Vitamin D - NutraPedia

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Vitamin D Information

1) Conditions Studied for Vitamin D

  • Osteoporosis and Bone Health
  • Cardiovascular Disease
  • Diabetes
  • Autoimmune Diseases
  • Mental Health Disorders (e.g., depression)
  • Cancer Prevention
  • Respiratory Infections

2) Efficacy in Treating Conditions

Vitamin D supplementation has been shown to be effective in preventing or treating certain conditions, particularly those related to bone health, such as osteoporosis. However, the evidence for other conditions like cardiovascular diseases and cancer is mixed, and more research is needed to determine its efficacy.

3) Health Benefits of Vitamin D

  • Supports bone and teeth health
  • Contributes to immune system function
  • May help regulate mood and reduce depression
  • Can support muscle function
  • May play a role in cardiovascular health

4) Potential Downsides of Vitamin D

While Vitamin D is vital for health, excessive intake can have downsides, such as:

  • Hypercalcemia (excess calcium in the blood)
  • Kidney stones
  • Constipation or stomach upset
  • Bone loss

5) Genetic Variations and Vitamin D

There is some evidence suggesting that certain genetic variations can affect how individuals metabolize Vitamin D. For instance, variations in the VDR (vitamin D receptor) gene may influence the effectiveness of Vitamin D in the body. However, research is ongoing, and it's too early to draw definitive conclusions.

For individuals with particular genetic predispositions, Vitamin D supplementation could be more beneficial or, conversely, carry a higher risk of adverse effects. Genetic testing and personalized medical advice can help determine the best approach for Vitamin D intake on an individual basis.

Summary on Vitamin D

Vitamin D, a fat-soluble vitamin essential for bone health, is involved in numerous metabolic processes. Traditionally associated with preventing conditions like rickets and osteopenia, vitamin D deficiency is better managed today with fortified foods and supplements. Besides its role in bone health, vitamin D is crucial for immune function, cancer prevention, heart disease management, mental health, and musculoskeletal health. Excessive intake, however, can lead to hypervitaminosis D, a rare but potentially toxic condition resulting from supplement misuse or incorrect prescriptions, causing hypercalcemia and disrupting bone metabolism.

Study on High-Dose Vitamin D Supplementation

A study in Zurich evaluated the efficacy of high-dose vitamin D supplementation in older adults at risk of functional decline due to a history of falling. The trial found that while high doses increased serum vitamin D levels, they did not improve lower extremity function and were linked to an increased risk of falls.

Research on Vitamin D Supplements and Falls in Older Adults

Another study assessed the effects of four different doses of vitamin D3 supplements on the occurrence of falls in older adults. The findings indicated that doses of 1000 IU/d or more did not reduce falls compared to a control dose of 200 IU/d and raised concerns about the safety of higher doses.

Vitamin D Supplementation Impact on Bone Density

Research on the impact of high-dose vitamin D supplementation on bone density in healthy adults suggested that higher doses might lead to greater losses in bone mineral density in females, which is concerning since vitamin D supplements are often used to prevent osteoporosis in postmenopausal women.

Structural Insights into Vitamin D Receptor

Advances in the understanding of the vitamin D receptor (VDR) through crystal structures have allowed the creation of novel VDR agonists for therapeutic use, highlighting the broad physiological effects of vitamin D beyond bone health, including metabolic diseases, immune disorders, and cancer.

Non-Genomic Effects of Vitamin D

The existence of rapid, non-genomic effects of vitamin D has led to speculation about alternative vitamin D-binding proteins, with PDIA3 emerging as a candidate for this role.

Effects of Vitamin D on Immune System and Neural Function

Research emphasizes vitamin D's non-traditional roles in immune-mediated symptoms and brain disorders, suggesting that vitamin D imbalances may contribute to diseases like Parkinson's, epilepsy, depression, and immune-related conditions.

