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Vitamin D
By Andrew Pacholyk LMT, MT-BC, CA
www.peacefulmind.com

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Vitamin D, calciferol, is a fat-soluble vitamin. It is found in food, but also can be made in your body after exposure to ultraviolet rays from the sun (1,2). Vitamin D exists in several forms, each with a different activity. Some forms are relatively inactive in the body, and have limited ability to function as a vitamin. The liver and
kidney help convert vitamin D to its active hormone form. (3).

The major biologic function of vitamin D is to maintain normal blood levels of calcium and phosphorus (4). Vitamin D assists in the absorption of calcium, helping to form and maintain strong bones. It promotes bone mineralization in concert with a number of other vitamins, minerals, and hormones. Without vitamin D, bones can become thin, brittle or soft. Vitamin D prevents rickets in children and osteomalacia in adults, which are skeletal diseases that result in defects that weaken bones (5,6).

Fortified foods are the major dietary sources of vitamin D (4). Prior to the fortification of milk products in the 1930s, rickets (a bone disease seen in children) was a major public health problem in the United States. Milk in the United States is fortified with 10 micrograms (400 IU) of vitamin D per quart, and rickets is now
uncommon in the US (7).

One cup of vitamin D fortified milk supplies about one-fourth of the estimated daily need for this vitamin for adults. Although milk is fortified with vitamin D, dairy products made from milk such as cheese, yogurt, and ice cream are generally not fortified with vitamin D. Only a few foods naturally contain significant amounts of
vitamin D, including fatty fish and fish oils (4). The table of selected food sources of vitamin D suggests dietary sources of vitamin D.

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Exposure to sunlight is an important source of vitamin D. Ultraviolet (UV) rays from sunlight trigger vitamin D synthesis in the skin (7,8). Season, latitude, time of day, cloud cover, smog, and suncreens affect UV ray exposure (8). For example, in Boston the average amount of sunlight is insufficient to produce significant vitamin D synthesis in the skin from November through February. Sunscreens with a sun protection factor of 8 or greater will block UV rays that produce vitamin D, but it is still important to routinely use sunscreen whenever sun exposure is longer than 10 to 15 minutes. It is especially important for individuals with limited sun exposure
to include good sources of vitamin D in their diet.

Life-Stage Men Women
Ages 19-50 5 mcg* or 200 IU 5 mcg* or 200 IU
Ages 51-69 10 mcg* or 400 IU 10 mcg* or 400 IU
Ages 70 + 15 mcg* or 600 IU 15 mcg* or 600 IU

*1 mcg vitamin D = 40 International Units (IU)

References
1-8. Office of Dietary Supplements, National Institutes of Health,
6100 Executive Blvd., Room 3B01, MSC 7517, Bethesda, MD 20892-7517

GHOE Note: NSP has an Vitamin D


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