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Dtsch Med Wochenschr 2017; 142(08): 601-616
DOI: 10.1055/s-0042-123788
CME-Fortbildung
© Georg Thieme Verlag KG Stuttgart · New York

Vitamin D in Klinik und Praxis

Vitamin D in Clinic and Practice
Armin Zittermann
,
Stefan Pilz
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Publication History

Publication Date:
21 April 2017 (online)

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Abstract

Vitamin D is unique among the vitamins, since its major source is skin synthesis by solar UVB exposure, whereas dietary intake plays only a minor role. In the general population, cutaneous vitamin D synthesis is clearly below the recommended amount. Dietary vitamin D does not fill this gap. Severe vitamin D deficiency results in rickets in infants and osteomalacia in adults. In the absence of endogenous vitamin D synthesis (e. g. during winter), oral supplements should ensure adequate daily vitamin D intake, where appropriate. This is particularly true for nursing home residents, non-European migrants and dark-skinned people.

Vitamin-D-Mangel und seine Konsequenzen – seit Jahren schon ein sehr präsentes Thema. Nicht zu Unrecht: In der Allgemeinbevölkerung verfehlt die kutane Vitamin-D-Synthese besonders im Winter deutlich die Zufuhrempfehlung. Klar ist, aufgrund der vielfältigen Wirkungen wird Vitamin D auch in Zukunft weiter an Bedeutung gewinnen. Der CME-Beitrag hilft Ihnen, in der Informationsflut die Relevanz des Themas für Klinik und Praxis zu bewahren.

Schlüsselwörter

Vitamin D - Defizit - Toxizität - Supplemente - Frakturen - Mortalität

Keywords

vitamin D - deficit - toxicity - supplements - fractures - mortality
 

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