Practical guidelines for the supplementation of vitamin D and the treatment of defcits in Central Europe - Recommended vitamin D intakes in the general population and groups at risk of vitamin D deficiency

Paweł Płudowski, Elzbieta Karczmarewicz, Milan Bayer, Graham Carter, Danuta Chlebna-Sokół, Justyna Czech-Kowalska, Romuald Dȩbski, T. Decsi, Anna Dobrzańska, Edward Franek, Piotr Głuszko, William B. Grant, Michael F. Holick, Liudmila Yankovskaya, Jerzy Konstantynowicz, Janusz B. Ksia̧zyk, Krystyna Ksiȩzopolska-Orłowska, Andrzej Lewiński, Mieczysław Litwin, Szimonetta LohnerRoman S. Lorenc, Jacek Łukaszkiewicz, Ewa Marcinowska-Suchowierska, Andrzej Milewicz, Waldemar Misiorowski, Michał Nowicki, Vladyslav Povoroznyuk, Piotr Rozentryt, Ema Rudenka, Yehuda Shoenfeld, Piotr Socha, Bogdan Solnica, Mieczysław Szalecki, Marek Tałałaj, S. Várbíró, Michał A. Zmijewski

Research output: Contribution to journalArticle

186 Citations (Scopus)

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 Sci-entific 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 defciency [<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.

Original languageEnglish
Pages (from-to)319-327
Number of pages9
JournalEndokrynologia Polska
Volume64
Issue number4
DOIs
Publication statusPublished - 2013

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Vitamin D Deficiency
Population Groups
Vitamin D
Guidelines
Therapeutics
Committee Membership
Population
Delivery of Health Care
Health
Poland
Politics
Breast Feeding
Serum
Habits
Life Style
Pregnant Women
Epidemiologic Studies
Consensus
Newborn Infant
Exercise

Keywords

  • 25-hydroxyvitamin-D
  • Central Europe
  • General population guidelines
  • Risk groups
  • Supplementatio
  • Vitamin D deficiency

ASJC Scopus subject areas

  • Endocrinology
  • Medicine(all)

Cite this

Practical guidelines for the supplementation of vitamin D and the treatment of defcits in Central Europe - Recommended vitamin D intakes in the general population and groups at risk of vitamin D deficiency. / Płudowski, Paweł; Karczmarewicz, Elzbieta; Bayer, Milan; Carter, Graham; Chlebna-Sokół, Danuta; Czech-Kowalska, Justyna; Dȩbski, Romuald; Decsi, T.; Dobrzańska, Anna; Franek, Edward; Głuszko, Piotr; Grant, William B.; Holick, Michael F.; Yankovskaya, Liudmila; Konstantynowicz, Jerzy; Ksia̧zyk, Janusz B.; Ksiȩzopolska-Orłowska, Krystyna; Lewiński, Andrzej; Litwin, Mieczysław; Lohner, Szimonetta; Lorenc, Roman S.; Łukaszkiewicz, Jacek; Marcinowska-Suchowierska, Ewa; Milewicz, Andrzej; Misiorowski, Waldemar; Nowicki, Michał; Povoroznyuk, Vladyslav; Rozentryt, Piotr; Rudenka, Ema; Shoenfeld, Yehuda; Socha, Piotr; Solnica, Bogdan; Szalecki, Mieczysław; Tałałaj, Marek; Várbíró, S.; Zmijewski, Michał A.

In: Endokrynologia Polska, Vol. 64, No. 4, 2013, p. 319-327.

Research output: Contribution to journalArticle

Płudowski, P, Karczmarewicz, E, Bayer, M, Carter, G, Chlebna-Sokół, D, Czech-Kowalska, J, Dȩbski, R, Decsi, T, Dobrzańska, A, Franek, E, Głuszko, P, Grant, WB, Holick, MF, Yankovskaya, L, Konstantynowicz, J, Ksia̧zyk, JB, Ksiȩzopolska-Orłowska, K, Lewiński, A, Litwin, M, Lohner, S, Lorenc, RS, Łukaszkiewicz, J, Marcinowska-Suchowierska, E, Milewicz, A, Misiorowski, W, Nowicki, M, Povoroznyuk, V, Rozentryt, P, Rudenka, E, Shoenfeld, Y, Socha, P, Solnica, B, Szalecki, M, Tałałaj, M, Várbíró, S & Zmijewski, MA 2013, 'Practical guidelines for the supplementation of vitamin D and the treatment of defcits 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, pp. 319-327. https://doi.org/10.5603/EP.2013.0012
Płudowski, Paweł ; Karczmarewicz, Elzbieta ; Bayer, Milan ; Carter, Graham ; Chlebna-Sokół, Danuta ; Czech-Kowalska, Justyna ; Dȩbski, Romuald ; Decsi, T. ; Dobrzańska, Anna ; Franek, Edward ; Głuszko, Piotr ; Grant, William B. ; Holick, Michael F. ; Yankovskaya, Liudmila ; Konstantynowicz, Jerzy ; Ksia̧zyk, Janusz B. ; Ksiȩzopolska-Orłowska, Krystyna ; Lewiński, Andrzej ; Litwin, Mieczysław ; Lohner, Szimonetta ; Lorenc, Roman S. ; Łukaszkiewicz, Jacek ; Marcinowska-Suchowierska, Ewa ; Milewicz, Andrzej ; Misiorowski, Waldemar ; Nowicki, Michał ; Povoroznyuk, Vladyslav ; Rozentryt, Piotr ; Rudenka, Ema ; Shoenfeld, Yehuda ; Socha, Piotr ; Solnica, Bogdan ; Szalecki, Mieczysław ; Tałałaj, Marek ; Várbíró, S. ; Zmijewski, Michał A. / Practical guidelines for the supplementation of vitamin D and the treatment of defcits in Central Europe - Recommended vitamin D intakes in the general population and groups at risk of vitamin D deficiency. In: Endokrynologia Polska. 2013 ; Vol. 64, No. 4. pp. 319-327.
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T1 - Practical guidelines for the supplementation of vitamin D and the treatment of defcits in Central Europe - Recommended vitamin D intakes in the general population and groups at risk of vitamin D deficiency

AU - Płudowski, Paweł

AU - Karczmarewicz, Elzbieta

AU - Bayer, Milan

AU - Carter, Graham

AU - Chlebna-Sokół, Danuta

AU - Czech-Kowalska, Justyna

AU - Dȩbski, Romuald

AU - Decsi, T.

AU - Dobrzańska, Anna

AU - Franek, Edward

AU - Głuszko, Piotr

AU - Grant, William B.

AU - Holick, Michael F.

AU - Yankovskaya, Liudmila

AU - Konstantynowicz, Jerzy

AU - Ksia̧zyk, Janusz B.

AU - Ksiȩzopolska-Orłowska, Krystyna

AU - Lewiński, Andrzej

AU - Litwin, Mieczysław

AU - Lohner, Szimonetta

AU - Lorenc, Roman S.

AU - Łukaszkiewicz, 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 - Várbíró, S.

AU - Zmijewski, Michał A.

PY - 2013

Y1 - 2013

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 Sci-entific 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 defciency [<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.

AB - 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 Sci-entific 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 defciency [<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.

KW - 25-hydroxyvitamin-D

KW - Central Europe

KW - General population guidelines

KW - Risk groups

KW - Supplementatio

KW - Vitamin D deficiency

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