Functions
Deficiency
Mild
- interferes with utilization of calcium and phosphorus in
bone and teeth formation
- irritability
- weakness
Severe
- rickets in young children
- childhood deficiency disease marked especially by soft deformed
bones
- osteomalacia in adults
Characteristics
- soluble in fats and organic solvents
- relatively stable under refrigeration
- stored in liver
- precurser: UV-activated 7-dehydro-cholesterol
Good Sources
Natural
- butter
- egg yolks
- oily fish
- salmon, tuna fish, herring, sardines, mackerel, bluefish,
catfish
- oysters
- liver
- exposure to sunlight
|
Food |
Quantity |
mcg |
IUs |
|
Cheese, cheddar |
1 oz |
0.075 |
3 |
|
Egg |
1 large |
0.675 |
27 |
|
Milk, non-fat |
1 cup |
2.5 |
100 |
|
Red Salmon (canned) |
1/2 cup |
23.5 |
940 |
|
Cat Fish (cooked) |
3 oz |
14.25 |
570 |
|
Multivitamins (most brands) |
1 tablet |
10 |
400 |
Artificial
- cod liver oil and fish oils
- yeast
- foods irradiated with ultraviolet light
- fortified milk
- Vitamin D2, or ergocalciferol is 25 percent less effective
than Vitamin D3, or Cholecalciferol
Sun Exposure
- In summer, as little as five minutes of sun a day on unprotected
hands and face can replete the body's supply
- Excess can be stored for later use
- During the remainder of the year, most people need a dietary
intake
- People in the northern two-thirds of the USA make little
or no vitamin D in winter
Notes
- Randomized trials using the currently recommended intakes
of 400 I.U. vitamin D a day have shown no appreciable reduction
in fracture risk. In contrast, trials using 700 to 800 I.U. found
less fracture incidence, with and without supplemental calcium.
This change may result from both improved bone health and reduction
in falls due to greater muscle strength (American Journal of
Clinical Nutrition 2007).
- A Swiss study of women in their 80s found greater leg strength
and half as many falls among those who took 800 I.U. of vitamin
D a day for three months along with 1,200 milligrams of calcium,
compared with women who took just calcium.
Adequate Intakes (AI)
- Males (11 yrs. and older)
- Females (11 yrs. and older)
- Pregnant females
- Lactating females
- Children
- Infants
- Sufficient data to set RDA are unavailable
Tolerable Upper Intake Levels (UL)
- Adults (19 to 50 yrs)
- 2000 IU (50 mcg)
- Bruce W. Hollis
- researcher and pediatric nutritionist at the Medical University
of South Carolina in Charleston
- suggests the current top level of 2,000 I.U. is based on
shaky evidence
- cites pregnant women taking 4,000 I.U. a day, and nursing
women taking 6,000 I.U. a day, with no adverse effects
- Other experts suggest high vitamin D levels (above 800 I.U.)
with calcium may raise the risk of kidney stones in susceptible
people
Intakes above UL may lead to negative health consequences.
Supplementation
- May be necessary for vegetarians, elderly, those who don't
drink fortified milk, or get sun exposure.
- Older people make less vitamin D in their skin and are less
able to convert it into the hormone that the body uses.
- Toxic in high doses.
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