The role of Vitamin
D in the growth of bones and formation of teeth is well known. Severe
deficiency of this vitamin leads to brittle bones, a disease known as rickets
in children and osteomalacia in adults. However, there’s more to the ‘sunshine
vitamin’ than bone health.
In addition to its
role in maintaining calcium and phosphorus balance, Vitamin D maintains maximum
muscle strength, inhibits inflammatory activity and prevents many diseases
related to the immune system, including Type I diabetes, multiple sclerosis,
systemic lupus erythematosus (SLE), rheumatoid arthritis and many common
cancers. Low levels of Vitamin D have also been linked to hypertension,
cardiovascular disease, Type II diabetes mellitus, infectious diseases,
tuberculosis, asthma, psoriasis and even depression.
Vitamin D
deficiency is found even in countries like India, where sunlight is abundant.
Though this vitamin is naturally present in very few foods, it is added to
foods through fortification in developed countries. Due to this, deficiencies
are uncommon. Rich food sources include fish, oils, ghee, butter and egg yolk.
Compared to fish-liver oil, which is the best dietary source of Vitamin D,
other foods are quite low in this vitamin. Ideally, a diet that includes dairy
products, fish and egg yolk, coupled with adequate exposure to sunshine, should
prevent Vitamin D deficiency.
When exposed to
sunlight, a cholesterol derivative beneath the skin produces vitamin D3, which
is the animal form of this vitamin. An exposure of half an hour a day, around mid-day
(11 am to 3 pm), is recommended for preventing deficiency.
In India,
Vitamin D deficiency is more common in pregnant women, schoolchildren, young
adults and elderly. Vitamin D deficiency can occur without any symptoms but
when symptoms occur, it indicates severe deficiency. Vigilance of one’s Vitamin
D status by the yearly measurement of 25-hydroxyvitamin D, the storage form of
this vitamin, which correlates best with deficiency symptoms, is suggested to
be a part of an annual physical examination.
Vitamin D
as a hormone influences many glands and tissues, including pancreas (insulin
secretion), the parathyroid glands, pituitary gland, ovaries, testes, colon,
placenta, uterus, heart, thymus, mammary tissue and brain (cerebellum).
Another
role of this hormone is as an immunity enhancer. In a study, a third of the
subjects suffering from tuberculosis were found to have Vitamin D deficiency
and supplementation enhanced their recovery.
Studies
have also found a relationship between Vitamin D and multiple sclerosis.
Vitamin D deficiency also increases the risk of respiratory infections as well.
High intake of Vitamin D by pregnant mothers reduces the risk of asthma by as
much as 40 per cent in children (3-5 years old). Providing adequate vitamin D
supplementation in pregnancy may lead to significant decrease in asthma
incidence in children.
Low
levels of Vitamin D have been associated with Type 1 and Type 2 diabetes.
Higher levels of Vitamin D in blood help reduce the risk of Type 2 diabetes by
almost 40 per cent.
If
adequate exposure to sunshine is not possible, supplements must be taken
strictly under medical supervision.
Take care, stay healthy stay wealthy :-)
Take care, stay healthy stay wealthy :-)
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