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Current vitamin D status in European and Middle East countries and strategies to prevent vitamin D deficiency: a position statement of the European Calcified Tissue Society
- Source :
- European Journal of Endocrinology, 180(4), P23-P54. BioScientifica Ltd., Lips, P, Cashman, K D, Lamberg-Allardt, C, Bischoff-Ferrari, H A, Obermayer-Pietsch, B, Bianchi, M L, Stepan, J, Fuleihan, G E-H, Bouillon, R & on behalf of the Working Group on Vitamin D of the European Calcified Tissue Society 2019, ' Current Vitamin D status in European and Middle East countries and strategies to prevent Vitamin D deficiency: A position statement of the European Calcified Tissue Society ', European Journal of Endocrinology, vol. 180, no. 4, pp. P23-P54 . https://doi.org/10.1530/EJE-18-0736
- Publication Year :
- 2019
- Publisher :
- Oxford University Press (OUP), 2019.
-
Abstract
- Vitamin D deficiency (serum 25-hydroxyvitamin D (25(OH)D) 10% of Europeans. The European Calcified Tissue Society (ECTS) advises that the measurement of serum 25(OH)D be standardized, for example, by the Vitamin D Standardization Program. Risk groups include young children, adolescents, pregnant women, older people (especially the institutionalized) and non-Western immigrants. Consequences of vitamin D deficiency include mineralization defects and lower bone mineral density causing fractures. Extra-skeletal consequences may be muscle weakness, falls and acute respiratory infection, and are the subject of large ongoing clinical trials. The ECTS advises to improve vitamin D status by food fortification and the use of vitamin D supplements in risk groups. Fortification of foods by adding vitamin D to dairy products, bread and cereals can improve the vitamin D status of the whole population, but quality assurance monitoring is needed to prevent intoxication. Specific risk groups such as infants and children up to 3 years, pregnant women, older persons and non-Western immigrants should routinely receive vitamin D supplements. Future research should include genetic studies to better define individual vulnerability for vitamin D deficiency, and Mendelian randomization studies to address the effect of vitamin D deficiency on long-term non-skeletal outcomes such as cancer.
- Subjects :
- medicine.medical_specialty
Pediatrics
11221 Clinic for Geriatric Medicine
Endocrinology, Diabetes and Metabolism
Population
610 Medicine & health
030209 endocrinology & metabolism
vitamin D deficiency
Middle East
03 medical and health sciences
0302 clinical medicine
Endocrinology
Internal medicine
Mendelian randomization
medicine
Vitamin D and neurology
Humans
030212 general & internal medicine
Vitamin D
education
Societies, Medical
2. Zero hunger
education.field_of_study
business.industry
Food fortification
Calcinosis
Respiratory infection
General Medicine
Vitamin D Deficiency
medicine.disease
1310 Endocrinology
3. Good health
Europe
Diabetes and Metabolism
Clinical trial
2712 Endocrinology, Diabetes and Metabolism
Dietary Supplements
Secondary hyperparathyroidism
business
Subjects
Details
- ISSN :
- 1479683X and 08044643
- Volume :
- 180
- Database :
- OpenAIRE
- Journal :
- European Journal of Endocrinology
- Accession number :
- edsair.doi.dedup.....24f2eb0172c617743b527d7d522bf7bf