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Vitamin D-ilemma

Posted: Monday, January 07, 2008 5:33 PM by Barbara Raab

By Robert Bazell, NBC News chief science correspondent

 

For many years, doctors and scientists thought that the key role Vitamin D plays in the body is strengthening bones.  And that’s true.  But in the past few decades evidence has accumulated the Vitamin D is critical for almost every cell in the body.  Today we report on evidence from the highly respected Framingham Heart study showing that the 28% of people who had the lowest levels of Vitamin D in their bodies had a 60% higher risk of developing a heart attack or stroke over a five-year period.  

 

That is a big deal.  It was the Framingham study that nailed the roles of cholesterol, blood pressure, lack of exercise and the other well known risk factors for heart disease. Other recent studies have found that Vitamin D can reduce the risk of breast cancer, colon cancer, and many other common serious diseases. 

The problem with reporting on the health benefits of Vitamin D is that nature’s way of giving it to us is exposure to the sun.  You can also get it from food and from supplements but few people consume enough.  The Framingham study found that only 10% of the adults they studied had the recommend amount of Vitamin D in their bodies.  But tell people to go out in the sun a bit and you run up against the American Academy of Dermatology which has been very successful with its efforts to get Americans OUT of the sun to reduce the risk of skin cancer.

What is the right amount of sun?  There is no one-size-fits-all answer.  It depends on a person’s skin color, location on the earth, genetic history and the time of year.  Staying out long enough to get a sun burn is dangerous and never a good idea.  A big problem also is that many sunscreens block out the UV-B rays that make the Vitamin D while allowing in more UV-A that increases the cancer risk.

 

That is one of the reasons why the other study we covered today by researchers in Norway and the Brookhaven National Laboratories in the United States concluded that on the whole moderate sun exposure is good and should be encouraged. 

 

But when it comes to health messages, all too often doctors do not want to give and people do not want to hear guidance that is not simple encouragement or prohibition

 

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Comments

Why not recemmod V-D supplement?
I've seen links to prostate cancer and MS prevention as well in the news the last year.  The fact that people in  northern latitudes seem to suffer from more of all these conditions seems like pretty good casual evidence as well. It's also interesting that a lot of this starts showing up at around forty years of age give or take, which is about 10-15 years after your daily dose of vitamin probably starts to drop.... You don't get much sitting in an office your whole life after college...
Or increase the amount added to food products. Along with a focus on sunscreens that do a better job of absorbing the more hazardous rays while allowing people to spend a bit more time in the sun getting the beneficial UV-B.
Evaluation of the serum level of 25-OH Vit D gives an excellent indication of the need for oral supplementation.  This blood test is not routinely requested as part of an annual physical examination, but should be.
We have been told too much of this is bad, too little of that is bad.  Here is another study saying the same thing.  The key is moderation....everything in moderation.
You did the public a disservice in airing this story without commenting on the use of sunscreen. We've been vociferously warned that sunscreen is necessary to be safe in the sun - - - your story told us that sun was good for other body parts than bones, but neglected to mention that sunscreen would negate or reduce that benefit. Many people will not read the details on your website and need to know that crucial piece of the story.


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