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Vitamin D for cancer prevention: global perspective
Cedric F Garland1, Edward D Gorham, Sharif B Mohr
1Department of Family and Preventive Medicine, University of California San Diego, La Jolla, CA, USA.
Annals of Epidemiology
|June 16, 2009
Summary
Higher vitamin D (25-hydroxyvitamin D) levels are linked to lower cancer incidence and mortality. Increasing vitamin D intake could prevent thousands of cancer cases and deaths annually in the US and Canada.
Area of Science:
- Oncology
- Endocrinology
- Nutritional Science
Background:
- Higher serum 25-hydroxyvitamin D (25(OH)D) levels correlate with reduced incidence of various cancers, including breast, colon, and prostate.
- Emerging mechanisms highlight the role of vitamin D metabolites and calcium in cancer etiology.
Purpose of the Study:
- To propose a new model of cancer etiology (DINOMIT) incorporating vitamin D and calcium.
- To project the impact of increased serum 25(OH)D levels on cancer prevention and mortality.
Main Methods:
- Review of epidemiological findings and newly discovered mechanisms of vitamin D action.
- Application of a seven-phase cancer etiology model (DINOMIT).
- Analysis of observational studies and a randomized trial to project population-level effects.
Main Results:
- Raising serum 25(OH)D to 40-60 ng/mL could prevent ~58,000 breast and 49,000 colorectal cancer cases annually in the US and Canada.
- This increase may also prevent three-fourths of deaths from these cancers and halve case-fatality rates for breast, colorectal, and prostate cancers.
- Recommended intake of 2000 IU/day of vitamin D3 is associated with no unreasonable risks.
Conclusions:
- Nationally coordinated efforts to increase vitamin D and calcium intake are warranted.
- Achieving target serum 25(OH)D levels can significantly reduce cancer burden.
- Vitamin D supplementation is safe and effective for cancer prevention and improving patient outcomes.
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