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Practical guidelines for the supplementation of vitamin D and the treatment of deficits in Central Europe - recommended vitamin D intakes in the general population and groups at risk of vitamin D deficiency.
Endokrynol Pol 2013; 64(4):319-27EP

Abstract

INTRODUCTION

Adequate Vitamin D intake and its concentration in serum are important for bone health and calcium-phosphate metabolism as well as for optimal function of many organs and tissues. Documented trends in lifestyle, nutritional habits and physical activity appear to be associated with moderate or severe Vitamin D deficits resulting in health problems. Most epidemiological studies suggest that Vitamin D deficiency is prevalent among Central European populations. Concern about this problem led to the organising of a conference focused on overcoming Vitamin D deficiency.

METHODS

After reviewing the epidemiological evidence and relevant literature, a Polish multidisciplinary group formulated theses on recommendations for Vitamin D screening and supplementation in the general population. These theses were subsequently sent to Scientific Committee members of the 'Vitamin D - minimum, maximum, optimum' conference for evaluation based on a ten-point scale.With 550 international attendees, the meeting 'Vitamin D - minimum, maximum, optimum' was held on October 19-20, 2012 in Warsaw(Poland). Most recent scientific evidence of both skeletal and non-skeletal effects of Vitamin D as well as the results of panellists' voting were reviewed and discussed during eight plenary sessions and two workshops.

RESULTS

Based on many polemical discussions, including post-conference networking, the key opinion leaders established ranges of serum 25-hydroxyVitamin D concentration indicating Vitamin D deficiency [< 20 ng/mL (< 50 nmol/L)], suboptimal status [20-30 ng/mL(50-75 nmol/L)], and target concentration for optimal Vitamin D effects [30-50 ng/mL (75-125 nmol/L)]. General practical guidelines regarding supplementation and updated recommendations for prophylactic Vitamin D intakes in Central European neonates, infants, children and adolescents as well as in adults (including recommendations for pregnant and breastfeeding women and the elderly) were developed.

CONCLUSIONS

Improving the Vitamin D status of children, adolescents, adults and the elderly must be included in the priorities of physicians,healthcare professionals and healthcare regulating bodies. The present paper offers elaborated consensus on supplementation guidance and population strategies for Vitamin D in Central Europe.

Authors+Show Affiliations

Department of Biochemistry, Radioimmunology and Experimental Medicine, The Children’s Memorial Health Institute, Warsaw, Poland. p.pludowski@czd.plNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Congress

