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'Call to action' issued for raising vitamin D levels
====================================================

By Stephen Daniells, 18-Nov-2008
Related topics: Research, Vitamins & premixes

Recommended daily intakes of vitamin D should be raised to 2,000
International Units, says a group of 18 scientists from the University
of California.
The “call to action” by the UC scientists, led by Anthony Norman,
echoes a number of others from leading academics across the globe, and
may increase the need for policy makers to review current guidelines
for the vitamin. Such increases could also open opportunities for food
fortification and supplements.

Current recommended daily intakes (RDIs) of vitamin D are 200 IU for
people up to 50 years of age, 400 IU for people between 51 and 70, and
600 IU for over the 70s years.
“The consensus among UC scientists who signed this statement is that
2000 IU per day of vitamin D3, a form of vitamin D, is the appropriate
intake for most adult Americans,” said Norman.

“This intake is the National Academy of Sciences/Institute of
Medicine’s upper limit for daily intake, and is 400 IU less than the
National Academy of Sciences/Institute of Medicine’s ‘no adverse
health effect’ level. Scientific concerns about this level of intake
are minimal, based on the findings of the National Academy of
Sciences.”
Vitamin D refers to two biologically inactive precursors - D3, also
known as cholecalciferol, and D2, also known as ergocalciferol. The
former, produced in the skin on exposure to UVB radiation (290 to 320
nm), is said to be more bioactive.

Both D3 and D2 precursors are hydroxylated in the liver and kidneys to
form 25- hydroxyvitamin D (25(OH)D), the non-active 'storage' form,
and 1,25-dihydroxyvitamin D (1,25(OH)2D), the biologically active form
that is tightly controlled by the body.
“Our consensus on vitamin D is intended to support public health
action,” said Norman. “The amount of research that is currently
available provides us enough information to release such a consensus
at this time.”

Previously, experts have noted that about one billion people are
estimated to be vitamin D deficient with children and adults in Europe
at particular risk, even more so since very few foods are fortified
with the vitamin.
In adults, vitamin D deficiency may precipitate or exacerbate
osteopenia, osteoporosis, muscle weakness, fractures, common cancers,
autoimmune diseases, infectious diseases and cardiovascular diseases.
There is also some evidence that the vitamin may reduce the incidence
of several types of cancer and type 1 diabetes, said the UC
scientists.

“While more research on this topic is highly desirable, it should not
delay recommending a 2000 IU daily intake of vitamin D for most
people,” said Norman.
Calls will not be silenced

Fifteen experts from universities, research institutes, and university
hospitals around the world, led by Reinhold Vieth from Toronto's Mount
Sinai Hospital, wrote in the American Journal of Clinical Nutrition in
March 2007 that "international agencies such as the Food and Nutrition
Board and the European Commission's Health and Consumer Protection
Directorate-General to reassess as a matter of high priority their
dietary recommendations for vitamin D, because the formal nationwide
advice from health agencies needs to be changed."
Moreover, researchers from the American University of Beirut-Medical
Center, Lebanon said earlier this year that current recommendations
for children should be raised to 2,000 IU in order to boost bone
health and provide long-term health benefits.

Their study, published in the Journal of Clinical Endocrinology &
Metabolism, found that only children given the equivalent of 2,000 IUs
a day of vitamin D3 increased their blood levels of the vitamin to the
level considered optimal for adults.
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