Alaska Wellness Magazine
 


The Naturopathic Approach

Vitamin D Deficiency and Cancer


by Michelle Rogers

If you could take a pill that would reduce your risk of developing breast or colon cancer in half, would you?


If you could take a pill that would reduce your risk of developing breast or colon cancer in half, would you?  Research completed at several major universities over the past few years suggests that vitamin D may an important part of any cancer prevention program.  

Vitamin D was previously thought to have a small role in maintaining strong and healthy bones, and alleviating depression.  However, the ‘sunshine vitamin’ appears to play a role in prevention of many other diseases (including diabetes and high blood pressure) and also in reducing cancer risk. In adults, vitamin D deficiency can lead to bone loss, muscle weakness, fractures and even common cancers, as well as autoimmune, infectious and cardiovascular diseases. Nationwide, it is estimated that only 29 percent of the United States population has optimal levels of vitamin D.

In June 2006, Creighton University School of Medicine in Nebraska reported results from a study which evaluated healthy menopausal women for four years to determine if vitamin D and calcium or just calcium alone could reduce the number of new cancer cases compared to a sugar pill placebo.  Of the 1,179 women who participated in the study, those who took the calcium alone saw a 40 percent reduction in cancer rates compared to the sugar pill.  For women who took both the calcium and the vitamin D, however, there was a dramatic 77 percent or greater reduction in cancer risk compared to women who took the sugar pill.

In August 2007, a research team from the University of California, San Diego, reported that up to 50 percent of breast and colon cancer cases could be prevented by consuming higher doses of vitamin D on a daily basis.  The researchers found that supplementation with 2,000 international units (IU) of vitamin D daily could reduce the risk of developing colon cancer by 50 percent.  The amount of vitamin D needed to reduce the risk of breast cancer by 50 percent was higher at 3,500 IU daily.  The study found that the average adult intake of vitamin D in the United States is 230 IU daily—well below the recommended daily allowance of 400 IU.  The authors of the study assert that if all people in North America could maintain vitamin D levels of 55ng/ml (nanograms per milliliter—the unit of measure for vitamin D), approximately 60,000 cases of colorectal cancer and up to 85,000 cases of breast cancer could be avoided.

Vitamin D is best obtained through judicious sun exposure.  Some of the leading researchers in the field of vitamin D recommend 20 minutes of ‘unprotected’ sun exposure three times per week during summer months. This limited sun exposure without suntan lotions is particularly important to Alaskans, as Alaska has a short summer.  Foods that contain vitamin D include cod liver oil, and small amounts can also be found in egg yolks and butter.

Vitamin D levels should be assessed before starting any vitamin D supplementation. This is because vitamin D is fat soluble and could be toxic in high doses.  Your medical provider can test your vitamin D status by a simple blood draw.  The test is called “25-hydroxy vitamin D” (often written as 25(OH)vitamin D).  The currently accepted optimal range for vitamin D is 60-80ng/ml.  Multiple studies have found that the largest beneficial impact of reducing cancer risk is for those people with a 25(OH)vitamin D level of at least 75ng/ml.  If your vitamin D level is significantly lower than the optimal range, your medical provider may recommend higher doses of vitamin D for a limited period of time to correct the deficiency.

Given that proper vitamin D levels affect multiple aspects of our health, testing for adequate vitamin D status and proper vitamin D intake should become part of every disease prevention and wellness plan.

Dr. Michelle Rogers is a Naturopathic Doctor practicing in Anchorage.  You may contact her at Avante Medical Center, 770-6700.