Placeholder Content Image

Are you over 75? Here’s what you need to know about vitamin D

<div class="theconversation-article-body"> <p><em><a href="https://theconversation.com/profiles/elina-hypponen-108811">Elina Hypponen</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/joshua-sutherland-1646406">Joshua Sutherland</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p>Vitamin D is essential for bone health, immune function and overall wellbeing. And it becomes even <a href="https://pubmed.ncbi.nlm.nih.gov/38337682/">more crucial</a> as we age.</p> <p>New guidelines from the international Endocrine Society <a href="https://pubmed.ncbi.nlm.nih.gov/38828931/">recommend</a> people aged 75 and over should consider taking vitamin D supplements.</p> <p>But why is vitamin D so important for older adults? And how much should they take?</p> <h2>Young people get most vitamin D from the sun</h2> <p>In Australia, it is possible for most people under 75 to get enough vitamin D from the sun <a href="https://healthybonesaustralia.org.au/your-bone-health/vitamin-d-bone-health">throughout the year</a>. For those who live in the top half of Australia – and for all of us during summer – we <a href="https://healthybonesaustralia.org.au/your-bone-health/vitamin-d-bone-health">only need</a> to have skin exposed to the sun for a few minutes on most days.</p> <p>The body can only produce a certain amount of vitamin D at a time. So staying in the sun any longer than needed is not going to help increase your vitamin D levels, while it will increase your risk of skin cancer.</p> <p>But it’s difficult for people aged over 75 to get enough vitamin D from a few minutes of sunshine, so the Endocrine Society <a href="https://pubmed.ncbi.nlm.nih.gov/38828931/">recommends</a> people get 800 IU (international units) of vitamin D a day from food or supplements.</p> <h2>Why you need more as you age</h2> <p>This is higher than the recommendation for younger adults, reflecting the increased needs and reduced ability of older bodies to produce and absorb vitamin D.</p> <p>Overall, older adults also tend to have <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3356951/">less exposure</a> to sunlight, which is the primary source of natural vitamin D production. Older adults may spend more time indoors and wear more clothing when outdoors.</p> <p>As we age, our skin also becomes <a href="https://pubmed.ncbi.nlm.nih.gov/18290718/">less efficient</a> at synthesising vitamin D from sunlight.</p> <p>The kidneys and the liver, which help convert vitamin D into its active form, also lose some of their efficiency with age. This makes it <a href="https://www.sciencedirect.com/science/article/abs/pii/S0889852913000145">harder for the body to maintain</a> adequate levels of the vitamin.</p> <p>All of this combined means older adults need more vitamin D.</p> <h2>Deficiency is common in older adults</h2> <p>Despite their higher needs for vitamin D, people over 75 may not get enough of it.</p> <p>Studies <a href="https://www.abs.gov.au/articles/vitamin-d">have shown</a> one in five older adults in Australia have vitamin D deficiency.</p> <p>In higher-latitude parts of the world, such as the United Kingdom, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6627050/">almost half</a> don’t reach sufficient levels.</p> <p>This increased risk of deficiency is partly due to <a href="https://pubmed.ncbi.nlm.nih.gov/33309415/">lifestyle factors</a>, such as spending less time outdoors and insufficient dietary intakes of vitamin D.</p> <p>It’s difficult to get enough vitamin D from food alone. <a href="https://dietitiansaustralia.org.au/health-advice/vitamin-d">Oily fish, eggs and some mushrooms</a> are good sources of vitamin D, but few other foods contain much of the vitamin. While foods can be fortified with the vitamin D (margarine, some milk and cereals), these may not be readily available or be consumed in sufficient amounts to make a difference.</p> <p>In some countries such as the <a href="https://ods.od.nih.gov/factsheets/VitaminD-HealthProfessional/">United States</a>, most of the dietary vitamin D comes from fortified products. However, in <a href="https://pubmed.ncbi.nlm.nih.gov/35253289">Australia</a>, dietary intakes of vitamin D are typically very low because only a few foods are fortified with it.</p> <h2>Why vitamin D is so important as we age</h2> <p>Vitamin D <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5367643/">helps the body absorb calcium</a>, which is essential for maintaining bone density and strength. As we age, our bones become more fragile, increasing the risk of fractures and conditions like osteoporosis.</p> <p>Keeping bones healthy is crucial. Studies <a href="https://pubmed.ncbi.nlm.nih.gov/28726112/">have shown</a> older people hospitalised with hip fractures are 3.5 times more likely to die in the next 12 months compared to people who aren’t injured.</p> <p>Vitamin D may also help <a href="https://pubmed.ncbi.nlm.nih.gov/28202713/">lower the risk</a> of respiratory infections, which can be more serious in this age group.</p> <p>There is also emerging evidence for other potential benefits, including <a href="https://pubmed.ncbi.nlm.nih.gov/29233204/">better brain health</a>. However, this requires more research.</p> <p>According to the society’s systematic review, which summarises evidence from randomised controlled trials of vitamin D supplementation in humans, there is <a href="https://pubmed.ncbi.nlm.nih.gov/38828931/">moderate evidence</a> to suggest vitamin D supplementation can lower the risk of premature death.</p> <p>The society estimates supplements can prevent six deaths per 1,000 people. When considering the uncertainty in the available evidence, the actual number could range from as many as 11 fewer deaths to no benefit at all.</p> <h2>Should we get our vitamin D levels tested?</h2> <p>The Endocrine Society’s guidelines <a href="https://pubmed.ncbi.nlm.nih.gov/38828931/">suggest</a> routine blood tests to measure vitamin D levels are not necessary for most healthy people over 75.</p> <p>There is no clear evidence that regular testing provides significant benefits, unless the person has a specific medical condition that affects vitamin D metabolism, such as kidney disease or certain bone disorders.</p> <p>Routine <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10498906">testing</a> can also be expensive and inconvenient.</p> <p>In most cases, the <a href="https://pubmed.ncbi.nlm.nih.gov/38828931/">recommended approach</a> to over-75s is to consider a daily supplement, without the need for testing.</p> <p>You can also try to boost your vitamin D by adding fortified foods to your diet, which might lower the dose you need from supplementation.</p> <p>Even if you’re getting a few minutes of sunlight a day, a daily vitamin D is still recommended.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/231820/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/elina-hypponen-108811">Elina Hypponen</a>, Professor of Nutritional and Genetic Epidemiology, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a> and <a href="https://theconversation.com/profiles/joshua-sutherland-1646406">Joshua Sutherland</a>, PhD Candidate - Nutrition and Genetic Epidemiology, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/are-you-over-75-heres-what-you-need-to-know-about-vitamin-d-231820">original article</a>.</em></p> </div>

Body

Placeholder Content Image

Jack Black cancels Tenacious D tour after on-stage Trump comment

<p>Jack Black has cancelled the rest of Tenacious D's Australia and New Zealand tour after his bandmate Kyle Gass’s on-stage joke about the attempted assassination of Donald Trump was widely condemned. </p> <p>Gass was celebrating his 64th birthday on stage at Sydney’s International Convention Centre on Sunday night, just hours after Trump was fired upon at a rally Pennsylvania, when Black presented him with a cake and asked for his birthday wish. </p> <p>“Don’t miss Trump next time,” Gass replied. </p> <p>The moment was captured and posted to TikTok where it quickly went viral, even attracting attention from radio shock jock <a href="https://oversixty.com.au/entertainment/music/kyle-slaps-comedy-legends-with-lifetime-ban-for-twisted-trump-joke" target="_blank" rel="noopener">Kyle Sandilands</a>, who proposed Tenacious D receive a lifetime ban from touring in Australia.</p> <p>Since the moment garnered online attention, Kyle Gass has been dropped by his talent agency, Greene Talent, with rep Michael Greene telling <em><a href="https://www.tmz.com/2024/07/16/tenacious-d-kyle-gass-dropped-talent-agency-trump-shooting-comment/" target="_blank" rel="noopener" data-link-type="article-inline">TMZ</a></em> they have parted ways due to the incident.</p> <p>In the hours after the show, Jack Black took to Instagram where he shocked fans by announcing the rest of their tour would be cancelled, as the joke prompted a falling out between the two bandmates.</p> <p>“I was blindsided by what was said at the show on Sunday. I would never condone hate speech or encourage political violence in any form,” Black wrote in a statement.</p> <p>“After much reflection, I no longer feel it is appropriate to continue the Tenacious D tour, and all future creative plans are on hold. I am grateful to the fans for their support and understanding.”</p> <p>Gass has since apologised for the joke, saying, “The line I improvised onstage Sunday night in Sydney was highly inappropriate, dangerous and a terrible mistake."</p> <p>“I don’t condone violence of any kind, in any form, against anyone. What happened was a tragedy, and I’m incredibly sorry for my severe lack of judgement."</p> <p>“I profoundly apologise to those I’ve let down and truly regret any pain I’ve caused.”</p> <p><em>Image credits: Reynaud Julien/APS-Medias/ABACA/Shutterstock Editorial/TikTok</em></p>

