ECTS2014 Poster Presentations Steroid hormones and receptors (4 abstracts)
1Department Endocrinology, University of Verona, Verona, Italy; 2Department Geriatrics, University of Zurich, Zurich, Switzerland; 3Endocrinology, KU Leuven, Leuven, Belgium; 4School of Food and Nutritional Sciences, University College Cork, Cork, Ireland; 5Division of Endocrinology, Department Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon; 6Department of Food and Nutritional Sciences, University of Helsinki, Helsinki, Finland; 7Department of Endocrinology, University Clinic of Internal Medicine, University of Graz, Graz, Austria; 8Department of Internal Medicine/Endocrinology, VU University Medical Center, Amsterdam, The Netherlands.
Vitamin D deficiency is common within Europe and the Middle East, especially in risk groups. While treatment is simple, there is no consensus on the diagnostic threshold for deficiency and the required dose. The Institute of Medicine and the Endocrine Society have established guidelines on the required 25-hydroxyvitamin D (25(OH)D) levels, supplementation doses and (extra)skeletal effects of vitamin D, coming to very different conclusions. The European Calcified Tissue Society has instituted a Working Group on Vitamin D to prepare a position statement regarding various aspects of vitamin D deficiency and prevention. The members agreed that a European statement outlined in a position paper would be appropriate after the guidelines and the discussions in the American, European and international journals.
The statement will include an overview of the vitamin D status in different European and Middle East countries, the prevalence of vitamin D deficiency according to different thresholds, the optimal/minimal required 25(OH)D levels and required doses to prevent vitamin D deficiency. Data on food fortification policy and the availability of supplements are included. Strategic options, implementation strategies, and public health options will be discussed. The statement will finish with a research agenda and a conclusion.
It will be a tremendous effort to improve vitamin D status in Europe and reduce the percentage of the population with serum 25(OH)D below 50 nmol/l. The Working Group will consider prudent sun exposure, adequate nutrition, food fortification and vitamin D supplementation.