J Am Board Fam Med. 2016 Mar-Apr;29(2):226-32. doi: 10.3122/jabfm.2016.02.150251.
Weishaar T1, Rajan S2, Keller B2.
1From the Department of Health and Behavior Studies (TW, SR) and the Department of Human Development (BK), Teachers College, Columbia University, New York, NY. jtw2117 at columbia.edu.
2From the Department of Health and Behavior Studies (TW, SR) and the Department of Human Development (BK), Teachers College, Columbia University, New York, NY.
Overview Obesity and Vitamin D contains the following summary
- FACT: People who are obese have less vitamin D in their blood
- FACT: Obese need a higher dose of vitamin D to get to the same level of vit D
- FACT: When obese people lose weight the vitamin D level in their blood increases
- FACT: Adding Calcium, perhaps in the form of fortified milk, often reduces weight
- FACT: 153 trials for vitamin D intervention of obesity as of Sept 2020
- FACT: Less weight gain by senior women with > 30 ng of vitamin D
- FACT: Dieters lost additional 5 lbs if vitamin D supplementation got them above 32 ng - RCT
- FACT: Obese lost 3X more weight by adding $10 of Vitamin D
- FACT: Those with darker skins were more likely to be obese Sept 2014
- OBSERVATION: Many mammals had evolved to add fat and vitamin D in the autumn
- and lose both in the Spring - unfortunately humans have forgotten to lose the fat in the Spring
- SUGGESTION: Probably need more than 4,000 IU to lose weight if very low on vitamin D due to
risk factors such as overweight, age, dark skin, live far from equator,shut-in, etc.
- Obesity category has
Obese need 2.5X more vitamin D - click on chart for detailsSkin - Dark category listing has
Overview Dark Skin and Vitamin D
Half of the US will be people of color – wonder how many will be vitamin D deficient
434 items along with related searches
Note: Skin-Dark was the 2nd of 150+ categories in VitaminDWiki
While most physicians recognize that vitamin D status varies by skin color because darker skin requires more light to synthesize vitamin D than lighter skin, the importance of body weight to vitamin D status is a newer, less recognized, finding. The purpose of this study was to use nationally representative US data to determine the probability of vitamin D deficiency by body weight and skin color.
Using data for individuals age ≥6 years from the 2001 to 2010 cycles of the US National Health and Nutrition Examination Survey, we calculated the effect of skin color, body weight, and age on vitamin D status. We determined the probability of deficiency within the normal range of body weight for 3 race/ethnicity groups at 3 target levels of 25-hydroxyvitamin D.
Darker skin colors and heavier body weights are independently and significantly associated with poorer vitamin D status. We report graphically the probability of vitamin D deficiency by body weight and skin color at vitamin D targets of 20 and 30 ng/mL.
The effects of skin color and body weight on vitamin D status are large both statistically and clinically. Knowledge of these effects may facilitate diagnosis of vitamin D deficiency.
© Copyright 2016 by the American Board of Family Medicine.
PMID: 26957379Increase in Vitamin D deficiency with weight and skin darkness – chart – March 2016
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