Author Affiliations: Mid America Heart and Vascular Institute, Kansas City, Missouri (Dr O[rsquo]Keefe) (email@example.com); John Ochsner Heart and Vascular Institute, New Orleans, Louisiana (Dr Lavie); and Department of Endocrinology, Diabetes and Nutrition, Boston University School of Medicine, Boston, Massachusetts (Dr Holick).
To the Editor: We take issue with Drs Shapses and Manson1 in their defense of the Institute of Medicine (IOM) recommendations that the daily allowance of vitamin D be 600 IU per day for individuals aged 1 to 70 years and 800 IU per day for those older than 70 years. A recent study using the National Health and Nutrition Examination Survey 2005-2006 analyzed vitamin D levels in 4495 adults and found vitamin D deficiency, defined as a serum 25-hydroxyvitamin D level 20 ng/mL or less, in 42% of the overall population, 82% of black individuals, and 69% of Hispanic individuals.2
O[rsquo]Keefe JH, Lavie CJ, Holick MF. Vitamin D Supplementation for Cardiovascular Disease Prevention. JAMA. 2011;306(14):1546-1548. doi:10.1001/jama.2011.1465