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Latest Research on Vitamin D and Diet-Related Chronic Diseases By Jackie McClelland August 6, 2009
Today’s presentation . . .   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Overview/Need for Vitamin D ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Is Vitamin D Really a Vitamin? ,[object Object],[object Object],[object Object],[object Object],[object Object]
Vitamin D from sunlight exposure ,[object Object],[object Object],[object Object],[object Object],Source: National Osteoporosis Foundation Web site; retrieved July 2005 at  http://www.nof.org
Main Dietary Sources of Vitamin D ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Activating Vitamin D ,[object Object],[object Object],[object Object]
Vit D Used in the Body for:  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Vit D Necessary for Calcium Absorption ,[object Object],[object Object],[object Object],[object Object],Vitamin D is like a key  that unlocks the door  and lets calcium  into the body.
You need more vitamin D as you age Age Daily  vitamin D needs in   International Units (IU) 600 IU 200 IU 400 IU 0 100 200 300 400 500 600 up to 50 51-70 over 70
Vitamin D recommendations ,[object Object],[object Object],Some age groups need  MORE  or  LESS   than 100% DV for vitamin D
Upper daily limits: calcium & vitamin D ,[object Object],[object Object],[object Object]
Overview Bone with Osteoporosis Normal Bone Osteoporosis is a disease in which bones lose minerals (like calcium) and so lose density.  Bones become thin, fragile and easily broken.  Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis:  What It Means to You at  http://www.surgeongeneral.gov/library/bonehealth
[object Object],Psychosocial Issues: Typical Comments by People
Osteoporosis can occur at any age and in anyone! It is a myth that  osteoporosis is only a problem for older women.
Osteoporosis in America ,[object Object],[object Object],[object Object],[object Object],Source: National Osteoporosis Foundation Web site; retrieved July 2005 at  http://www.nof.org
[object Object],[object Object],Source: National Osteoporosis Foundation Web site; retrieved July 2005 at  http://www.nof.org
[object Object],People who break a hip might not recover for months or even years. Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis:  What It Means to You at  http://www.surgeongeneral.gov/library/bonehealth
[object Object],[object Object],Some people never walk again. Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis:  What It Means to You at  http://www.surgeongeneral.gov/library/bonehealth
Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis:  What It Means to You at  http://www.surgeongeneral.gov/library/bonehealth
The “silent disease” ,[object Object],[object Object],[object Object],[object Object]
[object Object],Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis:  What It Means to You at  http://www.surgeongeneral.gov/library/bonehealth
Bones are living organs ,[object Object],[object Object],[object Object]
[object Object],[object Object],Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis:  What It Means to You at  http://www.surgeongeneral.gov/library/bonehealth
Selected Risk Factors ,[object Object],[object Object],Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis:  What It Means to You at  http://www.surgeongeneral.gov/library/bonehealth
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Selected Risk factors 1
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],2
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],3
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],4
No Cure but the good news is: Osteoporosis is preventable or treatable for most people! ,[object Object],[object Object]
Prevention Steps Are Simple The National Osteoporosis Foundation (NOF) recommends FIVE simple steps to improve bone health and prevent osteoporosis
Steps 1 + 2 ,[object Object],[object Object],Use MyPyramid.gov  to help plan an  overall healthy diet
Step 3 ,[object Object],MyPyramid.gov recommends  no more than 1 drink per day  for women and 2 for men. 12 oz. 5 oz. 1.5 oz.
Steps 4 & 5 ,[object Object],[object Object],Source of photo: USDA ARS Photo Unit Photo by Peggy Greb Testing is a simple,  painless procedure.
Get enough calcium and vitamin D (step 1). Assess calcium and vitamin D intake  by using food and supplement labels.
