
JAMA Clinical Reviews
Vitamin D Guidelines for Healthy Children and Adults
Apr 23, 2025
Sherri-Ann M. Burnett-Bowie, an Associate Professor at Harvard Medical School, dives into the latest recommendations on vitamin D supplementation. She discusses the challenges of getting enough vitamin D from natural sources and fortified foods. The conversation highlights the safety and efficacy of supplementation, especially in disease prevention for both children and adults. They evaluate the impact of dosage across different age groups and clarify guidelines, emphasizing personalized approaches for at-risk patients.
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Quick takeaways
- Vitamin D's synthesis from sunlight varies by individual, making supplementation important for adequate health, especially in certain at-risk populations.
- Current guidelines recommend against routine vitamin D screening in healthy individuals due to costs and lack of evidence linking serum levels to clinical outcomes.
Deep dives
Understanding Vitamin D's Role and Sources
Vitamin D is often categorized differently from traditional vitamins because the body can synthesize it from sunlight, although many individuals do not obtain sufficient sunlight exposure. Sources of natural vitamin D include fatty fish like salmon and tuna, with significant amounts also found in UV-exposed mushrooms and fortified products like plant-based milks. For example, three ounces of salmon provide about 570 international units of vitamin D. Due to varying exposure and dietary sources, relying on supplements may be necessary to achieve adequate levels.
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