Are you getting enough vitamin D? Chances are, you may not be, even if you spend a lot of time in the sun. Research shows that many Americans are woefully deficient in this key nutrient, a deficiency that’s linked to a host of ailments, including cardiovascular disease, hypertension, type 2 diabetes, many types of cancer, asthma, cognitive impairment, depression, and — yes — obesity. In fact, studies have found that a deficiency in vitamin D can hamper a person’s ability to lose weight effectively. So how do you know if you’re deficient? And if you are, what should you do about it? Here are some suggestions.
tested. Ask your doctor if you can have a
vitamin D analysis done as part of your routine blood work at your next
physical at no additional cost (some insurers will pay for it). If you have a 25-hydroxyvitamin D level below
20 ng/ml (nanograms per milliliter), you are considered deficient in D. Optimal
levels for individuals can vary widely, however, ranging from 20 ng/ml to above
50 ng/ml, depending on a person’s metabolism and other factors. Because vitamin
D levels can also vary by season (and are particularly low in the late winter
and early spring), you may have to have the test done more than once to be
certain you really are deficient.
some rays. Vitamin D is known as the sunshine
vitamin because the body produces it after being exposed to sunlight. Studies
show that spending 10 to 15 minutes in the sun while unprotected (that is,
without sunscreen on your face, hands, arms, and legs) two to three times a
week can boost your vitamin D levels; less time may be needed in warmer
climates. If you’re planning to be out in the sun for more than 15 minutes,
however, be sure to apply the appropriate amount of sunscreen.
vitamin D–rich foods.
Eating a healthy diet can help increase your vitamin D levels. Foods that are
natural sources of vitamin D are sardines, mackerel, herring, and salmon, as well as mushrooms that have been exposed to ultraviolet light.
Vitamin D–fortified foods, such as low-fat or fat-free milk, reduced-fat
cheese, and some whole-grain cereals, can also help you get more of this
vitamin into your body.
- Consider a supplement. Consult with your doctor about taking a daily vitamin D supplement (preferably vitamin D3, or cholecalciferol, the form naturally produced by your body when it’s exposed to sunlight) if you cannot get adequate amounts of vitamin D from foods and/or sun exposure and especially if you are pregnant or considering pregnancy. While vitamin D supplementation has been deemed safe up to 10,000 IU a day, don’t start taking large amounts without a doctor’s permission. If you have children, talk with your pediatrician about vitamin D testing and supplementation, since many children, including nursing babies and children who are overweight or obese, have been found to be deficient. To make better use of a vitamin D supplement, take it with your largest meal of the day. Researchers believe that the nutrient, which is fat-based, is absorbed better with food that also contains some fat.