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Public Health Surprise: We’re Not Vitamin D Deficient After All?
In a surprising turn of events, yesterday the Institute of Medicine released new recommendations and findings on the much-touted vitamin D. It turns out, we have plenty of it.
These last two years have been big for vitamin D — we’ve been hearing that our kids should get extra, most of us are deficient, and that levels are linked to cardiovascular health, depression, diabetes, and more. Meanwhile, the supplement industry has soared, as people hoped packing in high doses would have protective health effects. Sales for vitamin D jumped 82% between 2008 and 2009, to $430 million.
The IOM was asked by the U.S. and Canadian governments to review 1,000 publications on vitamin D and form new recommendations. Members of the group say they were surprised at the results. Here’s what they now recommend:
According to theĀ Los Angeles Times, for most of us 400 international units of vitamin D daily is sufficient and 600 IUs are recommended, while no one should exceed 4,000. The previous guidelines set a minimum of 200 IUs and a maximum of 2,000 IUs of vitamin D per day.
Children 4 to 8 years old should not have more than 3,000 IU/day and those aged 1 to 3 years should not have more than 2,500 IU/day.
The surprising part was that most people’s bodies haveĀ vitamin D levels well within that range. We get vitamin D through eggs and fatty fish, and it’s also added to many other foods as well. But our food intake isn’t necessarily enough to meet the recommendations though (which is why many clinicians probably thought we needed supplements). It turns out the sun — even 15 minutes a day — is giving us enough to make up the difference.
Beyond the recommended range, the panel found the data on vitamin D’s health affects (beyond bone density), to be “inconclusive.” This is a really different tune than we’ve been hearing for the last two years.
Have you been told you’re vitamin D deficient, or has your family been taking supplements?
Image:flickr/nathanmac82
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jess commented on Dec 01 10 at 12:37 pmWe are taking D3 in our house, though not every day. I guess what I’m confused about is this: I’ve been hearing that while 15 min. a day of sun is adequate in the summer months, once late fall and winter hit, those of us north of…Georgia?…have no hope of getting enough Vit. D from sun exposure.
renee commented on Dec 01 10 at 1:15 pmAlso, the sun thing only works for light-skinned people. I just started prescription supplements at my doctor’s recommendation, which she made the day before the IOM report came out. AAAARGH.
heatherturgeon commented on Dec 01 10 at 1:15 pmHi Jess, I have the same question too, although I’d bet that there is sunshine even in winter, or maybe it breaks through the clouds enough to give us our daily dose?
Mistress_Scorpio commented on Dec 01 10 at 2:24 pmI *just* had a physical complete with blood tests. My doctor prescribed me a supplement for 50,000 IU’s a week… in a capsule that I take once a week… I’m nursing my son too… think I’ll be following up with the doctor on this.
Meagan commented on Dec 01 10 at 2:32 pm@Jess I thought it was more the assumption that we don’t get outside in the cold weather, and that if we did most of our skin would be covered up? Maybe a combo?
Manjari commented on Dec 01 10 at 2:54 pmMy blood work showed my levels were very low. I was on 100,000 IU’s a week for months.
Laura commented on Dec 01 10 at 3:14 pmI was tested and had levels low enough to justify a catch-up prescription. My doctor said they had been testing people for 6 months and only 2 patients did not have abnormally low levels. (I live in Chicago and saw my doctor in March)
Bean's Mom commented on Dec 01 10 at 3:29 pmThis study does not address recommendations for breastfeeding moms and nursing babies.
jess commented on Dec 01 10 at 3:47 pmRe. the winter thing…I could have this wrong…but my memory is that the angle of the sun to the earth at that time of year has something to do with not getting enough D in winter.
Gretchen Powers commented on Dec 01 10 at 3:55 pmThis isn’t even a study…it is one body’s interpretation of many studies. There are other experts out there that interpret the data much differently and stand by the call for more vitamin D.
