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34 clinical practice Vitamin D guidelines, huge diversity – Nov 2021

Updated page 15 Clinical guidelines now recommend vitamin D – Nov 2021


Vitamin D recommendations in clinical guidelines:
A systematic review, quality evaluation and analysis of potential predictors - Sept 2021

Int J Clin Pract. 2021 Sep 6;e14805. doi: 10.1111/ijcp.14805
D Fraile Navarro 1 2 3, A López-García-Franco 1 2, E Niño de Guzmán 4, M Rabassa 4, R Zamanillo Campos 5 6 7, H Pardo-Hernandez 8 9, I Ricci-Cabello 5 7 9, C Canelo-Aybar 10 11, J F Meneses-Echavez 12 13, J J Yepes-Nuñez 14 15, J Kuindersma 16, I Gich-Saladich 4 9 17, P Alonso-Coello 4 9

Background: Vitamin D has been widely promoted for bone health through supplementation and fortification of the general adult population. However, there is growing evidence that does not support these strategies. Our aim is to review the quality and recommendations on vitamin D nutritional and clinical practice guidelines and explore predictive factors for their direction and strength.

Methods: We searched three databases and two guideline repositories from 2010 onwards. We performed a descriptive analysis, a quality appraisal using AGREE II scores (Appraisal of Guidelines Research and Evaluation) and a bivariate analysis evaluating the association between direction and strength of recommendations, AGREE II domains' scores and pre-specified characteristics.

Results: We included 34 guidelines,

  • 44.1% recommended,
  • 26.5% suggested, and
  • 29.4% did not recommend vitamin D supplementation.

Guidelines that scored higher for "editorial independence" and "overall quality score" were less likely to recommend or suggest vitamin D supplementation (median 68.8 vs. 35.4; p=0.001), and median 58.3 vs. 37.5; p=0.02). Guidance produced by government organizations and those that reported source of funding were associated with higher AGREE II scores. Unclear role of source of funding was associated with recommending or suggesting vitamin D supplementation (p=0.034). Editorial independence was an independent predictor for recommending or suggesting vitamin D supplementation (OR 1.09; CI95% 1.02 to 1.16; p=0.006).

Conclusions: Policymakers, clinicians and patients should be aware that lower quality guidelines, and those reporting conflicts of interest are more likely to promote vitamin D supplementation. Guideline organizations should improve the quality of their recommendations' development and the management of conflicts of interest. Users and editors should be aware of these findings when using and appraising guidelines.
 Download the PDF from Sci-Hub via Vitamin D Life


Dose size needed by an individual varies a lot

  1. Amount needed varies with obesity
  2. Amount needed varies with age
    • Small bodies need small doses
    • Seniors need more - indoors a lot and poor UVB adsorption
  3. Amount needed varies with skin color
  4. Amount needed varies with genes
  5. Amount needed varies with heallth problem to be prevented
  6. Amount needed varies with heallth problem to be treated
  7. Amount needed increases if poor gut when not use a gut-friendly form

Dose size needed has increasing much faster than any consensus can ever be made

Vitamin D levels have been crashing since 1995 (Polish Children, Elite Military, etc)
Many reasons why vitamin D deficiency has become epidemic
Incidence of 22 health problems related to vitamin D have doubled in a decade


