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Nathan Billing
 
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
In Australia but not New Zealand,  all table margarines are fortified with vitamin D,
 A blood calcidiol (25-hydroxy-vitamin D) level is the accepted way to determine vitamin D nutritional status, and shows considerable variation.  Primates  Humans  Canadians  1000 IU  4000 IU in sun  in winter  supplement  supplement 140 130 40 70 100 Old-World Primates Humans with UV Canadian Winter Canadian + 25 ug/d Canadian + 100 ug/ d 0 40 80 120 160 Serum 25(OH)D  nmol/L
20 40 60 80 100 120 Serum 25(OH) D  nmol/L Insufficiency
According to Dietitian’s NZ clinical handbook 2010 25OH-vitamin D <25nmol/L 25-50nmol/L 50-150nmol/L <250nmol/L Moderate-severe deficiency Mild deficiency Optimal target for bone health Intoxication reported 1,25OH-vitamin D 65-175pmol/L Interpretation is specific to clinical context
[object Object],[object Object],[object Object],[object Object],1. Osteoporosis Australia. Calcium, Vitamin D and Osteoporosis – A Guide for GPs 2 nd  edn 2.  Lips P et al. J Int Med 2006; 260:245-254.
New Zealand has one  of the highest incidences of skin cancer in the world. Vitamin D is not a problem here. Or is it??
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Lucas JA, Bolland MJ, Grey AB et al (2005) Determinants of vitamin D  status in  older women living  in a subtropical climate.  Osteoporos Int  16:1641–1648 Bolland MJ, Grey AB, Ames RW et al (2006) Determinants of vitamin D  status in  older men living in a subtropical climate.  Osteoporos Int  17:1742–1748
Bolland MJ, Grey AB, Ames RW et al., (2007) The effects of seasonal variation of 25-hydroxyvitamin D and fat mass on a diagnosis of vitamin D sufficiency.  Am J Clin Nutr  86:959–964
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1. Rockell JE, Green TJ, Skeaff CM et al (2005) Season and ethnicity are determinants of serum 25-hydroxyvitamin D concentrations in New Zealand children aged 5–14 year.  J Nutr  135:2602–2608  2. Rockell JE, Skeaff CM,Williams SM et al (2006) Serum 25-hydroxyvitamin D concentrations of New Zealanders aged 15 years and older.  Osteoporos Int  17:1382–1389
[object Object],[object Object],[object Object],[object Object],[object Object]
John Cannell and Bruce Hollis, Alternative Medicine Review Volume 13, Number 1 March 2008
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Vitamin D  : A Hormone & A Vitamin
Formation of Active Vitamin D
Holick, M.F., 2007.  Vitamin D Deficiency. N Engl J Med  357 pp266-81
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
[object Object],[object Object],[object Object],[object Object],[object Object],Other factors contributing to low levels
[object Object],[object Object],From New Zealand Surveys
Effect of fat Mass on Vitamin D
 
Research associated Vitamin D to  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vitamin D and Osteoporosis
[object Object],[object Object],Osteoporosis
Bone Mineral Density Over the Lifespan ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Adapted from Wasnich RD, et al.  Osteoporosis: Critique and Practicum . Honolulu, Banyan Press, 1989:179-213 Recker R, et al. J Bone Miner Res. 2000;15:1965-73
Vitamin D and Influenza
Vitamin D Effects immunity ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Influenza is a seasonal illness Weekly consultation rates for clinically diagnosed flu Cannell JJ, Vieth R, Umhau JC,et al. Epidemiol Infect. 2006
(WHO Data) Remember  New Zealand latitude  34–47◦S
Historical studies with cod liver oil ,[object Object],[object Object],[object Object],[object Object],[object Object]
Vitamin D and Insulin response and Diabetes?
[object Object],[object Object],[object Object]
Vitamin D and Cancer
 
 
Vitamin D sources, metabolites, and mechanisms of action with respect to carcinogenesis.  VDR:  vitamin D receptor.  VDRE:  vitamin D response element.  RXR:  retinoid X receptor
Vitamin D and Cardiovascular disease
 
