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Vitamin D helps regulate the amount of calcium and phosphate in the body. These nutrients are needed to keep bones, teeth and muscles healthy. A lack of vitamin D can lead to bone deformities such as rickets in children, and bone pain caused by a condition called osteomalacia in adults.
This guideline covers the assessment and treatment of adults with vitamin D deficiency. It does not include pregnant women, children or patients with renal failure (<30ml eGFR. Seek specialist advice where appropriate). Vitamin D testing indicated Vitamin D testing not necessary with bone disease regardless of symptoms and risk factors
The Scientific Advisory Committee on Nutrition (SACN) and Royal Osteoporosis Society (ROS) advise that the risk of poor musculoskeletal health is increased at vitamin D levels below 25 nmol/L: Less than 25 nmol/L — diagnose vitamin D deficiency. 25–50 nmol/L — insufficient for some patients.
Offer Lifestyle advice (appendix 4) SACN recommends that all children should consume the following levels of vitamin D daily: 0-1 year: 340 to 400 units daily. ≥ 1 year(s): 400 units daily Dietary sources of vitamin D include natural and fortified foods (including infant formula) and supplements.
Introduction . Risk factors for Vitamin D deficiency. Prevention of Vitamin D deficiency/insufficiency . Vitamin D and COVID-19 . When should Vitamin D be measured? . Interpretation of Vitamin D results . Further investigations. Management . Treatment of Vitamin D deficiency flow chart. Appendix 1: When should Vitamin D be measured?
Vitamin D Management in Adults. NOTTINGHAMSHIRE GUIDELINES ON THE PREVENTION, DIAGNOSIS AND MANAGEMENT OF VITAMIN D DEFICIENCY IN PRIMARY CARE. NICE recommends NO routine vitamin D testing unless patient presents with any of the following: • clinical features and symptoms of deficiency – see box 1 in appendix 1.
Vitamin D levels may be inadequate (or insufficient) in some people when serum 25 (OH)D is 25–50 nmol/L. Vitamin D levels are sufficient for most people when serum 25 (OH)D is greater than 50 nmol/L. Risk factors for vitamin D deficiency include people: Aged 65 years and over.
