Vitamin D is important for strong bones, muscles and overall health. Ultraviolet (UV) radiation from the sun is necessary for the production of vitamin D in the skin and is the best natural source of vitamin D.
UV radiation from the sun is also the main cause of skin cancer.
Small amounts of the vitamin D you need can be obtained through food (about 5 – 10 per cent). Fish and eggs naturally have some vitamin D, while margarine and some milks have added vitamin D.
The body can only absorb a limited amount of vitamin D at a time. Spending extra time in the sun will not increase vitamin D levels – but will increase your risk of skin cancer.
Daily exercise also assists with the body’s production of vitamin D.
Health effects of low vitamin D
Vitamin D deficiency does not always have obvious symptoms but without treatment there can be significant health effects. These can include bone and muscle pain, and softening of the bones – such as rickets (in children) and osteomalacia (in adults).
Some people are at greater risk of vitamin D deficiency, including:
- people with naturally very dark skin –this is because the pigment (melanin) in dark skin doesn’t absorb as much UV radiation
- people who avoid the sun due to previous skin cancers, immune suppression or sensitive skin and those people who have limited sun exposure, such as nightshift workers
- people who wear covering clothing or concealing clothing
- people who spend a long time indoors – such as those who are housebound or institutionalised
- people who are obese
- people who have a disability or a disease that affects vitamin D metabolism, such as end stage liver disease, renal disease and fat malabsorption syndromes such as cystic fibrosis, coeliac disease and inflammatory bowel disease
- people who take medication that affects vitamin D metabolism
- breast-fed babies of vitamin D deficient mothers (formula milk is fortified with vitamin D)
If you think you may be at risk of vitamin D deficiency, talk to your GP for advice. Your GP may recommend taking a vitamin D supplement.
Overexposure to UV is never recommended, even for people who have vitamin D deficiency.
Vitamin D and food
There are small amounts of vitamin D in some foods such as fish, eggs and UV-irradiated mushrooms, but it is difficult to obtain enough vitamin D from diet alone. Most people only get five to 10 per cent of their vitamin D from food. Margarine and some types of milk have added vitamin D.
Vitamin D and safe sun exposure
UV levels vary depending on the time of year, and the amount of sun exposure you need varies accordingly.
The ‘daily sun protection times’ indicate when the UV level is forecast to be three or above. During these times, people are recommended to use a combination of sun protection measures (sunscreen, hat, protective clothing, sunglasses and shade).
Check the free SunSmart app or the Bureau of Meteorology website for daily sun protection times for your location.
UV levels in Victoria
As shown in the table below, from mid-August to April, average UV levels in Victoria are three and above for much of the day. This level of UV increases the risk of overexposure and skin damage, and sun protection (clothing, sunscreen, hats, shade and sunglasses) is recommended. Using good sun protection should not put people at risk of vitamin D deficiency.
From May to mid-August, average UV levels in Victoria are low (below three). During this time, sun protection is not recommended, unless you work outdoors, are near highly reflective surfaces (like snow), or are outside for extended periods.
Table 1. Recommended sun exposure in Victoria, to reduce the risk of low vitamin D
Low vitamin D
If you are concerned about your vitamin D levels, seek advice from your GP.
Your GP may recommend vitamin D supplements, which should be taken strictly as directed. Once low vitamin D is treated, the aim is to maintain normal vitamin D levels.
Where to get help
This page has been produced in consultation with and approved by:
Department of Health and Human Services - RHP&R - Office of the Chief Health Officer
Content on this website is provided for education and information purposes only. Information about a therapy, service, product or treatment does not imply endorsement and is not intended to replace advice from your doctor or other registered health professional. Content has been prepared for Victorian residents and wider Australian audiences, and was accurate at the time of publication. Readers should note that, over time, currency and completeness of the information may change. All users are urged to always seek advice from a registered health care professional for diagnosis and answers to their medical questions.