National Osteoporosis Society Practical Clinical Guideline on Vitamin D and Bone Health
Maturitas: November 27, 2014, DOI: http://dx.doi.org/10.1016/j.maturitas.2014.11.018
R.M. Francisemail, T.J. Aspray, C.E. Bowring, W.D. Fraser, N.J. Gittoes, M.K. Javaid, H.M. Macdonald, S. Patel, P.L. Selby, N. Tanna
Download the PDF from Vitamin D Life.
There is growing interest in the importance of vitamin D in the maintenance of bone health and the prevention of falls and fractures. Although there is no universal consensus on the criteria for vitamin D deficiency, this is common in the UK, particularly in frail older people [1]. This has resulted in a marked increase in requests for serum 25 hydroxyvitamin D (25OHD) estimation, but there has been confusion about the indications for these measurements, interpretation of the results and the management of vitamin D deficiency.
Quotes from PDF with comments by Vitamin D Life
- For average adult
They do not mention dark skin, obese, pregnant, child, or senior - “Serum 25OHD measurements are not recommended in asymptomatic healthy individuals with no evidence of bone disease.”
- >20 ng is sufficient for almost the whole population
- “Patients with a serum 25OHD above 50 nmol/L should be reassured and given advice on maintaining adequate vitamin D levels through safe sunlight exposure and diet. “
No suggestion about supplementing: just sunlight and diet
No comment about the cofactors REQUIRED for bone health - “Vitamin D2 may be preferred by vegetarians and patients who wish to avoid vitamin D of animal origin because of religious or cultural beliefs”
They appear to be unaware of the availability of vitamin D3 made from plants - “ Oral administration of vitamin D is recommended, because of unpredictable bioavailability and slower correction of vitamin D deficiency with intramuscular preparations (7,8).”
Appear to be unaware of topical, vaginal, sublingual, etc - “Loading doses should provide a total of approximately 300,000 IU (7,500 µg) vitamin D, given either as weekly or daily doses.
Overview Loading of vitamin D has many other opinions on loading doses around the world - “Maintenance treatment should be considered one month after loading, with doses equivalent to 800 to 2,000 IU”
half of seniors got ZERO improvement from 1600 IU - The only references in the PDF after 2010 were to Vitamin D2 studies
See also Vitamin D Life
- Overview Osteoporosis and vitamin D
- Vitamin D and Bone Health – UK National Osteoporosis Society – April 2013
- National Osteoporosis Society of UK declares that 12 ng of vitamin D is enough – June 2013 same group!
- European Osteo group recommends 20-50 ng of vitamin D – Jan 2013
- Is 50 ng of vitamin D too high, just right, or not enough
- Korea proposes vitamin D of 20 ng, but notes 20ng increases osteo by 50 percent – Oct 2012
- Vitamin D, K2, Magnesium, etc increase bone density when taking together– Jan 2012
- 30 to 50 ng of vitamin D is optimal – Central Europe consensus Sept 2013
- Dark Skinned adults need more than 45 minutes of UK summer sun daily – June 2013
- 8X higher Osteoporosis risk if high level of vitamin A, vitamin D important too – Feb 2013
- Overview - Bone Fractures
- Overview: Vitamin D and falling
- Hypothesis: increased bone mineral density needs protein, Ca, Mg, Vitamin D and K