Radlović Nedeljko, Mladenović Marija, Simić Dusica, Radlović Petar
University Children's Hospital, Belgrade, Serbia.
Srp Arh Celok Lek. 2012 Jan-Feb;140(1-2):110-4.
Vitamin D, i.e., 1.25(OH)2D, is an essential factor, not only of homeostasis of calcium and phosphorus, but also of cell proliferation, differentiation and apoptosis, immune and hormonal regulation, as well as other body processes.Thus, its optimal presence in the body is of exceptional significance for health, both of children, as well as adults and elderly persons. Today, it is known that the lack of vitamin D, besides having negative effects on the skeleton and teeth, also contributes to the development of various malignancies, primarily of the large bowel, prostate and breasts, as well as of autoimmune and allergic diseases, diabetes mellitus type II, arterial hypertension and others. Considered from the biological aspect, physiological requirements in vitamin D are achieved by cutaneous synthesis from 7-dehydrocholesterol during sun exposure, while, except rarely, it is very scarce in food. Having in mind extensive evidence that sun exposure presents a high risk for the development of skin malignancies, primarily melanoma, it is clear that humans are deprived of the natural and basic source of vitamin D. In accordance, as well as based on numerous epidemiological studies showing the increase of diseases, in the basis of which vitamin D deficiency plays the important role, next led to the recommended dietary allowance of vitamin D, regardless of age. According to current attitudes, it is recommended that the daily dietary allowances of vitamin D, i.e., the quantity of oral intake that would safely cover the optimal body requirements should be 400 IU for ages 0-18 years, 600 IU for ages 19-70 years and 800 IU for persons aged over 70 years.
维生素D,即1,25-二羟维生素D,不仅是钙和磷稳态的重要因素,也是细胞增殖、分化和凋亡、免疫和激素调节以及其他身体过程的重要因素。因此,其在体内的最佳存在对儿童、成年人和老年人的健康都具有特殊意义。如今,人们知道维生素D缺乏除了对骨骼和牙齿有负面影响外,还会导致各种恶性肿瘤的发生,主要是大肠癌、前列腺癌和乳腺癌,以及自身免疫性和过敏性疾病、2型糖尿病、动脉高血压等。从生物学角度来看,维生素D的生理需求可通过阳光照射期间皮肤从7-脱氢胆固醇合成来实现,而除极少数情况外,食物中维生素D含量非常稀少。鉴于有大量证据表明阳光照射会带来皮肤恶性肿瘤,主要是黑色素瘤的高发病风险,显然人类被剥夺了维生素D的天然和基本来源。相应地,基于众多流行病学研究显示疾病增加,而维生素D缺乏在其中起重要作用,接下来得出了无论年龄的维生素D膳食推荐摄入量。根据目前的观点,建议维生素D的每日膳食摄入量,即能安全满足身体最佳需求的口服摄入量,0至18岁应为400国际单位,19至70岁应为600国际单位,70岁以上人群应为800国际单位。