The American Journal of Medicine
Volume 122, Issue 9 , Pages 793-802, September 2009

Vitamin D: Bone and Beyond, Rationale and Recommendations for Supplementation

  • Sarah A. Stechschulte, BA

      Affiliations

    • Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Fla
  • ,
  • Robert S. Kirsner, MD, PhD

      Affiliations

    • Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Fla
    • Department of Epidemiology and Public Health, University of Miami Miller School of Medicine, Miami, Fla
  • ,
  • Daniel G. Federman, MD

      Affiliations

    • Department of Medicine, VA Connecticut Health Care, West Haven, Conn
    • Yale University School of Medicine, New Haven, Conn
    • Corresponding Author InformationRequests for reprints should be addressed to Daniel G. Federman, MD, VA Connecticut Health Care (11ACSL), 950 Campbell Ave, West Haven, CT 06516

Abstract 

Adequate vitamin D status is necessary and beneficial for health, although deficiency plagues much of the world's population. In addition to reducing the risk for bone disease, vitamin D plays a role in reduction of falls, as well as decreases in pain, autoimmune diseases, cancer, heart disease, mortality, and cognitive function. On the basis of this emerging understanding, improving patients' vitamin D status has become an essential aspect of primary care. Although some have suggested increased sun exposure to increase serum vitamin D levels, this has the potential to induce photoaging and skin cancer, especially in patients at risk for these conditions. Vitamin D deficiency and insufficiency can be both corrected and prevented safely through supplementation.

 

 Funding: None.

 Conflict of Interest: None of the authors have any conflicts of interest associated with the work presented in this manuscript.

 Authorship: All authors had access to the data and played a role in writing this manuscript.

PII: S0002-9343(09)00440-9

doi:10.1016/j.amjmed.2009.02.029

The American Journal of Medicine
Volume 122, Issue 9 , Pages 793-802, September 2009