Introduction To Vitamin D
Introduction To Vitamin D
Introduction To Vitamin D
Vitamin D is a fat-soluble vitamin. Very few foods naturally contain vitamin D (fatty fish
livers are the exception), so dermal synthesis is the major natural source of the vitamin.
Vitamin D from the diet or dermal synthesis is biologically inactive and requires enzymatic
conversion to active metabolites. Vitamin D is converted enzymatically in the liver to 25-
hydroxyvitamin D (25[OH]D), the major circulating form of vitamin D, and then in the
kidney to 1,25-dihydroxyvitamin D, the active form of vitamin D.
Vitamin D is well known for its essential role in maintaining healthy bones. Deficiency
causes bones to become soft and weak: a condition known as rickets in children and
osteomalacia in adults. The majority of vitamin D is produced via skin synthesis under the
action of sunlight, with smaller amounts from dietary sources such as oily fish, meat and
eggs. Adequate exposure to ultraviolet (UV) light is therefore necessary to maintain levels.
Other physiological roles of vitamin D in maintaining health are now recognized. Some
evidence suggests that vitamin D deficiency is associated with increased risk of
cardiovascular diseases, some cancers, type 2 diabetes and multiple sclerosis. In addition,
there is also some evidence that low levels are associated with increased risk of all cause
mortality. It is also possible that the relationship is mediated through the association of
vitamin D deficiency with other risk factors, such as lack of physical activity and obesity.