Breast cancer and Vit D.
I have been beating the drum about the large amount of Vitamin D deficiency in the Australian population. Todays courier mail had an article reaffirming the connection between low Vit D and Breast Cancer. For goodness sake everyone, please take this seriously. Again today, I have a number of women who tested low for Vitamin D 1 year ago, and guess what? Their levels are still low!. We all underestimate how much sunshine we need at our peril. Supplements are not very effective, which is why my patients get a shock when I tell them their levels are still low. “But I have been taking my Vitamin D supplements Doctor!” I am afraid it is not enough. You cannot bottle sunshine.
Breast Cancer Risk Factors→ Low Vitamin D Levels
Vitamin D helps the body absorb calcium, which is essential for good bone health. Vitamin D also helps the immune, muscle, and nervous systems function properly. Most vitamin D is made when an inactive form of the nutrient is activated in your skin when it’s exposed to sunlight. Smaller amounts of vitamin D are in fortified milk and other foods, fatty fish, and eggs. As more and more people spend most of their time out of direct sunlight or wearing sunscreen when they are in the sun, vitamin D production from sun exposure is limited.
Research suggests that women with low levels of vitamin D have a higher risk of breast cancer. Vitamin D may play a role in controlling normal breast cell growth and may be able to stop breast cancer cells from growing.
New research may start to shed light on why Marin County has one of the highest rates of breast cancer in the world, and the answer may be related to vitamin D.
A small pilot study of Marin County women determined through testing to be at high risk for breast cancer found them to be almost twice as likely to have a variant of a vitamin D receptor as the overall population of 338 in the study.
Researchers have long been investigating and discovering variations in genes that could be associated with breast and other cancers. This is the first time a study has linked this vitamin D receptor – a protein molecule that signals the cell to activate vitamin D – with higher risk for breast cancer in Marin County women, the authors said.
Additionally, numerous studies have found a relationship between adequate vitamin D in the body and a lower risk of cancer.
“A lot of people have been doing analyses of vitamin D levels and breast cancer risk, but there haven’t been a lot of studies addressing the vitamin D receptor itself,” said Dr. Kathie Dalessandri, a surgeon scientist in Point Reyes Station and primary author of the study.
“I think this is just the tip of the iceberg,” she said, adding that the findings need to be validated in a larger study
Steps you can take
The two most reliable ways to boost your vitamin D level: get more direct sunlight exposure and take vitamin D3 supplements. Eating foods rich in vitamin D can help, but is less effective.
Sunshine exposure: Even short periods of direct peak sun exposure — 15 minutes 3 times a week, for example — can give you more than the recommended daily amount of vitamin D. It’s also impossible to overdose on vitamin D from the sun. While sun exposure offers vitamin D benefits, it does have risks. Sun exposure increases your risk of skin cancer, including melanoma, the most dangerous type.
In general, most experts recommend you continue to use sun protection when ultraviolet (UV) radiation levels are moderate or high. UV rays are invisible, so you can’t tell if you’re exposed or not. The ozone layer protects the Earth from UV rays. But the thickness of the ozone layer changes with the seasons and the weather, so some UV rays get through to the Earth. The U.S. Environmental Protection Agency and the National Weather Service developed the UV Index, which indicates the strength of UV rays on a scale from 1 to 11+ based on zip code.
There are many variables that can affect how much vitamin D you’ll produce from sunlight:
- the darker your skin color, the less vitamin D you produce
- the farther you live from the equator, the less vitamin D you produce
- fewer daylight hours mean you produce less vitamin D
All these factors can make is hard to get enough vitamin D from sun exposure alone.
Supplements: Before you adjust your vitamin D intake, it’s important to know your vitamin D serum level. This is done with a simple blood test that your doctor can order for you when you’re in for a routine physical. Vitamin D researchers recommend a serum level of 40-60 ng/ml (nanograms/milliliter).
Before you take any supplements, talk to your doctor about the risks and benefits of the product, as well as what a good vitamin D serum level is for you. If your level was low and you’ve been taking a supplement to get back into the normal range, have your vitamin D level checked a few months later and adjust your supplement dose accordingly. Taking too much vitamin D occasionally can cause you to have too much calcium in your blood.
If you’re going to take a vitamin D supplement, most experts recommend taking the D3 form of the vitamin, not the D2 form.
The current recommendation is that people younger than 50 get 200 international units (I.U.) of vitamin D per day. 400 international units per day is recommended for people aged 50-70, and 600 international units per day is recommended for people older than 70. The typical multivitamin contains 400 international units of vitamin D.
Still, many researchers believe these recommendations are too low. The United States National Academy of Sciences is studying this issue and is expected to issue new, higher dietary guidelines for vitamin D intake.
Foods rich in vitamin D:
- steelhead trout
It’s important to choose your fish carefully to avoid any species that may have high levels of mercury. For more information, visit the Exposure to Chemicals in Food page in this section.
Taking 1 to 3 teaspoons of cod liver oil per day as a supplement can also help fulfill your vitamin D requirements. Still, most people don’t like the taste of cod liver oil, so you may want to try these other fortified foods (though they have lower levels of vitamin D):
- some yogurt (read the label to see if it says “fortified with vitamin D”)
- some orange juice (read the label to see if it says “fortified with vitamin D”)
- some soy milk (read the label to see if it says “fortified with vitamin D”)