Nutrition Labels & Calcium ,[object Object],[object Object],[object Object],[object Object],[object Object]
Sample “Nutrition Facts” label
Example of “Daily Value” ,[object Object],20% DV for calcium (200 mg ÷ 1,000 mg = 20%)
Example: Calculating total % DV for calcium from “Nutrition Facts” labels ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Source:  “Calcium! Do You Get It?, ” FDA/CFSAN  at  http://www. cfsan . fda . gov/~dms/ca-toc .html
Using Nutrition Facts “serving size” ,[object Object],[object Object],[object Object]
Calcium requirements vary by age Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis:  What It Means to You at  http://www.surgeongeneral.gov/library/bonehealth   Growth spurt 1,200 Over 50 years 1,000 19 to 50 years 1,300 9 to 18 years 800 4 to 8 years 500 1 to 3 years 270 7 to 12 months 210 0 to 6 months Then you need  this much calcium  each day (mg) If this is your age
It’s important to remember … ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Percent Daily Value (DV) of calcium in common foods Approximate % DV for foods based in part on  The 2004 Surgeon General’s Report on Bone Health and Osteoporosis: What It Means to You at  http://www.surgeongeneral.gov/library/bonehealth
[object Object],[object Object],[object Object],[object Object],[object Object],* No calcium differences
% DV calcium:  Milk group ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Choose fat-free  or low fat  most often
% DV calcium:  Grain  products  group ,[object Object],Calcium-fortified
% DV calcium:  Vegetable group ,[object Object],[object Object],[object Object]
% DV calcium:  Fruit group ,[object Object],Look for 100% juice
% DV calcium:  Meat & Beans Group ,[object Object],[object Object],[object Object],[object Object],[object Object]
Additional dietary considerations
Food is the best calcium source   ,[object Object],[object Object],?
Ca lcium amount at one time ,[object Object],[object Object]
Fiber ,[object Object]
Excessive sodium ,[object Object],[object Object],[object Object]
Oxalic acid ,[object Object],[object Object],[object Object],[object Object]
High protein ,[object Object]
Soymilk ,[object Object],[object Object],Soy Milk Soy Milk
Help for the lactose-intolerant Some people lack the enzyme lactase  needed to digest lactose  (milk sugar).  Here are some tips which may help  people obtain calcium from dairy products…
[object Object]
[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
When you don’t like to “drink” milk
Add powdered milk to food (1 tablespoon = 50 mg calcium) Make oatmeal and  cream-type soups with  milk instead of water Add milk to coffee
[object Object],[object Object],[object Object],Make instant hot cocoa with milk, not water. Serve milk-based desserts (puddings, tapioca, frozen yogurt, custard, ice  cream). Limit  fat and sugar.
Enjoy plain or flavored low fat yogurt straight from the carton or combined Top baked potatoes with plain yogurt; sprinkle with chives  Used flavored yogurt as a fruit salad dressing; experiment with substituting plain yogurt for some or all of the sour cream in vegetable salad dressings
Have It YOUR Way Smoothie (serves 1) ,[object Object],[object Object],[object Object],[object Object],Use a calcium-fortified  juice to add extra calcium
Fantastic Fruit Parfait ,[object Object],[object Object]
Calcium supplement considerations
Calcium carbonate vs. citrate ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Limit calcium to 500 mg at a time ,[object Object],[object Object],500 mg
Increase amount slowly ,[object Object],[object Object],[object Object],[object Object]
Check for interactions ,[object Object]
Food is still important ,[object Object],[object Object]
Putting it all together
Prevention Step 1: How are you doing?   TOTAL you consumed % DV recommended for your age 25 30 1 cup milk % DV Vitamin D % DV  Calcium Calcium/Vitamin D foods & supplements consumed in a day
Also, follow the other four prevention steps … ,[object Object],[object Object],[object Object],[object Object]
Thanks!  Any Questions?

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Vitamin D And Health Presentation Z 8 05 09

  • 1. Latest Research on Vitamin D and Diet-Related Chronic Diseases By Jackie McClelland August 6, 2009
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  • 10. You need more vitamin D as you age Age Daily vitamin D needs in International Units (IU) 600 IU 200 IU 400 IU 0 100 200 300 400 500 600 up to 50 51-70 over 70
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  • 13. Overview Bone with Osteoporosis Normal Bone Osteoporosis is a disease in which bones lose minerals (like calcium) and so lose density. Bones become thin, fragile and easily broken. Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis: What It Means to You at http://www.surgeongeneral.gov/library/bonehealth
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  • 15. Osteoporosis can occur at any age and in anyone! It is a myth that osteoporosis is only a problem for older women.
