Journal of Mid-life Health

: 2013  |  Volume : 4  |  Issue : 2  |  Page : 135-

Guest Editor's Comment


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. Guest Editor's Comment.J Mid-life Health 2013;4:135-135

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. Guest Editor's Comment. J Mid-life Health [serial online] 2013 [cited 2022 Jan 25 ];4:135-135
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As commented, India is a land of sunshine, yet the prevalence of Vit D deficiency is high. The reasons quoted are poor dietary sources, lack of food fortification, overclothing, higher skin pigmentation, pollution, increased metabolic clearance of 25(OH)D 3 and the Zenith angle. While waiting for the Indian Council of Medical Research to update the old recommendations on vitamin D RDA, the consensus was on suggesting the the US Endocrine Society 2011 recommendation on vit D RDA.

The US Endocrine Society guideline addresses the evaluation and treatment of patients with specific diseases who are at risk for vitamin D deficiency, while the 2011 US IOM recommendations address the dietary reference intake (DRI) of vitamin D in the normal, healthy North American population, The US IOM report relies primarily on the systemic reviews conducted by the US Agency for Healthcare Research and Quality (AHRQ), The 2011 US IOM report followed the DRII paradigm and provided recommendations for Estimated Average Requirement (EAR; the median intake needs of the population), Recommended Dietary Allowance (RDA; 2SD above the median needs which would meet the requirements of ≥97.5% of the population), and tolerable upper intake level (the highest daily intake that is likely to pose no risk) according to age and sex.

(Pompoj Pramyothin; Michael F. Holick,Vitamin D Supplementation Guidelines and Evidence for Subclinical Deficiency,Posted:04/0302012; Curr Opin Gastroenterol, 2012;28(2):139-150, @2012 Lippincott Williams & Wilkins.)