Vitamin D And Calcium Absorption

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Calcium can be absorbed through two major transport systems: active transport and passive diffusion; about 60% of calcium is absorbed in the small intestine (duodenum and proximal jejunum) (1,2). An important player in calcium absorption is Vitamin D, more specifically in the intestine calcium absorption. Vitamin D in calcitriol form was historically limited to muscle tissue of bones, the kidneys, and the intestine. However, it is now know that calcitriol plays an important roll is other tissue function such as the brain, heart, skin, colon, central nervous system, and pancreas, when receptors were found on these tissues as well. Vitamin D can be obtained in a multitude of ways such as through the sun, supplementation, fortified food sources such as milk and grains, as well as in animal products. This paper will review the ways that Vitamin D maintain calcium levels, types of calcium absorption via vitamin D, vitamin D’s effects on calcium absorption (primarily in the intestine) during deficiency, calcium absorption via vitamin D in the elderly, healthy women, and pregnant women. It is important to focus on women because women overall have a lower bone density than men as well as experience drastic estrogen changes later on in life which both directly correlate with calcium and vitamin D consumption and absorption.
REVIEW OF LITERATURE
The Role of Vitamin D in Serum Calcium Homeostasis

Normal serum calcium concentration is usually about 8.5-10.5 mg/dL, when this level drops the parathyroid gland releases PTH by activating the calcium receptors (1,2,3). Vitamin D on the other hand influences PTH as well when in high concentrations inhibiting transcription of the PTH gene. The homeostasis of serum calcium through calcitri...

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...ting the hypothesis that age plays a large factor in absorption of calcium in the body (primarily intestinal calcium absorption) (15,16). Elderly, menopausal, and postmenopausal women are at a greater risk of calcium and vitamin D deficiency during those times in their lives. After multiple studies were conducted, the idea that women are at a lesser risk of bone issues (such as fractures) if they follow a regiment of daily doses of calcium and vitamin D either naturally or through supplementation. Pregnant women also have a greater need for vitamin D since the need for more calcium for a growing baby. Conclusion drawn from Fudge et al’s study showed interesting information that Overall, VDR null mice adapted to pregnancy through the up-regulation of duodenal Trpv6 and intestinal calcium absorption and VDR was not crucial during pregnancy for calcium absorption.

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