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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References
- Vitamin D: an overview of vitamin D status and intake in Europe.Nutr. Bull. 2014; 39: 322-350
- RCT of monthly high-dose Vitamin D on bne density in community-dwelling older adults: trial-based evidence for defining Vitamin D deficiency (abstract).Calcif. Tissue Int. 2017; 100 (p. S21)
- Articles effect of monthly high-dose vitamin D supplementation on falls and non-vertebral fractures: secondary and post-hoc outcomes from the randomised, double-blind.Lancet Diabetes Endocrinol. 2017; 8587: 1-10
- Differences in overlapping meta-analyses of Vitamin D supplements and falls.J. Clin. Endocrinol. Metab. 2014; 99: 4265-4272
- Vitamin D prescribing in older people in the UK depends on postcode.Maturitas. 2017; 99: 109-113
Article info
Publication history
Published online: June 04, 2017
Received:
May 23,
2017
Identification
Copyright
© 2017 Published by Elsevier Ireland Ltd.
