The best vitamin D for seniors? The ideal variant and dosage
Geschreven door: Ebrina van der Bijl
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Gepubliceerd op:
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Leesduur: 8 min
Vitamin D is often nicknamed "the sunshine vitamin." And for good reason, because your body produces it itself as soon as there is enough sun on your skin.
Only in the Netherlands does that sunshine not shine every day. Especially in autumn and winter, the UVB intensity in the Netherlands is often insufficient for significant production, even if you spend time outdoors regularly.
While it's important for everyone to get enough vitamin D, it's even more crucial for older adults. Sunlight and diet alone are often no longer enough, and a supplement can be a helpful addition.
Curious how this works? In this article, I'll explain step by step why vitamin D is so important as we age, which form is best absorbed, and how much you actually need.
Older adults are more likely to develop vitamin D deficiency due to reduced production, limited sun exposure, and lower intake; supplementing with sun and diet is often wise.
Preferably choose vitamin D3 in oil; if necessary, combine it with calcium, as D3 supports absorption and thus helps maintain strong bones and normal muscle function.
Dosage: 10 micrograms for ages 50–70 (women always; men when there is little sun), 20 micrograms from age 70; 25 micrograms for maintenance, 75 micrograms for increased needs after consultation.
As you get older, your skin produces less vitamin D. This makes it more difficult to maintain your vitamin D levels.
This is because your skin becomes thinner and can produce less vitamin D from sunlight than before. This is a normal consequence of aging. (1)
In addition, a lot changes in your body over the years. Think of your muscles, bones, and immune system. These often require extra attention later in life, and vitamin D plays an important role in this. (2)(3)
Vitamin D contributes to:
The maintenance of normalbones and teeth
The normal functioning ofmuscles
The normalabsorption and utilization of calcium and phosphorus
The normal functioning of theimmune system
That's why experts recommend paying close attention to your vitamin D intake from middle age onwards: Through sunlight, food and, if necessary, a supplement. (4)(5)(6)
Why older people are more likely to have a deficiency
Even with a healthy lifestyle, it is difficult to maintain vitamin D levels.
Research shows thatnearly 60% of older adults worldwide have low vitamin D levels. In Europe, this is usuallybetween 40 and 60%, and sometimes even higher in winter. (7)
This is not only because the skin produces less, but also because of daily habits:
Spendingless time outsideon average
Eat less fat(so fewer sources of vitamin D)
Eating smaller portions(and therefore less vitamin D) (8)(9)
Good to know : You usually do not notice a lower vitamin D status immediately, because that process is very gradual.
Vitamin D from food
While the sun is the main source of your daily vitamin D needs, you can also get some from your diet. It's naturally found primarily inanimal productssuch as:
Fatty fish (salmon, mackerel, herring, sardines)
Eggs
Enriched margarine and baking and frying products
However, it is difficult to get enough vitamin D through diet alone.
That's why the Health Council advises many older adults to take a daily supplementyear-round. This is especially true during the months with little sun, when the skin produces very little vitamin D.
Vitamin D2 or D3 – what's the difference?
If you look for a vitamin D supplement, you will find two different forms:D2 (ergocalciferol)andD3 (cholecalciferol).
They look very similar, but there is one important difference: Vitamin D3 is the form that your body also produces from sunlight.
With D3, your vitamin D level oftenrises faster and more steadilythan with D2. That's why D3 is the logical choice for many people. (10)(11)
Good to know : Vitamin D3 occurs naturally in animal products such as fish oil and eggs. Plant-based vitamin D3 (from algae) is also available. This is the same form (cholecalciferol) as animal-derived D3.
The right vitamin D dosage for the elderly
The amount of vitamin D you need depends on your age and how much sunlight you get. According to the Health Council, the following recommendations apply:
Adults up to 50 years- 10 micrograms (400 IU) per day, only if you rarely go outside or cover most of your skin.
Women aged 50 years and over- 10 micrograms (400 IU) per day, even with sufficient sunlight.
Men aged 50 to 70 years- 10 micrograms (400 IU) per day, when you get little sun.
Men and women aged 70 and over- 20 micrograms (800 IU) per day, always, regardless of how much time you spend outdoors.
Higher doses, such as 25 to 50 micrograms per day, are sometimes used temporarily. However, it is important to always do this under the supervision of a doctor or dietitian.
The best vitamin D supplement for seniors
A good vitamin D supplement contains vitamin D3 (cholecalciferol), the form your body also produces from sunlight. The advantage ofD3is that it's generallybetter absorbedthan D2.
Because vitamin D is fat-soluble, taking itwith some fat in a meal helps . Anoil supplement(capsule or drops) is a good complement to this.
In short, a good vitamin D supplement for the elderly contains:
Vitamin D3 instead of D2
A fat-soluble carrier, such as olive oil
A dosage that suits your situation
Combine calcium and vitamin D
I often notice that not everyone knows how calcium and vitamin D work together. This is so important, especially later in life.
This is how it goes:
Calciumis thebuilding blockfor bones
Vitamin Dis thekeythat helps your gut actually absorb that building block
Without sufficient vitamin D, calcium is absorbed less efficiently and your body is less able to store it in bone tissue. This is why calcium and vitamin D work as a duo to maintain normal bones.