 
 
How much vitamin D results from sun exposure  ,[object Object],[object Object],[object Object],[object Object]
New Zealand Dietary reccomendations ,[object Object],[object Object],[object Object],[object Object],Ministry of Health (NZ),  National Health and Medical Research Council . Nutrient Reference Values for Australia and New Zealand.2004
Vitamin D 2  vs Vitamin D 3 ,[object Object],Armas, L. A. G. et al.  J Clin Endocrinol  Metab  2004;89:5387-5391
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Vitamin D supplementation ANZBMS Med J Aust 2005; 182: 281-285 .
 
Toxicity ,[object Object],[object Object],[object Object],[object Object]
Questions/ Discussion
Hollick 2008  link
[object Object]
 

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Vitamin D in New Zealand

  • 2.  
  • 3.
  • 4. In Australia but not New Zealand, all table margarines are fortified with vitamin D,
  • 5.  A blood calcidiol (25-hydroxy-vitamin D) level is the accepted way to determine vitamin D nutritional status, and shows considerable variation. Primates Humans Canadians 1000 IU 4000 IU in sun in winter supplement supplement 140 130 40 70 100 Old-World Primates Humans with UV Canadian Winter Canadian + 25 ug/d Canadian + 100 ug/ d 0 40 80 120 160 Serum 25(OH)D nmol/L
  • 6. 20 40 60 80 100 120 Serum 25(OH) D nmol/L Insufficiency
  • 7. According to Dietitian’s NZ clinical handbook 2010 25OH-vitamin D <25nmol/L 25-50nmol/L 50-150nmol/L <250nmol/L Moderate-severe deficiency Mild deficiency Optimal target for bone health Intoxication reported 1,25OH-vitamin D 65-175pmol/L Interpretation is specific to clinical context
  • 8.
  • 9. New Zealand has one of the highest incidences of skin cancer in the world. Vitamin D is not a problem here. Or is it??
  • 10.
  • 11. Bolland MJ, Grey AB, Ames RW et al., (2007) The effects of seasonal variation of 25-hydroxyvitamin D and fat mass on a diagnosis of vitamin D sufficiency. Am J Clin Nutr 86:959–964
  • 12.
  • 13.
  • 14. John Cannell and Bruce Hollis, Alternative Medicine Review Volume 13, Number 1 March 2008
  • 15.
  • 16. Formation of Active Vitamin D
  • 17. Holick, M.F., 2007. Vitamin D Deficiency. N Engl J Med 357 pp266-81
  • 18.
  • 19.  
  • 20.
  • 21.
  • 22. Effect of fat Mass on Vitamin D
  • 23.  
  • 24.
  • 25. Vitamin D and Osteoporosis
  • 26.
  • 27.
  • 28. Vitamin D and Influenza
  • 29.
  • 30. Influenza is a seasonal illness Weekly consultation rates for clinically diagnosed flu Cannell JJ, Vieth R, Umhau JC,et al. Epidemiol Infect. 2006
  • 31. (WHO Data) Remember New Zealand latitude 34–47◦S
  • 32.
  • 33. Vitamin D and Insulin response and Diabetes?
  • 34.
  • 35. Vitamin D and Cancer
  • 36.  
  • 37.  
  • 38. Vitamin D sources, metabolites, and mechanisms of action with respect to carcinogenesis. VDR: vitamin D receptor. VDRE: vitamin D response element. RXR: retinoid X receptor
  • 39. Vitamin D and Cardiovascular disease
  • 40.  
  • 41.  
  • 42.  
  • 43.
  • 44.
  • 45.
  • 46.
  • 47.  
  • 48.
  • 50. Hollick 2008 link
  • 51.
  • 52.  

Editor's Notes

  1. 11/02/11 09:35
  2. 11/02/11 09:35
  3. 11/02/11 09:35
  4. 11/02/11 09:35