It’s hard to imagine that in a sunny tropical country like India, an increasing number of urban Indians are deficient in vitamin D, a major source of which is sunlight. Studies have shown that long hours at office and home cause us to spend more time indoors.
Increased use of sunscreens —- important to prevent skin cancer though —could also contribute to low levels of vitamin D. Sunlight through glass windows of vehicles and homes reduce production of the vitamin as well. Clearly, vitamin D deficiency has now become a lifestyle-related malady.
Ironically, the skin requires only a minimum of 30 minutes of sunlight exposure to produce adequate amounts of vitamin D. But the pigmentation of Indian skin is such that it makes it more vulnerable. Research shows that in order to generate a certain amount of vitamin D, Indian skin requires several times more exposure to sunlight than the lighter tone does.
Vitamin D helps in absorbing calcium and phosphorus and maintaining normal levels of these bone-building minerals. It is also necessary for healthy functioning of the parathyroid glands that regulate the level of calcium in the blood. If we take calcium without vitamin D, it will not reach the bloodstream and will, therefore, never make it to the bones. It is important for proper skeletal growth and formation of teeth and bones, specially during infancy and adolescence. Vitamin D is extremely beneficial in the treatment of arthritis and tooth decay.
Its deficiency results in weak bones, leading to rickets in children or osteomalacia in adults. Rickets is characterised by ‘bow legs’, ‘knock knees’ and other skeletal deformities, while osteomalacia leads to soft bones, further increasing the risk for fractures in the hip and the spine. Osteomalacia also alters the function of the parathyroid gland, leading to increased calcium loss from bones. In severe vitamin D deficiencies, people may also develop osteoporosis (porous bones).
It has also been found that people with high vitamin D intake have a lower risk of colon cancer than those with low vitamin D intake. A recent study, published in the Journal of American Medical Association and done on 1,770 participants, showed significant reductions in the relative risk of cancer and advanced polyps with increased intake of vitamin D.
There are very few significant dietary sources of vitamin D. Its natural distribution is limited to small amounts in fish, oils, ghee, butter and egg yolk. Compared to fish-liver oil, which is the best source of vitamin D, other foods are quite low in the vitamin. Ideally, a diet that includes dairy, fish and egg yolk, coupled with adequate exposure to sunshine, should prevent Vitamin D deficiency.
In the absence of adequate exposure to sunlight and poor availability of vitamin D fortified foods, supplements are necessary; however, excessive vitamin D can be toxic and must be taken under careful supervision of a physician. Most experts agree that the minimum daily intake of vitamin D should be at least 800-1000 I.U. (International units).