10. Production, Metabolism, and Biological Function of Vitamin D 1,25(OH) 2 D 3 1,25(OH) 2 D 3 Vitamin D 3 25(OH)D 3 Prostate Gland, Breast, Colon, Lung Calcium Homeostasis Muscle Health Bone Health Blood pressure regulation Cardiovascular Health Immunomodulation (prevention of autoimmune diseases) Regulation of Cell Growth (cancer prevention) Kidney 25(OH)D 3 =25-hydroxyvitamin D 3 ; 1,25(OH) 2 D 3 = 1,25-dihydroxyvitamin D 3 . Holick MF. Am J Clin Nutr 2004;80(suppl):1678S-88S. D D Milk Orange juice Supplement Cod liver oil Salmon Liver Skin
43. Vitamin D Inadequacy = hypovitaminosis D serum 25(OH)D 3 levels < 30 ng/ml (≈ 75 nmol/L) Please note: These cutpoints are a general guideline only. Determination of vitamin D status Vitamin D Deficiency Vitamin D Insufficiency Serum 25(OH)D 3 < 10 ng/mL (≈ 25 nmol/L) 10–30 ng/mL (≈ 25-75 nmol/L)
54. Effect of Season and Skin Color on Vitamin D Insufficiency (NHANES III) Nesby-O’Dell, AJCN 2002 African American : 1546 And White Women: 1426 Age: 15-49
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62. How Can We Correct Vitamin D Insufficiency? Mastaglia, ASBMR 2003 34 Subjects from Buenos Aires were randomized into 3 groups. 50% of the 5,000 IU group 75% of the 10,000 IU achieved vitamin D values > 34 ng/ml after 3 months of supplementation.