Vitamin D deficiency

S.Raji M.P.T
SAGAR HOSPITALS

Sun light
vitamin

Fat
soluble
vitamin

NOKIA

Nokia
N

-Neural function
O-Orthopeadic wellbeing
K-Kidney function
I-Immune system function
A-And all other major systems function

Small step to prevent the major health problems

Update your
knowledge

Follow the
recommendation

Vitamin-D

Bone and
muscle

Heart
and
blood
vessels

kidney

Endocrin
e

Immune
system

Nervous
system

Vitamin D and your bone

Understanding the relationship between ca

and vitamin D

Reabsorption

Absorption

calcium

osteomalacia

osteoporosis

Osteo arthritis

Vitamin D and muscle

Vitamin D deficiency
-muscle

Vitamin D and heart

Premenstrual syndrome
Irritability
Tension
unhappiness

Vitamin d and calcium

deficiency

Vitamin D and depression

Vitamin d receptors are found in neurons
and Glial cells in nervous system.
Brain development
Serotonin

vitamin D and Kidney

Low vitamin D causes kidney damage

vitamin D and Immunity

Eliminate the inflammation
Increases the activation of immune cells

Vitamin D and autoimmune

diseases
Vitamin D inhibits induction of autoimmune
diseases
Multiple sclerosis
Type 1 diabetes
Inflammatory bowel syndrome
Lupus erythematosus
Collagen induced arthritis

Dental problems

cancer
Incidence of cancer is low where the
sunlight exposure is high
Anti cancer nature
Nuclear transcription role

Check list vitamin D

deficiency
Lack of exposure to sun light
Age above 60years
Obese
Dark complexion skin
Inflammatory bowel diseases etc..
Medication eg antiepileptic drugs

Indoor activities

Food habits

If we are coming under this group ,

we have 3 recommendation to improve
the vitamin D level

Recommendations
1.Sun light exposure
2.Vitamin d supplements
3.Dietary considerations

Recommendation
No
1
Exposing skin to sun light
Exposing skin to sun light

Skin can produce vitamin D

from UVB rays from sun light

Factors considered Sun

exposure

Time of year

Sun exposure

Time of the day

Midday

Rule of thumb time of exposure

Less Shadow More vitamin D

Sun exposure-Skin type

More Melanin-less UV-B absorption

n
k iin
D
arrk lex
iio
Da
o
p
e
m
pl x
o
m
c
o
c
n
n

More
More
melonin
melonin

Less
Less synthesis
synthesis of
of
vitamin
vitamin D
D

Sun exposure
Sun screen -SPF 8 or
more

Glasses

Sun exposure

Sun light exposure and

cancer

Researchers are recommending that short

exposure of sun light is not harmful, it does
not produce cancer.

 cancer

Damage the skin

DNA
Too long exposure to sun light

Sun light exposure and

cancer

Vitamin D can be synthesized by skin

It takes half the time before your skin turns
into pink/ burnt
15 -20 min/day (fair skin)
2 hours/day (dark skin)

Recommendation- 2
Vitamin D supplements
D3> D2
Infants 400 -1000 IU/day
Children 600-1000 IU/day
Adults 800-5000 IU/day

Vitamin D supplements
Excessive vitamin D is also causes health
risk
Upper limit is not more than 10,000 IU /day

Vitamin D supplements

Consult your doctor

Testing
Vitamin 25 (OH )D blood test
50 ng /ml is ideal value

Recommendation -3
Dietary consideration
Fatty fish
Beef liver
Egg yolks
Fortified milk
Orange juice
Fortified cereals
Infant formulas

Physiotherapy in vitamin D
deficiency
Orthopedic problems
Non orthopedic problems

Weight bearing exercises

Strengthening exercises

High impact exercises

Regarding further
information and help
Sagar
Hospitals,Physiotherapy
Department
No. 44/54, 30th Cross,
Tilaknagar,
Jayanagar Extension.
42888522/42888519

THANK
YOU