Lack of any consensus


30 most-recently changed items in Vitamin D Life Consensus Vitamin D

Id Page Hits Last modification Creator Categories
5199 Can get 50,000 IU Vitamin D anywhere on the globe 24411
01 Mar, 2024 15:33
admin Loading dose for Vitamin D
Top news
Optimum
Consensus
Increased use of D
Intervention - non daily
Better than daily
High-Dose
10920 Call to action – more Vitamin D for pregnancies, loading doses are OK – Holick Aug 2019 7346
18 Feb, 2024 23:56
admin Pregnancy
Loading dose for Vitamin D
Consensus
15034 2,000 IU of Vitamin D is safe and somewhat effective for all adults – Jan 2024 488
13 Feb, 2024 22:04
admin Consensus
14012 24 Vitamin D global guidelines for children, huge diversity – Sept 2022 1770
07 Feb, 2024 22:22
admin Deficiency of Vitamin D
Infant-Child
Consensus
2028 Is 50 ng of vitamin D too high, just right, or not enough 87564
31 Jan, 2024 03:40
admin Optimum
Too much D
Consensus
6658 Consensus Vitamin D 30796
28 Jan, 2024 00:11
admin Category
Consensus
12150 Consensus: Upper Limit of daily Vitamin D intake is still 4,000 IU (if you do not reduce Calcium) – Aug 2020 2693
27 Jan, 2024 23:58
admin Supplement
Vitamin D and Calcium
Consensus
12741 Minimum National Vitamin D recommendations range from 200 to 4,000 IU – July 2021 2822
27 Jan, 2024 23:57
admin Consensus
10001 4,000 IU of Vitamin D is OK - 19 organizations agree - 2018 10349
27 Jan, 2024 23:47
admin Top news
Consensus
2617 17 reasons why are doctors reluctant to accept vitamin D 28087
11 Dec, 2023 18:08
admin Overview for doctors
Consensus
14745 Consensus: 60,000 IU of Vitamin D weekly for 2-6 months can fight COVID, etc, – India April 2022 814
13 Oct, 2023 19:57
admin Consensus
Virus
10953 FDA allows 2 specific Vitamin D and 2 Omega-3 health claims - 2019 4929
10 Oct, 2023 19:56
admin Vitamin D and Omega-3
Consensus
12059 Controversies and consensus in Vitamin D – 3rd Conference Sept 2019 1766
04 Oct, 2023 14:50
admin Overview for doctors
Vitamin D in Europe
Consensus
Conference
1293 Vitamin D Recommendations around the world - IU and ng 93837
30 Jul, 2023 07:16
admin How much Vitamin D
Top news
Consensus
14302 Is low Vitamin D just a marker of disease - March 2023 4490
06 Mar, 2023 07:16
admin Consensus
10285 Multiple Sclerosis - Coimbra Protocol (high-dose Vitamin D) - by one of the 120 doctors of 20,000 patients - Dec 2018 11291
18 Jan, 2023 18:59
admin Multiple Sclerosis
Autoimmune
Consensus
High-Dose
8682 Vitamin D supplementation guidelines (adults – 50,000 IU per week) – Feb 2017 8272
17 Dec, 2022 01:36
admin How much Vitamin D
Optimum
Consensus
14048 Vitamin D daily - Evolution: 4,000 IU, Government: 800 IU– Veith Oct 2022 3090
28 Oct, 2022 20:44
admin How, when to take Vit. D
Optimum
Predict Vitamin D
Consensus
Virus
13847 60,000 IU of vitamin D monthly is healthy and safe – RCT Aug 2022 2313
19 Aug, 2022 12:02
admin Optimum
Consensus
4190 Frailty Call to Action: Vitamin D is one of the action items – June 2013 15110
10 Jun, 2022 13:47
admin Seniors
Consensus
13443 Conservative Vitamin D Consensus from Central Europe - April 2022 4446
02 Apr, 2022 18:23
admin Consensus
1675 Turkey gave 400 IU vitamin D to all infants and reduced Rickets by 60X - 2011 12210
24 Mar, 2022 17:35
admin Rickets
Middle East
Infant-Child
Consensus
13419 French pediatric consensus: 30 – 60 ng of Vitamin D – Feb 2022 2855
21 Mar, 2022 15:09
admin Youth
Vitamin D in Europe
Infant-Child
Consensus
10805 Need 40 to 60 ng of Vitamin D – 48 scientists call for action – 2015 5504
27 Feb, 2022 12:03
admin Optimum
Consensus
11869 A call to action: Vitamin D for hip fracture (50,000 weekly for 8 weeks, then bi-weekly – Holick July 2020 3288
27 Feb, 2022 11:53
admin Falls and Fractures
Consensus
8555 Vitamin D consensus: 400 IU for infants, less than 10 ng is too low, if low sun need to supplement – April 2017 6980
09 Feb, 2022 10:08
admin How much Vitamin D
Consensus
12880 34 clinical practice Vitamin D guidelines, huge diversity – Nov 2021 3044
04 Nov, 2021 00:04
admin How much Vitamin D
Consensus
13045 15 Clinical guidelines now recommend vitamin D – Nov 2021 2452
03 Nov, 2021 23:52
admin Consensus
12978 COVID-19 and Vitamin D (42 studies, consensus) – Oct 2021 3021
28 Oct, 2021 06:31
admin Top news
Consensus
Virus
12977 Vitamin D for Adolescents - review 2019 826
13 Oct, 2021 00:27
admin Youth
Consensus

