European Food Safety Authority March 2016 posted draft for comment:
Scientific Opinion on Dietary Reference Values for vitamin D
Download the PDF from VitaminDWiki
EFSA, proposes:
20 ng level and 600 IU intake (with ZERO for age 0 to 6 months)
20 nanograms is enough to deal with Rickets
but 40+ nanograms is needed for other BONE and BODY health
Is 50 ng of vitamin D too high, just right, or not enough has the following summary chart
- Virtually all studes define 30 ng as sufficient
- Many experts say 40 ng is good
- Some experts say 50 ng is much better for disease prevention
- Some experts say 50 ng is too much
But some experts feel 50 ng is not enough to TREAT diseases
EFSA summarizes some current recomendations
ADULT
CHILD
PREGNANT/LACTATING
| SACN | UK | Scientific Advisory Committee on Nutrition |
| D-A-CH | Germany | Deutschland- Austria- Confoederatio Helvetica |
| NCM | Nordic Countries | Nordic Council of Ministers |
| NL | Netherlands | |
| IOM | U.S. | Institute of Medicine of the National Academy of Sciences |
| WHO | Globe | World Health Organization |
| Afssa | France | Agence française de sécurité sanitaire des aliments |
| SCF | Europe | Scientific Committee for Food |
| DH | UK | UK Department of Health |
Virtually all recommendations fail to notice
- Some groups of people need substantially need more vitamin D
Obese/overweight
Poor health - especially poor gut, poor liver, poor kidney
other forms of vitamin D oten work well
Live far from equator
Pregnant (need to eat for more than one)
Seniors German seniors 10 pct less than 7ng, 92 pct less than 30 ng vitamin D – Jan 2012 - More vitamin D is needed for body health than for bone health
- Higher percentage of people are Vitamin D deficient every year
Yet most recomendations give equal weight to studies from the past 50 years
3X more kids were vitamin D deficient when entering UK hospitals than 4 years before – Oct 2014
Why are so many Victorian killer illnesses making a comeback - Nov 2012
Falls in VitaminDWiki
- EFSA failed to notice that they recommended 800 IUs in 2014
Reduce chance of falling with 800 IU of vitamin D - European Food Safety Authority - Nov 2014 - Overview Fractures and Falls and Vitamin D 800 IU is the very bare minimum amount
- Yet again, 800 IU of vitamin D was found to be barely enough to help bones – Lancet Oct 2013
- Bone fractures reduced by a minimum of 800 IU vitamin D and Calcium – meta-meta-analysis March 2014
- Half of seniors got NO response at all from 1600 IU of vitamin D
Europe in VitaminDWiki
- Vitamin D in Europe – status, policy, etc. – Jan 2015
- Vitamin D levels in Europe – Sept 2014
- Why the UK government ignores evidence for the benefits of Vitamin D - Nov 2013
Death due to low vitamin D in VitaminDWiki
- Let 1000 die from vitamin D deficiency rather than incur 1 lawsuit
Conclusions from looking at A look at inner workings of committee looking at vitamin D for UK - Dec 2012
click on chart for details - Should people at high risk for vitamin D deficiency wait 5 years -Feb 2013
They may be trying for a risk/reward ratio of about 1 in 1,000
Note: The word Death occurs only twice in EFSA document - Dr. Grant on vitamin D and mortality in VitaminDWiki
Pregnancy and Vitamin D in VitaminDWiki
Healthy pregnancies need lots of vitamin D has the following summary
Most were taking 2,000 to 7,000 IU daily for >50% of pregnancy
Click on hyperlinks for details
Problem | Vit. D Reduces | Evidence |
| 0. Chance of not conceiving | 3.4 times | Observe |
| 1. Miscarriage | 2.5 times | Observe |
| 2. Pre-eclampsia | 3.6 times | RCT |
| 3. Gestational Diabetes | 3 times | RCT |
| 4. Good 2nd trimester sleep quality | 3.5 times | Observe |
| 5. Premature birth | 2 times | RCT |
