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Factors Affecting Vitamin D Levels
- Factors related to skin synthesis
- Lifestyle and individual factors
- Dietary factors
Factors Related to Skin Synthesis
- Reduced exposure to sunlight can lower Vitamin D levels
- Geographical location; higher the latitude, lower the level of Vitamin D
- Seasonal variations; deficiency is more common in winter than summer
- Use of sunscreens is a relatively insignificant factor in terms of Vitamin D deficiency; mainly due to variations in its use. Most sunscreens are designed to block UVA efficienctly but not UVB
Lifestyle & Individual Factors
- Gender and body fat levels can influence Vitamin D levels
- Old age can lead to a reduction in the capacity of both the skin and the intestines synthesize Vitamin D Obesity reduces the availability of Vitamin D in the blood because more of the vitamin is stored in fat Smoking can lead to reduced levels of Vitamin D
- Moderate, on-going, physical activity can increase Vitamin D levels but can prove counterproductive if taken to excess
- Skin pigmentation; pigmented skin is less able to produce Vitamin D fron sunlight
Dietary Factors
- Dietary components such as Vitamin A can compete with Vitamin D. High levels of Vitamin A and retinols can reduce the effects of Vitamin D
- Dietary & injectable vitamin D supplements can increase Vitamin D levels but care should be taken to avoid possible, though rare, vitamin D overdose
- Medications like Orlistat (Xenical) can interfere with Vitamin D absorption from intestines by causing malabsorbtion of dietary fat
- Intestinal absorption problems can lead to lower levels of Vitamin D and other fat soluble vitamins but recent evidence suggests that oral supplements may bypass this problem
(9,11,15,16)
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