Saturday, May 17, 2025

Vitamin D Deficiency

Vitamin D Defiynciency is something that can affect anyoine despite age, gender, or ethnicity.  The likelihood of it developing does depend on several factors, however.  It is said thet someone is Vitamin D Deficient when the amount of Vitamusein D is inadequate which may have health consequences (Yale, 2025).  Vitamin D is important for the process of the body, including bone, to absorb Calcium, Phosphorous, and Magnesium.  Vitamin D Deficiency causes these to no be absorbed well.  Vitamin D also plays an essential role in the nervous, musculoskeletal and immune systems (Cleveland Clinic, 2022).  Vitamin D Deficiency can also be linked to  increased risk of:

  • Cancer
  • Heart Disease
  • Stroke
  • Depression
  • Muscular Sclerosis
  • Type 2 Diabetes (Watson, 2024)
There are several things that may contribute to someone developing Vitamin D Deficiency.  These include:
  • Not enough exposure to sunlight
  • Darker skin Pigment
  • Malnutrition
  • Kidney or Liver failure
  • Certain medications
  • Certain cancers
  • Family history of  Vitamin D Deficiency orh Childhood Rickets
  • Chorn's Disease, Cystic Fibrosis, and Celiac Disease
  • Obesity
  • Weight Loss Surgery (Yale, 2025)(Watson, 2024)
There are also some risk factors to developing Vitamin D Deficiency including:
  • Age - 65 years old or older
  • BMI greater or equal to 30
  • Melanated skin
  • Smoking
  • Not eating foods fortified with Vitamin D (Watson, 2024).
Although  the signs and symptoms may be more obvious in kids, there are also signs and symptoms in adults as well.  In kids, signs and symptoms include:

  • Weak, sore, painful muscles
  • Incorrerct growth (bowed or bent legs)
  • Muscle weakness
  • Bone pain
  • Joint deficiencies (Watson, 2024)
In adults, signs and symptoms include:
  • Fatigue
  • Bone and joint pain
  • Muscle weakness, aches, or cramps
  • Increased sensitivity to pain
  • "Pins and needles" sensations in hands and feet
  • Muscle spasms
  • Waddling while walking due to muscle weakness i n hips and legs
  • History of broken bones
  • Mood changes (Yale, 2022)(Watson, 2024)
You may be wondering how much vitamin D people need each day.  Well, it is age dependant.
  • Birth to 12 months - 400 IU
  • 1-13 years - 600 IU
  • 14 - 18 years - 600 IU
  • 19 - 70 years - 600 IU
  • 71 - older - 800 IU
  • Breastfeeding or pregnant - 600 IU (Medline Plus, 2024)
Who are individuals who may be at risk for Vitamin D Deficiency?
  • Breastfed infants - breast milk is low in vitamin D.  Infants who are sole breast fed should be given a vitamin D supplement equal to 400 IU every day.
  • Older adults - skin does not make vitamin D as efficient as it did when someone is younger.  Also, Kidneys do not convert vitamin D to its active form as well.
  • People with increased melenation (darker skin) - darker skin has decreased ability to produce vitamin D when exposed to sunlight.  
  • People dealing with Obesity - body fat binds sone vitamin D which decreases the amount available in the blood stream.  Increased body fat binds more vitamin D removing more vitamin D from bloodstream.
  • People who have had Gastric Bypass Surgery - this surgery bypasses part of small intestine where vitamin D is absorbed.  Having part of the small intestine bypassed affects absorption of vitamin D.
  • People with Chronic Kidney or Liver Dizease - affects ability to change vitamin D into active form.
  • People taking certain medications - certain cholesterol, anti-seizure and weight loss medications can affect vitamin D level. 
  • People with Cystic Fibrosis, Chrohn's Dizease, and Celiac Disease - these conditions prevent vitamin absorption in intestines.
  • People who do not spend a lot of time in the sun.  (Medline Plus, 2024)(Cleveland Clinic, 2022)
There is a blood test that can be done to determine vitamin D levels.  Those individuals who are at risk for Vitamin D Deficiency can have a 25 - hydroxyvitamin D [25(OH)D] blood test done (Watson, 2024).

Once Vitamin D Deficiency has been diagnosed, there are ways that it can be treated.
  • Foods that naturally have vitamin D include:
    • Fatty Fish - salmon, tuna, markel and sardines
    • Rainbow Trout
    • Beef liver
    • Mushrooms
    • Egg yolks
    • Cod liver oil
  • Foods that are often fortified with vitamin D include:
    • Cow's, soy, almond and oat milk
    • Breakfast cereals
    • Orange juice
    • Dairy products
  • Vitamin D supplements may be taken.
Your healthcare provider should be consulted to determine the best way to increase vitamin D levels if deficient (Medline Plus, 2024).

What happens if you have too much vitamin D?

