Are You Vitamin D Deficient?

Soak up the sun while downing some dairy for a dose of vitamin D. The nutrient is key for healthy bone growth, and proper immune, nerve, and muscle function. But here’s the kicker: Most Americans are vitamin-D deficient, which can lead to serious health risks, such as osteoperosis, heart disease, and high blood pressure [1] [2]. So what's the best way to avoid these problems and get enough D?

Far From The D-List  — The Need-to-Know

Photo by Jess Ivy

Vitamin D is a fat-soluble vitamin that the body needs for calcium absorption, cell growth, immune system function, and inflammation reduction. The major function of this important vitamin is to maintain normal levels of calcium and phosphorus in the blood. Without enough vitamin D, bones can’t properly develop, leading to diseases like osteoporosis and rickets.

Vitamin D comes from three sources: sunlight, food, and supplements. The key to getting enough is finding a good mix of all three sources — it’s impossible to efficiently get enough from just one source. So how much is enough? The National Institute of Health recommends that adults between 19 and 50 years of age get 15 mcg (or 600 IU’s) of vitamin D per day. That's equal to about one vitamin D-fortified 6-ounce yogurt (80 IUs), two large eggs (82 IUs), or one 3-ounce serving of cooked salmon (447 IUs) combined! The problem is that vitamin D isn't naturally present in very many foods, which is why vitamin-D fortified products like cereal, orange juice, and milk are hitting the shelves left and right. If going au natural, keep in mind these vitamin D-rich foods: egg yolks, fish (specifically salmon, mackerel, bluefish, and canned tuna), and sun-ripened mushrooms.

While sunlight is the most efficient way to get the full daily dose of vitamin D, don’t grab a beach towel and slide on those Ray-Bans just yet. One study suggests that oral supplements and dietary sources are the safest ways to increase vitamin D levels. That's because it's hard to measure the amount of sun exposure and UV radiation can have some dangerous health effects [3]. And while dietary supplements typically aren't the best way to get any essential nutrients, some studies do suggest that vitamin D supplements can reduce the risk of heart problems and even cancer [4] [5]. But be careful about popping those vitamin D pills! Getting too much vitamin D (typically from supplements) can cause a decrease in appetite, nausea, and even vomiting. (And no, that's not why the Gallon Challenge causes vomiting, too.)

What's your take on the vitamin D debate? Think you get enough? What's the best source? Join the conversation in the comments below! 

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About the Author
Kate Morin
Health and food—and how they're related—have always interested me. I’ve been cooking since I could walk (literally). After spending years...

Works Cited

  1. Demographic Differences and Trends of Vitamin D Insufficiency in the US Population, 1988-2004. Ginde, AA., Liu, MC., Camargo, CA Jr. Department of Emergency Medicine, University of Colorado Denver School of Medicine, Aurora, USA. Archives of Internal Medicine 2009 Mar 23;169(6):626-32.
  2. Prevalence and correlates of vitamin D deficiency in US adults. Forrest, K.Y., Stuhldreher, W.L. Department of Public Health & Social Work, Slippery Rock University of Pennsylvania, Slippery Rock, PA. Nutrition research 2011;31(1):48-54.
  3. Estimated equivalency of vitamin D production from natural sun exposure versus oral vitamin D supplementation across seasons at two US latitudes. Terushkin, V., Bender, A., Psaty, E.L., et al. Memorial Sloan-Kettering Cancer Center, New York, New York. Journal of American Academy of Dermatology 2010 Jun;62(6):929.e1-9.
  4. Systematic Review: Vitamin D and calcium supplementation in prevention of cardiovascular events. Wang, L., Manson, J.E., Song, Y., et al. Brigham and Women’s Hospital and Harvard School of Public Health, Boston, MA. Annual Internal Medicine 2010 Mar 2; 152(2): 315-323.
  5. Intakes of calcium and vitamin D and breast cancer risk in women. Lin, J., Manson, J.E., Lee, I.M., et al. Division of Preventive Medicine, Brigham and Women’s Hospital, Boston, MA. Archive of Internal Medicine 2007 May 28;167(10):1050-9.

