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25-Hydroxyvitamin D as a Biomarker of Vitamin D Status and Its Modeling to Inform Strategies for Prevention of Vitamin D Deficiency within the Population.

Advances in nutrition (Bethesda, Md.)
November 1, 2017
Kevin D Cashman et al. (6 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to review current knowledge on modeling vitamin D-relevant data, including dietary sources like dairy, to understand population vitamin D status and inform public health strategies.

Results Summary

The study highlights the importance of 25(OH)D measurement and modeling to assess vitamin D deficiency, emphasizing the potential of food-based solutions, including dairy, to improve vitamin D status and bone health.

Population

General population in North America and Europe

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (13)
InterventionDirectionEndpointPopulationDosageImpactClaim #
ergocalciferol
neutral
vitamin D intake estimates
-
-
potential effect
#1
25(OH)D
neutral
vitamin D intake estimates
-
-
potential effect
#2
meteorological data on UVB availability
neutral
population serum 25(OH)D concentration
-
-
can help predict
#3
food-based approaches
decrease
low vitamin D status
-
-
can help inform policymakers on strategic options on addressing
#4
supplementation
decrease
low vitamin D status
-
-
can help inform policymakers on strategic options on addressing
#5
vitamin D
increase
vitamin D status
-
-
synergies
#6
other dairy food-based micronutrients
increase
vitamin D status
-
-
synergies
#7
vitamin D
increase
bone health
-
-
synergies
#8
other dairy food-based micronutrients
increase
bone health
-
-
synergies
#9
vitamin D supplements
increase
vitamin D status
-
-
interactions
#10
season
neutral
vitamin D status
-
-
interactions
#11
vitamin D supplements
increase
health
-
-
interactions
#12
season
neutral
health
-
-
interactions
#13
Abstract

There is substantial evidence that the prevalence of vitamin D deficiency is unacceptably high in the population, and this requires action from a public health perspective. Circulating 25-hydroxyvitamin D [25(OH)D] is a robust and reliable marker of vitamin D status and has been used by numerous agencies in the establishment of vitamin D dietary requirements and for population surveillance of vitamin D deficiency or inadequacy. In a wider context, modeling of serum 25(OH)D data and its contributory sources, namely dietary vitamin D supply and UVB availability, can inform our understanding of population vitamin D status. The aim of this review is to provide the current status of knowledge in relation to modeling of such vitamin D-relevant data. We begin by highlighting the importance of the measurement of 25(OH)D and its standardization, both of which have led to new key data on the prevalence of vitamin D deficiency and inadequacy in North America and Europe. We then overview how state-of-the-art modeling can be used to inform our understanding of the potential effect of ergocalciferol and 25(OH)D on vitamin D intake estimates and how meteorological data on UVB availability, when coupled with other key data, can help predict population serum 25(OH)D concentration, even accounting for seasonal fluctuations, and lastly, how these in silico approaches can help inform policymakers on strategic options on addressing low vitamin D status through food-based approaches and supplementation. The potential of exemplar food-based solutions will be highlighted, as will the possibility of synergies between vitamin D and other dairy food-based micronutrients, in relation to vitamin D status and bone health. Lastly, we will briefly consider the interactions between season and vitamin D supplements on vitamin D status and health.

Medical Subject Headings (MeSH)
BiomarkersDietary SupplementsEuropeHumansNorth AmericaNutritional RequirementsNutritional StatusPopulation SurveillanceSeasonsVitamin DVitamin D Deficiency
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations88
Citations/Year11.0
Relative Citation Ratio4.60
NIH Percentile92.1%
Research Impact Scores
APT Score0.95
Weight Score2.29
Normalized Score0.67
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