Holick · The American journal of clinical nutrition 2004 · narrative review · n=?

Sunlight and vitamin D for bone health and prevention of autoimmune diseases, cancers, and cardiovascular disease.

Cited 2770 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review synthesizing physiology and observational associations without systematic search methodology.

PubMed 15585788 · doi:10.1093/ajcn/80.6.1678S · record verified 2026-08-26

What was done

Narrative review summarizing the cutaneous synthesis, metabolism, and physiological roles of vitamin D, as well as the health consequences of deficiency and strategies for achieving sufficiency.

What was found

The abstract reports no empirical trial data or quantitative effect sizes. It states that maintaining serum 25-hydroxyvitamin D above 80 nmol/L (approximately 30 ng/mL) optimizes intestinal calcium absorption and extrarenal 1alpha-hydroxylase activity. Vitamin D deficiency causes rickets, osteomalacia, and osteoporosis, and is associated with increased risks of cardiovascular disease, multiple sclerosis, rheumatoid arthritis, type 1 diabetes, and deadly cancers. Sensible sun exposure (5–10 minutes of exposure to arms and legs or hands, arms, and face, 2–3 times per week) and dietary or supplemental intake are recommended.

Why it matters

Provides a conceptual overview of vitamin D physiology and outlines practical guidance to balance cutaneous vitamin D production against the risks of sun-induced skin cancer.

Limits

This is a narrative review with no systematic search protocol, meta-analysis, or primary clinical data. Reported links between vitamin D deficiency and non-skeletal diseases (cancer, cardiovascular, autoimmune) represent observational associations rather than demonstrated causal outcomes.

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