Vitamin D

If you live north of the line connecting San Francisco to Philadelphia, odds are you don’t get enough vitamin D. The same holds true if you don’t, or can’t, get outside for at least a 15-minute daily walk in the sun. African-Americans and others with dark skin tend to have much lower levels of vitamin D, due to less formation of the vitamin from the action of sunlight on skin. A study of people admitted to a Boston hospital, for example, showed that 57% were deficient in vitamin D.

Vitamin D helps ensure that the body absorbs and retains calcium and phosphorus, both critical for building bone. Laboratory studies also show that vitamin D keeps cancer cells from growing and dividing.

Some preliminary studies indicate that insufficient intake of vitamin D is associated with an increased risk of fractures, and that vitamin D supplementation may prevent them. It may also help prevent falls, a common problem that leads to substantial disability and death in older people. Other early studies suggest an association between low vitamin D intake and increased risks of prostate, breast, colon, and other cancers.

Vitamin D Optimal Intake: The current recommended intake of vitamin D is 5 micrograms up to age 50, 10 micrograms between the ages of 51 and 70, and 15 micrograms after age 70. Optimal intakes are higher, though, with 25 micrograms (1000 IU) recommended for those over age 2. Very few foods naturally contain vitamin D. Good sources include dairy products and breakfast cereals (which are fortified with vitamin D), and fatty fish such as salmon and tuna. For most people, the best way to get the recommended daily intake is by taking a multivitamin, but the level in most multivitamins (10 micrograms) is too low.

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