Vitamin D Life pages with RECOMMEND in title (119 as of Sept 2021)

This list is automatically updated

Items found: 135
Title Modified
CDC recommends 100 vaccinations by age 18 – Feb 2024 15 Feb, 2024
Nutrient consumption – only 7% of recommended DRV of Vitamin D (German Children in this case) – Jan 2024 07 Feb, 2024
14 Conservative Vitamin D recommendations in Ukraine – Jan 2024 24 Jan, 2024
Vitamin D recommended for infants by 98% of Belgian pediatricians - 2024 04 Jan, 2024
Calcium supplements are HARMFUL – a reversal of recommendations from 2000 – Nov 2015 13 Apr, 2023
Canadian Vitamin D recommendations not updated in 13 years - March 2023 18 Mar, 2023
Many pregnant women are deficient when taking the recommended amount of Vitamin D – Jan 2023 24 Jan, 2023
50,000 IU Vitamin D weekly is often recommended 30 Nov, 2022
CDC advised to recommended annual COVID vaccination of all children over 6 months old – Oct 20, 2022 24 Oct, 2022
Another Osteoporosis group fails to recommend Vitamin D, etc. (perhaps fears losing business) - Oct 2022 06 Oct, 2022
US children not getting enough vitamin D, recommends free milks and perhaps 3X increased fortification – Sept 2022 02 Oct, 2022
Dietary Recommendations for COVID Long-Haul – March 2022 20 Mar, 2022
Florida A.G. recommends Vitamin D, Zinc, Quercetin, etc. to reduce risk of COVID - Dec 12, 2021 13 Dec, 2021
Cystic Fibrosis vitamin D recommendations are not enough - Dec 2021 09 Dec, 2021
15 Clinical guidelines now recommend vitamin D – Nov 2021 03 Nov, 2021
French recommended 200,000 IU of Vitamin D to stop COVID-19 - Jan 2021 24 Oct, 2021
Multiple Sclerosis treated by Vitamin D, recommends investigating high dose Coimbra - Oct 2021 07 Oct, 2021
Vitamin D recommended to fight COVID-19 by 2 groups – Dec 7, 2020 30 Sep, 2021
Wide variation in vitamin D recommendations (in this case, pregnant in Australia) – Aug 2021 23 Aug, 2021
Minimum National Vitamin D recommendations range from 200 to 4,000 IU – July 2021 15 Jul, 2021
Annweiler recommendations for Vitamin D for COVID-19, etc. often start with 200,000 - June 2021 22 Jun, 2021
Consensus recommends at least 20 ng of Vitamin D for childhood cancer (not nearly enough) – June 2021 08 Jun, 2021
Recommends vitamin D after hip fracture ( but not enough and no-bone building co-factors) – May 2021 21 May, 2021
Expert panel recommends Vitamin D for COVID-19, but fails recommend how much – May 2021 17 May, 2021
Omega-3 recommended in Australia during pregnancy - April 2021 14 Apr, 2021
Pregnancy recommendations – huge differences in Vitamin D, Mg, iron, Iodine, DHA, etc – April 2021 13 Apr, 2021
Ireland - Vitamin D often less than 20 ng, recommends only 800 IU - April 2021 09 Apr, 2021
Vitamin D recommendations for COVID-19 – Spanish Geriatrics Society – March 2021 04 Mar, 2021
Vitamin D to prevent COVID- strange trial recommendations from the UK – Jan 2021 18 Jan, 2021
Vitamin D and COVID-19: Video and PDF by Dr. Grant (includes recommendations)- Nov 25, 2020 26 Nov, 2020
Vitamin D should fight COVID-19 (but Irish Consortium recommends only 1,000 IU) – Nov 21, 2020 21 Nov, 2020
