Title |
High-Dose Vitamin D: Helpful or Harmful?
|
---|---|
Published in |
Current Rheumatology Reports, March 2011
|
DOI | 10.1007/s11926-011-0175-9 |
Pubmed ID | |
Authors |
Karen E. Hansen |
Abstract |
If the optimal serum 25(OH)D level for skeletal health is 30 ng/mL or greater, then vitamin D insufficiency is widespread, affecting about 75% of adults based on a recent survey of more than 20,000 Americans. However, after a comprehensive analysis of existing research studies, the Institute of Medicine recently concluded that nearly all individuals are vitamin D replete when their 25(OH)D levels are 20 ng/mL or greater. Furthermore, two recent publications challenge the belief that 25(OH)D levels greater than 30 ng/mL are optimal for bone health. In a randomized, placebo-controlled trial, high-dose, once-yearly vitamin D therapy increased the incidence of fractures and falls. The second study reported that high-dose vitamin D did not reduce levels of parathyroid hormone or bone resorption among adults with 25(OH)D levels less than 32 ng/mL at baseline. It is time to question whether serum 25(OH)D levels of 30 ng/mL or greater are necessary for all individuals. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 1 | 33% |
Canada | 1 | 33% |
Unknown | 1 | 33% |
Demographic breakdown
Type | Count | As % |
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Practitioners (doctors, other healthcare professionals) | 1 | 33% |
Scientists | 1 | 33% |
Members of the public | 1 | 33% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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United States | 1 | 2% |
Sweden | 1 | 2% |
Canada | 1 | 2% |
Unknown | 46 | 94% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 9 | 18% |
Student > Postgraduate | 7 | 14% |
Student > Bachelor | 7 | 14% |
Researcher | 4 | 8% |
Student > Ph. D. Student | 4 | 8% |
Other | 10 | 20% |
Unknown | 8 | 16% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 23 | 47% |
Agricultural and Biological Sciences | 7 | 14% |
Pharmacology, Toxicology and Pharmaceutical Science | 3 | 6% |
Biochemistry, Genetics and Molecular Biology | 2 | 4% |
Nursing and Health Professions | 1 | 2% |
Other | 4 | 8% |
Unknown | 9 | 18% |