First, check if you're getting enough from your diet. If not, acombined supplement(with calcium and vitamin D3) may be appropriate.
Be careful not to take too much. Thesafe upper limit (UL)for calcium is2,500 milligramsper day and for vitamin D it is100 microgramsper day (4,000 IU).
Good to know : Are you taking medication or do you have kidney or calcium-related conditions? Always consult your doctor or dietitian first.
Supplement with 25 mcg D3 - daily maintenance dose
This variant provides25 micrograms of vitamin D3 (1,000 IU),in olive oilfor easy absorption.
Suitable as a maintenance dose for adults and the elderly who regularly go outdoors or want to maintain their vitamin D levels.
Use for:
Regular exposure to sunlight
Maintaining a normal vitamin D level (have your level tested if necessary, for example through your GP)
Daily support for normal bone, muscle and immune function
This is a higher dosage than standard recommendations and is suitable for situations withlittle sun exposureor whenvitamin D levelsremain low despite lower doses.
Use for:
Little or no sun exposure
Dark skin or covering clothing
Older age or probably lower production
Preferably in consultation with a doctor/dietitian, especially when using medication or in combination with calcium.
In short : Choose 25 micrograms as a maintenance dose to maintain your vitamin D levels and 75 micrograms if you don't see much sun or notice your levels remain low. Both versions contain vitamin D3 in olive oil.
Ebrina van der Bijl
Ebrina is a nutritionist with a deep commitment to healthy eating and a sustainable lifestyle, based in beautiful Portugal. Her passion for natural and organic products is at the heart of her work. With a background in Nutrition & Dietetics and experience in product development and writing, she translates complex scientific information into practical advice for a balanced lifestyle.
MacLaughlin, J., & Holick, M. F. (1985). Aging decreases the capacity of human skin to produce vitamin D3. Journal Of Clinical Investigation, 76(4), 1536–1538.https://doi.org/10.1172/jci112134
Plawecki, K., & Chapman-Novakofski, K. (2010). Bone health nutritional issues in aging. Nutrients, 2(11), 1086–1105.https://doi.org/10.3390/nu2111086
Tan, L., He, R., & Zheng, X. (2024). Effect of vitamin D, calcium, or combined supplementation on fall prevention: a systematic review and updated network meta-analysis. BMC Geriatrics, 24(1).https://doi.org/10.1186/s12877-024-05009-x
Kalyani, R. R., Stein, B., Valiyil, R., Manno, R., Maynard, J. W., & Crews, D. C. (2010). Vitamin D Treatment for the Prevention of Falls in Older Adults: Systematic Review and Meta‐Analysis. Journal Of The American Geriatrics Society, 58(7), 1299–1310.https://doi.org/10.1111/j.1532-5415.2010.02949.x
Qi, P., Fu, X., Zhao, D., Li, C., Lu, Y., & Li, N. (2024). Effects of vitamin D supplementation on muscle strength in middle-aged and elderly individuals: a retrospective, propensity score-matched study. Frontiers in Nutrition, 11.https://doi.org/10.3389/fnut.2024.1450265
Meshkin, A., Badiee, F., Salari, N., Hassanabadi, M., Khaleghi, A. A., & Mohammadi, M. (2024). The Global Prevalence of Vitamin D Deficiency in the Elderly: A Meta-analysis. Indian Journal Of Orthopaedics, 58(3), 223–230.https://doi.org/10.1007/s43465-023-01089-w
Marcos-Pérez, D., Sánchez-Flores, M., Proietti, S., Bonassi, S., Costa, S., Teixeira, J.P., Fernández-Tajes, J., Pásaro, E., Laffon, B., & Valdiglesias, V. (2020). Low vitamin D levels and frailty status in older adults: A systematic review and meta-analysis. Nutrients, 12(8), 2286.https://doi.org/10.3390/nu12082286
Feehan, O., Magee, P. J., Pourshahidi, L. K., Armstrong, D. J., & McSorley, E. M. (2022). Vitamin D deficiency in nursing home residents: a systematic review. Nutrition Reviews, 81(7), 804–822.https://doi.org/10.1093/nutrit/nuac091
Tripkovic, L., Lambert, H., Hart, K., Smith, C.P., Bucca, G., Penson, S., Chope, G., Hyppönen, E., Berry, J., Vieth, R., & Lanham-New, S. (2012). Comparison of vitamin D2 and vitamin D3 supplementation in raising serum 25-hydroxyvitamin D status: a systematic review and meta-analysis. American Journal Of Clinical Nutrition, 95(6), 1357–1364.https://doi.org/10.3945/ajcn.111.031070
Van Den Heuvel, E. G., Lips, P., Schoonmade, L. J., Lanham-New, S. A., & Van Schoor, N. M. (2023b). Comparison of the Effect of Daily Vitamin D2 and Vitamin D3 Supplementation on Serum 25-Hydroxyvitamin D Concentration (Total 25(OH)D, 25(OH)D2, and 25(OH)D3) and Importance of Body Mass Index: A Systematic Review and Meta-Analysis. Advances in Nutrition, 15(1), 100133.https://doi.org/10.1016/j.advnut.2023.09.016