French National Academy recommended 100,000 IU of Vitamin D to elderly to fight COVID-19 - May 2020 08 Nov, 2020
COVID-19 was killing dark-skinned doctors, then they got a Vitamin D recommendation 28 Oct, 2020
1,200 IU of Vitamin D now recommended if you consume 3,000 calories daily (FDA) – 2018 06 Oct, 2020
WHO recommends zero vitamin D during pregnancy, rest of the world disagrees – 2018, 2020 16 Aug, 2020
Weekly oral Vitamin D recommended before surgery (Bariatric in this case) – RCT June 2019 19 Jul, 2020
Vitamin D recommended for COVID-19 – yet another study – July 17, 2020 18 Jul, 2020
Vitamin D Recommendations around the world - IU and ng 12 May, 2020
Vitamin D should prevent COVID-19 (recommended dose takes 3 months to raise levels) - April 2020 03 Apr, 2020
Synthetic EPA drug recommended to FDA for Cardio (Omega-3 is 8 X better) – Nov 2019 13 Jan, 2020
Omega-3 during pregnancy and breastfeeding is recommended – May 2019 23 May, 2019
Omega-3 – only 5 percent of US physicians have recommended amount – Dec 2017 13 Jan, 2019
A paltry 400 IU Vitamin D recommended during pregnancy - NICE UK Dec 2018 17 Dec, 2018
None of the Czech groups got the recommended Vitamin D from food – Oct 2018 07 Oct, 2018
Alaska recommends more vitamin D: Infancy 800 IU, Pregnancy 1400 IU (avoid rickets) Sept 2018 15 Sep, 2018
Global Vitamin D recommendations - summer 2018 30 Aug, 2018
Vitamin D has been recommended for Cystic Fibrosis – a small dose helps a little – Aug 2018 11 Aug, 2018
Recommended increasing vitamin D for space flight – NASA Sept 2013 24 Jul, 2018
US admits math mistake was made in 2010 in estimating Vitamin D, but will not change recommendations – Nov 2017 17 Jul, 2018
Less than half of health providers recommend 600 to 1000 IU of vitamin D (age 1-18) – May 2018 25 May, 2018
Children need vitamin D - good global overview, poor recommendations for Italian children - May 2018 16 May, 2018
Vitamin D recommendations by Italian Endocrinologists – 40 ng if pregnant, 30 ng if high risk – April 2018 27 Apr, 2018
Italian consensus of recommended Vitamin D, Omega-3, etc – Oct 2016 27 Apr, 2018
Omega-3 helps the heart, AHA class II recommendation, more than 1 gm may be needed – March 2018 26 Mar, 2018
Healthy pigs get at least 2 X more vitamin D than the govt recommends 01 Mar, 2018
Pregnancies helped by Vitamin D – recommendations and trials underway – review Dec 2017 02 Jan, 2018
IoM admits math mistake was made in 2009 in estimating Vitamin D, but will not change their recommendations – Nov 2017 22 Nov, 2017
Review of vitamin D recommendations around the world – April 2017 22 Nov, 2017
Turkey recommended 1200 IU Vitamin D during pregnancy, only 1 in 7 took more than 1,000 IU – Sept 2017 14 Sep, 2017
Canadian Paediatric Society – vitamin D recommendations unchanged since 2007 – Jan 2017 21 Aug, 2017
2010 recommendations for Vitamin D are Deficient – by 1997 panelists 08 Aug, 2017
Infant-Child Vitamin D recommendations from NZ (many are wrong) – Feb 2017 13 Jul, 2017
Endocrine Society recommend higher vitamin D levels – June 2011 14 Apr, 2017
Do not expect a doctor to recommend a pill which will eliminate his job (vitamin D) 27 Feb, 2017
