Deficiency Of Vitamin D In Indian Society

Hi,

I am Dr. Vimal Kumar, Orthopedist. Aaj hum baat karenge ki Indian population mein Vitamin D deficiency itni jyada kyu hai. Aap dekh rahein honge ki aap kea as pass ke bahut se log Vitamin D deficient hain. Bahut se ilakon mein 70-80% long Vitamin D deficiency se pidit hain. Sike kayi karan hain jaise modern lifestyle, like sun exposure na hona, khane ki chizen proper nahi hain. Aap dekhenege ki bachon mein rickets ki bimari hoti hai, bone soft hoti hai aur elderly mein bones weak ho jaati hain jise osteoporosis bolte hain. Kuch tarike ke cancers bhi hai jo Vitamin D deficiency karte hain. Ye disease pure world mein faili hui hai. Bahut sare Indians vegetarian hain. Under privilege ya fir under nutrition vale log bahut hain. Vitamin-D rich foods thode costly hote hain. Bahut sare tarike hote hain jis se aap pata laga pate hain ki aap ko Vitamin D deficiency hai. Normally, log tests karate hain. Normal aa dekhenge toh ise alag alag tarike se dekha jata hai. Humare pass instruments hote hain check karne ke liya ki body mein kahin calcium ki kami toh nahi ho rahi hai. Jaise hi ye level 20 se 39 mm aata hai toh ye marker thik hone shuru ho jaate hain. 30-40 ke upar jaate jaate ye marker thik hote hain. But still humein jarurat hoti hai vitamin-D ko long term mein lene ke liya.

Normally vitamin D humari skin mein hi banta hai. Agar sun ka exposure hota hai toh ultraviolet rays humare body ke cholesterol ko use kar ke body ke andar hi vitamin-D ko synthesis karti hai. Aur bhi dusre sources hain like milk, meat, fish, cod liver oil, yeast, mushroom se bhi hum vitamin-D lete hain. Jab vitamin D body mein banta hai toh usmein body ka ek part active hota hai liver mein aur dusra part kidney mein jake active hota hai. Inki importance hai ki agar kisi ko liver disease hai toh usko agar hum aisa form denge jo liver mein jaake change hoga aur fir kidney mein jayega toh vitamin D use kam nahi aayega. Humein aisa karna padega jo direct kidney ke level pe vitamin-D jaaye aur vo kaam kare. Similarly, agar kisi ko kidney disease hai aur hum use kidney mein form karne ke liya dein toh us se bhi koi fayada nahi hoga. Use aisa form den hoga jo kidney ke function ko bypass karte hue direct utilise ho. Dusri baat ki depend karta hai ki vitamin D kab and kise lena hai kyuki aaj kal koi bhi supplements le raha hai bina soche samajhe. Raat ko vitamin-D lene se skin ka melanin badh jata hai jis se sleep disturb hoti hai.

Agar vitamin-D aap ki body mein badh gaya toh fat cells mein deposit ho jata hai aura ap ki need ke hisab se body mein release hota hai. Sath hi sath agar ye toxic mein convert ho jata hai toh ye aap ko harm bhi kar sakta hai. Isliya vitamin-C lein kyuki ye aap ko vitamin-D ke absorption mein help karta hai. Fish oil bhi aap ko kab khana hai aur kise khana hai. Isliye jaruri hai ki aap Dr se salah leke hi vitamin-D lein. Bachon mein vitamin-D ki kami se rickets hota hai. Agar chronic vitamin-D ki deficiency hoti hai toh bone mein softness aa jaati hai jise osteomalacia bolte hain. Bone mein agar weakness aa jaaye to use osteoporosis bolte hain. Bones ke sath sath ye muscles mein bhi weakness karta hai. Iska asar diabetes pe padta hai, cancer pe padta hai. Agar kisi ko otitis media ka issue hota hai toh vo bhi vitamin-D ki kami se hota hai. Respiratory disease hone ka karan bhi yahi hota hai kayi cases mein. Diabetes 1 autoimmune disease hai. Body ki immunity hi pancreatic cells ko khatam kar deti hai jis se insulin banta hai. Agar aap optimum amount mein vitamin-D le rahein hain toh 30% diabetes 1 kam ho jata hai. Similarly, type 2 diabetes mein insulin bahut jyada hota hai jise body utilise nahi kar paati hai. Toh uski vajah se kayi sari bimariyan agar sath mein jod jaati hain toh obesity, hypertension, lipid disorder hone ke chances badh jaate hain and inhein hum metabolic disorder bolte hain.

