Submitted to: Nutrition and Bone Health
Publication Type: Book / Chapter
Publication Acceptance Date: 10/15/2014
Publication Date: 1/9/2015
Citation: Harris, S. 2015. Nutrition and skeletal health in blacks. In: Holick, M.F., Nieves, J.W., editors. Nutrition and Bone Health. Second edition. New York, NY: Humana Press. https://doi.org/10.1007/978-1-4939-2001-3_16. Interpretive Summary:
Technical Abstract: Vitamin D deficiency is much more common among African Americans than other American groups, but there is as yet little compelling evidence that improving vitamin D status in this group will have an important benefit on skeletal health. It is possible that some African Americans have adaptive physiologic responses to low vitamin D and calcium intakes that result in better bone acquisition and maintenance. However, for several reasons it would be premature to suggest that vitamin D or calcium requirements are different in this group from others or to suggest that vitamin D deficiency among them carries no increased health risks. Thus, African Americans should aim for the same dietary intakes of calcium and vitamin D and the same blood targets for 25(OH)D as other groups until both the skeletal and nonskeletal benefits to them of correcting vitamin D deficiency have been further explored.