Review of the Benefits of Vitamin D and Recommendations – Jan 2017 09 Jan, 2017
Osteoporosis helped by Vitamin D, still not willing to recommend exact dose size – Nov 2016 23 Nov, 2016
The CDC recommendations for Zika prevention – Aug 2016 04 Oct, 2016
Only 1 in 5 toddlers get recommended minimum vitamin D – Sept 2016 16 Sep, 2016
Calcitriol (active Vitamin D) recommended after kidney transplant – March 2014 28 Apr, 2016
Animals get a lot more vitamin D than minimum recommended for humans – 2016 31 Mar, 2016
Vitamin D recommendations barely help even bones – March 2016 23 Mar, 2016
Vitamin D recommendations should reduce Rickets (but not much else) - March 2016 23 Mar, 2016
Vitamin D Recommendations during Pregnancy, Lactation and Early Infancy – Nov 2011 14 Mar, 2016
Vitamin D deficiency and childhood obesity: interactions, implications, and recommendations (5,000 IU) – Feb 2016 05 Feb, 2016
Recommend 100 IU of vitamin D per kg of infant - Poland July 2011 04 Feb, 2016
World Health Organization considering new pregnancy Vitamin D recommendations - behind paywall Nov 2015 11 Nov, 2015
Chronic kidney with low vitamin D: 90 percent of pediatric nephrologists now recommend more D – Feb 2013 27 Oct, 2015
2,000 IU vitamin D recommended for pediatric rheumatology – May 2015 29 Sep, 2015
Pediatric rheumatologists – recommend 2,000 IU vitamin D supplementation – May 2015 29 Sep, 2015
Why Most Calcium Supplement Recommendations are DEAD WRONG - Sept 2013 30 Jun, 2015
Osteoporosis groups hide their vitamin D recommendations behind 40 dollar paywall – May 2015 03 May, 2015
Osteoporosis groups hide their synthetic vitamin D recommendations behind 40 dollar paywall – May 2015 03 May, 2015
Autism cured in a child with Vitamin D, Dr. Cannell comments and cofactor recommendations – March 2015 27 Mar, 2015
Dr. Oz recommends at least 50 ng of vitamin D 20 Mar, 2015
Cystic Fibrosis Foundation recommends vitamin D dose, patients are taking even more – March 2015 17 Mar, 2015
HIV children in UK – Vitamin D recommendations – Feb 2014 22 Jan, 2015
Polish conference recommended vitamin D levels from 30 to 60 ng – Oct 2012 30 Dec, 2014
Shape Magazine recommends a max of 1,000 IU of vitamin D (wrong) - Dec 2014 23 Dec, 2014
Recommended levels of vitamins and minerals - history RDA DRI 23 Dec, 2014
Child Bone health – (incorrect) recommendations by US Pediatric and Bone Health groups – Sept 2014 30 Sep, 2014
Vitamin D recommended for all animals (FEEDAP does not say how much) – Feb 2014 30 Sep, 2014
Child Bone health – recommendations by US Pediatric and Bone Health groups – Sept 2014 29 Sep, 2014
Institute of Medicine (which recommended low vitamin D) has many conflicts of interest – July 2014 15 Jul, 2014
There have been no studies of vitamin D testing resulting in less disease – so task force recommends that there be no testing June 2014 24 Jun, 2014
Cancer Council of Australia recommends 30 minutes of daily sunshine – June 2014 04 Jun, 2014
Tasmania Vitamin D official recommendation 20 up to 200 ng – March 2014 20 Mar, 2014
Governments recommend a small amount of vitamin D, people consume even less – March 2014 04 Mar, 2014
