UK Nutrition Research Partnership 'Hot Topic' workshop: Vitamin D-A multi-disciplinary approach to (1) elucidate its role in human health and (2) develop strategies to improve vitamin D status in the UK population.

Vitamin D is truly unique-not a 'vital' amine in the true sense of the word, but rather a prohormone, which is produced in the skin during exposure to sunlight (UVB radiation at 290-315 nm) and which can also be obtained from food and from supplements. A high prevalence of low vitamin D status has been reported across the world in a wide range of population groups, and this includes communities living in low latitude areas despite the abundance of sunlight. It is accepted that vitamin D status is reflected by the level of the circulating metabolite 25-hydroxyvitamin D (25[OH]D), which is produced by hepatic hydroxylation of vitamin D, derived either from the skin from UV exposure or the gut from oral intake. Vitamin D has been associated with a wide range of health outcomes, but controversies remain as to their exact nature and extent and whether associations are in the causal pathway. In order to enable wider discussions on this nutrient, a 'Hot Topic' Vitamin D Workshop achieved funding from the UK Nutrition Research Partnership Medical Research Council call. The objectives of the workshop were (1) to elucidate the role of vitamin D in human health and (2) develop strategies to improve vitamin D status in the UK population. This paper provides a detailed resume of the discussions of the workshop; of the presentations and concomitant Q&As; and of identified areas for future research.

[1]  C. Ritz,et al.  Individual participant data (IPD)-level meta-analysis of randomised controlled trials to estimate the vitamin D dietary requirements in dark-skinned individuals resident at high latitude , 2021, European Journal of Nutrition.

[2]  L. Smeeth,et al.  Ethnic differences in the incidence of clinically diagnosed influenza: an England population-based cohort study 2008-2018. , 2021, Wellcome open research.

[3]  H. Gibson‐Moore,et al.  Vitamin D: What's new a year on from the COVID‐19 outbreak? , 2021, Nutrition bulletin.

[4]  David A. Jolliffe,et al.  Risk factors for developing COVID-19: a population-based longitudinal study (COVIDENCE UK) , 2021, Thorax.

[5]  Barbara B. Shih,et al.  Vitamin D3 replacement enhances antigen-specific immunity in older adults , 2020, Immunotherapy advances.

[6]  J. Richards,et al.  Vitamin D and COVID-19 susceptibility and severity in the COVID-19 Host Genetics Initiative: A Mendelian randomization study , 2020, PLoS medicine.

[7]  S. Lanham-New,et al.  Vitamins D2 and D3 have overlapping but different effects on human gene expression revealed through analysis of blood transcriptomes in a randomised double-blind placebo-controlled food-fortification trial , 2020, medRxiv.

[8]  Barbara B. Shih,et al.  Genetic mechanisms of critical illness in COVID-19 , 2020, Nature.

[9]  John H. White,et al.  Vitamin D and Immune Regulation: Antibacterial, Antiviral, Anti‐Inflammatory , 2020, JBMR plus.

[10]  S. Lanham-New,et al.  Is a vitamin D fortification strategy needed? , 2020, Nutrition bulletin.

[11]  S. Lanham-New,et al.  Vitamin D and SARS-CoV-2 virus/COVID-19 disease , 2020, BMJ Nutrition, Prevention & Health.

[12]  J. Pell,et al.  Vitamin D concentrations and COVID-19 infection in UK Biobank , 2020, Diabetes & Metabolic Syndrome: Clinical Research & Reviews.

[13]  C. McDonnell,et al.  Nutritional rickets under 16 years: UK surveillance results , 2020, Archives of Disease in Childhood.

[14]  G. Davey Smith,et al.  Reading Mendelian randomisation studies: a guide, glossary, and checklist for clinicians , 2018, British Medical Journal.

[15]  K. Cashman Vitamin D Requirements for the Future—Lessons Learned and Charting a Path Forward , 2018, Nutrients.

[16]  A. Kazantzidis,et al.  Meeting Vitamin D Requirements in White Caucasians at UK Latitudes: Providing a Choice , 2018, Nutrients.

[17]  A. Kazantzidis,et al.  Colour Counts: Sunlight and Skin Type as Drivers of Vitamin D Deficiency at UK Latitudes , 2018, Nutrients.

[18]  J. Buttriss The Office for Strategic Coordination of Health Research (OSCHR) Review of Nutrition and Health Research: Window of opportunity , 2018 .

[19]  C. Ritz,et al.  Improved Dietary Guidelines for Vitamin D: Application of Individual Participant Data (IPD)-Level Meta-Regression Analyses , 2017, Nutrients.

[20]  R. Bouillon Comparative analysis of nutritional guidelines for vitamin D , 2017, Nature Reviews Endocrinology.

[21]  David A. Jolliffe,et al.  Vitamin D supplementation to prevent acute respiratory tract infections: systematic review and meta-analysis of individual participant data , 2017, British Medical Journal.

[22]  N. Timpson,et al.  Obesity and Multiple Sclerosis: A Mendelian Randomization Study , 2016, PLoS medicine.

[23]  R. Bouillon Free or Total 25OHD as Marker for Vitamin D Status? , 2016, Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research.

[24]  C. Mølgaard,et al.  Vitamin D deficiency in Europe: pandemic?12 , 2016, The American journal of clinical nutrition.

[25]  C. Greenwood,et al.  Vitamin D and Risk of Multiple Sclerosis: A Mendelian Randomization Study , 2015, PLoS medicine.

[26]  S. Lanham-New,et al.  Vitamin D deficiency in UK South Asian Women of childbearing age: a comparative longitudinal investigation with UK Caucasian women , 2013, Osteoporosis International.

[27]  S. Lanham-New,et al.  Sunlight and dietary contributions to the seasonal vitamin D status of cohorts of healthy postmenopausal women living at northerly latitudes: a major cause for concern? , 2011, Osteoporosis International.