[Vitamin D supplementation: why and how?].
In addition to osteomalacia and rickets which are the main classical consequences of severe vitamin D deficiency, osteoporosis and extra skeletal manifestations were more recently linked to decreased vitamin D levels. Painful myopathy, cancer, autoimmune disorders and probably cardiovascular events are also more prevalent in vitamin D deficient adults. Elderly people and pregnant women are the main groups at risk of vitamin D depletion. The recommendations of photoprotective regimen to protect against skin cancer are in part responsible for the increased prevalence of vitamin D deficiency. We here review the management of vitamin D deficiency and the current recommendations for vitamin D repletion in specific groups of subjects with overt vitamin D depletion or at risk to be deficient.
Service de Mèdecine Interne, Hôpital Erasme, Bruxelles. ecogan@ulb.ac.be
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D050071:Bone Density Conservation Agents / Q000627:therapeutic use*; D004032:Diet; D005260:Female; D006801:Humans; D008297:Male; D011247:Pregnancy; D018570:Risk Assessment; D014807:Vitamin D / Q000627:therapeutic use*; D014808:Vitamin D Deficiency / Q000150:complications
D050071:Bone Density Conservation Agents; D014807:Vitamin D