Language

eng

PubMed ID

24002961

Citation

Płudowski, Paweł, et al. "Practical Guidelines for the Supplementation of Vitamin D and the Treatment of Deficits in Central Europe - Recommended Vitamin D Intakes in the General Population and Groups at Risk of Vitamin D Deficiency." Endokrynologia Polska, vol. 64, no. 4, 2013, pp. 319-27.
Płudowski P, Karczmarewicz E, Bayer M, et al. Practical guidelines for the supplementation of vitamin D and the treatment of deficits in Central Europe - recommended vitamin D intakes in the general population and groups at risk of vitamin D deficiency. Endokrynol Pol. 2013;64(4):319-27.
Płudowski, P., Karczmarewicz, E., Bayer, M., Carter, G., Chlebna-Sokół, D., Czech-Kowalska, J., ... Żmijewski, M. A. (2013). Practical guidelines for the supplementation of vitamin D and the treatment of deficits in Central Europe - recommended vitamin D intakes in the general population and groups at risk of vitamin D deficiency. Endokrynologia Polska, 64(4), pp. 319-27.
Płudowski P, et al. Practical Guidelines for the Supplementation of Vitamin D and the Treatment of Deficits in Central Europe - Recommended Vitamin D Intakes in the General Population and Groups at Risk of Vitamin D Deficiency. Endokrynol Pol. 2013;64(4):319-27. PubMed PMID: 24002961.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Practical guidelines for the supplementation of vitamin D and the treatment of deficits in Central Europe - recommended vitamin D intakes in the general population and groups at risk of vitamin D deficiency. AU - Płudowski,Paweł, AU - Karczmarewicz,Elżbieta, AU - Bayer,Milan, AU - Carter,Graham, AU - Chlebna-Sokół,Danuta, AU - Czech-Kowalska,Justyna, AU - Dębski,Romuald, AU - Decsi,Tamas, AU - Dobrzańska,Anna, AU - Franek,Edward, AU - Głuszko,Piotr, AU - Grant,William B, AU - Holick,Michael F, AU - Yankovskaya,Liudmila, AU - Konstantynowicz,Jerzy, AU - Książyk,Janusz B, AU - Księżopolska-Orłowska,Krystyna, AU - Lewiński,Andrzej, AU - Litwin,Mieczysław, AU - Lohner,Szimonetta, AU - Lorenc,Roman S, AU - Lukaszkiewicz,Jacek, AU - Marcinowska-Suchowierska,Ewa, AU - Milewicz,Andrzej, AU - Misiorowski,Waldemar, AU - Nowicki,Michał, AU - Povoroznyuk,Vladyslav, AU - Rozentryt,Piotr, AU - Rudenka,Ema, AU - Shoenfeld,Yehuda, AU - Socha,Piotr, AU - Solnica,Bogdan, AU - Szalecki,Mieczysław, AU - Tałałaj,Marek, AU - Varbiro,Szabolcs, AU - Żmijewski,Michał A, PY - 2013/09/04/received PY - 2013/09/04/accepted PY - 2013/9/5/entrez PY - 2013/9/5/pubmed PY - 2015/9/15/medline SP - 319 EP - 27 JF - Endokrynologia Polska JO - Endokrynol Pol VL - 64 IS - 4 N2 - INTRODUCTION: Adequate Vitamin D intake and its concentration in serum are important for bone health and calcium-phosphate metabolism as well as for optimal function of many organs and tissues. Documented trends in lifestyle, nutritional habits and physical activity appear to be associated with moderate or severe Vitamin D deficits resulting in health problems. Most epidemiological studies suggest that Vitamin D deficiency is prevalent among Central European populations. Concern about this problem led to the organising of a conference focused on overcoming Vitamin D deficiency. METHODS: After reviewing the epidemiological evidence and relevant literature, a Polish multidisciplinary group formulated theses on recommendations for Vitamin D screening and supplementation in the general population. These theses were subsequently sent to Scientific Committee members of the 'Vitamin D - minimum, maximum, optimum' conference for evaluation based on a ten-point scale.With 550 international attendees, the meeting 'Vitamin D - minimum, maximum, optimum' was held on October 19-20, 2012 in Warsaw(Poland). Most recent scientific evidence of both skeletal and non-skeletal effects of Vitamin D as well as the results of panellists' voting were reviewed and discussed during eight plenary sessions and two workshops. RESULTS: Based on many polemical discussions, including post-conference networking, the key opinion leaders established ranges of serum 25-hydroxyVitamin D concentration indicating Vitamin D deficiency [< 20 ng/mL (< 50 nmol/L)], suboptimal status [20-30 ng/mL(50-75 nmol/L)], and target concentration for optimal Vitamin D effects [30-50 ng/mL (75-125 nmol/L)]. General practical guidelines regarding supplementation and updated recommendations for prophylactic Vitamin D intakes in Central European neonates, infants, children and adolescents as well as in adults (including recommendations for pregnant and breastfeeding women and the elderly) were developed. CONCLUSIONS: Improving the Vitamin D status of children, adolescents, adults and the elderly must be included in the priorities of physicians,healthcare professionals and healthcare regulating bodies. The present paper offers elaborated consensus on supplementation guidance and population strategies for Vitamin D in Central Europe. SN - 2299-8306 UR - https://www.unboundmedicine.com/medline/citation/24002961/Practical_guidelines_for_the_supplementation_of_vitamin_D_and_the_treatment_of_deficits_in_Central_Europe___recommended_vitamin_D_intakes_in_the_general_population_and_groups_at_risk_of_vitamin_D_deficiency_ L2 - http://czasopisma.viamedica.pl/ep/article/view/35659 DB - PRIME DP - Unbound Medicine ER -