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Vitamin D: sources, physiological role, biokinetics, deficiency, therapeutic use, toxicity, and overview of analytical methods for detection of vitamin D and its metabolites.

Critical reviews in clinical laboratory sciences
December 1, 2022
Jiří Janoušek et al. (12 authors)
ReviewJournal ArticleResearch Support, Non-U.S. Gov'tHuman Study
Study Details

Study Goal

The researchers aimed to review the role of vitamin D in calcium homeostasis and its broader non-calcemic functions, as well as the risks of deficiency and supplementation.

Results Summary

Vitamin D enhances intestinal calcium absorption, reduces urinary calcium loss, and mobilizes skeletal calcium, supporting bone health. Deficiency is linked to various diseases, but supplementation requires supervision due to overdose risks.

Population

General human population, with emphasis on those at risk of deficiency (e.g., due to limited sun exposure).

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (13)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Vitamin D
neutral
calcium homeostasis
-
-
has a well-known role
#1
Vitamin D
increase
intestinal absorption of dietary calcium
-
-
increases the efficiency
#2
Vitamin D
decrease
calcium losses in urine
-
-
reduces
#3
Vitamin D
increase
calcium stored in the skeleton
-
-
mobilizes
#4
Vitamin D
neutral
non-calcemic functions
-
-
has a plethora
#5
sufficient vitamin D
neutral
human skin
-
-
can be synthesized
#6
vitamin D deficiency
neutral
rickets/osteomalacia/osteoporosis
-
-
associated with
#7
vitamin D deficiency
increase
hypertension
-
-
linked to a higher risk
#8
vitamin D deficiency
increase
type 1 diabetes
-
-
linked to a higher risk
#9
vitamin D deficiency
increase
multiple sclerosis
-
-
linked to a higher risk
#10
vitamin D deficiency
increase
cancer
-
-
linked to a higher risk
#11
Supplementation of vitamin D
neutral
-
-
-
may be beneficial
#12
overdosing
neutral
-
-
-
leads to intoxication
#13
Abstract

Vitamin D has a well-known role in the calcium homeostasis associated with the maintenance of healthy bones. It increases the efficiency of the intestinal absorption of dietary calcium, reduces calcium losses in urine, and mobilizes calcium stored in the skeleton. However, vitamin D receptors are present ubiquitously in the human body and indeed, vitamin D has a plethora of non-calcemic functions. In contrast to most vitamins, sufficient vitamin D can be synthesized in human skin. However, its production can be markedly decreased due to factors such as clothing, sunscreens, intentional avoidance of the direct sunlight, or the high latitude of the residence. Indeed, more than one billion people worldwide are vitamin D deficient, and the deficiency is frequently undiagnosed. The chronic deficiency is not only associated with rickets/osteomalacia/osteoporosis but it is also linked to a higher risk of hypertension, type 1 diabetes, multiple sclerosis, or cancer. Supplementation of vitamin D may be hence beneficial, but the intake of vitamin D should be under the supervision of health professionals because overdosing leads to intoxication with severe health consequences. For monitoring vitamin D, several analytical methods are employed, and their advantages and disadvantages are discussed in detail in this review.

Medical Subject Headings (MeSH)
HumansVitamin DCalciumVitamin D DeficiencyVitaminsRicketsCalcium, Dietary
Study Links
Quality Scores
Safety70
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations82
Citations/Year27.3
Relative Citation Ratio13.41
NIH Percentile98.7%
Research Impact Scores
APT Score0.95
Weight Score3.07
Normalized Score0.78
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Vitamin D: sources, physiological role, biokinetics, deficie... | Panacea Index