Linda, the original one commented on Dec 01 10 at 4:13 pmMistress_Scorpio, I was on that same supplement when I was nursing because my blood levels were supposedly too low, and the problem was that although I took the supplement as directed for many months, the effect on my levels was negligible. At one point I had to switch doctors and I didn’t mention it to the new and she never tested me.
heatherturgeon commented on Dec 01 10 at 6:16 pmHi Gretchen: agreed, it’s not a study, it’s a review of many studies. But there’s something to be said for an independent group taking a broad view of so much data and drawing a conclusion. I also agree, though, that it’s not a unanimous view in the medical field. I have a feeling we haven’t heard the end of this debate.
nescio commented on Dec 01 10 at 8:59 pmHow an advisory body can possibly come up with blanket vitamin D intake recommendations despite widely varying sun exposure and considerable difference in ability to make vitamin D in the skin,or in absorption from the gut, totally mystifies me.The only way to get useful info is actually test serum vitamin D levels for cohorts of people at different ages with different life styles&pigmentation and at different latitudes before any valid conclusions can be made.The IOM did NONE of these things they probably just cherry picked the medical literature to validate their a priori opinions,There is no evidence whatsoever for instance that toxic D3 levels can occur even at intake levels of 10000 IU or even higher.The kidneys activate D3 precursors as required by blood calcium levels to regulate calcium absorption in the gut,and it would also take extremely high calcium intake to produce hypercalcimia&kidney stones.This is just a red herring.Since this risk is quite minimal,it is therefore perversely stupid to recommend these low levels,On top of all this they also chose to ignore all research evidence about the benefits of vitamin D administration in other diseases and exclusively focussed on bone issues,stating that there was not enough ‘evidence’.I suppose in another few decades or so they might have another stab at that.My take:Ignore these hidebound clowns,listen instead to your own doctor,he or she may have relevant clinical experience.
Tom Gourley commented on Dec 06 10 at 7:24 pmIt’s quite ridiculous to take a meta-analysis, which often cherry picks past studies in order to draw a conclusion and then to state that 400 IUs of Vitamin D is adequate for both a low-birth weight infant as well as a 300 lb dark skinned female, living in the North, who rarely get sun exposure!!! The 400 IUs is close to being adequate for the infant, but for the adult and without 25 (OH)D tests? The only way to tell if you’re vitamin D deficient is with a 25(OH)D test. Levels should be 50-80 ng/ml. They lost all credibility with me when they raised concern over daily vitamin d at or above 10,000 IU causing possible toxicity, without ever showing any conclusive studies or data that supports this! A person can receive 10,000 IUs of vitamin D3 from the sun, with only 30 mins of sun exposure. What a joke. What about all of the 25(OH)D tests in children and adolescent that showed a vitamin d deficiency. What a bunch of garbage. I will continue taking 2,000-5,000 IU of Vitamin D3 every day.
Saibal Mitra commented on Dec 28 10 at 11:27 amAs I explain on my blog:
http://whyvitamind.blogspot.com/
vitamin D being involved in only bone health does not make a lot of sense. But if we take serious the evidence of it being involved also in modulating the immune system, then things become more clear. Animals may have evolved to use vitamin D to modulate processes that use a lot of energy, like the immune system. When the Sun is no longer high in the sky, that signals a coming Winter, and it makes sense to let such processes run in a more energy efficient way, so that fat reserves can be built up more easily.
The less fat an animal has to begin with the sooner its vitamin D levels will drop, as vitamin D is stored in body fat. So, this is consistent with vitamin D being used to implement an optimal strategy to make it through Winter. As vitamin D levels drop to ever lower values as Winter progresses, more energy saving measures are taken.
Getting calcium from food costs energy, due to the low concentration of calcium in food. It costs far less energy to maintain the necessary calcium levels in the blood from getting it from our bones, because the concentration of calcium there is much higher. However, this comes at the expense of maintaining the bones. If this situation lasts for a few weeks, it is not going to do significant damage; the benefits of spending less energy to digest food are much greater for animals that have to survive in nature.
stpgwma commented on Jan 19 11 at 2:17 pm@ nescio: Pretty much exact! I am in a nurse study through the hospital where I work. The results are unbelievable! One person was 32-thats at the low range of normal-and she is outdoors,active and a very healthy eater. Everyone else-me included-were terribly low. Since I’ve been on supplements I can’t believe how much better I feel. IOM is made up of some questionable ‘experts’ mostly appointed because of their views. I feel for some of the above comments where people are ignoring advice or switching Dr’s. One needs to gather information, stay educated and make intelligent decisions. Good luck to ya’ll
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