Rationale and plan for vitamin D food fortification: A review and guidance paper

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dc.identifier.uri http://dx.doi.org/10.15488/3733
dc.identifier.uri https://www.repo.uni-hannover.de/handle/123456789/3767
dc.contributor.author Pilz, Stefan
dc.contributor.author März, Winfried
dc.contributor.author Cashman, Kevin D.
dc.contributor.author Kiely, Mairead E.
dc.contributor.author Whiting, Susan J.
dc.contributor.author Holick, Michael F.
dc.contributor.author Grant, William B.
dc.contributor.author Pludowski, Pawel
dc.contributor.author Hiligsmann, Mickael
dc.contributor.author Trummer, Christian
dc.contributor.author Schwetz, Verena
dc.contributor.author Lerchbaum, Elisabeth
dc.contributor.author Pandis, Marlene
dc.contributor.author Tomaschitz, Andreas
dc.contributor.author Grübler, Martin R.
dc.contributor.author Gaksch, Martin
dc.contributor.author Verheyen, Nicolas
dc.contributor.author Hollis, Bruce W.
dc.contributor.author Rejnmark, Lars
dc.contributor.author Karras, Spyridon N.
dc.contributor.author Hahn, Andreas
dc.contributor.author Bischoff-Ferrari, Heike A.
dc.contributor.author Reichrath, Jörg
dc.contributor.author Jorde, Rolf
dc.contributor.author Elmadfa, Ibrahim
dc.contributor.author Vieth, Reinhold
dc.contributor.author Scragg, Robert
dc.contributor.author Calvo, Mona S.
dc.contributor.author van Schoor, Natasja M.
dc.contributor.author Bouillon, Roger
dc.contributor.author Lips, Paul
dc.contributor.author Itkonen, Suvi T.
dc.contributor.author Martineau, Adrian R.
dc.contributor.author Lamberg-Allardt, Christel
dc.contributor.author Zittermann, Armin
dc.date.accessioned 2018-09-21T12:30:25Z
dc.date.available 2018-09-21T12:30:25Z
dc.date.issued 2018
dc.identifier.citation Pilz, S.; März, W.; Cashman, K.D.; Kiely, M.E.; Whiting, S.J. et al.: Rationale and plan for vitamin D food fortification: A review and guidance paper. In: Frontiers in Endocrinology 9 (2018), 373. DOI: https://doi.org/10.3389/fendo.2018.00373
dc.description.abstract Vitamin D deficiency can lead to musculoskeletal diseases such as rickets and osteomalacia, but vitamin D supplementation may also prevent extraskeletal diseases such as respiratory tract infections, asthma exacerbations, pregnancy complications and premature deaths. Vitamin D has a unique metabolism as it is mainly obtained through synthesis in the skin under the influence of sunlight (i.e., ultraviolet-B radiation) whereas intake by nutrition traditionally plays a relatively minor role. Dietary guidelines for vitamin D are based on a consensus that serum 25-hydroxyvitamin D (25[OH]D) concentrations are used to assess vitamin D status, with the recommended target concentrations ranging from ≥25 to ≥50 nmol/L (≥10-≥20 ng/mL), corresponding to a daily vitamin D intake of 10 to 20 μg (400-800 international units). Most populations fail to meet these recommended dietary vitamin D requirements. In Europe, 25(OH)D concentrations < 30 nmol/L (12 ng/mL) and < 50 nmol/L (20 ng/mL) are present in 13.0 and 40.4% of the general population, respectively. This substantial gap between officially recommended dietary reference intakes for vitamin D and the high prevalence of vitamin D deficiency in the general population requires action from health authorities. Promotion of a healthier lifestyle with more outdoor activities and optimal nutrition are definitely warranted but will not erase vitamin D deficiency and must, in the case of sunlight exposure, be well balanced with regard to potential adverse effects such as skin cancer. Intake of vitamin D supplements is limited by relatively poor adherence (in particular in individuals with low-socioeconomic status) and potential for overdosing. Systematic vitamin D food fortification is, however, an effective approach to improve vitamin D status in the general population, and this has already been introduced by countries such as the US, Canada, India, and Finland. Recent advances in our knowledge on the safety of vitamin D treatment, the dose-response relationship of vitamin D intake and 25(OH)D levels, as well as data on the effectiveness of vitamin D fortification in countries such as Finland provide a solid basis to introduce and modify vitamin D food fortification in order to improve public health with this likewise cost-effective approach. eng
dc.language.iso eng
dc.publisher Lausanne : Frontiers Media S.A.
dc.relation.ispartofseries Frontiers in Endocrinology 9 (2018)
dc.rights CC BY 4.0 Unported
dc.rights.uri https://creativecommons.org/licenses/by/4.0/
dc.subject Evidence eng
dc.subject Food fortification eng
dc.subject General population eng
dc.subject Guidelines eng
dc.subject Policy eng
dc.subject Public health eng
dc.subject Recommendations eng
dc.subject Vitamin D eng
dc.subject.ddc 610 | Medizin, Gesundheit ger
dc.title Rationale and plan for vitamin D food fortification: A review and guidance paper
dc.type Article
dc.type Text
dc.relation.issn 16642392
dc.relation.doi https://doi.org/10.3389/fendo.2018.00373
dc.bibliographicCitation.volume 9
dc.bibliographicCitation.firstPage 373
dc.description.version publishedVersion
tib.accessRights frei zug�nglich

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