Vitamin D: do you really need supplements?




Vitamin D, the amazing sunshine vitamin, is a fat soluble steroid hormone essential for the human body and its absence can provide a number of complications. After all, it controls 270 genes, including cells of the cardiovascular system.

The main source of production of vitamin is through sun exposure, since the ultraviolet rays of type B (UVB) are able to activate the synthesis of the substance.

Some foods, especially fatty fish, are sources of vitamin D, but the sun is responsible for 80-90% of the vitamin that the body receives. It can also be produced in the laboratory and be administered as a supplement, when there is a deficiency and for the prevention and treatment of a number of diseases.

Vitamin D is necessary for the maintenance of bone tissue, it also greatly influences the immune system, is interesting for the treatment of autoimmune diseases such as rheumatoid arthritis and multiple sclerosis, and cellular differentiation process, the absence of this nutrient favors 17 cancers.

This substance also acts in hormone secretion and several chronic diseases, including metabolic syndrome, which has as one of the components the type 2 diabetes.

Consumption of vitamin D is essential for pregnant women, because the lack of it can lead to miscarriages in the first quarter. At the end of pregnancy, lack of nutrient favors preeclampsia and increases the chances of the child being autistic.

Vitamin D has been called this way in 1922, because at that time it was believed that it could only be obtained through the diet. She was named D for being the fourth substance discovered after the vitamins A, B and C.

From the 1970s researchers found that vitamin D could be synthesized by the body, that is, in reality it is a hormone, not a vitamin.

Proven benefits of vitamin D

Strengthens the bones: vitamin D is required for absorption of calcium by the bones. People with vitamin D deficiency come to enjoy less than 30% from dietary calcium.

Calcium is responsible for strengthening bones and teeth. Deficiency of this nutrient can cause rickets in children and osteoporosis in later life. An example of the importance of combining these two substances is that whenever calcium supplementation recommendation is indicated it is made along with vitamin D to work in the absorption of the mineral.

A survey by the University of Zurich with 40,000 people over 65 years noted that vitamin D supplementation reduces to 20% the risk of hip fractures and other regions with the exception of the spine.

Protects the heart: vitamin D participates in the control of contractions of the heart muscle, needed to pump blood through the body. Moreover, it allows the relaxation of blood vessels and influences the production of the main hormone regulating blood pressure, renin.

The lack of vitamin D can lead to calcium accumulation in the artery, favoring the risk of plaque formation. With all these issues, the chances of developing cardiovascular diseases such as heart failure, stroke and heart attack are higher in people with vitamin D deficiency.

A survey of 50,000 men by the Harvard School of Public Health for ten years found that those who had vitamin D deficiency had twice as likely to suffer a heart attack than men who had no disability.

Safe pregnancy: Vitamin D is very important for pregnant women. In the first quarter the lack of it can lead to miscarriages. In cases of multiple miscarriages early in pregnancy, it may be that the mother's immune system is rejecting the implantation of the embryo. Because vitamin D acts on the immune system, it can correct this problem.

Furthermore, at the end of pregnancy, the absence of vitamin D may cause pre-eclampsia condition in which the pregnant woman develops high blood pressure. After all, this substance influence in the production of renin, the main hormone regulating blood pressure. Lack of vitamin D also increases the chances of the child being autistic, because it is important for the development of the baby's brain.

Research published in The American Journal of Clinical Nutrition made over 1,000 pregnant women found that when women take in vitamin D the baby risks develop breathing problems decrease.

Another study done by the University of South Carolina, the United States, with 500 pregnant women noted that vitamin D supplementation prevents problems such as gestational diabetes, premature birth and infections.

Good to prevent and control diabetes: The fact of vitamin D influence the production of renin is also interesting to prevent diabetes, because the lack of this substance favors the disease. Moreover, the production of insulin by the pancreas requires the participation of vitamin D.

Because Type 1 diabetes is an autoimmune disease, vitamin D becomes interesting to be an immunoregulatory that selectively inhibits the type of immune response that causes the reaction against the organism itself.

A study by the Institute of Child Health in England followed 10,000 Finnish children from birth and found that those who regularly received vitamin supplements were 90% less likely to develop type 1 diabetes.

Good for the muscles: Vitamin D contributes to the muscle strength, so its absence leads to loss of that strength and increases the risk of falls and fractures. A survey by the University of Zurich with people over 65 years found that the consumption of vitamin D can reduce the risk of falls by 19%.



Rich  foods  in vitamin D

A healthy adult needs to consume an average of 5 micrograms per day of vitamin D and ensure exposure to sunlight for 20 minutes a day, without the use of sunscreen.

The main dietary sources of vitamin D are fish and seafood, such as salmon, mackerel or shellfish. The mushrooms when exposed to ultraviolet light, also increase the amount of vitamin D.

Other food sources of vitamin D are:

  • Cod liver oil
  • Canned tuna in water
  • Canned sardines in oil
  • Milk, yogurt and cheese
  • Beef or veal liver
  • Egg yolk
  • Some fortified cereals

Few foods contain vitamin D naturally. But there is the option of consuming foods fortified with vitamin D, as we can easily find the butters, margarines and yogurts, for example.

Vitamin D deficiency

Vitamin D comes in two forms: vitamin D2 (ergocalciferol), which is in yeast that was exposed to ultraviolet rays (irradiation) and vitamin D3 (cholecalciferol), which is found in fish liver oils and egg yolk.

Vitamin D3 is also produced in the skin when exposed to ultraviolet rays, as with sunlight. The milk may be reinforced by any of the forms of vitamin D.

In the liver, vitamin D becomes so as to be carried by the blood. In the kidney, this medium was subsequently modified to produce vitamin D-derived hormone, whose primary function is to increase the absorption of calcium in the intestine and to facilitate normal bone formation.

In case of vitamin D deficiency, calcium values and blood phosphorus decreases, causing bone disease because there is not sufficient available calcium to maintain healthy bones. This is called rickets in children and osteomalacia in adults.

Vitamin D deficiency may be the result of inadequate exposure to sunlight or absence of Vitamin D in the diet. Vitamin D deficiency during pregnancy can cause osteomalacia in women, and rickets in the newborn.

Given that human milk does not contain large amounts of vitamin D, infants may develop rickets, even in the tropics, if they are protected from the sun.

This deficiency in the elderly appears because the skin produces less vitamin D, even when exposed to sunlight. There are also several uncommon inherited forms of rickets caused by vitamin D metabolism change.
Symptoms, diagnosis and treatment

Muscle spasms caused by a low calcium concentration can be the first sign of rickets in infants.

An older child may take some more time to start to sit, and crawl, and the spaces between the bones of the skull could also take more time to close.

Children aged between 1 and 4 years have an abnormal curvature of the spine, bowed legs and inside knees, and can take time to learn to walk.

Older children and adolescents may have pain when they walk. The flattening of the pelvic bones in adolescent girls can cause narrowing of the birth canal. In adults, calcium loss from the bones, particularly the spine, legs and pelvis, causes weakness and can lead to fractures.

The rickets and osteomalacia can be cured by administering vitamin D orally at doses equivalent to five times the recommended daily amount for 2 or 3 weeks. Certain hereditary forms of rickets usually improve when treated with vitamin D hormone.

If you think you need vitamin D, you should adapt your diet. Nonetheless you can use supplements. You can buy it here (with the quality and safety recognized to Amazon):