Vitamin D status and current policies to achieve adequate vitamin D intake in the Nordic countries

Scand J Public Health. 2021 Aug;49(6):616-627. doi: 10.1177/1403494819896878. Epub 2020 Jan 9.

Abstract

Aims: Nordic countries share fairly similar food culture and geographical location as well as common nutrition recommendations. The aim of this paper was to review the latest data on vitamin D status and intake and to describe the national supplementation and food fortification policies to achieve adequate vitamin D intake in the Nordic countries. Methods: The data are based on results derived from a literature search presented in a workshop held in Helsinki in November 2018 and completed by recent studies. Results: Vitamin D policies and the implementation of the recommendations differ among the Nordic countries. Vitamin D fortification policies can be mandatory or voluntary and widespread, moderate or non-existent. Vitamin D supplementation recommendations differ, ranging from all age groups being advised to take supplements to only infants. In the general adult population of the Nordic countries, vitamin D status and intake are better than in the risk groups that are not consuming vitamin D supplements or foods containing vitamin D. Non-Western immigrant populations in all Nordic countries share the problem of vitamin D insufficiency and deficiency. Conclusions: Despite the common nutrition recommendations, there are differences between the Nordic countries in the implementation of the recommendations and policies to achieve adequate vitamin D intake and status. There is a need for wider Nordic collaboration studies as well as strategies to improve vitamin D status, especially in risk groups.

Keywords: 25-hydroxyvitamin D; Nordic; Vitamin D; implementation; nutrition; nutrition recommendations; policy; vitamin D fortification; vitamin D intake; vitamin D status.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Child
  • Child, Preschool
  • Dietary Supplements
  • Female
  • Food, Fortified
  • Guidelines as Topic
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Middle Aged
  • Nutrition Policy*
  • Nutritional Status*
  • Pregnancy
  • Scandinavian and Nordic Countries / epidemiology
  • Vitamin D / administration & dosage*
  • Vitamin D / blood
  • Vitamin D Deficiency / epidemiology
  • Vitamin D Deficiency / prevention & control*
  • Young Adult

Substances

  • Vitamin D