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  • 20. Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis: What It Means to You at http://www.surgeongeneral.gov/library/bonehealth
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  • 31. Prevention Steps Are Simple The National Osteoporosis Foundation (NOF) recommends FIVE simple steps to improve bone health and prevent osteoporosis
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  • 35. Get enough calcium and vitamin D (step 1). Assess calcium and vitamin D intake by using food and supplement labels.
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  • 41. Calcium requirements vary by age Source: The 2004 Surgeon General’s Report on Bone Health and Osteoporosis: What It Means to You at http://www.surgeongeneral.gov/library/bonehealth Growth spurt 1,200 Over 50 years 1,000 19 to 50 years 1,300 9 to 18 years 800 4 to 8 years 500 1 to 3 years 270 7 to 12 months 210 0 to 6 months Then you need this much calcium each day (mg) If this is your age
  • 42.
  • 43. Percent Daily Value (DV) of calcium in common foods Approximate % DV for foods based in part on The 2004 Surgeon General’s Report on Bone Health and Osteoporosis: What It Means to You at http://www.surgeongeneral.gov/library/bonehealth
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  • 58. Help for the lactose-intolerant Some people lack the enzyme lactase needed to digest lactose (milk sugar). Here are some tips which may help people obtain calcium from dairy products…
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  • 63. When you don’t like to “drink” milk
  • 64. Add powdered milk to food (1 tablespoon = 50 mg calcium) Make oatmeal and cream-type soups with milk instead of water Add milk to coffee
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  • 66. Enjoy plain or flavored low fat yogurt straight from the carton or combined Top baked potatoes with plain yogurt; sprinkle with chives Used flavored yogurt as a fruit salad dressing; experiment with substituting plain yogurt for some or all of the sour cream in vegetable salad dressings
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  • 75. Putting it all together
  • 76. Prevention Step 1: How are you doing? TOTAL you consumed % DV recommended for your age 25 30 1 cup milk % DV Vitamin D % DV Calcium Calcium/Vitamin D foods & supplements consumed in a day
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  • 78. Thanks! Any Questions?

Editor's Notes

  1. The studies show that people with higher levels of vitamin D have a lower risk of disease, although they do not definitively prove that lack of vitamin D causes disease…or that vitamin D supplements would lower risk.
  2. A vitamin is an organic compound required as a nutrient in tiny amounts by an organism.[1] A compound is called a vitamin when it cannot be synthesized in sufficient quantities by an organism, and must be obtained from the diet. Thus, the term is conditional both on the circumstances and the particular organism. For example, ascorbic acid functions as vitamin C for some animals but not others, and vitamins D and K are required in the human diet only in certain circumstances.[2] Microorganisms in the intestine—commonly known as "gut flora"—produce vitamin K and biotin, ----while one form of vitamin D is synthesized in the skin with help of sunlight. Humans can produce some vitamins from precursors they consume. Examples include vitamin A, produced from beta carotene, and niacin, from the amino acid tryptophan.[18]
  3. Vit D is naturally present in very few foods, added to others, and available as a dietary supplement. Vit D Addendum to USDA Food and Nutrient Database for Dietary Studies 3.0 (2009): A special database of vit D values developed for all foods reported during the food intake interview in What We Eat in America, National Health and Nutrition Examination Survey (WWEIA, NHANES) 2005-2006 for the purpose of estimating usual intakes of vit D from food and water. * Includes vitamin D values for 4,561 foods expressed as micrograms per 100 grams of the edible portion of each food.
  4. Osteoporosis is not only a dangerous disease but it also has psychosocial consequences as some peoples’ bodies show outward signs of the collapse of their spines
  5. Even simple activities such as walking, stair climbing and dancing can strengthen bones.