Music

Placeholder Content Image

Kyle slaps comedy legends with lifetime ban for "twisted" Trump joke

<p>US comedy-rock duo Tenacious D have found themselves at the centre of a media maelstrom during their current Australian tour. The reason? A blink-and-you'll-miss-it moment during which guitarist Kyle Gass expressed that his birthday wish at their Sydney show was: “Don’t miss Trump next time.”</p> <p>The comment quickly sent shockwaves through the media landscape, and has even managed to ruffle the feathers of the famously unshockable Kyle Sandilands. </p> <p>It all started innocently enough at Sydney’s ICC Theatre. As the band celebrated Kyle Gass' 64th birthday, Tenacious D frontman and star of the big and small screen Jack Black paused the show for the ceremonial blowing out of candles. What better time for Gass to wish for world peace, or perhaps a new guitar?</p> <p>But no: “Don’t miss Trump next time,” he quipped, referring to the failed assassination attempt that very morning on the former US President. </p> <p>As expected, the moment was captured by at least one concertgoer and shared on TikTok, where the comment section swiftly became a battlefield. “As a Tenacious D fan, no. Just no,” lamented one disappointed follower. “Hmm … the left condoning gun violence. Hypocrisy at its finest. Keep showing us your colours,” declared another.</p> <p>However, not everyone was scandalised. “My respect for Tenacious D,” reads the top comment, with another fan chiming in, “Aaand I like them even more.” </p> <p>But the real kicker came when Sandilands, on the Kyle & Jackie O show, took to the airwaves to express his utter dismay. “Someone’s promoting the assassination of another human being? Seriously?” he said. “That’s some serious, twisted s**t. And whoever that is, is banned for life.” </p> <p>Sandilands was especially flabbergasted to learn the comment came from Tenacious D. “See, those two seem like normal people, not unhinged lunatics,” he mused.</p> <p><em>Images: KIIS FM | TikTok</em></p>

Music

Placeholder Content Image

Vitamin D supplements can keep bones strong – but they may also have other benefits to your health

<p><em><a href="https://theconversation.com/profiles/martin-hewison-1494746">Martin Hewison</a>, <a href="https://theconversation.com/institutions/university-of-birmingham-1138">University of Birmingham</a></em></p> <p>Most of us don’t worry about getting vitamin D when the weather’s warm and the sun is shining. But as winter approaches, accompanied by overcast days and long nights, you may be wondering if it could be useful to take a vitamin D supplement – and what benefit it might have.</p> <p>During the summer, the best way to get vitamin D is by getting a bit of sunshine. Ultraviolet rays (specifically UVB, which have a shorter wavelength) interact with a form of cholesterol called <a href="https://www.ncbi.nlm.nih.gov/books/NBK278935/">7-dehydrocholesterol</a> in the skin, which is then converted into vitamin D.</p> <p>Because vitamin D production is dependent on UVB, this means our ability to make it <a href="https://www.nhs.uk/conditions/vitamins-and-minerals/vitamin-d/#:%7E:text=From%20about%20late%20March%2Fearly,enough%20vitamin%20D%20from%20sunlight.">declines in the winter months</a>. Vitamin D production also <a href="https://pubmed.ncbi.nlm.nih.gov/24494042/">depends on where you live</a>, with people living nearer to the equator making more vitamin D than those living nearer the poles.</p> <p>Vitamin D deficiency is a <a href="https://assets.publishing.service.gov.uk/media/5a804e36ed915d74e622dafa/SACN_Vitamin_D_and_Health_report.pdf">problem in the UK</a> during the winter months. This is due to its northerly position and cloudy weather, and lack of time spent outdoors.</p> <p>One study of over 440,000 people in the UK found that <a href="https://pubmed.ncbi.nlm.nih.gov/33309415/">18% were vitamin D deficient</a> during the winter months. Vitamin D deficiency was even higher in certain ethnic groups – with the data showing 57% of Asian participants and 38% of black participants were vitamin D deficient. This is because the melanin content of skin determines a person’s ability to <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5946242/#:%7E:text=Skin%20pigmentation%2C%20i.e.%2C%20melanin%2C,%5B7%5D%20and%20more%20generally.">make UVB into vitamin D</a>.</p> <p>Given the prevalence of vitamin D deficiency in the UK, and the importance it has for our health, in 2016 the UK’s Science Advisory Council on Nutrition outlined recommendations for the <a href="https://www.gov.uk/government/publications/sacn-vitamin-d-and-health-report#:%7E:text=In%20a%20change%20to%20previous,aged%204%20years%20and%20older">amount of vitamin D</a> people should aim to get in the winter.</p> <p>They recommend people aim to get ten micrograms (or 400 IU – international units) of vitamin D per day. This would help people avoid severe deficiency. This can be achieved either by taking a supplement, or eating <a href="https://www.bhf.org.uk/informationsupport/heart-matters-magazine/nutrition/ask-the-expert/foods-high-in-vitamin-d">certain foods</a> that are rich in vitamin D – including fatty fish such as herring, mackerel and wild salmon. A 100 gram serving of fresh herring, for example, would have approximately five micrograms of vitamin D.</p> <p>The clearest benefit of taking a vitamin D supplement is for <a href="https://www.nhs.uk/conditions/vitamins-and-minerals/vitamin-d/">bone health</a>. In fact, vitamin D was <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3899558/">first discovered</a> 100 years ago because of its ability to prevent the disease rickets, which causes weak bones that bend.</p> <p>Although rickets <a href="https://www.nhs.uk/conditions/rickets-and-osteomalacia/#:%7E:text=The%20number%20of%20rickets%20cases,from%20sunlight%2C%20can%20develop%20rickets.">isn’t very common</a> in the UK today, it can still occur in children if they lack vitamin D. In adults, vitamin D deficiency can cause bone pain, tenderness and muscles weakness, as well as increased risk of osteomalacia – often called “soft bone disease” – which leads to weakening or softening bones.</p> <p>The reason a lack of vitamin D can have such an effect on bone health is due to the vitamin’s relationship with <a href="https://pubmed.ncbi.nlm.nih.gov/18844850/">calcium and phosphate</a>. Both of these minerals help keep our bones strong – but they require vitamin D in order to be able to reinforce and strengthen bones.</p> <h2>Other health benefits</h2> <p>In addition to its effects on the skeleton, a growing body of research is beginning to indicate that vitamin D supplements may have additional benefits to our health.</p> <p>For example, <a href="https://ar.iiarjournals.org/content/42/10/5009.long">research shows</a> there’s a link between vitamin D deficiency and increased risk of catching certain viral illnesses, including the <a href="https://pubmed.ncbi.nlm.nih.gov/19237723/">common cold</a>, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7231123/">flu</a> and <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7385774/">COVID</a>.</p> <p>Similarly, several studies – <a href="https://pubmed.ncbi.nlm.nih.gov/32904944/">including my own</a> – have demonstrated in cell models that vitamin D promotes immunity against microbes, such as the bacteria which causes tuberculosis. This means vitamin D may potentially prevent some types of infections.</p> <p>Vitamin D may also dampen inflammatory immune responses, which could potentially protect against autoimmune diseases, such as <a href="https://pubmed.ncbi.nlm.nih.gov/29243029/">multiple sclerosis</a> and <a href="https://www.frontiersin.org/articles/10.3389/fmed.2020.596007/full">rheumatoid arthritis</a>.</p> <p>One 2022 trial, which looked at over 25,000 people over the age of 50, found taking a 2,000 IU (50 micrograms) vitamin D supplement each day was associated with an <a href="https://www.bmj.com/content/376/bmj-2021-066452">18% lower risk</a> of autoimmune disease – notably rheumatoid arthritis.</p> <p>Vitamin D supplements may also be linked with lower risk of cardiovascular disease. A <a href="https://www.bmj.com/content/381/bmj-2023-075230">major Australian study</a>, which looked at over 21,000 people aged 60-84, found that participants who took a 2,000 IU vitamin D supplement a day for five years had a lower risk of suffering a major cardiovascular event (such as stroke or heart attack) compared to those who didn’t take a supplement.</p> <p>It’s currently not known why vitamin D may have these benefits on these other areas of our health. It’s also worth noting that in many of these trials, very few of the participants were actually vitamin D deficient. While we might speculate the observed health benefits may be even greater in people with vitamin D deficiency, it will be important for future research to study these factors.</p> <p>While it’s too early to say whether vitamin D supplements have broad health benefits, it’s clear it’s beneficial for bone health. It may be worthwhile to take a supplement in the winter months, especially if you’re over 65, have darker skin or spent a lot of time indoors as these factors can put you at <a href="https://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/expert-answers/vitamin-d-deficiency/faq-20058397#:%7E:text=However%2C%20some%20groups%20%E2%80%94%20particularly%20people,sun%20exposure%20or%20other%20factors.">increased risk of vitamin D deficiency</a>.</p> <p>The research also shows us that we should be rethinking vitamin D supplementation advice. While in the UK it’s recommended people get 400 IU of vitamin D a day, many trials have shown 2,000 IU a day is associated with health benefits.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/219521/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><a href="https://theconversation.com/profiles/martin-hewison-1494746"><em>Martin Hewison</em></a><em>, Professor of Molecular Endocrinology, <a href="https://theconversation.com/institutions/university-of-birmingham-1138">University of Birmingham</a></em></p> <p><em>Image credits: Shutterstock </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/vitamin-d-supplements-can-keep-bones-strong-but-they-may-also-have-other-benefits-to-your-health-219521">original article</a>.</em></p>