Vitamin D Deficiency and Public Health

The widespread deficiency of vitamin D affects nearly half the global population and is a risk factor for increased mortality rates. The research advises supplementation to meet current recommendations and suggests higher intakes might be necessary to prevent chronic diseases.

Conclusion

Vitamin D's significance extends well beyond its well-known role in bone health, impacting a range of physiological processes and diseases. While supplementation can correct deficiencies and offer health benefits, excessive intake poses health risks and should be approached with caution.

References:


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  3. The Effects of Four Doses of Vitamin D Supplements on Falls in Older Adults : A Response-Adaptive, Randomized Clinical Trial
  4. Adverse Effects of High-Dose Vitamin D Supplementation on Volumetric Bone Density Are Greater in Females than Males
  5. Vitamin D receptor 2016: novel ligands and structural insights
  6. Vitamin D receptor(s): In the nucleus but also at membranes?
  7. Vitamin D and Its Target Genes
  8. Vitamin D and neurodegenerative diseases
  9. Vitamin D, effects on brain development, adult brain function and the links between low levels of vitamin D and neuropsychiatric disease
  10. Vitamin D, a neuro-immunomodulator: implications for neurodegenerative and autoimmune diseases
  11. Modulatory effects of 1,25-dihydroxyvitamin D3 on human B cell differentiation
  12. Mechanistic Insights of Vitamin D Anticancer Effects
  13. 1,25-Dihydroxyvitamin D exerts an antiaging role by activation of Nrf2-antioxidant signaling and inactivation of p16/p53-senescence signaling
  14. Vitamin D and immune function
  15. Vitamin D attenuates cerebral artery remodeling through VDR/AMPK/eNOS dimer phosphorylation pathway after subarachnoid hemorrhage in rats
  16. Vitamin D: The "sunshine" vitamin
  17. Vitamin D and depression
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  47. Layer Thickness of SPF 30 Sunscreen and Formation of Pre-vitamin D
  48. Sunscreens block cutaneous vitamin D production with only a minimal effect on circulating 25-hydroxyvitamin D
  49. Application of sunscreen--theory and reality
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  51. Sunscreen photoprotection and vitamin D status
  52. Fractional Sunburn Threshold UVR Doses Generate Equivalent Vitamin D and DNA Damage in Skin Types I-VI but with Epidermal DNA Damage Gradient Correlated to Skin Darkness
  53. Colour Counts: Sunlight and Skin Type as Drivers of Vitamin D Deficiency at UK Latitudes
  54. Meeting Vitamin D Requirements in White Caucasians at UK Latitudes: Providing a Choice
  55. Sunlight regulates the cutaneous production of vitamin D3 by causing its photodegradation
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  58. Calculated ultraviolet exposure levels for a healthy vitamin D status
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  66. Geographic location and vitamin D synthesis
  67. Daily duration of vitamin D synthesis in human skin with relation to latitude, total ozone, altitude, ground cover, aerosols and cloud thickness
  68. Prevention of rickets and vitamin D deficiency in infants, children, and adolescents
  69. Vitamin D status in gastrointestinal and liver disease
  70. Vitamin D Metabolism in Bariatric Surgery
  71. Vitamin D status and supplementation before and after bariatric surgery: a comprehensive literature review
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  81. Drug-vitamin D interactions: a systematic review of the literature
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  83. Hypercalcaemia following vitamin D and thiazide therapy in the elderly
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  92. The beneficial role of vitamin D in Alzheimer's disease
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  96. Different Vitamin D Supplementation Strategies in the First Years of Life: A Systematic Review
  97. Vitamin D intoxication due to an erroneously manufactured dietary supplement in seven children
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  128. Fatal copper deficiency from excessive use of zinc-based denture adhesive
  129. The Interplay between Magnesium and Testosterone in Modulating Physical Function in Men
  130. Role of Magnesium in Vitamin D Activation and Function
  131. A review of magnesium intake in the elderly. A cause for concern?
  132. Update on the relationship between magnesium and exercise
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  134. Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride
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