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The condition

Dietary Insufficiency

What is vitamin D deficiency?

Vitamin D deficiency is a condition caused by the lack of vitamin D in your body for it to function properly. This essential vitamin helps your body’s calcium absorption, maintains optimal skeletal health, and boosts the immune system. Not enough vitamin D, and you could feel fatigued, weak or even have bone pain and muscle pain.

Vitamin D is a fat soluble vitamin that your body can produce when your skin is exposed to sunlight. It is also present in some fortified foods and supplements. But if you do not get plenty of sun, or if your diet is low in vitamin D, taking a vitamin supplement can help you avoid deficiency. It can occur gradually over time and may go unnoticed until the symptoms become more serious.

How much vitamin D do I need?

These are general dietary reference intake recommendations. Some people need more, especially those with low levels, little sun exposure or certain disorders.

Age group And Recommended daily allowance: 

  • Infants (0-12 months): 400 IU (10 mcg)
  • Children (1-18 years old): 600 IU (15 mcg)
  • Adults (19-70 years): 600 IU (15 mcg)
  • Adults over 70: 800 IU (20 mcg)
  • Pregnant or breast milk feeding: 600 IU (15 mcg)

IU = International Units (IU of vitamin)

mcg = micrograms (1 mcg = 40 IU)

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Condition: Vitamin D Deficiency
Contents

 Symptoms

 When to See a Doctor

 Causes

 Risk Factors

 Complications

 Prevention

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The symptoms

Tiredness or fatigue even after a sound sleep
Muscle weakness or cramps
Pain or discomfort in the lower back, hips and legs
Changes in mood, sadness, or depression
Some people will experience thinning or loss of hair
Slow wound healing
Bone loss, particularly among older adults, leading to fractures
When to see a doctor?
Consultation Is The Key
When should you be worried?

You should see a doctor if:

  • You’ve experienced prolonged fatigue or muscle pain for weeks
  • You’ve had several bone fractures or injuries
  • You’ve noticed your mood has been rather low
  • You have medical conditions such as osteoporosis, thyroid or digestive problems that interfere with nutrient absorption.

All of these may be symptoms of low levels of serum vitamin D in the blood, and your doctor might recommend lifestyle changes, vitamin D therapy, supplements or additional testing based on your situation.

The causes
What causes vitamin D deficiency?

There are a number of reasons a person may be low on vitamin D:

  • Lack of sunlight exposure: Vitamin D is called the “sunshine vitamin” because your body produces it when your skin is exposed to sunlight. But too much sun exposure may also lead to premature ageing and skin cancer.
  • Poor dietary intake: Although some foods do have vitamin D, including fortified milk, most people do not eat enough of them to meet their daily needs.
  • Health conditions affecting absorption: Diseases such as Crohn’s disease, cystic fibrosis, celiac disease or chronic kidney or liver disease can affect vitamin D metabolism or the way your body absorb vitamin.
  • Obesity: Fat tissue stores vitamin D. In people with obesity with body mass index >30 kg/m 2, the vitamin may become trapped in fat cells and less available to the rest of the body.
  • Age: As we age, our skin is less efficient at making vitamin D from sunlight. Older adults, particularly if they are not outdoors much, tend to be deficient.
The risk factors
Who is at increased risk for vitamin D insufficiency?

There are numbers of associated risk factors if you:

  • Live in colder or cloudier areas with less sunlight
  • Have darker skin, which decreases the skin’s production of vitamin D
  • Adhere to a strict vegan diet, not even dairy or fish
  • Can be older or immobile, particularly in care homes
  • Cover your skin for cultural or religious purposes
  • Are pregnant or breastfeeding, making your vitamin D needs higher
  • Take certain medications that alter how your body processes vitamin D, such as steroids or anti-seizure drugs
The complications
Hidden Dangers
What happens when it is left untreated?
  • Calcium deficiency

    When your body fails to keep healthy levels of calcium, your bones and muscles begin to suffer.

  • Phosphate deficiency

    Bones might become weakened and energy can be reduced from low phosphate.

  • Rickets

    This disorder results in the softening and bending of bones in growing children.

  • Osteomalacia

    Bone softening occurs in adults as well, resulting in pain, fractures, and muscle weakness.

  • Hypocalcemia

    It is when the calcium level in your blood caused by low calcium and phosphorus absorption by your intestine is too low.

  • Respiratory tract infections

    Reduced immune function, leaving you more susceptible to colds, flu and other infections.

The prevention
Get Regular Sun Exposure
How much sunlight do we need per day?

Getting about 10 to 30 minutes of sun exposure on your skin several times each week allows your body to produce vitamin D, though the duration depends on your skin tone, the time of day, and the location you live in.

Is sunlight enough on its own?

Sunlight can be useful, but not always enough. And if you spend most of your time indoors, use sunscreen all the time, or live in an area that’s often cloudy, you might need other sources of vitamin D, as well.

Boost Your Diet
What foods are you getting vitamin D from?

A few foods naturally contain it, such as fatty fish like salmon, sardines, egg yolks and mushrooms. And many common foods, such as milk, cereal and orange juice, are fortified with vitamins to help get your normal vitamin d levels up.

Is diet sufficient to avoid deficiency?

Food can do a lot, but there can be factors beyond that especially for people who do not eat fish or dairy. Even so, incorporating these foods into your meals is a smart way to promote your health.

Extra Support
Who needs vitamin D supplementation?

If you do not get enough sun, have darker skin or certain health issues, supplements can help. A doctor can test your levels and advise how much you should take. But keep in mind that too much vitamin D intake has been linked to other health problems.

Are all supplements the same?

Not quite. D3 is generally superior to D2. Ask your doctor which is best for you, and how much you should take to remain at peak health.

Get Regular Checkup
When is a good time to check your vitamin D levels?

If you’re often fatigued, achy, or suspect you aren’t getting adequate vitamin D, talk to your physician about getting a blood test.

How often should you check?

If you’re already taking supplements, once or twice a year is usually sufficient. Your doctor can help guide you, and keep your levels in the healthy range.

Stay Active Outdoors
Does spending time outside prevent vitamin D deficiency?

Being outside, even just walking around or sitting in the sun helps your body produce vitamin D. It’s also been shown to improve your bone health, mood and general wellbeing.

What if you cannot get out much?

If you are indoors for long periods, it might help to sit close to a sunny window, or to eat more vitamin D-rich foods. If you need support, vitamin D supplements may help as well.

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    How much sunlight do we need per day?
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    What foods are you getting vitamin D from?
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    Who needs vitamin D supplementation?
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    When is a good time to check your vitamin D levels?
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    Does spending time outside prevent vitamin D deficiency?
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