Body

Placeholder Content Image

Should I be getting my vitamin D levels checked?

<p><em><a href="https://theconversation.com/profiles/elina-hypponen-108811">Elina Hypponen</a>, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p>Australia has seen a <a href="https://insightplus.mja.com.au/2023/29/gps-urged-not-to-routinely-test-children-for-vitamin-d/">surge in vitamin D testing</a> of children, with similar trends reported for adults around the <a href="https://pubmed.ncbi.nlm.nih.gov/29659534/">world</a>. GPs are now <a href="https://insightplus.mja.com.au/2023/29/gps-urged-not-to-routinely-test-children-for-vitamin-d/">being urged</a> not to test for vitamin D unnecessarily.</p> <p>So when is low vitamin D a potential concern? And when might you need to get your levels tested?</p> <h2>How much vitamin D do we need?</h2> <p>Vitamin D is not only a nutrient – when metabolised in the body it acts as a <a href="https://pubmed.ncbi.nlm.nih.gov/29080638/">hormone</a>. We have receptors for this hormone all around our body and it helps regulate the metabolism of calcium and phosphorus.</p> <p>Vitamin D also has many other roles, including helping our immune defences and contributing to <a href="https://pubmed.ncbi.nlm.nih.gov/11295155/">DNA repair</a> and cell differentiation.</p> <p>We can thank the sun for most of our vitamin D. A chemical in our skin called 7-dehydrocholesterol is converted to vitamin D after contact with UVB radiation from the sun.</p> <p>While we get some vitamin D also <a href="https://pubmed.ncbi.nlm.nih.gov/35253289/">through our diet</a>, this makes a relatively small contribution. It’s difficult to get much more than one-third of our daily vitamin D requirement from diet without supplementation.</p> <p>Nutritional vitamin D status is <a href="https://en.wikipedia.org/wiki/Calcifediol">typically measured</a> via a blood test. This checks the calcidiol (calcifediol, 25-hydroxyvitamin D) concentrations, which reflect the average intakes from the sun and diet over the past three to four weeks.</p> <p>The <a href="https://pubmed.ncbi.nlm.nih.gov/22708765/">current recommendation</a> is that we should all aim to have at least 50nmol/L (20ng/mL) at the end of winter.</p> <p>However, one problem with vitamin D tests is that there is <a href="https://pubmed.ncbi.nlm.nih.gov/37182753/">variation</a> in measured concentrations between the laboratories and between the assays, and whether you’re deemed to have a deficiency can depend on the testing method used.</p> <p>Doctors do not always agree with what is deficiency. While very low concentrations are likely to prompt doctors to recommend a supplement (and, potentially, follow-up testing), some may consider even relatively high concentrations as inadequate.</p> <p>This is all understandable as research in this space is still evolving, and we know low concentrations do not always cause any symptoms.</p> <h2>Why avoid vitamin D deficiency?</h2> <p>Prolonged, severe vitamin D deficiency will lead to softening of bone tissue and cause diseases such as rickets (children) and osteomalacia (adults).</p> <p>However, avoiding low concentrations is likely to be good for <a href="https://pubmed.ncbi.nlm.nih.gov/37483080/">many aspects of health</a>, with consistent evidence suggesting benefits for <a href="https://www.bmj.com/content/356/bmj.i6583">infectious diseases</a> and autoimmune conditions such as multiple sclerosis.</p> <p>Randomised trials have also provided evidence for lower <a href="https://pubmed.ncbi.nlm.nih.gov/35676320/">cancer</a> and <a href="https://pubmed.ncbi.nlm.nih.gov/24414552/">all cause mortality</a> by daily supplementation, although any benefit is likely to be restricted to those who otherwise have insufficient intakes.</p> <h2>Who is at risk of deficiency?</h2> <p>Most of us do not need tests to have a relatively good idea whether we might be at risk of a clinically important deficiency.</p> <p>If it’s not late winter, we spend regularly at least some time outside with skin exposed to the sun, and we do not belong to a specific high-risk group, it is unlikely that our <a href="https://pubmed.ncbi.nlm.nih.gov/22168576/">levels would be very low</a>.</p> <p>The two main reasons for vitamin D deficiency typically relate to:</p> <p><strong>1. not getting (enough) vitamin D through sun exposure.</strong> Deficiency risk <a href="https://www.healthdirect.gov.au/vitamin-d-deficiency">can be high</a> for anyone who is housebound, such as older or disabled people in residential care. The risk of deficiency increases if we always cover our skin carefully by <a href="https://pubmed.ncbi.nlm.nih.gov/19211395/">modest cultural dress,</a> and also <a href="https://pubmed.ncbi.nlm.nih.gov/6119494/">dark skin pigmentation</a> is known to reduce vitamin D synthesis.</p> <p><strong>2. having a chronic disease that alters your requirement.</strong> Medications such as anticonvulsants used to treat epilepsy, and conditions such as <a href="https://my.clevelandclinic.org/health/diseases/15050-vitamin-d-vitamin-d-deficiency">liver and kidney diseases</a> can interfere with vitamin D metabolism. Some <a href="https://my.clevelandclinic.org/health/diseases/15050-vitamin-d-vitamin-d-deficiency">digestive diseases</a> can reduce vitamin D absorption from your diet, while <a href="https://pubmed.ncbi.nlm.nih.gov/30020507">obesity</a> will increase your vitamin D requirement and make it more difficult to raise your blood levels.</p> <h2>Am I getting enough sun exposure?</h2> <p>In Australia, it is possible to get enough vitamin D from the sun <a href="https://healthybonesaustralia.org.au/your-bone-health/vitamin-d-bone-health">throughout the year</a>. This isn’t so for many people living in the northern hemisphere.</p> <p>For those who live in the top half of Australia – and for all of us during summer – we <a href="https://healthybonesaustralia.org.au/your-bone-health/vitamin-d-bone-health">only need</a> to have skin exposed to the sun a few minutes on most days.</p> <p>The body can only produce a certain amount of vitamin D at the time, so staying in the sun any longer than needed is not going to help increase your vitamin D levels, while it will increase your risk of skin cancer.</p> <p>During winter, catching enough sun can be difficult, especially if you spend your days confined indoors. Typically, the required exposure increases to two to three hours per week in winter. This is because sunlight exposure can only help produce vitamin D if the UVB rays reach us at the correct angle. So in winter we should regularly spend time outside in the middle of the day to get our dose of vitamin D.</p> <p>If you are concerned, you have very dark skin, or are otherwise in a high-risk group, you may want to talk to your GP.</p> <p>In any case, taking a modest daily dose of vitamin D (1,000-2,000 IU) during the darker winter months is unlikely to cause harm and it <a href="https://pubmed.ncbi.nlm.nih.gov/37483080/">may be beneficial</a>.</p> <h2>Why does excess vitamin D testing matter?</h2> <p>When not indicated, testing can cause unnecessary worry and promote a cascade of <a href="https://pubmed.ncbi.nlm.nih.gov/32675268/">laboratory, prescription and imaging services</a> that are of low value.</p> <p>Excessive testing is also a waste of health-care resources, with one <a href="https://onlinelibrary.wiley.com/doi/full/10.5694/mja2.50619">single test</a> costing about the same as a years’ worth of vitamin D supplementation.</p> <p>Very often, we can make relatively small changes to our lifestyles to reduce the risks of vitamin D deficiency. <!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/211268/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/elina-hypponen-108811">Elina Hypponen</a>, Professor of Nutritional and Genetic Epidemiology, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p><em>Image credits: Getty Images</em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/should-i-be-getting-my-vitamin-d-levels-checked-211268">original article</a>.</em></p>