Although not common, it is possible to concume too much vitamin D, primarily through supplements.  Signs and symptoms of vitamin D toxicity include:
  • Nausea
  • Increased thirst and urination
  • Poor Appetite
  • Constipation
  • Weakness
  • Confusion
  • Ataxia - impaired balance or coordination
  • Dysarthria - unclear speech
  • Irregular heartbeat
  • Kidney Failure (Medline Plus, 2024)


Cleveland Clinic, (2022)  Vitamin D Deficiency.  Cleveland Clinic.  Retrieved from https://my.clevelandclinic.org/health/diseases/15050-vitamin-d-vitamin-d-deficiency#diagnosis-and-tests

Medline Plus. (2024)  Vitamin D Deficiency.  Medline Plus.  Retrieved from https://medlineplus.gov/vitaminddeficiency.html

Watson, L. (2024)  Vitamin D Deficiency.  WebMD.  Retrieved from https://www.webmd.com/diet/vitamin-d-deficiency

Yale. (2025) Vitamin D Deficiency.  Yale University.  Retrieved from https://www.yalemedicine.org/conditions/vitamin-d-deficiency

Tuesday, May 6, 2025

Sleep Hygiene

What is Sleep Hygiene you may ask?

Sleep Hygiene is a group of healthy sleep habits that can improve your sleep.  Good sleep hygiene can improve overall health.  

How does good sleep hygiene improve health?

Some benefits of having good sleep hygiene and obtaining adequate, good quality sleep include:

  • Your body having the ability to repair itself, particularly the heart and blood vessels
  • Boost of immune system
  • Supports hunger hormone balance
  • Supports regulated insulin levels
  • Supports health growth and development
  • Decreases risk of conditions such as heart disease, High Blood Pressure, obesity, Diabetes and stroke
  • Helps to maintain a healthy weight
  • Emotional and cognitive renewal
  • Decreases stress
  • Lower risk of motor vehicle crashes
  • Improves attention and memory (Solodar, 2025)(CDC, 2024)(NIH,2022)
What can you do to have better sleep hygiene?

There are behaviors you can incorporate and habits you can develop to increase the quaility of your sleep.  These include:
  • Make your sleep environment comfortable - keep bedroom  quiet, relaxing and at a cool temperature
  • Maintain a consistent sleep schedule -try to go to sleep at the same time every day
  • Turn off electronic devices at least 30 minutes before bedtime
  • Follow a bedtime routine that helps you fall asleep
  • Exercise regularly - even 30 minutes of aerobic exercise can increase sleep quality      
  • Avoid lage meals and alcohol before bedtime
  • Avoid caffeine in afternoon or evening - effects of caffeine can last 3 - 7 hours
  • Avoid smoking - Nicotine is a stimulant
  • Limit napping
  • Manage stress
  • Manage light exposure (Solodar, 2025)(CDC, 2024)(Healthline, 2024)

What is meant by sleep quality?

Quality sleep encompases not only how many hours you sleep, but also how well you sleep.  Poor sleep quality may include:
  • Trouble falling asleep
  • Waking up during the night
  • Feeling sleepy or tired after a full night's sleep (CDC, 2024)
What are some common sleep disorders?

  • Insomnia - trouble or staying asleep 
  • Restless Legs Syndrome (Willis - Ekbom Disease) - neurological condition causing  irresistible urge to move legs
  • Narcolepsy - chronic disorder causing someone to be very sleepy during day hours and disrupts night sleep.  Individual may fall asleep during daily activities
  • Sleep Apnea - condition where breathing stops and restarts many times (NIH, 2022)(NIH, 2022) (NIH, 2025)(NIH, 2025)(NIH, 2025)

According to the CDC, the following is how much sleep is recommended for each age group every day:

  • 0 - 3 months:    14 - 17 hours
  • 4 - 12 months:   12 - 16 hours
  • 1 - 2 years:  11 - 14 hours
  • 3 - 5 years:   10 - 13 hours
  • 6 - 12 years:  9 - 12 hours
  • 13 - 17 years:  8 - 10 hours
  • 18 - 60 years:  7 or more hours
  • 61 - 64 years: 7 - 9 hours
  • 65 years and older:  7 -8 hours (2024)
To find Sleep Hygiene resources, visit the National Sleep Foundation's website at:  



CDC. (2024)  About Sleep.  Centers for Disease Control and Prevention.  Retrieved from https://www.cdc.gov/sleep/about/index.html

Healthline. (2024)  12 Tips For Better Sleep Hygiene.  Healthline.  Retrieved from https://www.healthline.com/health/sleep-hygiene

NIH (2022)  Insomnia:  What is Insomnia?   National Heart, Blood and Lung Institute.   Retrieved from https://www.nhlbi.nih.gov/health/insomnia

NIH (2022)  Sleep Deprevention and Deficiency:  How Sleep affects Your Health.   National Heart, Blood and Lung Institute.Retrieved from https://www.nhlbi.nih.gov/health/sleep-deprivation/health-effects

NIH. (2025) Narcolepsy.   National Heart, Blood and Lung Institute.  Retrieved from https://www.nhlbi.nih.gov/health/narcolepsy

NIH. (2025)  Restless Leg Syndrome.  National Institute of Neurological Disorders and Stroke.   Retrieved from https://www.ninds.nih.gov/health-information/disorders/restless-legs-syndrome

NIH (2025) Sleep Apnea:  What is Sleep Apnea.  National Heart, Blood and Lung Institute.  Retrieved from https://www.nhlbi.nih.gov/health/sleep-apnea

Solodar. (2025)  Sleep Hygeine: Simple practices for better rest.  Harvard Health Publishing.  Retrieved from https://www.health.harvard.edu/staying-healthy/sleep-hygiene-simple-practices-for-better-rest

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