The study sought to determine what blood level of vitamin D was required
to effectively reduce cancer risk. The marker of vitamin D was
25-hydroxyvitamin D, the main form in the blood. The researchers
employed a non-traditional approach, pooling analyses of two previous
studies of different types: a randomized clinical trial of 1,169 women
and a prospective cohort study of 1,135 women. A clinical trial focuses
upon whether a specific test or treatment is safe and effective. A
prospective study looks for outcomes during the study period, in this
case incidence of cancer among participants.
By combining the two studies, the researchers obtained a larger sample size and a greater range of blood serum levels of 25-hydroxyvitamin D or 25(OH)D.
The only accurate measure of vitamin D levels in a person is a blood test.Recommended blood serum levels of vitamin D have been a source of vigorous debate in recent years. In 2010, the Institute of Medicine (IOM) concluded that levels lower than 12 ng/ml represented a vitamin D deficiency and recommended a target of 20 ng/ml, which could be met in most healthy adults (ages 19 to 70) with the equivalent of 600 International Units of vitamin D each day.
Subsequently, other groups have argued for higher blood serum levels: 50 ng/ml or more. Above 125 ng/ml, there may be side effects. Many vitamin D supporters now advocate 800 to 1,000 IUs daily; more for persons older than 70 and pregnant or lactating women.
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