Page 40 - Spring2009
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true in the third world where vitamin A toxicity  intakes in this study, however, were very low.
                                      is virtually unheard of, yet vitamin A deficiency  Even the 20 percent of people consuming the
                                      is pervasive.                             most vitamin D consumed an average of less
                                          As discussed on page 21, the analysis cited  than 600 IU. If the participants were receiving
                                      by Mercola did not even look at vitamin A sup-  a lot of sunshine, the thousands of IU from that
                                      plementation in the U.S. but was a meta-analysis  source would likely have diluted any effect of
                                      that pooled the results of nine studies conducted  the vitamin D, so the strong association at low
                                      in India, Ecuador, Indonesia, Brazil, Ghana,  vitamin A intakes suggests they were not receiv-
                                      Mexico and the Republic of Congo. Several of  ing much sunshine. Basic adequacy of vitamin D
                                      these studies have suggested that vitamin A may  status would require over three times the highest
                                      reduce the incidence of respiratory infection in  intakes consumed in the study.
                                      malnourished children but increase it in well-  In order to truly indict intakes of over 5,000
                                      nourished children, but none of them present  IU of vitamin A as excessive, evidence should be
                                      evidence that the effect of vitamin A depends  provided from a population consuming adequate
                                      on vitamin A status or that vitamin A is helpful  vitamin D. As soon as someone begins taking vi-
                                      in the Third World but harmful in the developed  tamin D supplements at the levels recommended
                                      world.                                    by Dr. Mercola and the Vitamin D Council, they
                                          A number of studies included in the meta-  are no longer a member of the vitamin D-defi-
                                      analysis showed vitamin A to have no effect  cient population studied in the Nurses’ Health
                                      on respiratory infections while nevertheless  Study so the results of that study do not apply
                                      reducing severe diarrhea by over 20 percent,  to them. It must be emphasized, moreover, that
                                      gastrointestinal-associated mortality by over a  correlations never show causation. We can use
                                      third, infection-associated mortality by half, and  the observations in this study to hypothesize that
                                      measles incidence by 95 percent. The general  high vitamin A intakes antagonize the beneficial
                                      picture that emerges from the scientific literature  effects of vitamin D intakes when vitamin D
                       Although       is that vitamin A consistently reduces mortality  intakes are very low, but in order to demonstrate
                    human and         from severe infectious diseases but has a more  this premise, studies must be performed showing

                           animal     complicated relationship to lower respiratory  that increasing vitamin D intakes or decreasing
                                                                                retinol intakes reduce the risk of colon cancer
                                      infections that we still do not completely under-
                        evidence      stand.                                    compared to controls.
                         strongly         Additionally new research has shown that   Other research is now showing a connection
                   suggests that      vitamin D protects against cancer. But a paradox  between high levels of vitamin A and osteopo-
                                      was found as those with higher vitamin D levels  rosis. In fact many Scandinavian countries that
                 vitamin A can        did not seem to have this benefit. A bright Har-  regularly supplement with cod liver oil have
                      only exert      vard researcher carefully analyzed the data in  rampant osteoporosis even though they are get-
                   harm against       the study that showed this and found that when  ting adequate amounts of oral vitamin D.
                                                                                    We have thoroughly addressed the problems
                                      he removed the people with high vitamin A and
                  the backdrop        vitamin D levels, those with normal vitamin A  of osteoporosis in Scandinavian countries in an
                   of vitamin D       levels and high vitamin D levels continued to  article published in the Winter 2005 issue of Wise
                   deficiency, it     have reduced risk of colon cancer. So those that  Traditions. The vitamin A in this study does not
                                      did not take vitamin A had the protective effect  come from cod liver oil but from milk and cereals
                   also suggests      from higher levels of vitamin D.          to which vitamin A is added. In the context of a
                  that sufficient         In this report, which was based on data  vitamin D-deficient diet, consumption of high
                         levels of    drawn from the Nurses’ Healthy Study and pub-  levels of synthetic vitamin A was associated with
                                                                                a higher risk of osteoporosis. Although human
                                      lished in the American Journal of Epidemiology,
                  vitamin A are       2007, total intake of vitamin D from foods and  and animal evidence strongly suggests that vita-
                    even higher       supplements was associated with a lower risk of  min A can only exert harm against the backdrop
                      than once       colon cancer when total vitamin A intakes were  of vitamin D deficiency, it also suggests that
                                      below 5,000 IU, but not when total vitamin A  the body’s requirements for vitamin A are even
                        thought.      intakes were above 5,000 IU. The vitamin D  higher than once thought.
                 38                                         Wise Traditions                                 SPRING 2009
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