Saturday, February 21, 2009

Vitamin D 'is mental health aid'

February 21, 2009
Dr. Steven Horvitz- Reading between the Lines:
Bringing you healthcare information you can trust!

As many of you already know, I am a big proponent of prevention of medical illness through easy lifestyle changes. The key to prevention is understanding how the different parts of your day impacts on your health.

The diet you follow is of utmost importance, especially when it comes to getting the proper amount of vitamins and nutrients to not only sustain your energy levels, but also to optimize your body to run efficiently.

While not a believer in megadoses of vitamins, I am a strong believer in getting optimal amounts, which in many cases is very different from the governments RDA, or recommended daily allowance.

Vitamin D is one vitamin that we are learning more and more about, especially with prevention of disease. My belief is that the RDA is much too low for optimum health.

The following article is from BBC online and discusses Vitamin D as a preventive for cognitive decline as we age.

Vitamin D 'is mental health aid'

From the BBC news online: Jan 23, 2009

Vitamin D, found in fish and produced by sun exposure, can help stave off the mental decline that can affect people in old age, a study has suggested.

UK and US researchers looked at 2,000 people aged 65 and over.

They found that compared to those with the highest vitamin D levels, those with the lowest were more than twice as likely to have impaired understanding.

Alzheimer's charities said the research was interesting, but more work was needed to understand vitamin D's role.

Vitamin D is important in maintaining bone health, in the absorption of calcium and phosphorus, and in helping the immune system.

The body makes vitamin D when it is exposed to the sun, or it can be obtained from foods such as oily fish, and those fortified with vitamin D, such as milk, cereals, and soya drinks.

But older people's skin is less able to absorb vitamin D from sunlight so they are more reliant on obtaining it from other sources.


Animal and lab studies have previously suggested that the vitamin can have a beneficial effect on cognitive function.

The team from the Peninsula Medical School in Exeter, the University of Cambridge and the University of Michigan, assessed people's cognition, or comprehension skills.

People who have impaired cognitive function are more likely to develop dementia.

The researchers looked at people who had taken part in the Health Survey for England in 2000.

Just over 200 had significant cognitive impairment, assessed by looking at people's attention, orientation in time and space and memory.

The study found that as levels of vitamin D went down, levels of cognitive impairment went up.

The paper will appear in a forthcoming issue of the Journal of Geriatric Psychology and Neurology.

Dr Iain Lang from the Peninsula Medical School, who worked on the study, said: "For those of us who live in countries where there are dark winters without much sunlight, like the UK, getting enough vitamin D can be a real problem - particularly for older people, who absorb less vitamin D from sunlight.

"One way to address this might be to provide older adults with vitamin D supplements.

"This has been proposed in the past as a way of improving bone health in older people, but our results suggest it might also have other benefits.

"We need to investigate whether vitamin D supplementation is a cost-effective and low-risk way of reducing older people's risks of developing cognitive impairment and dementia."

Risk factor?

Rebecca Wood, chief executive of the Alzheimer's Research Trust, said: "Many foods that contain vitamin D, such as oily fish, eggs and breakfast cereals, are also good sources of vitamin B12, which, as previous studies have shown, can help protect the brain.

"Diet is known to influence dementia risk. The best way of reducing your risk of developing dementia is to maintain a balanced diet with regular exercise and frequent social interactions."

She added: "These findings may be significant, but much more research is needed."

Dr Susanne Sorensen, head of research at the Alzheimer's Society, added: "One in three people over 65 will die with dementia so research into how we can reduce risk is to be encouraged.

"There was some previous evidence to suggest that people with dementia may have a lower level of vitamin D in their blood but it was not clear if this happened after the onset of disease.

"It would be interesting if a low level of vitamin D was found to be a risk factor for cognitive problems as it is cheap and easy to remedy.

"We look forward to seeing the published results of this new research to help us better understand the potential role of vitamin D in reducing risk."

So, yet more information on the potential benefits of Vitamin D. Naysayers will argue that the "studies" were not run properly, or that the study was too small. Instead of focusing on statistics, let's use a little logic. We have found out that Vitamin D has many functions other than calcium and bone development. Please refer to the Vitamin D council website for a long list of other beneficial effects. I like to look at how our body would naturally obtain a nutrient both in today's world and a thousand years ago, before we had vitamin supplements. As our bodies are able to manufacture Vitamin D from sunlight, in amounts of 10,000 - 15,000 units from a good summertime sun exposure, the RDA of 400-800 units seems pretty low.

Question: Why do many retirees first head south for the winter, and then eventually move south for good?

Is it the warmer weather, lower taxes, lower cost of living, OR possibly they feel better due to more sunshine naturally increasing their Vitamin D?

If you have any comments or questions about this newsletter please visit my blog and post it for discussion.

Steven Horvitz, D.O.
Board Certified Family Medicine
Founder of The Institute for Medical Wellness

Steven Horvitz, D.O.
Board Certified Family Medicine
Founder of The Institute for Medical Wellness

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