Evaluating vitamin D status. Implications for preventing and managing osteoporosis and other chronic diseases

Joint Bone Spine. 2006 May;73(3):249-53. doi: 10.1016/j.jbspin.2006.01.003. Epub 2006 Feb 17.

Abstract

Recent studies have added new dimensions to the fund of knowledge on vitamin D. In addition to the classic role of vitamin D in preventing rickets and osteomalacia, a preventive effect against osteoporotic fractures has been convincingly established, and abundant evidence suggests a role in preventing malignancies and autoimmune diseases. Serum 25-OH-vitamin D assay is a simple test for evaluating vitamin D status. However, recent review articles indicate that current reference ranges for serum 25-OH-vitamin D are too low. An appropriate lower normal limit may be between 50-100 nmol/l (20-40 ng/ml). Standard supplement dosages may fail to provide concentrations above this range.

Publication types

  • Review

MeSH terms

  • Fractures, Bone / prevention & control
  • Humans
  • Osteomalacia / prevention & control
  • Osteoporosis / blood
  • Osteoporosis / drug therapy*
  • Osteoporosis / prevention & control*
  • Rickets / prevention & control
  • Risk Factors
  • Vitamin D / analogs & derivatives
  • Vitamin D / blood*
  • Vitamin D / therapeutic use*
  • Vitamin D Deficiency / blood
  • Vitamin D Deficiency / diagnosis
  • Vitamin D Deficiency / drug therapy

Substances

  • Vitamin D
  • 1,25-dihydroxyvitamin D
  • 25-hydroxyvitamin D