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Diet and Nutrition

Vitamin D ? How much is enough?

Recent studies show that the incidence of vitamin D deficiency is on the rise in the United States, particularly among residents of the northern regions of the country and among African Americans. Furthermore, some professional organizations are recommending levels of vitamin D intake that are twice as high as the current recommendation.

What is the role of vitamin D?

By helping the body to absorb calcium and phosphorus, vitamin D is essential for building and maintaining strong bones. In addition to preventing rickets in children and osteomalacia and osteoporosis (bone disorders which lead to fractures) in adults, recent research studies indicate that vitamin D may play a role in the prevention of some cancers (colon, breast, and prostate) and other chronic diseases, such as hypertension, heart disease, rheumatoid arthritis, and diabetes. More research is needed to understand vitamin D's protective effect against disease.

What are the current recommendations for vitamin D?

The daily amount of vitamin D recommended by the Institute of Medicine (IOM) is:

Be aware that vitamin D is the most toxic vitamin. Persons should not exceed the Tolerable Upper Intake Level (TUL) of 1000 IU for infants and 2000 IU for all other ages. Unsafe intakes are most likely to result from supplements. The major toxic effect is hypercalcemia (high blood calcium) which is associated with nausea, vomiting, reduced renal function, and calcification of soft tissues, such as blood vessels and lungs.

How can I get enough vitamin D?

The main way that we obtain vitamin D is by synthesizing it in the skin through exposure to the ultraviolet rays in sunlight. About 10-15 minutes of sun exposure a few times a week provides adequate vitamin D. Foods that are fortified with vitamin D (such as fortified milk products, cereals, and fruit juices) are also good sources of the vitamin. Only a few foods (butter, egg yolks, fatty fish, and liver) are naturally rich in vitamin D. If enough vitamin D cannot be obtained from sunlight and food, supplements may be appropriate.

Who is especially at risk of vitamin D deficiency?

This article originally appeared in Nutri-bytes (November 2008), a service of the University of Cincinnati College of Nursing and was adapted for use on NetWellness with permission.

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Last Reviewed: Nov 12, 2008

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Professor of Nursing
College of Nursing
University of Cincinnati