الأربعاء، 1 ديسمبر 2010

Vitamin D - health -


What is vitamin D and what does it do?

Vitamin D is a nutrient that helps almost every part of the body. Like calcium, it builds bones and teeth and keeps them strong.

How much vitamin D do I need?

It depends on your age. Here are the amounts people of different ages should get on average each day, listed in International Units (IU):
Birth to 12 months400 IU
Children 1–13 years600 IU
Teens 14–18 years600 IU
Adults 19–70 years600 IU
Adults 71 years and older800 IU
Pregnant and breastfeeding teens and women600 IU

What foods provide vitamin D?

Only a few foods naturally have vitamin D. The best source is fatty fish like salmon, tuna, and mackerel. Beef liver, cheese, egg yolks, and mushrooms provide smaller amounts. You might be able to get recommended amounts of vitamin D by eating a variety of foods with plenty of fortified milk and fatty fish.
Almost all milk in the United States is fortified with 400 IU of vitamin D per quart. Vitamin D is also added to some breakfast cereals and brands of orange juice, yogurt, margarine, and soy beverages (check the productlabels).

Can I get vitamin D from the sun?

The skin makes vitamin D when exposed to sunlight. But when out in the sun for more than a few minutes, wear protective clothing and use sunscreen (with an SPF of 8 or more) to lower the risk of skin cancer. In the winter months in the northern half of the United States, the sun is not strong enough for the skin to make vitamin D.
If you avoid the sun or cover your body with sunscreen or clothing, make sure you get enough vitamin D from food or take a supplement. When you're indoors, sunlight on your skin coming through window glass is not strong enough to make vitamin D.

What kinds of vitamin D dietary supplements are available?

There are two forms: D2 and D3. Both raise vitamin D levels in the body.

Am I getting enough vitamin D?

People with dark skin, older adults, obese people, and people with some digestive disorders (like Crohn's disease or celiac disease) may not get enough vitamin D unless they make a special effort. Breastfed infants should be given a vitamin D supplement of 400 IU each day.
Vitamin D can be measured in the blood to learn whether your levels are too low, too high, or somewhere in between. It's not yet clear what levels of vitamin D in the blood are best for good health.

What happens if I don't get enough vitamin D?

Vitamin D deficiency causes rickets in children, where the bones become soft and bend. It is rare but sometimes occurs, especially in African American infants and children. In adults, vitamin D deficiency causes bone pain and muscle weakness. Adults who don't get enough vitamin D and calcium can develop weak and brittle bones (osteoporosis).

What are some important links between vitamin D and health?

Scientists are studying vitamin D to see how it affects health. Here are a few examples of what this research has shown.
Bone problems
As they get older, men and women can develop weak and fragile bones, a condition called osteoporosis. Supplements of both vitamin D and calcium can reduce the risk of bone loss and fractures in elderly people. Talk with your healthcare provider about vitamin D and calcium as part of a plan to prevent or treatosteoporosis as you age.
Cancer
Some studies have tried to find out whether getting more vitamin D can affect the chances of developing cancers of the colonbreastprostatepancreas, and other parts of the body. It's too early to say whether low levels of vitamin D affect one's risk of cancer.

Can vitamin D be harmful?

In healthy adults, vitamin D at doses up to 4,000 IU is safe. (The safe amount is 1,000 IU for infants in the first six months of life and goes up as you get older to 4,000 IU in children age 9-13 years.) When taken as a supplement at very high doses, vitamin D can cause nausea and vomiting, confusion, and serious heart problems. Vitamin D made in the body from sunlight does not rise to dangerous levels.

Does vitamin D interact with any medicines or dietary supplements?

Yes. For example, prednisone and some medicines taken to lose weight, lower cholesterol, or control epilepticseizures can raise the need for vitamin D.
Bottom line: Tell your doctor, pharmacist, and other health care providers about any dietary supplements and medicines you take. They can tell you if those dietary supplements might interact or interfere with yourprescription or over-the-counter medicines or if the medicines might affect how your body uses vitamin D.

Where can I find out more about vitamin D?

Disclaimer

This fact sheet by the Office of Dietary Supplements provides information that should not take the place of medical advice. We encourage you to talk to your healthcare providers (doctor, registered dietitian, pharmacist, etc.) about your interest in, questions about, or use of dietary supplements and what may be best for your overall health.

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