Vitamin D (25-OH) icon

Vitamin D (25-OH)

What is Vitamin D (25-OH)?

Vitamin D, specifically 25-hydroxyvitamin D (25-OH vitamin D), is vital for bone health, aiding in calcium and phosphorus absorption, and plays a role in reducing inflammation, cell growth modulation, and supporting immune and neuromuscular functions. It is essential for preventing rickets in children, osteomalacia in adults, and linked to reducing the risk of osteoporosis, cardiovascular diseases, certain cancers, autoimmune conditions, and depression. Vitamin D levels are influenced by dietary factors, sun exposure, and individual characteristics like age and skin pigmentation.

Deficiency in vitamin D can cause weak bones in children (rickets) and adults (osteomalacia), and contribute to osteoporosis. Low levels are also associated with increased risks of cardiovascular diseases, certain cancers, and impaired immune function. Factors such as limited sun exposure, dark skin, obesity, and conditions affecting fat absorption like celiac or Crohn's disease can reduce vitamin D levels. Additionally, magnesium deficiency can impair vitamin D activation, and liver or kidney diseases can affect its conversion to active forms.

Conversely, vitamin D toxicity, though rare, can result from excessive supplementation, leading to hypercalcemia with symptoms like nausea and kidney complications. Balanced vitamin D levels are typically achieved through diet, sunlight, and possibly supplementation. Obesity can sequester vitamin D in fat tissue, reducing its availability, while aging and darker skin reduce skin-based vitamin D production. Regular monitoring is advised for those at risk of deficiency or on high-dose supplements.

To maintain healthy Vitamin D levels:

  • Ensure regular, safe sun exposure. Aim for 10-30 minutes of midday sunlight several times per week, depending on your skin type and location.

  • Consume vitamin D-rich foods such as fatty fish (salmon, mackerel, sardines), egg yolks, and fortified dairy products or plant-based alternatives.

  • Consider vitamin D supplementation, especially if you have limited sun exposure, darker skin, or live in northern latitudes. Consult with a healthcare provider for appropriate dosage.

  • Maintain a healthy weight, as obesity can affect vitamin D absorption and utilization.

  • Ensure adequate intake of magnesium, which is necessary for vitamin D metabolism. Include magnesium-rich foods like nuts, seeds, and leafy greens in your diet.

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Measurement Units

Vitamin D (25-OH) can be measured in: ng/100mL, ng/dL, ng/L, ng/mL, ng%, nmol/L, µg/L

Reference Ranges by Age and Gender

Reference ranges represent typical values for healthy individuals. Your healthcare provider must interpret your specific results.

Age Range Gender Unit Optimal Normal Source
All ages All genders ng/mL - 25 - 80 Pagana, 2019

Health Impact

Inflammation​

Vitamin D has anti-inflammatory properties and plays a role in modulating the immune system. Low levels of vitamin D are associated with increased susceptibility to infection, chronic inflammation, and autoimmunity. Adequate vitamin D levels can help reduce inflammation and support immune health.[Cannell, 2015][Calton, 2015]