Body

Placeholder Content Image

Natural ways to boost your vitamin D

<p>Known as the sunshine vitamin, maintaining the right level of vitamin D is essential to keep you healthy. Luckily there are a number of ways you can naturally boost your intake.</p> <p>Research now shows that apart from bone health, vitamin D is also linked to many other functions in the body, too. We’ve done the legwork for you. The sunshine vitamin can also be beneficial for cardiovascular health, rheumatoid arthritis, cancer, glucose intolerance, multiple sclerosis, type 1 and type 2 diabetes, depression and to protect against colds. Here are four ways you can ensure adequate intake – and naturally, too! But like most things in life, a combination of diet, supplements and environment is the key.</p> <p><strong>Sunlight</strong><br />The best source of vitamin D is UV-B radiation from the sun. Approximately five to 30 minutes of sun exposure while you’re not wearing sun screen (between 10am and 3pm), at least twice a week, will do the job. It is worth keeping in mind that UV radiation levels vary depending on things like, location, time of year and time of day, so make sure you wear sun protection when the UV Index is three or above. In some states, UV radiation is higher and sun protection is needed all year round at certain times of the day. The Cancer Council Australia say that for most people, adequate vitamin D levels are reached through regular daily activity and incidental exposure to the sun. To check UV levels and the times sun protection is required, look on the Bureau of Meteorology website at www.bom.gov.au – search for UV alert.</p> <p><strong>Diet</strong><br />There are many food options that you can incorporate into your diet to ensure you have healthy levels of the sunshine vitamin. Think fatty fish (sardines, herring, mackerel, tuna and salmon), canned tuna, milk that has been fortified with vitamin D, egg yolks and cereals that have been fortified with vitamin D.</p> <p><strong>Supplements</strong><br />From tablets and capsules to liquids, supplements are a convenient way to ensure you are getting enough vitamin D. The even better news is, there are some natural supplement options out there. Be careful, though, as too much can be toxic. Depending on your situation, daily dosages vary. The safest way to be sure on what’s best for you is to consult your doctor.</p> <p><strong>Cod liver oil</strong><br />If you’re not a fan of fatty fish, then you’ll be pleased to know that cod liver oil – which comes from the liver of the cod fish – is very rich in vitamins A and D. Women 60-plus should have around 700mcg per day and men 60-plus, 900mcg per day.</p> <p><em>Image: Shutterstock</em></p>

Body

Placeholder Content Image

The benefits of vitamin D – from head to toe

<p><strong>The benefits of vitamin D</strong></p> <p>Is it the magic vitamin? Well, it might be close. Research in recent years has shown that vitamin D may be one of the most powerful supplements to boost your total wellness and even help promote longevity. For years, vitamin D was touted as an ace for stronger bones, shinier hair and as a potential mood-booster. But you might not be aware of the many benefits vitamin D can provide for your whole system.</p> <p><strong>Brain</strong></p> <p>When taken with fish oil, vitamin D is a powerful mood booster, according to a study published in the <em>FASEB </em>journal. The aptly named ‘sunshine vitamin’ improves mood and lowers depression by aiding the conversion of the essential amino acid tryptophan into serotonin – a brain chemical that regulates mood. But that’s not all! Vitamin D improves memory and cognitive functions in older women, according to a separate study published in <em>Journals of Gerontology A</em>. Meanwhile, previous research has found it may also have some protective effects against Alzheimer’s disease.</p> <p><strong>Eyes</strong></p> <p>Laugh lines aside, your eyes themselves undergo signs of ageing that can impair your vision. According to a study published in <em>Neurobiology of Ageing</em>, a daily dose of vitamin D reduced some of the effects of ageing on eyes, reduced inflammation and improved vision in mice. A second study found that it may also help prevent macular degeneration, a common eye disease that can lead to blindness if it goes untreated.</p> <p><strong>Ears</strong></p> <p>What causes vertigo, that disorienting sensation of dizziness and spinning? Vertigo may feel like your head is spinning, but the problem often stems from the structures in your inner ear that are responsible for balance. However, taking vitamin D and calcium twice a day may reduce vertigo and lower your chances of getting vertigo again, according to a study published in <em>Neurology</em>.</p> <p><strong>Teeth</strong></p> <p>Want stronger, whiter teeth and fewer cavities? Taking a daily vitamin D supplement may help, according to a meta-analysis published in <em>Nutrients</em>. Researchers analysed dozens of controlled studies with thousands of participants in several countries to find that that vitamin D was associated with a 50 per cent reduction in the incidence of tooth decay.</p> <p><strong>Gums</strong></p> <p>The same vitamin D supplement that strengthens your teeth can also help protect your gums from bacterial infections that lead to problems like gingivitis and periodontitis, according to the <em>Nutrients </em>study. Periodontitis, a potentially serious infection of the gum tissue, is a major cause of tooth loss and can also contribute to heart disease.</p> <p><strong>Heart</strong></p> <p>One of vitamin D’s most powerful roles is in the cardiovascular system, where there are 200 genes regulated by vitamin D. How does it work? Vitamin D may help stop cholesterol from clogging arteries, regulate blood pressure and improve the function of cells in the heart. Even better, it may also be able to help heal existing heart damage, according to research published in the <em>International Journal of Nanomedicine</em>.</p> <p><strong>Lungs</strong></p> <p>Asthma, chronic obstructive pulmonary disease (COPD), emphysema and chronic bronchitis affect many people. While it’s not a cure, vitamin D can reduce the number of lung disease flareups by 40 per cent, a study published in <em>The Lancet</em> concluded. The same may be true for asthma, according to a separate study published in <em>Cochrane Review</em>. Researchers found that people who took a daily dose of vitamin D in addition to their asthma medication reduced the number of severe asthma attacks they experienced.</p> <p><strong>Gut</strong></p> <p>People with metabolic syndrome – increased blood pressure, high blood sugar, excess body fat around the waist and abnormal cholesterol or triglyceride levels – are at a high risk of heart disease, stroke and type 2 diabetes. Exercise and a healthy diet are important practices to avoid or heal the syndrome, but research has suggested vitamin D may also help. In a study published in <em>Frontiers in Physiology</em>, vitamin D improved signs of metabolic syndrome by boosting healthy gut bacteria in mice.</p> <p><strong>Liver</strong></p> <p>Higher vitamin D levels are linked with lower levels of cancer in general, and less liver cancer specifically, according to a <em>BMJ </em>study. Researchers took samples from over 33,000 adult participants and found that higher levels of the nutrient were associated with a 20 per cent reduction in cancer and a 30-50 per cent reduction in liver cancer.</p> <p><strong>Reproductive system</strong></p> <p>Both men and women show reproductive and fertility benefits from vitamin D. Female participants who had a healthy vitamin D level early in pregnancy were more likely to have a baby with a healthy weight and head size in a study published in the <em>Journal of Clinical Endocrinology &amp; Metabolism</em>. Similarly, men with higher vitamin D levels had a better fertility potential, particularly through better sperm motility, say researchers in a separate study, published in<em> World Journal of Men’s Health</em>.</p> <p><strong>Bones</strong></p> <p>Think calcium is the best nutrient for bones? Think again. The positive effects of vitamin D on bone health are some of the most documented benefits of the nutrient. Vitamin D is essential for building and maintaining strong bones, while inadequate vitamin D can lead to osteoporosis, a brittle bone disease, according to the Mayo Clinic.</p> <p><strong>Knees</strong></p> <p>Your knees are one of the most-used joints in your body and often one of the first places to experience joint pain as you get older. Research has suggested the most common causes of joint pain are osteoarthritis from joint overuse or injury, and rheumatoid arthritis – an autoimmune disease that attacks joints. Vitamin D can help protect against both types of arthritis. People who maintained healthy vitamin D levels were less likely to get rheumatoid arthritis, according to a study published in <em>Journal of Autoimmunity</em>. Similarly, people with low vitamin D levels reported more symptoms of osteoarthritis, like knee pain and difficulty walking, according to research by the American College of Rheumatology.</p> <p><strong>Feet</strong></p> <p>Stress fractures – microfractures that often occur in small bones due to overuse – are fairly common injuries, particularly in people who participate in high impact activities, like running, or people who are significantly overweight. According to a study published in <em>The Journal of Foot and Ankle Surgery</em>, vitamin D may reduce stress fractures by helping improve bone density.</p> <p><em><span id="docs-internal-guid-41d08e27-7fff-fd5c-6a8f-fc6514936626">Written by Charlotte Hilton Andersen. This article first appeared in <a href="https://www.readersdigest.com.au/healthsmart/the-benefits-of-vitamin-d-from-head-to-toe" target="_blank" rel="noopener">Reader’s Digest</a>. For more of what you love from the world’s best-loved magazine, <a href="http://readersdigest.innovations.com.au/c/readersdigestemailsubscribe?utm_source=over60&amp;utm_medium=articles&amp;utm_campaign=RDSUB&amp;keycode=WRA87V" target="_blank" rel="noopener">here’s our best subscription offer.</a></span></em></p> <p><em>Image: Getty Images</em></p>