Agar body mein calcium and vitamin-D ka balance acha hai toh in sab disease ke chances kam ho jaate hain. Agar vitamin-D ki test report mein ye 20 mm se kam hota hai toh body ka metabolic system disturb hota hai. Body ka calcium hi imbalance hoga. Toh aap ko lab test ka bhi dhayan rakhna hai ki koi test mein problem na ho. Kyuki different labs mein test ke different tarike hain. Agar costly investigation hai toh sabhi logo ko advise nahi kiya ja sakta hai. Dekha gaya hai ki vitamin-D ki jyada requirement pregnant and lactating women mein jyada hoti hai. Agar unhein nahi milta hai toh infants mein bhi vitamin-D ki kami aa jaati hai. Ab diet ki baat hai ki hum kya khayein ki humara vitamin-D thik ho jaaye. Humnein dekha hai ki bangal or east region mein non-veg and fish bahut khate hain tab bhi vitamin-D ki kami hoti hai. Humnein dekha hai bahut sare soldiers and farmers bhi sun mein rehte hain but still unmein bhi vitamin-D ki kami hoti hai. Kyuki koi ek reason nahi hai jis se hum is deficiency ko khatam kar dein.

Even aap Drs mein bhi vitamin-D deficiency utni hi prevalent dekhenege ki jitni aur kisi mein hoti hai. So, hum parathyroid hormones ka bhi test karate hain deficiency check karne ke liya. Ek aur test hota hai dexa scan jo immediate is deficiency ko indicate nahi karta hai. India mein jin logon ka color dark hai uska reason hai high melanin pigment ka hona. Agar aap apni body 45 mins ke liya sunlight mein expose karte hain toh aap ko vitamin-D mil pata hai. Indians are very sensitive to color so log ise practice bhi nahi karte hain. Pollution badhne se ultraviolet rays itne ache se nahi aati hai ki vitamin-D ban paaye. Indians ka diet jayadatar vegetarian hai. Animal diet mein bhi fish itna common source nahi hai. 100 ml milk mein kewal 2 international unit hota hai. Agar hum daily requirement ki baat karein toh kam se kam 10l milk chaiye hoga. Indians ki diet mein sodium jyada hota hai jiski vajah se urine se calcium ka excretion jyada hota hai. Indians milk bhi tea or coffee ke form mein lete hain jis se essential milk ke components body ko nahi mil paate hain.

Jayada der tak milk boil karne se bhi Vitamin-D destroy ho jata hai. Kafi southern and eat ke Indian ko lactose intolerance ki problem hoti hai jiski vajaha se milk products von ahi lete hain. Soldiers ki diet mein wheat hota hai but usmein high phytate hone hone ki vajaha se vitamin-D deficiency rehti hai exercises and sun exposure ke baad bhi and same with farmers. Food ko deep fry karne se bhi vitamin-D destroy hota hai. Pressure cooker mein agar aap low flame pe khana bnate hain toh usmein vitamin-D thoda preserve ho jaata hai. Normally, 60k international unit ka packet aata hai vitamin-D ka jo powder, tablet, capsule and liquid form mein hota hai jo aap ko Dr ki consultation ke baad hi lena hai. Course pura hone ke baad bhi Dr se aap ko further puchna hai ki aap ko kya karna hai. Otherwise, aap ko vitamin-D ki kami fir se ho sakti hai. Self-medications na karein and Dr se consult kar ke hi medicines lein. Agar aise hi aap vitamin-D bina consultation ke lenege to toxic level body mein badhega toh dusre serious consequences bhi ho sakte hain.

Thank You!