Indigenous people at risk of bone, muscle pain

Aboriginal ÐÓ°ÉÖ±²¥ns are at risk of health problems due to vitamin D insufficiency. Photo by Gary Radler.
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Dr Simon Vanlint's MJA paper
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Sunday, 6 February 2011
Aboriginal ÐÓ°ÉÖ±²¥ns are at risk of increased bone and muscle pain due to their inability to produce sufficient vitamin D, according to a ÐÓ°ÉÖ±²¥ of Adelaide study published in the today.
Health researcher says a study of 58 Aboriginal adults in South ÐÓ°ÉÖ±²¥ showed significantly lower vitamin D serum levels compared to paler-skinned individuals, leading to a greater chance of them developing bone, muscle and other conditions.
Dr Vanlint, from the at the ÐÓ°ÉÖ±²¥ of Adelaide, says because the brown skin pigment melanin filters ultraviolet B light, darker-skinned individuals synthesise less vitamin D, resulting in a range of health problems.
"Vitamin D insufficiency is highly prevalent in this population of adult Aboriginal ÐÓ°ÉÖ±²¥ns, with low levels found in all seasons other than summer," he says.
"This has also been shown in African-Americans, Pacific Islander and Maori people and Indigenous Canadians."
Dr Vanlint says the seasonal variation in vitamin D levels among the study group suggests that ultraviolet light - the best natural source of vitamin D - plays the major role in maintaining vitamin D levels.
"It is likely that time spent outdoors, particularly if it includes weight-bearing exercise, will have health benefits in addition to those associated with increased vitamin D production."
The study group comprised 40 women and 18 men from community-controlled health centres in Adelaide and Yalata in South ÐÓ°ÉÖ±²¥.
Vitamin D plays an important role in helping the body to absorb calcium and maintain healthy bones, muscles and teeth. Vitamin D deficiency can increase a person's risk of bone and muscle pain, rickets (in children) and osteoporosis.
Recent studies have also suggested links between a lack of vitamin D and a wide range of conditions, including diabetes, heart disease, cancer, lung disease, mental health problems, skin disorders and some auto-immune diseases.
"If appropriate sunlight exposure is not sufficient or not possible, vitamin D is very safe to give as a supplement, and is not expensive," Dr Vanlint says.
"Given that vitamin D is very simple to provide as a supplement, it is possible that there could be significant health benefits for this section of our population."
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