. Calcium or phosphate levels or an unexplained increase in your diet and/or through sunlight public! Common vitamin deficiency that causes issues with your healthcare provider to find out you. Mantzoros CS, El Hajj Guleihan GA, Travis RC, Perez-Cornago a, Appleby PN, Albanes D Joshu... 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