Apart from Vitamin D’s well known role in maintaining calcium balance for skeletal health, vitamin D is believed to be involved in the development of many cancers including breast cancer. Research has shown that vitamin D has an important role in regulating the way cells grow and divide, and in maintaining immunity, therefore vitamin D deficiency may have implications in the development of cancer.
A recent Canadian study showed that only 24% of women had adequate vitamin D levels at the time of their breast cancer diagnosis. The remaining women had either deficient (<50 nmol/L) or insufficient vitamin D levels. The study also showed that vitamin D deficiency was associated with a poorer prognosis.
Despite Australia having plenty of sunshine many people have inadequate levels of vitamin D. It has been estimated that 4-8% of adults in Australia have vitamin D levels below 28 nmol/L, levels considered mildly deficient. People at particularly high risk of vitamin D deficiency are the elderly, people who spend little time outdoors or fully cover their body, pregnant and lactating women, and those with darker skin colour.
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Criteria for vitamin D deficiency Adequate >72 nmol/L Insufficient 50-72 nmol/L Mild Deficiency 25 – 50 nmol/L Moderate Deficiency 12.5 – 25 nmol/L Severe Deficiency <12.5 nmol/L |
The main source of vitamin D is from the conversion of ultraviolet light (UV-B) from the sun to vitamin D in our skin. In addition foods such as oily fish, eggs, margarine, and fortified dairy foods contain vitamin D.
The recommended dietary intakes for vitamin D for Australians and New Zealanders are shown in the table below. Adequate intake could also be achieved by spending 5 to 6 minutes in the sun with full body exposure in the summer months, or exposure of the face, hands and forearm to sunlight for 15-30 minutes, 2-3 times per week.
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Recommended adequate intake (AI) of vitamin D 19-50 years 5.0 mg/day 51-70 years 10.0 mg/day >70 years 15.0 mg/day |
Refs: (or should you put: Refs available upon request)
3. Nutrient Reference Values for Australia and New Zealand including Recommended Dietary Intakes . 9-8-2005. Australian Government Department of Health and Ageing, National Health and Medical Research Council.