In 2016, the scientific panel on Dietetic products, nutrition and allergies (NDA) of the European Food Safety Authority (EFSA) concluded that a population reference intakes (PRI) cannot be derived for vitamin D and therefore, defined adequate intakes (AIs) instead, for all population groups (97).
Age | AI mcg/day (IU/day) |
6–11 months | 10 (400 IU) |
1–3 years | 15 (600 IU) |
4–6 years | 15 (600 IU) |
7-10 years | 15 (600 IU) |
11-14 years | 15 (600 IU) |
15-18 years | 15 (600 IU) |
> 18 years | 15 (600 IU) |
The EFSA authority has set the AI assuming conditions of minimal cutaneous vitamin D synthesis. For pregnancy and lactation, the AI was set to 15 mcg/day.
However, most European countries have their own recommendations for vitamin D intake, recognizing that there may be insufficient sun exposure in larger or smaller groups of the population. As the dietary vitamin D intake is not sufficient to reach the estimated value for adequate intake (in the absence of endogenous synthesis), guaranteeing a desired 25-hydroxyvitamin D serum concentration of at least 50 nmol/l, the nutrition societies of Germany, Austria and Switzerland raised the recommended intake level for babies (0-11 months) to 10 mcg/day and for children and adults to 20 mcg/day in 2012.
In 2010, the U.S. Institute of Medicine established recommended dietary allowance (RDA) values for vitamin D, based on the prevention of deficiency (96):
Life Stage | Age | Males: (mcg/day) (IU/day) | Females: (mg/day) (IU/day) |
Infants | 0–6 months | 10 (400 IU) | 10 (400 IU) |
Infants | 7–12 months | 10 (400 IU) | 10 (400 IU) |
Children | 1–3 years | 15 (600 IU) | 15 (600 IU) |
Children | 4–8 years | 15 (600 IU) | 15 (600 IU) |
Children | 9–13 years | 15 (600 IU) | 15 (600 IU) |
Adolescents | 14–18 years | 15 (600 IU) | 15 (600 IU) |
Adults | 19-70 years | 15 (600 IU) | 15 (600 IU) |
Adults | 71 years and older | 20 (800 IU) | 20 (800 IU) |
Pregnancy | all ages | - | 15 (600 IU) |
Breast-feeding | all ages | - | 15 (600 IU) |
Many experts believe that the AI levels should be increased (62, 63, 64, 94). They have proposed an optimal 25(OH)D blood plasma level above 30 nanograms/milliliter (75 nanomoles/liter). To achieve this level a vitamin D intake of at least 800–1,000 IU/day (20–25 micrograms) is required by adults and the elderly as shown by supplementation studies.
Furthermore, the American Academy of Pediatrics recently increased their vitamin D intake recommendation to 400 IU/day for all infants, children, and adolescents (65).
In recent years, many scientific societies and major countries have updated their guidelines for vitamin D with higher recommendations than before (98). A large consensus exists that there is need for sufficient vitamin D levels, however, disagreement still exists with regard to dosage or optimal concentration of 25(OH)D.
For a detailed overview of recommended daily intakes (PRIs/RDAs) of vitamins and minerals for adults derived from different countries and organizations see PDF.
Authored by Dr Peter Engel in 2010, reviewed and updated by Dr Igor Bendik-Falconnier on 18.06.2017