Health Care Providers Should Educate Patients On Vitamin D Deficiency
Main Category: Urology / NephrologyAlso Included In: Nursing / Midwifery; Nutrition / Diet
Article Date: 24 Oct 2008 - 2:00 PDT
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Vitamin D, a preventive vitamin that responds more like a hormone, aids in the body's ability to absorb calcium and also improves bone mineral density. Studies indicate vitamin D could also prevent a number of chronic diseases.
In the October 2008 issue of Urologic Nursing, Mark A. Moyad presents a "rapid review" of vitamin D to educate urology nurses and others about vitamin D deficiency, dietary and multivitamin supplements, blood testing and ideal vitamin D blood levels.
Much of the population is vitamin D deficient, and many factors contribute: aging, obesity, use of cholesterol-lowering medications, low intake of foods high in vitamin D and low exposure to sunlight. Eating vitamin D-rich foods, taking vitamin D supplements and increasing sun exposure are all ways to raise the body's vitamin D levels.
Moyad notes, however, that increasing one's sun exposure to improve vitamin D levels is not advised. He suggests maintaining sun-protective measures and supplementing vitamin D through multivitamins and vitamin D-rich foods.
Patients should receive the vitamin D blood test, ideally in fall or winter when levels may be at their lowest, to ensure they are maintaining proper vitamin D levels. Men receiving androgen or hormone deprivation treatment for prostate cancer or those on similar medications, which increase the risk of bone loss, should utilize the vitamin D blood test and work to maintain bone density with diet, exercise and vitamin D supplements, says Moyad.
He recommends health care providers educate patients about vitamin D "not just to improve bone health, but to improve overall health and well being." (Vitamin D: A Rapid Review; Mark A. Moyad, MD, MPH; Urologic Nursing; October 2008; http://www.suna.org)
About SUNA
The Society of Urologic Nurses and Associates is a national, non-profit professional membership association with over 3,000 members and annual revenues of $1.5 million. SUNA derives its income from membership dues (only $60), conference registration fees, exhibits, advertising, grants, and the sale of educational products. SUNA publishes a professional, peer-reviewed bi-monthly journal (Urologic Nursing Journal) and a bi-monthly newsletter (Uro-Gram). SUNA establishes the scope and standards of urologic nursing practice and the scope and standards of advanced urologic nursing practice. SUNA provides scholarships, grants and awards to deserving nurses and other health care professionals. SUNA supports and promotes the certification of urologic nurses and associates by providing educational preparation for the examinations offered which lead to certification in three areas. SUNA provides a variety of opportunities for participation including local chapters, task forces and Special Interest Groups (SIGS) in five major subspecialty areas.
Society of Urologic Nurses and Associates
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Eductaing Health Care Providers About Vitamin D Deficiency
posted by Ted Hutchinson on 24 Oct 2008 at 5:14 amMoyad suggests maintaining sun-protective measures and supplementing vitamin D through multivitamins and vitamin D-rich foods.
Unfortunately the average UK adult 25(OH)D status is between 40nmol/l winter and 70nmol/l summer average 50nmol/l over the year.
80nmol/l is required to optimise calcium absorption. Each extra 100iu/daily/D3 raises status 2.5nmol/l Therefore to raise from 50-80 requires 1200iu/Daily/D3. You will not find 1200iu/d3 in mulitvitamins nor is it realistic to expect people to eat 3 portions of oily fish daily.
The vitamin D status associated with lowest rates of chronic illness is above 125nmol/l. To attain and maintain such a level in the UK requires over 3000iu/daily/D3. While a google search will find suppliers of "D-3-5 (5,000IU) 250ct Vitamin D3 (Cholecalciferol)" it is unrealistic to expect the elderly and infirm patients to seek out this information. It should be possible for health care prescribers to supply the most effective form of Vitamin D3 supplement at an effective strength. See "Use of Vitamin D in Clinical Practice" Hollis Cannell.
If people are going to continue to counsel sun avoidance (that would create 5000iu/daily given 25mins full body prone sun exposure) then they must ensure not only that people are informed of the actual amounts of Vitamin D3 needed to attain and maintain status above 125nmol/l but also ensure that vulnerable people are provided with the most effective form of supplement at an effective strength.
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