Age Management Medicine News: Vitamin D
 

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Learn about Vitamin D and its importance in an Age Management Medicine program. Vitamin D is actually a very important hormone. It is so important that you are able to make it via your skin from exposure to the sun.

The problem is that a world wide deficiency of Vitamin D has been identified.

Learn about the importance of this hormone to your health and how you can check to be sure that you have optimal levels.

Vitamin D-What You Need To Know
 
An Important Age Management Medicine Hormone

Insufficient vitamin D is linked to virtually EVERY age- related disorder including cancer , vascular disease, and chronic inflammation.

Just to give you an example regarding the importance of this hormone and the role it plays in a healthy immune system, I will discuss its role in preventing upper respiratory infections and the flu.

Adults and children with higher vitamin D levels contract substantially fewer cold, flu, and other viral infections. Specific biological mechanisms have been identified to explain how vitamin D protects against so many human ailments.

Vitamin D from all sources (sunlight, sun lamps, or supplements) reduces the incidence of respiratory infections.

Dutch children with the least sun exposure are twice as likely to develop a cough and three times more likely to develop a runny nose compared with children with the most sun exposure.

When Russian athletes were given sun lamps to stimulate vitamin D synthesis in the body, there were 50% fewer respiratory infections and far fewer days of absence.

Children with the lowest vitamin D serum levels are 11 times more likely to develop respiratory infection. When a high dose of vitamin D was administered (for six weeks) to children with frequent respiratory infections, the result was a complete disappearance of such infections in the following six months.

In a controlled trial of African women, a low dose (800 IU a day) of vitamin D resulted in a three-fold reduction in cold and flu symptoms compared to those given placebo.

Influenza kills around 36,000 Americans each year. Ensuring optimal vitamin D status could reduce influenza incidence and mortality.

Antimicrobial peptides are components of the immune system that protect against bacterial, fungal, and viral infections. Secreted by immune cells throughout the body, antimicrobial peptides damage the outer lipid membrane of infectious agents (including influenza viruses), rendering them vulnerable to eradication.

Recent studies confirm that vitamin D dramatically upregulates the expression of these antimicrobial peptides in immune cells.

There is now a definitive biological mechanism to explain why vitamin D confers such dramatic protection against common winter illnesses.

What Are Minimum Vitamin D Blood Levels?

When blood is tested to assess vitamin D status, what is actually measured is the metabolically active 25- hydroxyvitamin D form of the vitamin in the serum.

When irrefutable data emerged about vitamin D's role in preventing disease, experts initially recommended a minimum target blood level of 30 ng/mL of 25- hydroxyvitamin D.

In recognition of findings showing reduced incidences of disease in those with higher vitamin D levels, the standard laboratory reference range for 25- hydroxyvitamin D was raised to 32-100 ng/mL.

Based on recent and conclusive published studies, the new minimum target level for optimal disease prevention is believed to be over 50 ng/mL of 25- hydroxy-vitamin D.

John Cannell, MD, the president of The Vitamin D Council, a non-profit group advocates higher vitamin D intake.

According to a letter written by Dr. Cannell, adults need to take 5,000 IU a day of vitamin D to put the vast majority of them (97.5%) above the 50 ng/mL level.

To answer the question as to exactly how much vitamin D3 an individual needs requires a blood test. This is a hormone after all. It should be reevaluated just like any other hormone level would be.

Those with a rare disorder called sarcoidosis, severe renal impairment, primary hyperparathyroidism, or any condition resulting in an elevated calcium level in the blood should consult with their physician before taking vitamin D supplements.


New research links vitamin D to hundreds of genes
 
Cutting Edge Information
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A report published online on August 23, 2010 in the journal Genome Research reveals the results of a genome-wide mapping of the vitamin D receptor, which was found to exist on 2,776 binding sites.

The researchers responsible for the finding also demonstrated that vitamin D directly affects the activity of 229 genes, including a gene associated with multiple sclerosis, and PTPN2, which is associated with Crohn's disease and type 1 diabetes.

Vitamin D affects genes via the vitamin D receptor, a protein that binds to particular genome locations to influence gene expression of proteins.

Dr. Sreeram Ramagopalan of the Wellcome Trust Centre for Human Genetics at Oxford University and colleagues found that binding sites were concentrated near genes associated with susceptibility to autoimmune conditions such as multiple sclerosis (MS), and cancers including chronic lymphocytic leukemia and colorectal cancer, which are diseases to which vitamin D deficiency has been linked.

"Considerations of vitamin D supplementation as a preventative measure for these diseases are strongly warranted," Dr Ramagopalan observed.

"There is now evidence supporting a role for vitamin D in susceptibility to a host of diseases," he added.

"Vitamin D supplements during pregnancy and the early years could have a beneficial effect on a child's health in later life.

Some countries such as France have instituted this as a routine public health measure."

"Vitamin D status is potentially one of the most powerful selective pressures on the genome in relatively recent times," noted Action Medical Research Professor of Clinical Neurology George Ebers, who is one of the article's senior authors.

"Our study appears to support this interpretation and it may be we have not had enough time to make all the adaptations we have needed to cope with our northern circumstances."


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Vitamin D is a very important hormone that should be evaluated as part of an Age Management Medicine program. It is important to understand the role that this very important hormone plays in age related diseases and how to achieve optimal levels.

Wishing you and your family the best in health,

Ana Casas M.D.
Ana Casas M.D.
Atlanta Age Management Medicine

Phone: 404-210-9969
Fax: 770-205-6252
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