Why the optimal requirement for Vitamin D3 is probably much higher than what is officially recommended for adults

R Vieth - The Journal of steroid biochemistry and molecular …, 2004 - Elsevier
The Journal of steroid biochemistry and molecular biology, 2004Elsevier
The physiologic range for circulating 25-hydroxyvitamin D3 [25 (OH) D; the measure of
Vitamin D nutrient status] concentration in humans and other primates extends to beyond
200nmol/L (> 80ng/mL). This biologic “normal” value is greater than current population
norms for 25 (OH) D. Concentrations of 25 (OH) D that correlate with desirable effects extend
to at least 70nmol/L, with no obvious threshold. Randomized clinical trials using 20mcg
(800IU) per day of Vitamin D show that this suppresses parathyroid hormone, preserves …
The physiologic range for circulating 25-hydroxyvitamin D3 [25(OH)D; the measure of Vitamin D nutrient status] concentration in humans and other primates extends to beyond 200nmol/L (>80ng/mL). This biologic “normal” value is greater than current population norms for 25(OH)D. Concentrations of 25(OH)D that correlate with desirable effects extend to at least 70nmol/L, with no obvious threshold. Randomized clinical trials using 20mcg (800IU) per day of Vitamin D show that this suppresses parathyroid hormone, preserves bone mineral density, prevents fractures, lowers blood pressure and improves balance. Calcium absorption from diet correlates with 25(OH)D in the normal range. Health effects of Vitamin D beyond osteoporosis are mostly supported by the circumstantial evidence of epidemiologic studies and laboratory research. These include prevention of cancer and the autoimmune diseases, insulin-dependent diabetes and multiple sclerosis. One mcg per day of Vitamin D3 (cholecalciferol) increases circulating 25(OH)D by about 1nmol/L (0.4ng/mL). A recommended dietary allowance (RDA) is the long-term daily intake level that meets the total requirements for the nutrient by nearly all healthy individuals (it would presume no sunshine). If 70nmol/L is regarded as a minimum desirable target 25(OH)D concentration, then current recommendations of 15mcg per day do not meet the criterion of an RDA.
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