Vitamin D

 

This nutrient plays a vital role in bone formation and maintenance, largely by regulating calcium and phosphorus concentrations in the blood.

 

In children, a shortage of vitamin D can cause rickets, in which bones soften and become deformed. In adults, vitamin-D deficiency can lead to bone loss and fractures triggered by an overactive thyroid.

 

Natural sources of vitamin D in food are limited to a few items such as liver and fat from saltwater fish, seals, and polar bears, as well as eggs from hens that have been fed vitamin D. For this reason, cow's milk is artificially fortified with 400 International Units (IU) of vitamin D per quart. Some margarines, too, are fortified. So are some cereals.

 

Vitamin D is also manufactured by the human body in response to sunlight. This complicates the setting of dietary requirements. People who live in sunny latitudes or spend most of their time outdoors may need no dietary vitamin D, while people at high latitudes who remain cooped up for long periods may need a lot. To further confuse the issue, race and age may play a role: darker skin needs more sunlight to produce vitamin D, and so may the skin of people over 60.

 

It is also relatively easy to get too much vitamin D. For older people, toxic levels may be less than five times the Food and Nutrition Board's (FNB's) Adequate Intake (AI). (See "Upper Limit," below.) Overconsumption can lead to calcium deposits in soft tissues and irreversible kidney and cardiovascular damage.

 

Vitamin D and Osteoporosis

 

Vitamin D supplements, when combined with calcium supplements, have been shown to help prevent bone loss and fractures in the elderly. Some experts recommend daily supplements, especially for people who are past 60, have dark skin, live at high latitudes, or spend most of their time indoors.

 

Your Daily Allowance

 

On November 30, 2010, the U.S. Food and Nutrition Board (FNB) revised its recommendations for vitamin D intake. DietPower has adjusted its Personal Daily Allowance accordingly.

 

Below are DietPower's old Personal Daily Allowances, followed by the new.

 

Old Allowances

 

Formerly, DietPower set your Personal Daily Allowance (PDA) of vitamin D at the FNB's Adequate Intake (AI). (The AI was designed only for people who didn't get "adequate exposure to sunlight," however. DietPower recommended that others read "Revising Your Allowance," below.)

 

The AI, as measured in the International Units (IU) used on food labels, was 200 for people 0* through 50 years old, 400 for people 51 through 70, and 600 for people over 70. During pregnancy and lactation it was 200 IU.

 

New Allowances

 

In April 2011, DietPower's Personal Daily Allowances (PDAs) began reflecting new Recommended Dietary Allowances (RDAs) announced by the U.S. Food and Nutrition Board. The new PDAs, measured in the International Units (IU) used on food labels, are 600 for people 14 to 70 years old, 800 for people over 70, and 600 for females 14 to 50 who are pregnant or lactating. (If you specify that you are over 50 and pregnant or lactating, DietPower sets your PDA at the nonpregnant figure: 600 for age 51 to 70 or 800 for age 71 and up.)

 

To see whether your DietPower reflects the new PDAs...

 

...click Help > About DietPower at the top of the software's Home Screen. A dialog will open, showing your DietPower's "build date." If the build date is August 19, 2009, or older, your DietPower is still using the old vitamin D defaults. To see if a later build is available, contact DietPower.

 

Special Needs

 

Patients on glucocorticoid therapy may need extra vitamin D.

 

According to the American Academy of Pediatrics (AAP), children and teens* may also need extra vitamin D, especially if they don't drink at least 17 fluid ounces of milk per day or get regular exposure to sunlight. In October 2008, the Academy announced that it was doubling its recommended daily allowance of vitamin D for children to 400 IU per day. This is the amount provided by most multivitamin supplements. (Note, however, that the Food and Nutrition Board's 2010 recommendations, described above, are now 50-percent higher than the AAP's.)

 

* But remember that DietPower is not designed for people under 14.

 

Revising Your Allowance

 

If your doctor recommends changing your PDA, use the Personal Daily Allowance Editor.

 

Upper Limit

 

For teenagers and adults, the Tolerable Upper Intake Level (UL) of vitamin D is 4000 IU per day. Getting more than the UL may be harmful to your health. (Until November 30, 2010, the UL was 2000 per day. The U.S. Food and Nutrition Board doubled it on that date.)

 

If a label cites vitamin D in micrograms...

 

...you can convert them to IUs. See International Units of Vitamin D.

 

Color Coding of This Nutrient

 

The vitamin-D bar in your personal Nutrient History is:

In the nutrient profile of a food or recipe, the vitamin-D bar is:

How Complete Are DietPower's Vitamin D Readings?

 

For the 8500 generic items in the Food Dictionary: terribly incomplete. About 95 percent list their vitamin D content as "unknown."

 

For the 2500 chain-restaurant items: totally incomplete. All list vitamin D as "unknown."

 

For all 11,000 items combined: terribly incomplete. About 96 percent list vitamin D as "unknown."

 

To see whether a particular food has a vitamin D reading, open the Food Dictionary and check the food's nutrient profile. If you find a question mark beside "Vitamin D," it means the amount is unknown. (To see all foods with unknown vitamin D readings, click the dictionary's PowerFoods tab and sort the foods by vitamin-D power; then scroll toward the bottom of the list until you see foods with question marks in the "Power Rating" column.)

 

Vitamin D on Food Labels

 

Most food labels are not required to report vitamin-D content, but vitamin D-fortified milk and margarine do. They may cite the amount in International Units (IU) or as a percentage of the Daily Value.

 

The Daily Value for vitamin D is 400 IU. As suggested above, this amount may not be right for youit is a gross estimate meant to accommodate most of the U.S. population.

 

For more on label regulations, see Labels, Food.

 


 

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Last Modified: 4/1/11