Body

Placeholder Content Image

Three simple ways to cut cancer risk for over-70s

<p dir="ltr">Over-70s could cut their cancer risk by up to 61 percent through a combination of high-dose vitamin D, omega-3s, and a home strength exercise program, according to new research.</p> <p dir="ltr">The study, published in <em><a href="https://www.frontiersin.org/articles/10.3389/fragi.2022.852643/full" target="_blank" rel="noopener">Frontiers in Ageing</a></em>, tested the effect of high daily doses of vitamin D3 (a form of vitamin D used in supplements), daily omega-3 supplements, and at-home exercise when combined with each other and in isolation over three years.</p> <p dir="ltr">2,157 healthy participants over the age of 70 were given either a combination of the supplements and exercise, single supplements, or a placebo between December 2012 and 2017, with the researchers then assessing the impact of the supplements on the risk of invasive cancers.</p> <p dir="ltr">Though each supplement was found to have a slight benefit when taken alone, the team found the combination of exercise and supplements had a significant effect.</p> <p dir="ltr">“This is the first randomised controlled trial to show that the combination of daily vitamin D3, supplemental marine omega-3s, and a simple home exercise program may be effective in the prevention of invasive cancer among generally healthy and active adults aged 70 and older,” Dr Heike Bischoff-Ferrari of the University Hospital Zurich, and the study’s first author, <a href="https://www.scimex.org/newsfeed/over-70-vitamin-d,-omega-3s,-and-exercise-could-cut-your-cancer-risk-by-61" target="_blank" rel="noopener">said</a>.</p> <p dir="ltr">“Our results, although based on multiple comparisons and requiring replication, may prove to be beneficial for reducing the burden of cancer.”</p> <p dir="ltr">But Dr Bischoff-Ferrari and her team didn’t pick these supplements by chance.</p> <p dir="ltr">In fact, previous studies have shown that vitamin D stops cancer cells from growing, while omega-3 may prevent normal cells from becoming cancerous.</p> <p dir="ltr">Even exercise has been found to reduce inflammation and improve immune function, which could also help prevent cancer, according to <em><a href="https://www.eurekalert.org/news-releases/950364" target="_blank" rel="noopener">Eureka Alert!</a></em>.</p> <p dir="ltr">But, there have been few robust clinical studies proving that using these three treatments can prevent cancer - which is why Dr Bischoff-Ferrari and her team came in.</p> <p dir="ltr">With their findings, Dr Bischoff-Ferrari said future studies should try to replicate their findings and continue following up with patients for more than three years to determine how long-term these benefits are.</p> <p><span id="docs-internal-guid-95d28c12-7fff-b582-b589-32ae86914c18"></span></p> <p dir="ltr"><em>Image: Getty Images</em></p>

Body

Placeholder Content Image

Lynne McGranger’s brutal COVID message: “Don’t be that d***head”

<p><span style="font-weight: 400;"><em>Home and Away</em> star Lynne McGranger has sent a very special message to those in NSW not following the COVID-19 advice given during lockdown, as the state reaches new highs in positive cases not seen since the beginning of 2020. </span></p> <p><span style="font-weight: 400;">In a post to Instagram, Lynne shared a sign with health advice, including reminders to wash your hands, wear a mask and continue social distancing. </span></p> <p><span style="font-weight: 400;"><img style="width: 500px; height: 281.25px;" src="https://oversixtydev.blob.core.windows.net/media/7842426/kmart-plus-lynne-home-and-away-5.jpg" alt="" data-udi="umb://media/dd991d4706d943bb958b1c0a76a030a7" /></span></p> <p><em><span style="font-weight: 400;">Image: Instagram</span></em></p> <p><span style="font-weight: 400;">However, Lynne received a flurry of comments for the part on the sign which read: “We’re one d***head away from disaster… Don’t be that d***head.”</span></p> <p><span style="font-weight: 400;">The actress echoed the statement written on the sign, pleading with fans in the caption: “Please don’t be that d***head.”</span></p> <p><span style="font-weight: 400;">People took to the comments to point out the comedic side of the sign, with one person writing “Gotta love Aussie PR.” </span></p> <p><span style="font-weight: 400;">Another said: “That’s the campaign we need out there. I think all Aussies will listen to that.”</span></p> <blockquote style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 540px; min-width: 326px; padding: 0; width: calc(100% - 2px);" class="instagram-media" data-instgrm-permalink="https://www.instagram.com/p/CPr10ETsfJI/?utm_source=ig_embed&amp;utm_campaign=loading" data-instgrm-version="13"> <div style="padding: 16px;"> <div style="display: flex; flex-direction: row; align-items: center;"> <div style="background-color: #f4f4f4; border-radius: 50%; flex-grow: 0; height: 40px; margin-right: 14px; width: 40px;"></div> <div style="display: flex; flex-direction: column; flex-grow: 1; justify-content: center;"> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; margin-bottom: 6px; width: 100px;"></div> <div style="background-color: #f4f4f4; border-radius: 4px; flex-grow: 0; height: 14px; width: 60px;"></div> </div> </div> <div style="padding: 19% 0;"></div> <div style="display: block; height: 50px; margin: 0 auto 12px; width: 50px;"></div> <div style="padding-top: 8px;"> <div style="color: #3897f0; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: 550; line-height: 18px;">View this post on Instagram</div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" rel="noopener" href="https://www.instagram.com/p/CPr10ETsfJI/?utm_source=ig_embed&amp;utm_campaign=loading" target="_blank">A post shared by Lynne McGranger (@lynnemcgranger)</a></p> </div> </blockquote> <p><span style="font-weight: 400;">“Believe me Lynne, they are everywhere!” someone else wrote. </span></p> <p><span style="font-weight: 400;">Lynne shared earlier this year, in June, that she had received her first dose of the AstraZeneca vaccine. </span></p> <p> </p>

