Estimates of optimal vitamin D status
@article{DawsonHughes2005EstimatesOO, title={Estimates of optimal vitamin D status}, author={Bess Dawson-Hughes and Robert Proulx Heaney and Michael F Holick and Paul Lips and Pierre Jean Meunier and Reinhold Vieth}, journal={Osteoporosis International}, year={2005}, volume={16}, pages={713-716} }
Vitamin D has captured attention as an important determinant of bone health, but there is no common definition of optimal vitamin D status. Herein, we address the question: What is the optimal circulating level of 25-hydroxyvitamin D [25(OH)D] for the skeleton? The opinions of the authors on the minimum level of serum 25(OH)D that is optimal for fracture prevention varied between 50 and 80 nmol/l. However, for five of the six authors, the minimum desirable 25(OH)D concentration clusters between…
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References
SHOWING 1-10 OF 48 REFERENCES
Age-related changes in the 25-hydroxyvitamin D versus parathyroid hormone relationship suggest a different reason why older adults require more vitamin D.
- MedicineThe Journal of clinical endocrinology and metabolism
- 2003
All age groups exhibit a high prevalence of 25(OH)D insufficiency and secondary hyperparathyroidism, and older adults are just as efficient in maintaining 25( OH)D, but they need more vitamin D to produce the higher vitamin D concentrations required to overcome the hyperparathiroidism associated with their diminishing renal function.
Lack of effect of calcium intake on the 25-hydroxyvitamin d response to oral vitamin D3.
- MedicineThe Journal of clinical endocrinology and metabolism
- 2005
In older men and women, the level of calcium intake, within the range of 500-1500 mg/d, does not have an important effect on the rise in serum 25(OH)D that occurs in response to 800 IU (20 microg)/d vitamin D(3).
An International Comparison of Serum 25-Hydroxyvitamin D Measurements
- MedicineOsteoporosis International
- 1999
Results show that 25(OH)D values from different laboratories can not be assumed to be comparable unless a careful cross-calibration has been performed, and interlaboratory variation may hamper comparison between results from different populations.
The effect of vitamin D supplementation on vitamin D status and parathyroid function in elderly subjects.
- MedicineThe Journal of clinical endocrinology and metabolism
- 1988
It is concluded that a vitamin D3 supplement of 400 IU/day adequately improves vitamin D status in elderly people and increases 1,25-dihydroxyvitamin D concentrations in those with vitamin D deficiency.
Vitamin D and its Major Metabolites: Serum Levels after Graded Oral Dosing in Healthy Men
- MedicineOsteoporosis International
- 1998
The quantitative relationships between graded oral dosing with vitamin D3, 25(OH)D3, and 1,25( OH)2D3 for short treatment periods and changes in circulating levels of these substances were determined.
Calcium Absorption Varies within the Reference Range for Serum 25-Hydroxyvitamin D
- MedicineJournal of the American College of Nutrition
- 2003
Calcium absorptive performance at 50 nmol/L was significantly reduced relative to that at a mean 25OHD level of 86 nmol /L, suggesting that individuals with serum 25-hydroxyvitamin D levels at the low end of the current reference ranges may not be getting the full benefit from their calcium intake.
Effect of vitamin D intake on seasonal variations in parathyroid hormone secretion in postmenopausal women
- MedicineThe New England journal of medicine
- 1989
Prevalence of Vitamin D Insufficiency in an Adult Normal Population
- MedicineOsteoporosis International
- 1997
The results showed that in French normal adults living in an urban environment with a lack of direct exposure to sunshine, diet failed to provide an adequate amount of vitamin D, and the clinical utility of winter supplementation with low doses ofitamin D was discussed.
Measurement of Vitamin D metabolites: an international perspective on methodology and clinical interpretation
- MedicineThe Journal of Steroid Biochemistry and Molecular Biology
- 2004
Vitamin D2 is much less effective than vitamin D3 in humans.
- Medicine, BiologyThe Journal of clinical endocrinology and metabolism
- 2004
Physicians resorting to use of vitamin D(2) should be aware of its markedly lower potency and shorter duration of action relative to vitamin D (3), with the relative potencies for D(3) being 9.5:1.