Denmark backs vitamin D fortification

By Shane Starling

- Last updated on GMT

Related tags: Nutrition, European food safety authority, Public health

Arla is one company that is fortifying milk products in Denmark
Arla is one company that is fortifying milk products in Denmark
Major milk suppliers in Denmark are fortifying products with vitamin D after government advice urged them to do so.

The Danish Veterinary and Food Administration (DVFA) has for some time been recommending greater vitamin D fortification of the food supply to boost intakes of the ‘sun vitamin’ in sunlight-shy Denmark, and announced recently that milk companies had begun to take up the challenge.

A DVFA spokesperson confirmed Arla was one dairy company that had put fortified vitamin D milks on shelves and there was at least one other, but an Arla spokesperson was not available for further comment at the time of publication.

Traditionally it has just been margarines that have acted as a format for vitamin D fortification in Denmark, while other Scandinavian countries like Finland and Sweden have been more proactive in fortifying other foodstuffs with vitamin D.

Protect the vulnerable

The invitation is intended to protect the large populations that rarely get enough the vital vitamin D through natural means,”​ the DVFA said recently.

“Enrichment of one or more food groups will have a positive effect on the population groups that do not follow the official advice on diet and sunlight and in particular, the special risk groups who do not follow the advice to supplement their diet with a daily vitamin D supplements.

The agency recommends people eat between 200 and 300 grams of fish a week and gain sun on face, feet and forearms for 5-30 minutes several times a week during the summer.

For those who do not meet these targets it recommends groups like children, the dark-skinned and pregnant women consume 400IU of vitamin D per day via fortified foods and supplements.

High-risk groups like the over-70s and those with a disposition to osteoporosis are recommended to consume double that.

The scientific D-bate

Once vitamin D, the sun vitamin (the body generates it in the presence of sunlight), was best known for supporting calcium in supporting bone health. Not so anymore. Studies linking the vitamin with muscular support, immune benefits, cancer reduction, insulin response, and gut health have changed the D landscape.

The quality of science has been recognised in the form of positive health claim opinions for immunity and muscular function from the notoriously tough European Food Safety Authority (EFSA), but in terms of dosage levels at least, there is growing frustration that the governing rules are not keeping pace with the science.

Typical recommended daily intakes (RDIs) lie between 200 and 600 international units (IU) per day while more and more science shows the above benefits can be better achieved with levels closer to 2000IU per day without safety concerns.

Some go much higher. One European study found daily doses between 2000-3000IUs could reduce EU health care expenditures by €187bn each year in 17 countries.

Such a situation prompted Frost and Sullivan to observe in a recent report: “Regulatory standards are undoubtedly the primary factor holding back the potential boom of vitamin D market.”

EU collaboration

Last month, leading vitamin D researcher, Heike Bischoff-Ferrari, PhD, the director of the Centre on Aging and Mobility at the University of Zurich followed an industry and academia-led ‘call to action’ over micronutrient deficiencies, by asserting the need for EU-funded vitamin D research.

“The problem is vitamin D has limited Intellectual Property (IP) potential, it is a pure public health intervention,” ​Bischoff-Ferrari told NutraIngredients.. “There needs to be more double blind, randomised clinical trials but we lack these because it is difficult to gain corporate interest.”

Hopes are being pinned to the 7th European Commission Framework which funds research and technological development projects.

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2 comments

Thank Goodness for Sensible Government!!!

Posted by Annie Claire,

Thank goodness for a government sensible enough to recommend upping vitmain D in their population to improve health outcomes!! Denmark, no wonder Princess Mary was so happy to move to Denmark with her Prince!! She knows how little sun she got in Tasmania! But seriously, it is wonderful to see a responsible and sensible approach to the "epidemic" of low levels of vitamin D across the world. Obviously Denmark has a long winter and low levels of sun in Autumn and Spring so they are sensible enough to recommend supplementation of milk there.

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Vitamin D, an excellent public health intervention

Posted by Milton Hare,

It is true that higher doses of Vitamin D would greatly influence overall health in a general population. Already, HMOs such as Kaiser Permanente in California are routinely testing patients for vitamin D deficiency and are usually finding it. Their solution, 50,000 iu of Vitamin D3 per week for eight weeks and then a maintenance dose of 2,000 iu per day. Actually, 2,000 iu per day is barely enough to get most individuals up to 30 ng/ml (also expressed as 75 nmol/L) which is the low-point of Kaiser's normal range of 30-100 ng/ml (75-250 nmol/L). Reinhold Vieth, a leading epidemiologist who is accepted as an authority on Vitamin D levels, says higher doses are needed to reach the point where the body has all it will use and begins storing modest reserves, somewhere around 5,000 iu per day. Dark skin, age and obesity are all factors that limit Vitamin D absorption. Vitamin D alters genetic expression, and higher doses create a summertime physiology, an active, muscular, strong-boned physical condition that is characterized by a superbly-tuned immune system. Auto-immune disease symptoms are drastically reduced and cancer rates plunge in populations that either naturally or through supplementation have HIGH levels of Vitamin D3. You can take a 25(OH)D test to determine your levels.

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