Retirement Life

Placeholder Content Image

Don't be a d**k: Sam Armytage's blunt appeal after copping abuse from strangers

<p>Samantha Armytage has asked Australians to show more tolerance and “try really hard to not be a d**k” after copping abuse from strangers.</p> <p>Writing for Stellar Magazine, the Sunrise host spoke about a dew recent incidents while out and about in Sydney.</p> <p>The first run-in saw Armytage sworn at by a driver at the traffic lights after he abruptly swerved into her lane while she drove her ill parents home from hospital.</p> <p>“We were driving along, minding our own business in the centre lane of traffic, when a bloke pulled out of a side street,” she penned.</p> <p>“He swung dangerously into my lane, almost T-boning us.”</p> <p>“I’m not ashamed to tell you, he gave me a fright. And he terrified my country-parent passengers. So, yes, I beeped him, and yes, he bloody deserved it,” she added.</p> <p>“Now, I can hold my own. You don’t survive a career in TV and an all-girls boarding school and be faint of heart.”</p> <p>“But the abuse this guy dished out to me at the traffic lights would have made a sheepdog blush.”</p> <p>“There were some words in there even I hadn’t heard, and I pride myself on my potty mouth. And it was TOTALLY HIS FAULT. It was full-on, even by Sydney-traffic standards.”</p> <p>Another time, Armytage said she was scolded at a local park after she ran out of plastic bags to pick up her dog Banjo’s poo.</p> <p>“I won’t go into too much detail about Banjo’s bowel movements that day, but let’s just say we had a two-poo situation and I only had one bag,” she wrote.</p> <p>“So, at the point of the second turd, I stopped and waited patiently (as any good parent would) for another lovely, kind dog owner to walk past with a spare plastic bag. It’s called karma and I’m a big believer in it.”</p> <p>“Well, old mate from the traffic must have had a twin brother walking in the park. Because another abusive fellow walked past and started shouting some more four-letter words at me about picking up the poo.”</p> <p>“It was ridiculous, unnecessary and just plain dickery.”</p> <p>“At this stage I considered picking up the poo in my bare hands and pegging it at that idiot.”</p> <p>“But this wasn’t the Serengeti, even though people were behaving like animals, so I ignored him.”</p> <p>Samantha concluded by saying while it’s normal to feel stressed and anxious during these uncertain times, she believes it’s important that we continue to respect each other.</p> <p>“We’ve all been socially isolated for so long; it could just happen. So be a bit tolerant. And just try really, really hard not to be a d**k,” she said.</p>

TV

Placeholder Content Image

Does vitamin D protect against coronavirus?

<p>Recent headlines have suggested vitamin D deficiency could increase the <a href="https://www.news.com.au/world/coronavirus/health/experts-claim-those-with-low-vitamin-d-levels/news-story/8207fd86200fd4902b25d47990464f6a">risk of dying</a> from COVID-19, and in turn, that we should consider taking <a href="https://www.bbc.com/news/health-52371688">vitamin D supplements</a> to protect ourselves.</p> <p>Is this all just hype, or could vitamin D really help in the fight against COVID-19?</p> <p><strong>Vitamin D and the immune system</strong></p> <p>At least in theory, there may be something to these claims.</p> <p>Nearly all immune cells have <a href="https://www.ncbi.nlm.nih.gov/pubmed/22503810">vitamin D receptors</a>, showing vitamin D interacts with the immune system.</p> <p>The active vitamin D hormone, calcitriol, helps regulate both the <a href="https://www.ncbi.nlm.nih.gov/books/NBK279396/">innate and adaptive immune systems</a>, our first and second lines of defence against pathogens.</p> <p>And vitamin D deficiency is associated with <a href="https://www.mdpi.com/2072-6643/12/5/1248/htm">immune dysregulation</a>, a breakdown or change in the control of immune system processes.</p> <p> </p> <p>Many of the ways calcitriol affects the immune system are directly relevant to our ability to defend against viruses.</p> <p>For example, calcitriol triggers the production of cathelicidin and other defensins – natural antivirals capable of <a href="https://www.ncbi.nlm.nih.gov/pubmed/30614127">preventing the virus</a> from replicating and entering a cell.</p> <p>Calcitriol can also increase the number of a particular type of immune cell (CD8+ T cells), which play a critical role in <a href="https://www.ncbi.nlm.nih.gov/pubmed/30614127">clearing acute viral infections</a> (such as influenza) in the lungs.</p> <p>Calcitriol also suppresses pro-inflammatory cytokines, molecules secreted from immune cells which, as their name suggests, promote inflammation. Some scientists have suggested vitamin D might help to alleviate the “<a href="https://www.ncbi.nlm.nih.gov/pubmed/32353742">cytokine storm</a>” described in the most severe COVID-19 cases.</p> <p>Evidence from randomised controlled trials suggests regular vitamin D supplementation may help protect against acute respiratory infections.</p> <p>A recent <a href="https://www.ncbi.nlm.nih.gov/pubmed/30675873">meta-analysis</a> brought together results from 25 trials with more than 10,000 participants who were randomised to receive vitamin D or a placebo.</p> <p>It found vitamin D supplementation reduced the risk of acute respiratory infections, but only when it was given daily or weekly, rather than in a large single dose.</p> <p>The benefits of regular supplementation were greatest among participants who were severely vitamin D deficient to begin with, for whom the risk of respiratory infection went down by 70%. In others the risk decreased by 25%.</p> <p>Large one-off (or “bolus”) doses are often used as a quick way to achieve vitamin D repletion. But in the context of respiratory infections, there were no benefits if participants received high single doses.</p> <p>In fact, <a href="https://pubmed.ncbi.nlm.nih.gov/26747333/">monthly</a> or <a href="https://www.ncbi.nlm.nih.gov/pubmed/20460620">annual</a> vitamin D supplementation has sometimes had unexpected side effects, such as increased risk of falls and fractures, where vitamin D was administered to <em>protect</em> against these outcomes.</p> <p>It’s possible intermittent administration of large doses may <a href="https://www.ncbi.nlm.nih.gov/pubmed/19667164">interfere</a> with the synthesis and breakdown of the enzymes regulating vitamin D activity within the body.</p> <p><strong>Vitamin D and COVID-19</strong></p> <p>We still have relatively little direct evidence about the role of vitamin D in COVID-19. And while early research is interesting, much of it may be circumstantial.</p> <p>For example, <a href="https://www.medrxiv.org/content/10.1101/2020.04.24.20075838v1">one small study</a> from the United States and <a href="https://papers.ssrn.com/sol3/papers.cfm?abstract_id=3571484">another study</a> from Asia found a strong correlation between low vitamin D status and severe infection with COVID-19.</p> <p>But neither study considered any confounders.</p> <p>In addition to the elderly, COVID-19 generally has the greatest consequences for people with <a href="https://www.medrxiv.org/content/10.1101/2020.05.06.20092999v1">pre-existing conditions</a>.</p> <p>Importantly, people with existing medical conditions are also often vitamin D deficient. Studies assessing <a href="https://www.ncbi.nlm.nih.gov/pubmed/30682545">ICU patients</a> have reported high rates of deficiency even before COVID-19.</p> <p>So we would expect to see relatively high rates of vitamin D deficiency in seriously ill COVID-19 patients – whether vitamin D has a role or not.</p> <p>Some researchers have noted high rates of COVID-19 infections in <a href="https://www.bmj.com/content/369/bmj.m1548/rr-6">ethnic minority groups</a> in the UK and US to suggest a role for vitamin D, as ethnic minority groups tend to have lower levels of vitamin D.</p> <p>However, analyses from the <a href="https://www.ncbi.nlm.nih.gov/pubmed/32413819">UK Biobank</a> did not support a link between vitamin D concentrations and risk of COVID-19 infection, nor that vitamin D concentration might explain ethnic differences in getting a COVID-19 infection.</p> <p>Although this research adjusted for confounders, vitamin D levels were measured ten years earlier, which is a drawback.</p> <p>Researchers have also suggested vitamin D <a href="https://www.researchsquare.com/article/rs-21211/v1">plays a role</a> by looking at the average vitamin D levels of different countries alongside their COVID-19 infections. But in the hierarchy of <a href="https://www.healthknowledge.org.uk/public-health-textbook/research-methods/1a-epidemiology/descriptive-studies-ecological-studies">scientific evidence</a> these types of studies are weak.</p> <p><strong>Should we be trying to get more vitamin D?</strong></p> <p>There are several registered <a href="https://clinicaltrials.gov/ct2/results?cond=Covid-19&amp;term=vitamin+D&amp;cntry=&amp;state=&amp;city=&amp;dist=">trials</a> on vitamin D and COVID-19 in their early stages. So hopefully in time we’ll get some more clarity about the potential effects of vitamin D on COVID-19 infection, particularly from studies using stronger designs.</p> <p>In the meantime, even if we don’t know whether vitamin D can help mitigate the risk of or outcomes from COVID-19, we do know being vitamin D deficient won’t help.</p> <p> </p> <p>It’s difficult to get enough vitamin D from food alone. A generous portion of oily fish can cover much of our need, but it’s neither healthy nor palatable to eat this every day.</p> <p>In Australia we get most of our vitamin D from the sun, but about 70% of us have <a href="https://pubmed.ncbi.nlm.nih.gov/30674358/?from_term=vitamin+D+status+australia+winter&amp;from_sort=date&amp;from_pos=5">insufficient levels</a> during winter. The <a href="https://www.osteoporosis.org.au/vitamin-d">amount of exposure</a> we need to get enough vitamin D is generally low, only a few minutes during summer, while during the winter it might take a couple of hours of exposure in the middle of the day.</p> <p>If you don’t think you’re getting enough vitamin D, speak to your GP. They may recommend incorporating <a href="https://www.healthline.com/nutrition/how-much-vitamin-d-to-take">daily supplements</a> into your routine this winter.<!-- Below is The Conversation's page counter tag. Please DO NOT REMOVE. --><img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important; text-shadow: none !important;" src="https://counter.theconversation.com/content/138001/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /><!-- End of code. If you don't see any code above, please get new code from the Advanced tab after you click the republish button. The page counter does not collect any personal data. More info: https://theconversation.com/republishing-guidelines --></p> <p><em><a href="https://theconversation.com/profiles/elina-hypponen-108811">Elina Hypponen</a>, Professor of Nutritional and Genetic Epidemiology, <a href="https://theconversation.com/institutions/university-of-south-australia-1180">University of South Australia</a></em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/does-vitamin-d-protect-against-coronavirus-138001">original article</a>.</em></p>

