Vitamin D levels are lower than 20 ng in half of the world

Global Overview of Vitamin D Status

Endocrinology and Metabolism Clinics of North America, Vol 46, Issue 4, Dec 2017, Pages 845–870. https://doi.org/10.1016/j.ecl.2017.07.002

Natasja van Schoor, PhDa, , , Paul Lips, MD, PhDb

Key points

  • Vitamin D deficiency occurs all over the world, mainly in the Middle East, China, Mongolia, and India.

  • Risk groups for vitamin D deficiency include older persons, pregnant women, and non-western immigrants.

  • Prevention of vitamin D deficiency is feasible with moderate sunlight exposure, consumption of fatty fish and vitamin D-fortified foods, and the use of vitamin D supplements.

  • The required dose in healthy older persons is about 400 to 800 IU per day, the higher dose with low sun exposure or pigmented skin.

  • Patients with osteoporosis and older institutionalized persons require 800 IU per day.

  • A vitamin D3 supplement of 400 IU per day can be recommended for adults who do not have sun exposure or have a pigmented skin.

  • The goal of prevention should be to increase serum 25-hydroxyvitamin D levels to more than 50 nmol/L in all countries all year long.

This study considers 20 nanograms/mL of vitamin D to be adequate It finds that roughly half of the world does not have adequate levels It suggests, based on no data, than 400 or 800 IU is needed No data on < 30 ng nor < 40 ng, and no maps Nice world chart is at Vitamin D levels around the world - DSM review June 2014 1. Pages listed in BOTH of the categories Deficiency, Middle East {category} 1. Pages listed in BOTH of the categories Deficiency, Far From Equator {category} 1. Pages listed in BOTH fo the categories Deficiency, Europe {category} 1. Pages listed in BOTH fo the categories Deficiency, Canada {category} 1. Pages listed in BOTH fo the categories Deficiency, Orient {category} 1. Pages listed in BOTH fo the categories Deficiency, World {category}

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A tiny view of the information in the PDF

Middle East

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Europe 1

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Scandanavia

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China

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Asia - not China

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Canada

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US

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South America

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