Dr. Oz again recommends at least 50 ng of vitamin D - Dec 2013 05 Jan, 2014
Task force for senior fall prevention finally recommends 800 IU of vitamin D – May 2012 16 Dec, 2013
5,000 IU recommended by Vitamin D Council - Dec 2013 16 Dec, 2013
Dr Oz recommends 50 ng vitamin D blood level 03 Dec, 2013
Review of Vitamin D recommendations and knowledge – Oct 2013 28 Nov, 2013
HIV – recommend 100,000 IU vitamin D monthly to get levels 30 ng – May 2013 18 Oct, 2013
Only about 10 percent of breastfed infants get even the minimum recommended vitamin D – April 2010 26 Jun, 2013
Japanese recommendations without RDA: Vitamin D about 200 IU, Vitamin K about 60 ug– May 2013 08 May, 2013
European Osteo group recommends 20-50 ng of vitamin D – Jan 2013 17 Jan, 2013
Most German skin cancer doctors recommend both sunscreen and vitamin D – Dec 2012 12 Dec, 2012
Nordic countries considering raising vitamin D to US recommended levels – Dec 2012 02 Dec, 2012
French Society of Paediatics Vitamin D recommendations – Jan 2012 15 Nov, 2012
Chief UK Medical Officer recommends only 280 IU for children - Jan 2011 12 Nov, 2012
Variety of vitamin D loading dose recommendations in the UK - 2011 28 Oct, 2012
Nordic mothers vitamin D deficient even though meet recommendations – April 2010 04 Sep, 2012
Review of Parkinson's disease and vitamin D recommends use of active form – Aug 2012 29 Aug, 2012
Hip fractures in India - editorial with recommendation - Sept 2010 06 Jul, 2012
Vitamin D 2nd most recommended way to prevent next hip fracture – Nov 2010 23 Jun, 2012
Poland Vitamin D recommendations - 2009 23 Jun, 2012
OBGYN College in UK still recommends only 400 IU during pregnancy – Jan 2012 18 Jun, 2012
Review of vitamin D recommendations – April 2012 01 May, 2012
Piglets get more vitamin D than recommended by the govt, for piglets or humans – March 2012 27 Mar, 2012
When will it become a crime to fail to recommend or provide vitamin D 17 Mar, 2012
Calves do well with 1930 IU of vitamin D - 6X more that feed recommendations - May 2010 07 Feb, 2012
Vitamin D level recommendations - Bosomworth Jan 2011 06 Jan, 2012
Grade A recommendations for vitamin D - May 2009 07 Nov, 2011
NLM Vitamin D recommendations and interactions – Jan 2011 21 Oct, 2011
25 experts recommend vitamin D level of min 30 ng – Nov 2009 24 Sep, 2011
100 IU increases 1 ng vitamin D – recommend 3000 IU – Book 2011 27 Aug, 2011
Recommend 2500-4000 IU per day to reduce all-cause mortality by 18%– Grant Netherlands April 2010 13 Jul, 2011
Why the IOM Recommendations for Vitamin D Are Deficient – Mar 2011 26 Feb, 2011
Only 18 percent of Swedes got recommended amount of vitamin D – Feb 2011 09 Feb, 2011
Experts Recommend 10000 IU Upper Limit Vitamin D – 2007 17 Oct, 2010
Osteoporosis Foundation recommends 30 ng – May 2010 29 Sep, 2010
Recommend 400 IU to prevent rickets – Mar 2010 25 Sep, 2010
Vitamin D books recommended by VitaminDResearch today 02 Jul, 2010
Recommendations to elderly- avoid UV but take vitamin D – May 2010 27 Jun, 2010
36% of pediatricians recommend adding vitamin D – Nov 2009 30 May, 2010


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