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Vitamin D fortification in Europe preventing 27,000 Cancer deaths, could prevent 129,000 – May 2022


Vitamin D food fortification in European countries: the underused potential to prevent cancer deaths

European Journal of Epidemiology vol 37, pages 3 09–320 (2022) https://doi.org/10.1007/s10654-022-00867-4
Tobias Niedermaier, Thomas Gredner, Sabine Kuznia, Ben Schöttker, Ute Mons, Jeroen Lakerveld, Wolfgang Ahrens & Hermann Brenner On behalf of the PEN-Consortium

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  • ++ Mandatory fortification with adequate amounts covering an adequate range
      (four or more commonly consumed foods) of products;
  • + Wide-spread voluntary fortification but with insufficient amounts
    or adequate mandatory fortification of too few products;
  • o Insufficient mandatory fortification plus some voluntary fortification,
  • − No mandatory fortification but some voluntary fortification of foods;
  • −− No mandatory fortification and almost no voluntary fortification of foods.

Background: Meta-analyses of randomized controlled trials have shown that vitamin D supplementation reduces cancer mortality by 13%. Vitamin D fortification of foods may increase vitamin D levels in a similar manner as vitamin D supplementation and could achieve similar reductions in cancer mortality. Whereas some European countries already implemented widespread fortification of foods with vitamin D, in other countries only few or no foods are fortified. In this study, we estimated the reduction in cancer mortality presumably already achieved by current fortification policies in 2017 and the potential for further reductions if all countries had effective fortification.

Methods: We reviewed scientific literature, publicly available information, and contacted health authorities to obtain information on current vitamin D food fortification policies in 34 European countries. Together with country-specific cancer death statistics from Eurostat, information on life expectancy, and country-specific fortification policies, we used data from studies on supplementation and serum 25(OH)D increases and cancer mortality to estimate numbers of probably already prevented cancer deaths and numbers of potentially further preventable deaths and years of life lost.

Results: Current vitamin D fortification is estimated to prevent approximately 11,000 in the European Union and 27,000 cancer deaths in all European countries considered per year. If all countries considered here would implement adequate vitamin D fortification of foods, an estimated additional 129,000 cancer deaths (113,000 in the European Union) could be prevented, corresponding to almost 1.2 million prevented years of life lost (1.0 million in the EU) or approximately 9% of cancer deaths (10% in the EU).

Interpretation: Systematic fortification of foods might considerably reduce the burden of cancer deaths in Europe.
 Download the PDF from VitaminDWiki


VitaminDwiki – Fortification with Vitamin D contains

135 items in Fortification category

Fortification works, even if food is cooked, but govts rarely fortifiy with enough
Govts, food producers, and families can fortify:
   milk,   yogurt,   beer,   bread,  cereals,  cooking oil,  soups,  jams,   jellys,   honey,   snack bars, etc.
Some interesting fortification articles


VitaminDwiki – Bread Fortification contains

VitaminDWiki Fortification pages with BREAD in title

This list is automatically updated

Items found: 13

VitaminDwiki – Change of Vitamin D Fortification in Denmark contains


Finland has had great success adding Vitamin D (19+ studies)

VitaminDWiki pages with FINLAND in the title
This list is automatically updated

Items found: 23
Title Modified
Stillbirth rates dropped from 4.1% to 2.8% as Finland increased Vitamin D fortification – May 2022 28 Apr, 2024
Many T1 diabetics in Finland are self-treating with more than 1200 IU of Vitamin D daily – Feb 2024 08 Mar, 2024
Many T1 diabetics in Finland are self-treating with more than 1200 IU of Vitamin D daily – Feb 2024 08 Mar, 2024
Preterm birth rate increased in US but decreased in Finland (high Vitamin D) - Jan 2024 09 Feb, 2024
After years of adding vitamin D, Finland now has 38 ng levels - March 2022 14 Oct, 2023
Afib in Finland reduced 30% by Vitamin D (3200 IU) – RCT June 2023 09 Jul, 2023
Happiest country on earth has a high Vitamin D level (Finland, with little sun) – March 2022 27 Nov, 2022
95 percent of pregnant women in Finland took vitamin D – PHD Dissertation Dec 2019 04 Apr, 2022
Vitamin D levels in Finland increased 2000-2011 (supplementation and fortification) – May 2017 05 Jan, 2022
Less response to 800 IU of Vitamin D by Africans than natives in Finland – RCT March 2018 25 Dec, 2019
IBD in Finland – 3X increase in 15 years, more prevalent further from equator – Nov 2012 14 May, 2019
Vitamin D needed for 12 ng in winter in Finland – Whites 320 IU, Blacks 720 IU – July 2018 24 Jul, 2018
Spring sunshine in snowy Finland normalized Vitamin D levels to 36 nanograms – 2017 13 Mar, 2018
Type I Diabetes stopped increasing in Finland after Vitamin D levels were raised – July 2014 15 Oct, 2016
Improved health due to vitamin D fortification in Finland 15 Oct, 2016
Vitamin D fortification is returning to Finland – now 400 IU per 100 gram of butter – Oct 2016 15 Oct, 2016
Finland increased vitamin D - Nov 2010 26 Jul, 2014
Type 1 diabetes starting to decrease in Finland, they started Vitamin D fortification in 2003 – July 2013 26 Jul, 2014
Infants in France and Finland need 1000 IU of vitamin D, but apparently infants in US need only 400 - 2013 14 Jul, 2013
Finland hopes to double Vitamin D dose for elderly from 400 to 800 IU in 2012 – April 2010 12 Nov, 2012
Finland max 2000 IU vitamin D since cannot get more from food - 2011 03 Sep, 2012
Low vitamin D increased death rate 2X in Finland – Aug 2011 10 Feb, 2012
More likely to develop Prostate Cancer if have high level of vitamin D in Finland – Sept 2011 07 Sep, 2011

Animal meat and products have more Vitamin D when they get more Vitamin D or UVB

Chickens

Beef and Cows


Most studies underestimate by 6X the useful Vitamin D in meat and eggs

Vitamin D from animal increases 6X when consider that already processed by animal livers

Attached files

ID Name Comment Uploaded Size Downloads
20024 Europe fortify 2.jpg admin 28 Aug, 2023 21.38 Kb 99
20023 Europe fortify 1.jpg admin 28 Aug, 2023 304.96 Kb 112
20022 Fortification to prevent Cancer in Europe_CompressPdf.pdf admin 28 Aug, 2023 214.38 Kb 101