Body

Placeholder Content Image

The truth about vitamin D

<p>It’s one of life’s little ironies that we live in a country with abundant sunshine yet every year the rates of vitamin D deficiency in the Australian population continue to soar.</p> <p>Health experts know the importance of maintaining adequate levels of vitamin D and there is increasing evidence that this is also a contributor to our overall health. While studies are still embryonic, there are signs that low levels of vitamin D is linked to serious illnesses such as heart disease, diabetes and some cancers.</p> <p>Vitamin D helps our body absorb calcium, and that’s a major factor for maintaining our bone health and muscle mass.</p> <p>As we get older, being vitamin D deficient is known to be a mitigating factor in increased falls and bone fractures, says <a href="https://www.osteoporosis.org.au/">Osteoporosis Australia</a>, with more than six million Australians known to have low bone density. Osteoporosis Australia is currently inviting people to visit their website to try the <a href="http://osteoporosisdtc.azurewebsites.net/home">'Know Your Bones' bone health assessment tool</a>.</p> <p>Experts say the best way to “top up” on vitamin D is to spend some time outdoors in the sunshine; especially recommended in winter.</p> <p>Australian Bureau of Statistics figures in 2011 found that by the end of winter, nearly 50 per cent of all Australians in Victoria, Tasmania and the ACT had a vitamin D deficiency, with NSW not far behind with around 40 per cent.</p> <p>It was only the sunnier states of Queensland, Western Australia and the Northern Territory that had far lower percentages – generally less than 20 per cent.</p> <p>While those percentages may fluctuate from year to year, experts agree that many of us need to rethink our relationship with the sun in the colder months. </p> <p>Professor Rebecca Mason, the head of physiology and deputy director of the Bosch Institute at Sydney Medical School at the University of Sydney, who has studied vitamin D for decades, says that exposing parts of our body – arms and legs, for example – to sunlight is by far the preferred way to get vitamin D.</p> <p>“Energy absorption from sunlight is absolutely critical to make vitamin D in skin and the high energy is only available from the UVB part of sunlight,” says Professor Mason. This means we need to try to get in the sun between 11am and 1pm on a daily basis in winter, she adds.</p> <p>However, there is a resistance to getting out there among many Australians, who are often worried about sun exposure and skin cancer as well as preferring to stay indoors.</p> <p>“One of the biggest problems with some older Australians is that they just don’t get outside enough,” says Professor Mason. “Mobility can be an issue, not being well enough and generally not wanting to go out.”</p> <p>There is a lot of confusing information on the internet about how much sun on your skin you need to maintain healthy vitamin D levels. It depends, in fact, on where you live. In Cairns, for example, you will probably only need about 10 minutes per day, whereas in Melbourne or Hobart, you will need at least 40 minutes. Unless you’re playing sport or doing something physical to keep you warm, this can be extremely difficult when it’s freezing cold outside.</p> <p>So are there any worthwhile alternatives? Not really, says Professor Mason, though some, like vitamin D supplements, may be “perfectly reasonable” if you have concerns about skin cancer or other medical, practical or cultural reasons why going out in the sunshine is not an option.</p> <p>“The main problem with supplements,” says Professor Mason, “is that we are becoming increasingly aware that being out in the sun has health benefits that are not necessarily just due to vitamin D.”</p> <p>While there are some foods that do contain vitamin D – such as fish with the skin left on, eggs, meat, some cereals, and margarine – these will only provide about 10 per cent of your daily requirement at best.</p> <p>The only way to find out if you are vitamin D deficient is to have a blood test. The best time to go is at the end of winter or early spring.</p> <p>There are no major physical symptoms if your vitamin D levels have dropped - unless you have very low levels. Then, you may notice general aches and pains, bone tenderness, and a much higher risk of bone fractures if you have a fall.</p> <p><em>Republished with permission of <a href="https://www.wyza.com.au/articles/health/the-truth-about-vitamin-d.aspx">Wyza.com.au.</a></em></p>

Retirement Life

Placeholder Content Image

Rafael Nadal breaks down after "emotional" US Open win

<p>Rafael Nadal has claimed his 19th Grand Slam championship and was overcome with emotion after realising what he has achieved.</p> <p>The 33-year-old was playing in his 27th major final but 23-year-old Medvedev fought him every step of the way.</p> <p>The match went for a shocking five hours, but eventually Nadal was able to nab the victory.</p> <p>The emotion of the occasion was too much for the tennis legend to bear as a highlight reel of his slam wins played inside the stadium after he claimed match point. Tears rolled down his face as Nadal gracefully thanked the crowd.</p> <p>“It has to be one of the most emotional nights of my tennis career,” Nadal said. “This victory means a lot and especially with the way the match became so difficult, so tough ... it has been a crazy match, no? I’m just emotional.”</p> <blockquote class="twitter-tweet" data-lang="en-gb"> <p dir="ltr">Witnessing history, from 1 to 19....<a href="https://twitter.com/RafaelNadal?ref_src=twsrc%5Etfw">@RafaelNadal</a> | <a href="https://twitter.com/hashtag/USOpen?src=hash&amp;ref_src=twsrc%5Etfw">#USOpen</a> <a href="https://t.co/33kDYn4kwf">pic.twitter.com/33kDYn4kwf</a></p> — US Open Tennis (@usopen) <a href="https://twitter.com/usopen/status/1170879712006148096?ref_src=twsrc%5Etfw">9 September 2019</a></blockquote> <p>It was a tough match for Nadal after the crowd booed him in the fifth set after the New York crowd thought that the star was wasting time as he went to get a new racquet while Medvedev was serving.</p> <p>However, he didn’t flinch and went on to take the victory.</p> <p>It’s clear that Nadal had his eye on the prize, as his other opponents from this past fortnight have struggled to find the words to describe Nadal’s technique.</p> <p>Diego Schwartzman suggested Nadal was “like a lion in the middle of the jungle” while Matteo Berrettini called him “the greatest fighter ever in this sport.”</p> <p>“It’s tough to find words,” added Medvedev. “He’s one of the greatest champions in the history of our sport. He’s just a machine, a beast on the court.”</p>

