"D-vitamiinin saantisuositus moninkertaistettava
Kansainvälinen paine D-vitamiinin saantisuosituksen korottamiseksi kasvaa. Suomessa viranomaissuositus aikuisille on 7,5 mikrogrammaa. Kalifornian yliopiston 18-henkinen tiedemiesryhmä vaatii suosituksen nostamista 2000 kansainväliseen yksikköön eli 50 mikrogrammaan. Suiomessa Pekka Puska haraa vastaan.
Tohtori Anthony W. Norman ja hänen tiedemiesryhmänsä kutsuvat maailman muita tutkijoita toimiin ("call to action") aikuisten ihmisten D-vitamiinin saantisuosituksen nostamiseksi 50 mikrogrammaan päivässä. Normanin laatima pääkirjoitus D-vitamiinista julkaistiin joulukuun American Journal of Nutritionissa (linkki lopussa).
"Päättäjien on syytä perehtyä tieteellisiin tutkimuksiin, jotka puoltavat suosituksen nostamista", sanoo tiedemiesryhmä. Se suosittelee elintarvikkeiden rikastamista D-vitamiinilla ja D-vitamiinin käyttöä ravintolisänä. Yhdysvalloissa viranomaissuositus on alle 50-vuotiaille aikuisille 5 µg, 51-70 -vuotiaille 10 µg ja yli 70-vuotiaille 15 µg. Suomessa suositus on 7,5 µg alle 60-vuotiaille ja 10 µg sitä vanhemmille.
"Amerikkalaiset tiedemiehet allekirjoittivat lausunnon, jonka mukaan aikuisen [amerikkalaisen] ihmisen D3-vitamiinin tarve on 2000 kansainvälistä yksikköä [eli 50 mikrogrammaa] vuorokaudessa", sanoo Norman. "Suositeltu annos on täysin turvallinen", hän korostaa ja viittaa Yhdysvaltain tiedeakatemian (National Academy of Sciences) lausuntoon."
Vitamin D A Key Player In Overall Health Of Several Body Organs, Says Biochemist
In a paper published in the August issue of the American Journal of Clinical Nutrition, Norman identifies vitamin D's potential for contributions to good health in the adaptive and innate immune systems, the secretion and regulation of insulin by the pancreas, the heart and blood pressure regulation, muscle strength and brain activity. In addition, access to adequate amounts of vitamin D is believed to be beneficial towards reducing the risk of cancer.
Norman also lists 36 organ tissues in the body whose cells respond biologically to vitamin D. The list includes bone marrow, breast, colon, intestine, kidney, lung, prostate, retina, skin, stomach and the uterus.
A vitamin D nutritional cornucopia: new insights concerning the serum 25-hydroxyvitamin D status of the US population.
Norman AW.
Am J Clin Nutr. 2008 Dec;88(6):1455-6.
PMID: 19064502
doi:10.3945/ajcn.2008.27049
In summary, the report of Looker et al should be required reading for all nutritionists, clinicians, and vitamin D aficionados who are decision makers with regard to 25(OH)D assays, vitamin D nutritional policy, and the care of patients with vitamin D-related diseases.
Cod liver oil, vitamin A toxicity, frequent respiratory infections, and the vitamin D deficiency epidemic.
Cannell JJ, Vieth R, Willett W, Zasloff M, Hathcock JN, White JH, Tanumihardjo SA, Larson-Meyer DE, Bischoff-Ferrari HA, Lamberg-Allardt CJ, Lappe JM, Norman AW, Zittermann A, Whiting SJ, Grant WB, Hollis BW, Giovannucci E.
Ann Otol Rhinol Laryngol. 2008 Nov;117(11):864-70. Review.
PMID: 19102134
Until we have better information on doses of vitamin D that will reliably provide adequate blood levels of
25(OH)D without toxicity, treatment of vitamin D deficiency in otherwise healthy children should be individualized
according to the numerous factors that affect 25(OH)D levels, such as body weight, percent body fat,
skin melanin, latitude, season of the year, and sun exposure.2 The doses of sunshine or oral vitamin D3 used
in healthy children should be designed to maintain 25(OH)D levels above 50 ng/mL. As a rule, in the absence
of significant sun exposure, we believe that most healthy children need about 1,000 IU of vitamin D3 daily
per 11 kg (25 lb) of body weight to obtain levels greater than 50 ng/mL. Some will need more, and others less.
In our opinion, children with chronic illnesses such as autism, diabetes, and/or frequent infections should be
supplemented with higher doses of sunshine or vitamin D3, doses adequate to maintain their 25(OH)D levels
in the mid-normal of the reference range (65 ng/mL) - and should be so supplemented year round. Otolaryngologists
treating children are in a good position to both diagnose and treat vitamin D deficiency.
Vieth R, Bischoff-Ferrari H, Boucher BJ, Dawson-Hughes B, Garland CF, Heaney RP, Holick MF, Hollis BW, Lamberg-Allardt C, McGrath JJ, Norman AW, Scragg R, Whiting SJ, Willett WC, Zittermann A. \nThe urgent need to recommend an intake of vitamin D that is