Consultant Endocrinologist and Diabetologist, Professor & Head, Department of Endocrinology, St. John's Medical College and Hospital, Bengaluru, Karnataka, India; Corresponding Author.
J Assoc Physicians India. 2023 May;71(5):11-12. doi: 10.5005/japi-11001-0240.
To maintain a healthy skeleton, vitamin D is crucial for phosphate as well as calcium uptake. It is of great significance for maintaining the various adaptive and innate immune response components. To reduce the development of various immune-related disorders, such as diabetes, hypertension, cardiovascular diseases, rheumatoid arthritis, and coronavirus disease 2019 (COVID-19), numerous studies evaluating the optimal threshold levels for serum 25-hydroxyvitamin D [25(OH)D]. It is documented in various evidence to increase the serum 25(OH)D intake from the current mindset of 30-50 ng/mL to attain the best overall vitamin D benefits. These values are in line with the results of various research showing that increased vitamin D intake is linked to a decreased risk of cancer and cardiovascular diseases. Therefore, it becomes vital to understand the "right" vitamin D levels to avoid deficiency along with its related disorders. In contrast to 30 ng/mL, this review emphasizes the significance of increasing vitamin D levels to 50 ng/mL to obtain several physiological benefits. An individual needs at least 60000 IU for 12 weeks to maintain serum vitamin D levels above 30 ng/mL. The article will interest physicians who desire to profit fully from vitamin D's influence on clinical practice.
为了维持健康的骨骼,维生素 D 对磷酸盐和钙的吸收至关重要。它对于维持各种适应性和先天免疫反应成分具有重要意义。为了降低各种与免疫相关的疾病的发展,如糖尿病、高血压、心血管疾病、类风湿关节炎和 2019 年冠状病毒病(COVID-19),许多研究评估了血清 25-羟维生素 D [25(OH)D] 的最佳阈值水平。各种证据表明,需要从目前 30-50ng/mL 的血清 25(OH)D 摄入量增加,以获得最佳的整体维生素 D 益处。这些数值与增加维生素 D 摄入与降低癌症和心血管疾病风险的研究结果一致。因此,了解“正确”的维生素 D 水平以避免缺乏及其相关疾病变得至关重要。与 30ng/mL 相比,本综述强调了将维生素 D 水平提高到 50ng/mL 以获得多种生理益处的重要性。一个人需要至少 60000IU 连续 12 周才能将血清维生素 D 水平维持在 30ng/mL 以上。这篇文章将引起那些希望从维生素 D 对临床实践的影响中充分获益的医生的兴趣。