Comments Leave a comment

DrSherryPagoto

The IOM released a statement in November 2010 that says most Americans are NOT vitamin D deficient and there are no confirmed health benefits of vitamin D beyond bone health, and finally too much may be bad for you.  See this link for more.  http://www8.nationalacademies.org/onpinews/newsitem.aspx?RecordID=13050
See also a blog post I wrote about the dangers of the Vitamin D hype http://healthyworcester.com/the-skinny-on-vitamin-d-the-sun-and-weight-l...
Thanks for addressing this issue and encouraging people to find vitamin D rich foods instead of using a perceived need for vitamin D as permission to bake in the sun.  Melanoma is the 2nd most common cancer in young women (20-40) and skin cancer in general is the ONLY cancer that is rising in incidence each year.    @DrSherryPagoto:twitter

WeeMike

Personally I feel there is more to be revealed as to what Vitamin D can and does do for our bodies.
 
Although I get way more than most people due to working out doors year round, I still take a supplement (in the form of fermented cod liver oil) on top, just to ensure I get more than my body requires, because I firmly believe it can and does help my health massively.
 
Here are some excellent resources of info on Vitamin D that I thought I'd share with anyone who is interested....
 
http://www.naturalnews.com/vitamin_d.html
 
http://www.westonaprice.org/cod-liver-oil/cod-liver-oil-basics

WeeMike

Personally I feel there is more to be revealed as to what Vitamin D can and does do for our bodies.
 
Although I get way more than most people due to working out doors year round, I still take a supplement (in the form of fermented cod liver oil) on top, just to ensure I get more than my body requires, because I firmly believe it can and does help my health massively, especially my immune system.
 
I feel that a lot of people just don't get enough year round exposure to the sun, which would then allow their bodies to build up a natural resistance to the negative effects of the sun  - if they did then I firmly believe there would be far less instances of melanoma's and cancer due to over exposure to then sun (mostly in short intense bursts, eg sun bathing).
 
Here are some excellent resources of info on Vitamin D that I thought I'd share with anyone who is interested....
 
http://www.naturalnews.com/vitamin_d.html
 
http://www.westonaprice.org/cod-liver-oil/cod-liver-oil-basics
 

ShanaLebowitz

 @WeeMike Thanks for your comment and for these helpful links. The resources on the NaturalNews site are especially interesting, like the research on vitamin D and reduced risk of cancer. What kinds of benefits were you thinking of that the Greatist article doesn't address -- information about how vitamin D can boost the immune system? We'd love to hear your specific suggestions!

WeeMike

 @ShanaLebowitz 
Hi Shana!
 
When it comes to the immune system I feel that it aids in fighting of viruses especially colds and the flu.  
 
I've only been taking a vitamin D supplement for 2-3 years, but before this I used to get at least one or two colds a year, mainly during the beginning of the winter season here in the UK - however, since taking a vitamin D supplement I've not had one, or even an inkling of one.
 
I would definitely put this down to the supplement as I didn't change anything else in my diet or lifestyle.
 
I also noticed that my sleep became more deep and restful.  I read an article a few years back about taking a vitamin D supplement in the morning and it helping with sleep (I used to take it in the evenings after dinner) so I changed to taking it first thing in the morning with my breakfast and noticed within a few weeks that I was sleeping more deeply and felt much more rested in the mornings.
 
Again, I hadn't changed anything in my lifestyle other than taking the supplement in the mornings.
 
This may only be something I have experienced but it's something tangible as I do monitor my health quite closely, and I think it's definitely something other people should look into too.
 
I also feel that one of the best forms of getting extra vitamin D (other than sun light) is through the cod liver oil form, and a fermented form too if you can -- although it is a little bit more expensive, when it comes to my health it's definitely worth it!

ShanaLebowitz

 @WeeMike That's really interesting. I'll definitely do some more research into vitamin D and its effects on the immune system and our sleep habits. Plus I'm curious to learn more about cod liver oil and other effective ways to get vitamin D. Whatever I find I'll be sure to share with the Greatist community!  Thanks again for your insights.

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