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Vitamin D insufficiency: a common and treatable problem in the Irish population

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Abstract

Introduction

Vitamin D insufficiency is an extremely common condition particularly in the older Irish population. This is a consequence of Ireland’s geographical position and climate. A recent study showed more than 75% of a cohort of older Irish females had vitamin D insufficiency.

Objectives

We outline the definition of vitamin D insufficiency and deficiency, its sources and metabolism as well as the clinical consequences of deficiency. We explore the current guidelines and discuss the pitfalls in the management of vitamin D replacement and in particular address recent Irish data on the feasibility and efficacy of intramuscular treatment.

Conclusion

Vitamin D is important for calcium homeostasis and bone metabolism and reduced levels lead to osteomalacia, exacerbate osteoporosis and increase the risk of falls. Evidence is emerging that vitamin D has a role beyond musculoskeletal health and may impact on the cardiovascular and autoimmune systems, as well as the risk of malignancy.

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Authors and Affiliations

  1. Department of Medicine for the Elderly, University Hospital, Galway, Ireland

    G. O’Malley & E. Mulkerrin

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  1. G. O’Malley
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  2. E. Mulkerrin
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Correspondence to G. O’Malley.

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O’Malley, G., Mulkerrin, E. Vitamin D insufficiency: a common and treatable problem in the Irish population. Ir J Med Sci 180, 7–13 (2011). https://doi.org/10.1007/s11845-010-0512-4

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  • DOI: https://doi.org/10.1007/s11845-010-0512-4

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