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Academic References

  1. Judd SE, Khazai N, and Tangpricha V. Calcium and vitamin D: skeletal and extraskeletal health (2008). Curr Rheumatol Rep. DOI: 10.1007/s11926-008-0020-y
  2. Liao MT, Lu KC, Sung CC, and Wu CC. Role of vitamin D in insulin resistance (2012). J Biomed Biotechnol. DOI: 10.1155/2012/634195
  3. Cannell JJ, Grant WB, and Holick MF.. Vitamin D and inflammation (2015). Dermatoendocrinol. DOI: 10.4161/19381980.2014.983401
  4. Chesson AL Jr, Jain SK, Marino AA, and McCarty DE. The link between vitamin D metabolism and sleep medicine (2014). Sleep Med Rev. DOI: 10.1016/j.smrv.2013.07.001
  5. Akimbekov NS, Digel I, Razzaque MS, and Sherelkhan DK. Vitamin D and Phosphate Interactions in Health and Disease (2022). Adv Exp Med Biol. DOI: 10.1007/978-3-030-91623-7_5
  6. Pagana KD, Pagana TJ, and Pagana TN. Mosby’s Diagnostic & Laboratory Test Reference (2019). Mosby’s Diagnostic & Laboratory Test Reference.
  7. Razzaque MS and Uwitonze AM. Role of Magnesium in Vitamin D Activation and Function (2018). J Am Osteopath Assoc. DOI: 10.7556/jaoa.2018.037
  8. Aranow C. Vitamin D and the immune system (2011). J Investig Med. DOI: 10.2310/JIM.0b013e31821b8755
  9. Beckett LA, DeCarli C, Farias ST, Green R, Harvey DJ, Miller JC, Mungas DM, Olichney JM, and Reed BR. Vitamin D Status and Rates of Cognitive Decline in a Multiethnic Cohort of Older Adults (2015). JAMA Neurol. DOI: 10.1001/jamaneurol.2015.2115
  10. Beaudart C, Bruyère O, Buckinx F, Cavalier E, Gillain S, Petermans J, Rabenda V, Reginster JY, and Slomian J. The effects of vitamin D on skeletal muscle strength muscle mass and muscle power: a systematic review and meta-analysis of randomized controlled trials (2014). J Clin Endocrinol Metab. DOI: 10.1210/jc.2014-1742
  11. Lips P and van Schoor NM. The effect of vitamin D on bone and osteoporosis (2011). Best Pract Res Clin Endocrinol Metab. DOI: 10.1016/j.beem.2011.05.002
  12. Deftos L and Shaker JL. Calcium and Phosphate Homeostasis (2023). Endotext. View Source
  13. Clifton-Bligh RJ, Girgis CM, Gunton JE, Hamrick MW, and Holick MF.. The roles of vitamin D in skeletal muscle: form function and metabolism (2013). Endocr Rev. DOI: 10.1210/er.2012-1012
  14. Dong X, Gao Q, Kou T, Ren Y, Wang Q, and Zhuang B. The Association between Vitamin D Deficiency and Sleep Disorders: A Systematic Review and Meta-Analysis (2018). Nutrients. DOI: 10.3390/nu10101395
  15. Jones K, Kos K, Lang IA, Llewellyn DJ, Melzer D, and Soni M. Vitamin D and cognitive function (2012). Scand J Clin Lab Invest Suppl. DOI: 10.3109/00365513.2012.681969
  16. Calton EK, Keane KN, Newsholme P, and Soares MJ. The Impact of Vitamin D Levels on Inflammatory Status: A Systematic Review of Immune Cell Studies (2015). PLoS One. DOI: 10.1371/journal.pone.0141770
  17. Arlot ME, Arnaud S, Brun J, Chapuy MC, Crouzet B, Delmas PD, Duboeuf F, and Meunier PJ. Vitamin D3 and calcium to prevent hip fractures in elderly women (1992). N Engl J Med. DOI: 10.1056/NEJM199212033272305
  18. Adgi Z., Mohamadi M., and Talaei A.. The effect of vitamin D on insulin resistance in patients with type 2 diabetes (2013). Diabetol Metab Syndr. DOI: 10.1186/1758-5996-5-8
  19. Bazemore MG, Bischoff-Ferrari HA, Dawson-Hughes B, Staehelin HB, Willett WC, Wong JB, and Zee RY. Effect of Vitamin D on falls: a meta-analysis (2004). JAMA. DOI: 10.1001/jama.291.16.1999
  20. Barrea L, Colao A, Di Benedetto E, Di Somma C, Muscogiuri G, Romano F, Savastano S, and Zhukouskaya VV. Vitamin D and Sleep Regulation: Is there a Role for Vitamin D? (2020). Curr Pharm Des. DOI: 10.2174/1381612826666200310145935
  21. Beydoun HA, Beydoun MA, Canas JA, Gamaldo AA, McNeely JM, Shah MT, and Zonderman AB. Serum nutritional biomarkers and their associations with sleep among US adults in recent national surveys (2014). PLoS One. DOI: 10.1371/journal.pone.0103490
  22. Dawson-Hughes B. Vitamin D and muscle function (2017). J Steroid Biochem Mol Biol. DOI: 10.1016/j.jsbmb.2017.03.018
  23. Close GL, Fraser WD, and Owens DJ. Vitamin D and the athlete: emerging insights (2015). Eur J Sport Sci. DOI: 10.1080/17461391.2014.944223

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