Increase Vit D RDA’s Say Scientists

On July the 28th 2010 the Journal Experimental Biology and Medicine published an article looking at the levels of Vitamin D in the general population and made recommendations concerning the RDA levels needed to limit osteomalacia in adults and rickets in children.[1] This they say is because scientists and nutritionists from many countries agree that at present about half of elderly North Americans and Western Europeans and probably also of the rest of the world are not receiving enough vitamin D to maintain healthy bone. This is nothing new to this web site or indeed the thousands of people that have been following this story for the last 10 years.

The paper goes on to say that over the past decade there has been a  dramatic increase in the understanding of the many biological actions that result from vitamin D acting through its daughter steroid  hormone, 1α,25-dihydroxyvitamin D3 [1α,25(OH)2D3] in collaboration with its cognate vitamin D receptor (VDR). In other words Vitamin D does more than support bone health.

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Vitamin A: The Key to A Tolerant Immune System?

By Michael Ash, BSc(Hons). DO. ND. FellowDipION

Vitamin D and Vitamin A are essential co-partners in immunological and bone health.[1],[2] I’m particularly excited about vitamin A because of its profound effects on the gut mucosal immune system—a specialty of mine. Just as vitamin D has attracted attention for its ability to increase antimicrobial peptides and help us defeat pathogens, it’s fascinating to me that vitamin A is also essential for the very tissues that protect us from the same pathogens.

The availability of vitamin A in our food is a key factor in a tolerant, highly functional immune system. To quote from the title of a brilliant commentary in the March 2008 issue of Nature’s Mucosal Immunology, “Vitamin A rewrites the ABCs of oral tolerance.”[3]

Vitamin A is crucial to a very sophisticated bi-directional mechanism that takes place in the digestive system and leads to immune tolerance across the entire gut lining. Immune tolerance is the essence of good health. An intolerant immune system will lead to a wide range of illnesses, and the gut is where many people first lose immune tolerance. Vitamin A (retinoic acid) is key to our ability to consume a wide range of antigens (food) and yet not react adversely, and it’s quite fascinating.

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Do Diets Leave You Micronutrient Deficient?

The shortage of essential micronutrients in the human diet has been linked to multiple health and disease related problems. Dr Bruce Ames has described how the micronutrient triage theory can account for disease induction and more rapid levels of poor quality aging. I have written about the expensive urine myth and how the failure to recognise the differing demands placed by cells at different times can lead to altered and compromised health function.

This paper looks at the nutritional intake of people following a weight loss diet.[1] Based on the USA figures, the authors say that about 1/3 of the population are following some sort of weight loss orientated nutritional programme. The study looked to see if 27 micronutrients could be ingested in sufficient quantities whilst following 4 well known diets to meet minimum RDA levels as determined by the USA regulatory body the FDA.

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When Should I Take Vitamin D?

The question is often asked – when should I take my supplements. Most of the time, this is down to a matter of convenience as much as it is to absorption and nutrient availability.  However this is a very valid question in terms of Vitamin D consumption. Vit D levels have attracted lots of attention over the last few years and included with this has been a number of trials and clinical experiences in which there have been differing levels of success based on supplementation in terms of increased blood levels. This paper out in February 2010 in the Journal of Bone Metabolism[1] helps to explain these anomalies.

Many patients treated for vitamin D deficiency fail to achieve an adequate serum level of 25-hydroxyvitamin D [25(OH)D] despite high doses of ergo- or cholecalciferol.

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Atishoo – that’s D’ one!

Vitamin D Vs Influenza A

Lets face it, right now we are still recovering from the various revelations about the novel variant H1N1 or swine flu non event (in terms of pandemic effects) to be looking to see if we can manage the more common seasonal influenza. Plus spring is in the air and we all know that colds and the flu viruses seem to be less vigorous during the time of the year we actually see the sun!