News

Placeholder Content Image

This vitamin could be the secret to stopping cold and flu

<p>Vitamin D isn’t just good for promoting good bone health. According to a new study published in the <a href="http://www.bmj.com/cgi/doi/10.1136/bmj.i6583" target="_blank"><strong><em><span style="text-decoration: underline;">British Medical Journal</span></em></strong></a>, taking a vitamin D supplement daily or weekly is as effective as the flu vaccine, cutting users’ chances of respiratory infection by 12 per cent.</p> <p>And, with the effectiveness of sun-safe messages like “slip, slop, slap, and wrap” some experts worry that many of us are covering up to the point where we don’t get any sunshine on our skin.</p> <p>The findings of the study support the observation that we’re most at risk of cold and flu during winter and spring, when our levels of vitamin D are running low.</p> <p>“The bottom line is that the protective effects of vitamin D supplementation are strongest in those who have the lowest vitamin D levels and when supplementation is given daily or weekly rather than in more widely spaced doses,” lead researcher Professor Adrian Martineau of the Queen Mary University of London said.</p> <p>Do you take a vitamin D supplement? Do you believe it’s had a positive impact on your immune system? Let us know in the comment section below.</p> <p><strong>Related links:</strong></p> <p><a href="/health/body/2017/02/foods-for-maintaining-healthy-eyes/"><em><span style="text-decoration: underline;"><strong>Foods for maintaining healthy eyes</strong></span></em></a></p> <p><a href="/health/body/2017/02/the-reason-behind-your-sensitive-teeth/"><span style="text-decoration: underline;"><em><strong>The reason behind your sensitive teeth</strong></em></span></a></p> <p><a href="/health/body/2017/02/natural-remedies-for-sinus-relief/"><span style="text-decoration: underline;"><em><strong>Natural remedies for sinus relief</strong></em></span></a></p>

Body

Placeholder Content Image

D-Day veteran sent over 200 “get well” cards from strangers

<p>When 95-year-old John Ainsworth found himself bedridden in hospital after suffering leg problems, he might have expected a few “get well” cards, but his expectations were blown out of the water when he received more than 200 from strangers.</p> <p>The D-Day veteran’s old army friend, Ernie Lornie, decided to cheer his mate up by putting a call out to the community, and his appeal certainly worked!</p> <p>“It's just amazing - I never dreamt anything like this would happen to me,” the great-grandfather told the <a href="http://www.dailymail.co.uk/news/article-3734478/The-kindness-strangers-D-Day-veteran-95-flooded-heart-warming-cards-world-friend-appealed-messages.html" target="_blank"><strong><span style="text-decoration: underline;">Daily Mail</span></strong></a>. “The response has been absolutely astonishing - when I saw all the messages I was overcome by it, and I didn't know what to say.</p> <p>“I really think it helped me get better - I'm so grateful that people are so concerned about my state of health. I got cards from all over the world wishing me well, and a lot of messages online.</p> <p> “I'm so grateful to Ernie for organising everything - but that's Ernie, he's a wonderful man and when he sets out to do something, he does it.”</p> <p>Ainsworth, who served in the Fourth Durham Survey Regiment for seven years during World War II, lives with his 90-year-old wife Irene and has three children, five grandchildren and one great-grandchild.</p> <p>“It just shows you how good people are, in this country and elsewhere,” he added. “The good far outweighs all the evil that goes on.”</p> <p>What a beautiful story. Tell us in the comments below, what’s the kindest thing a stranger has done for you?</p> <p><strong>Related links:</strong></p> <p><a href="/news/news/2016/08/grandmother-gives-up-spot-on-organ-transplant-list/"><span style="text-decoration: underline;"><em><strong>Great grandmother gives up spot on organ transplant list for younger woman</strong></em></span></a></p> <p><a href="/news/news/2016/08/hospice-patient-knits-hats-for-the-homeless/"><strong><em><span style="text-decoration: underline;">91-year-old hospice patient knits hats for the homeless</span></em></strong></a></p> <p><a href="/news/news/2016/08/grandson-surprises-grandparents-with-brand-new-car/"><strong><em><span style="text-decoration: underline;">Grandson surprises grandparents with brand new car</span></em></strong></a></p>

News

Placeholder Content Image

Veterans slam Prince Harry for untidy appearance

<p>It’s not every day that a member of the public gets to take the mickey out of the fifth-in-line for the British throne! During a recent visit to Southwick House in anticipation of the anniversary of D-Day, Prince Harry was jokingly berated by a 91-year-old WWII veteran for his casual appearance.</p> <p>“Where’s your bloody tie?” Ivor Anderson boldly asked the young royal, who replied “I was told not to wear a tie and then you all turn up wearing ties! I feel under-dressed.”</p> <p><img width="500" height="250" src="https://oversixtydev.blob.core.windows.net/media/21505/prince-harry-group_500x250.jpg" alt="Prince Harry Group"/></p> <p>Prince Harry was reportedly worried about his outfit before he even entered the room, asking “Are they all wearing ties in there? I should have worn a tie! Oh well, it’s too late now.”</p> <p>Anderson later said he had a spare one, but couldn’t lend it to the Prince as he didn’t have his “wings”, a term used to describe the badge worn on a tie by members of the air force.</p> <p><strong>Related links:</strong></p> <p><a href="/news/news/2016/05/prince-harry-closes-the-invictus-games-with-a-kiss/"><span style="text-decoration: underline;"><em><strong>Prince Harry closes the Invictus Games with a kiss</strong></em></span></a></p> <p><a href="/news/news/2016/05/piers-morgan-says-harry-would-make-a-better-king-than-william/"><span style="text-decoration: underline;"><em><strong>Piers Morgan says Harry would make a better king than William</strong></em></span></a></p> <p><a href="/news/news/2016/05/prince-harry-meets-australian-invictus-competitors/"><span style="text-decoration: underline;"><em><strong>Star-struck Aussie Invictus competitors meet Prince Harry</strong></em></span></a></p>

News

Placeholder Content Image

Vitamin D may stop age-related vision loss

<p>Warding off vision loss for women could be as simple as looking to the kitchen.</p><p>A new study found that women who consumed higher levels of vitamin D through supplements or eating vitamin D rich food had a lower risk from age-related macular degeneration (AMD).</p><p>AMD is a serious eye condition that progressively damages the centre of the retina and the back of the eye. It is the leading cause of vision loss for over-50s in developing countries, including Australia.</p><p>As AMD is more common in women than men (although scientist still do not know the reason for this), the study surveyed 1,313 women. They found when women under the age of 75 who consumed vitamin D food sources were at reduced risk of early AMD. Women who had the highest intake of vitamin D were 59 per cent less likely to develop AMD compared to those on vitamin D-poor diets. The researchers noted the risk was the lowest when participants consumed 720 international units of vitamin D per day through foods such as cold-water fish, eggs, and dairy. That’s a small can of tuna, for example.</p><p>Although vitamin D is best known as coming from the sun, the study only found success when vitamin D was consumed via food or supplements, not how much time you spend outdoors.</p><p>While the study offers one more reason for women to include vitamin-D rich food in their diet, researchers still need to further study the relationship.</p><p>“More studies are needed to verify this association as well as to better understand the potential interaction between vitamin D status and genetic and lifestyle factors with respect to risk of early AMD,” said lead scientists, Dr Amy Millen, from Buffalo University in New York.&nbsp;</p><p><a href="/health/eye-care/2015/01/what-are-protective-sunglasses/" target="_blank"><span style="text-decoration: underline;"><strong>If you're spending more time in the sun, you should check if your sunglasses are really protecting your eyes.</strong></span></a></p>

Eye Care

Our Partners