| 6. C-section - unplanned | 1.6 times | Observe |
| Stillbirth - OMEGA-3 | 4 times | RCT - Omega-3 |
| 7. Depression AFTER pregnancy | 1.4 times | RCT |
| 8. Small for Gestational Age | 1.6 times | meta-analysis |
| 9. Infant height, weight, head size within normal limits | RCT | |
| 10. Childhood Wheezing | 1.3 times | RCT |
| 11. Additional child is Autistic | 4 times | Intervention |
| 12.Young adult Multiple Sclerosis | 1.9 times | Observe |
| 13. Preeclampsia in young adult | 3.5 times | RCT |
| 14. Good motor skills @ age 3 | 1.4 times | Observe |
| 15. Childhood Mite allergy | 5 times | RCT |
| 16. Childhood Respiratory Tract visits | 2.5 times | RCT |
RCT = Randomized Controlled Trial
Bones problems in VitaminDWiki
- Turkey gave 400 IU vitamin D to all infants and reduced Rickets by 60X - 2011
yes, 400 IU does reduce rickets, but not much else - Rickets can be suspected below 36 ng of vitamin D – Oct 2012 - not just 20 nanograms
- More calcium in bones in those teenage girls getting 2,000 IUs daily – RCT Jan 2016
See also VitaminDWiki
- Proof that Vitamin D Works 68 health problems PROVEN to be helped (Feb 2016)
- More than half of the top richest US lobbys are Health related all lobbyists are opposed to size reductions
American Medical Association, American Hospital Association, Big Pharma are 3 of the 6 biggest spending lobbiests in the US - 17 reasons why are doctors reluctant to accept vitamin D
- 1600 IU vitamin D was enough to get all (white, non-obese) elderly to 20 ng – RCT Dec 2012
- Huge decrease in many health problems with more than 20 ng of vitamin D - click on chart for details
- Recommendations around the world - click on chart for details
Note this is EFSA as of 2010. EFSA is proposing in 2016 to reduce the upper limit from 4,000 IU to 2000 IU - Less sun ==> Less Vitamin D ==> Less Health - click on chart for details
Following a request from the European Commission, the EFSA Panel on Dietetic Products, Nutrition and Allergies (NDA) derived Dietary Reference Values (DRVs) for vitamin D. The Panel considers that serum 25(OH)D concentration, which reflects the amount of vitamin D attained from both cutaneous synthesis and dietary sources, can be used as biomarker of vitamin D status in adult and children populations. The Panel notes that the evidence on the relationship between serum 25(OH)D concentration and musculoskeletal health outcomes in adults, infants and children, and adverse pregnancy-related health outcomes, is widely variable. The Panel considers that Average Requirements and Population Reference Intakes for vitamin D cannot be derived, and therefore defines Adequate Intakes (AIs), for all population groups. Taking into account the overall evidence and uncertainties, the Panel considers that a serum 25(OH)D concentration of 50 nmol/L is a suitable target value for all population groups, in view of setting the AIs.
- For adults, an AI for vitamin D is set at 15 ug/day, based on a meta-regression analysis and considering that, at this intake, most of the population will achieve a serum 25(OH)D concentration near or above the target of 50 nmol/L.
- For children aged 1-17 years, an AI for vitamin D is set at 15 ug/day, based on the meta-regression analysis.
- For infants aged 7-11 months, an AI for vitamin D is set at 10 ug/day, based on trials in infants.
- For pregnant and lactating women, the Panel sets the same AI as for non-pregnant non-lactating women, i.e. 15 ug/day.
The Panel underlines that the meta-regression was done on data collected under conditions of minimal cutaneous vitamin D synthesis.
In the presence of cutaneous vitamin D synthesis, the requirement for dietary vitamin D is lower or may even be zero.