However a rather neat randomised trial to see if Vitamin D supplementation had any prevention effect in school children adds further weight to the evolving understanding of its innate immune activation potential.[1]

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Could a ‘Bacterial Thali’ Resolve Inflammation? – A Novel Strategy

Michael Ash BSc(Hons) DO, ND, DipION reviews the possibility that strategically selected foods and food concentrates represent a valid therapy for inflammatory illnesses.

There is substantive interest in the potential translation from bench to bedside of simple safe strategies to modify the adverse effects of inflammation. Approaching from a preventative and restorative angle the numbers of papers being published on the role of orally ingested bacteria (probiotics) and in this article – the herb Tumeric (active ingredient of which is curcumin) is presenting increasingly supportive evidence for their reasonable and safe clinical use.

Modern analytical techniques are helping to reveal novel opportunities for inflammation control in the gut and the systemic tissues in new ways that even a few years ago would have been thought of as very alternative!

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Lifestyle Changes Better Than Drugs for Diabetes Prevention

A series of papers out in the New England Journal of medicine on March the 14th 2010 have failed to add any substantive weight to the use of medication in the prevention of diabetes and cardiovascular disease. [1],[2],[3]

The continued expansion of the western global waistline and incidence of diabetes has provided fertile opportunity for a wide range of clinical trials designed to uncover strategies for incidence of diabetes reduction.[4] There is no surprise in the discovery that making significant changes to people’s lifestyles, eating less and being more active, the primary causes of weight gain, also have a consistent reduction in type II diabetes risk. The real success has also been in the associated benefits in reduction of related cardiovascular disease risk[5] and raising of mood.[6]

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Vit D Deficiency = Fat Legs For Young Women!

It’s hard to ignore, it really appears there is a genuine epidemic (occurrence of a disease or disorder in a population at a frequency higher than that expected in a given time period) in progress, and its not H1N1 Flu.

An excellently developed study published in the March 2010 Journal of Clinical Endocrinology and Metabolism found a depressingly high  59% of study subjects had too little Vitamin D in their blood (</=29 ng/ml).[1] Nearly a quarter of the group had serious deficiencies (less than 20 ng/ml) of this important vitamin. Even the sufficient (>/=30 ng/ml) was only 41% and if we were to apply the generally regarded 50ng/ml as the base line for sufficiency, the numbers would decline even further. Since Vitamin D insufficiency is linked to increased body fat, decreased muscle strength and a range of disorders, this is a serious health issue.

The 90 young women in this group aged between 16-22yrs of age had an increased level of fatty tissue when their Vit D levels were low. Abnormal levels of Vitamin D are associated with a whole spectrum of diseases, including cancer, osteoporosis and diabetes, as well as cardiovascular and autoimmune disorders.

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Disease Incidence Prevention by Serum 25(OH)D Level

In the last few years a considerable consensus across the scientific community has begun to emerge concerning the fat soluble nutrient Vitamin D.

Vitamin D is unique – unlike ALL other vitamins very little comes from our food. Almost all of our Vitamin D is produced by the upper surface of our skin during direct exposure to UV radiation in strong sunlight. However in the UK and most of the USA the sun is too low in the sky from November until March to produce any Vitamin D from sunlight exposure. The fat soluble nutrient supplies are meant to rely on a summer exposure to increase our stores to supply what we need during the winter.

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Vitamin D Vs Crohn’s (IBD) & Cancer

Crohns disease is an inflammatory disease of the intestines that may affect any part of the gastrointestinal tract from anus to mouth, causing a wide variety of symptoms. It primarily causes abdominal pain, diarrhoea (which may be bloody), vomiting, or weight loss, but may also cause complications outside of the gastrointestinal tract such as skin rashes, arthritis and inflammation of the eye.[1]

A new study has found that Vitamin D, readily available in supplements or cod liver oil, can counter the effects of Crohn’s disease.[2]

The data collated in this study suggests, for the first time, that Vitamin D deficiency can contribute to Crohn’s disease. Epidemiologically it had already been noted that people from northern countries, which receive less sunlight, necessary for the fabrication of Vitamin D by the human body, are particularly vulnerable to Crohn’s disease.[3]

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