Published on February 21, 2020
The National Institutes of Health (NIH) recommends 600 IU/day of vitamin D for anyone 1-70 years old and 800 IU/day for those over 70. However, this recommendation is based on maintaining bone health with a 25(OH)D concentration of 20 ng/ml, and does not consider any other health benefits of vitamin D, such as those listed in our Disease Incidence Prevention Chart. With a diet of vitamin D-rich fatty fish, eggs, and meat, together with fortified food sources of milk, orange juice, and cereals 600 IU/day is possible, but may not be enough vitamin D for many people to reach 20 ng/ml. Read the NIH Fact sheet on vitamin D to learn more about how the government views vitamin D and food.
Your Data Your Answers – What did we find?
In an earlier version of the GrassrootsHealth D*action questionnaire than what you see today, there was a larger section on diet. We used data from this section for 780 non-supplement taking participants, aged 16 years or older, to analyze food sources of vitamin D. This group had a mean serum 25(OH)D of 33 ng/ml, a mean age of 48 years, and 65% were female.
Foods that had an impact on vitamin D levels were eggs, meat, and total protein. We found that serum 25(OH)D rose by about 2 ng/ml for each daily serving of eggs, and 1 ng/ml for each daily serving of meat and total protein. For each weekly serving of whole milk cottage cheese, serum 25(OH)D rose by about 1 ng/ml.
Neither fish nor milk – both considered traditional food sources of vitamin D – was positively associated with vitamin D serum level in this cohort. Other foods that did not seem to make a difference were butter, fruits/vegetables, olive oil, mayonnaise, cream cheese, or sour cream.
Since milk is fortified, shouldn’t it have an impact on vitamin D levels? Yes, it should, but we may not have had enough milk drinkers in our group to show that impact. The milk consumption of the D*action cohort was very low, with an average of only 2 servings per week.
More on Milk – benefit in greater than one serving/day
Susan Whiting, who we have interviewed in the past, participated in an analysis of milk consumption and vitamin D status of Canadians which found that frequency of milk consumption did indeed have a positive effect on 25(OH)D concentrations. Those who consumed milk more than once a day had a mean 25(OH)D concentration of 30 ng/ml whereas those who consumed it less than once a day had a mean concentration of 25 ng/ml (view paper for detail). The analysis also found that the percentage of people who consume milk more than once a day is highest in children ages 6 – 11 years (the youngest age group of the study), at about 65%, and declines with age to just over 20% in seniors aged 60 to 79 years.
Does Food provide most of the basal vitamin D input in the US?
A paper by Robert Heaney et al., All-Source Basal Vitamin D Inputs Are Greater Than Previously Thought and Cutaneous Inputs Are Smaller, analyzed 8 studies with a total sample size of 3,000 individuals. The purpose was to try to determine the various sources of vitamin D input for non-supplement users. The findings included:
1) All-source, basal vitamin D inputs are approximately an order of magnitude higher than can be explained by traditional food sources, an average of 2,000 IU/day.
2) Vitamin D produced from sun exposure accounts for only 10-25% of unsupplemented input at the summer peak. This suggests that while sun exposure may have been important for synthesis of vitamin D under ancestral conditions, it is not playing a very large role in the vitamin D status of many first-world populations today.
3) The remainder, approximately 1,600 IU/day, must come from undocumented food sources, possibly from meat and poultry, and possibly, in part, as preformed 25(OH)D.
In the past we featured a profile of a D*action participant who has shown that it is possible to get enough vitamin D to maintain good health from food alone, but you will see that she does not have a typical western diet. While certain food sources can contribute significantly to vitamin D status, it is likely that vitamin D supplementation will remain key to improving vitamin D status at a population level.
Are you getting enough vitamin D daily?
Make sure you know your vitamin D level, and take steps to keep it within a target of 40-60 ng/ml or 100-150 nmol/L! Through GrassrootsHealth Nutrient Research Institute, you can also test your essential elements magnesium, copper, zinc and selenium, toxins such as lead, mercury and cadmium, as well as your omega-3 levels, inflammation levels and thyroid stimulating hormone (TSH) level. Find out your levels today! Log on to the test selection page (click the link below) to get your tests and see for yourself if your levels can be improved.
Make sure you track your results before and after, about every 6 months!
How can I track my nutrient intake and levels over time?
To help you track your supplement use and nutrient levels, GrassrootsHealth has created the Personal Health Nutrient Decision System called
For each specific supplement, you can track what days you take it, how much, and many other details. This will help you know your true supplemental intake and what patterns of use work for you to reach and maintain optimum nutrient levels. Check it out today!
How Can You Use this Information for YOUR Health?
Having and maintaining healthy vitamin D and other nutrient levels can help improve your health now and for your future. Measuring is the only way to make sure you are getting enough!
STEP 1 Order your at-home blood spot test kit to measure vitamin D and other nutrients of concern to you, such as omega-3s, magnesium, essential and toxic elements (zinc, copper, selenium, lead, cadmium, mercury); include hsCRP as a marker of inflammation or HbA1c for blood sugar health
STEP 2 Answer the online questionnaire as part of the GrassrootsHealth study
STEP 3 Using our educational materials and tools (such as our dose calculators), assess your results to determine if you are in your desired target range or if actions should be taken to get there
STEP 4 After 3-6 months of implementing your changes, re-test to see if you have achieved your target level(s)