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A
s we head to work in the mornings, sit back at home for dinner with the
family or go out on the weekend for a grocery run, ignoring aches and
niggles as routine irritants, a vast majority of Indians are unaware that
their bones are slowly being eaten away from within. Vitamin D deficiency
has reached epidemic proportions in the country. More than 70 per cent of the
population is deficient and another 15 per cent has insufficient quantities of the
‘sunshine vitamin’ in their bodies.
This is leading to a host of debilitating problems. Vitamin D deficiency can
cause osteoporosis and rickets, apart from cardiovascular diseases, diabetes,
cancer, infections such as tuberculosis and even depression. In extreme cases,
the bones become like butter. A bit of pressure could leave a dent, an awkward twist could lead to a fall and even bending forward could snap the spine.
But the symptoms of vitamin D deficiency—being low on energy, unaccounted
aches and pains, frequent muscle injuries, longer healing time—are so insidious that they are often brushed aside as regular lifestyle problems, and there
is no diagnosis until most of the damage has been done.
Vitamin D, which is more a hormone than a vitamin, is the only nutrient
that is made in the body. It is essential for bone health and is produced when
bare skin is exposed to the sun’s ultraviolet B rays. While vitamin D deficiency
is a pandemic across the western world, particularly in Nordic countries that
don’t get enough sunshine, what is alarming is that the
problem is growing exponentially even in sunny India.
It’s only over the last two decades that Indians have
started recording an abysmally low vitamin D status—now
reaching 80 per cent across India, according to estimates
by the International Osteoporosis Foundation. Though the
problem was initially associated with Indian women over
50, even children in the age group of 11 to 15 do not have
OUR MARCH
adequate levels of vitamin D. Doctors and researchers say
2013 COVER
this primarily comes down to changing lifestyles. Now that
we stay indoors or in cars, and get exposed to the sun only when fully clothed,
almost no one gets the 10 minutes of direct high sun—on the whole body,
between 11 am and 3 pm—needed to produce the vitamin D that is required
for good bone health.
In many other countries, where similar lifestyle patterns have reduced
exposure to the sun, vitamin D needs are met through fortified food, especially
milk, some juices, margarine and breakfast cereals. India, which is slowly
waking up to the problem, is currently reviewing a proposal for musculoskeletal diseases to be brought under the National Health Policy of the Union ministry for health. The other big reason for hope is that milk is going to be fortified
with vitamin D and A to address malnutrition among the Indian masses. But
while these measures may provide some succour, there is no substitute for getting vitamin D directly from the sun.
Our cover story, written by Executive Editor Damayanti Datta, looks at the
effects of this overlooked epidemic affecting such large sections of our population. We examine what has led to the problem and what are the measures
needed to combat it. As part of her research, Datta got herself tested and found
that, like many other urban professionals, she had inadequate, though not deficient, vitamin D quantities in her body. She has been put on a monthly medicine by the doctors.
Though action is needed on various fronts, including raising awareness
and government intervention, the solution also lies with us. Good health is the
greatest of blessings. Though the grand march of progress has changed our
lives dramatically, it is important that we don’t become victims to our lifestyle.
So let’s start by getting some sun.
All disputes are subject to the exclusive jurisdiction of
competent courts and forums in Delhi/New Delhi only
(Aroon Purie)
SEPTEMBER 26, 2016 u INDIA TODAY
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