Bespoke or one size fits all—Vitamin D fortification, targeted supplementation in risk groups or individual measurement?

  • Bo Abrahamsen
    *Correspondence address: Department of Medicine, Holbæk Hospital, Holbæk, Denmark.
    Department of Medicine, Holbæk Hospital, Holbæk, Denmark

    Odense Patient Data Explorative Network, Institute of Clinical Research, University of Southern Denmark, Odense, Denmark
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      Vitamin D insufficiency is prevalent in Northern Europe, particularly in winter and spring given the low sunlight UVB intensity in winter months which precludes vitamin D production even if the skin is exposed. Though association studies have linked, in many cases controversially, low vitamin D status to an increased risk of outcomes, the least controversial effect of vitamin D is on the skeleton where calcium and vitamin D supplementation in combination modestly reduce the risk of fractures in the elderly population. Severe nutritional rickets or osteomalacia are unusual but by no means eradicated in Western Europe.
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