Vitamin D explained

The short, plain version: what it does, who needs extra care, and how to get it from the sun.

The short answer

Open the Sun Atlas map

What is vitamin D?

Vitamin D is a vitamin that works more like a hormone. Your body uses it to take calcium and phosphorus out of food and into your bones. Almost every organ in the body has a place to receive it, which is why it touches so many things.

It is unusual because most vitamins only come from food. Vitamin D can also be made by your own skin.

SunlightUVB light turns a substance in your skin into vitamin D3. For most people this is the biggest source.
FoodOily fish (salmon, sardines, mackerel, herring), egg yolk, some seafood, mushrooms that have been in UV light, and fortified milk or cereal.
SupplementsUseful when food and sun are not enough. Comes as D2 or D3. D3 is the form your skin makes and usually keeps your level steady for longer.

Why it matters

Research also links low vitamin D to many other conditions. Scientists are still working out which of those links are cause and which are coincidence, so this page sticks to the well-established points.

Why it matters even more for older people

Skin ages, and aging skin makes less vitamin D. In a classic experiment, young adults (aged 20–30) and older adults (62–80) were given the same dose of UVB. The young adults' blood level of vitamin D3 rose at least three times as much.3

On top of that, many older people spend more time indoors, and some have gut, liver or kidney problems or take medicines that change how vitamin D is absorbed or used.

What this means in practice:

How sunlight makes vitamin D

Only one part of sunlight does the job: UVB. It reaches your skin, and a substance there (7-dehydrocholesterol) turns into previtamin D3, which then becomes vitamin D3. Your liver and kidneys finish the job.2

Three things decide how much UVB reaches you:

How high the sun isHigh sun, short path through the air, more UVB. This depends on latitude, season and time of day. Midday is best.
Clouds, air and altitudeClouds and pollution block UVB. Height above sea level adds a little.
Your skinDarker skin, older skin, sunscreen, clothing and glass all reduce how much vitamin D you make.

We use the UV Index as a simple guide. In the Sundi app and on this site, vitamin D is counted only when the UV Index is 2.5 or higher. Below that, the sun is too weak to bother with.

Sun alone does not give you too much vitamin D. If you stay out too long, the same UV that makes vitamin D also breaks the extra down into inactive by-products.1 The risk of too much sun is sunburn and skin damage, not too much vitamin D. So more sun is never better. A short, sensible session does the job.

Why winter is a problem

Far from the equator the winter sun is low, and low sun gives almost no UVB. Researchers tested this in the 1980s by putting human skin, and the skin chemical that turns into vitamin D, under real winter sunlight:4

PlaceMonths with no vitamin D made, even on clear days
Boston, USA (42°N)November to February
Edmonton, Canada (52°N)October to March
34°N (about Los Angeles) and 18°N (about Puerto Rico)Vitamin D was still made in mid-winter

The researchers called this the "vitamin D winter". A later study of 13 Canadian cities found the same: in autumn and winter, and in the north, the sun was too weak to make enough vitamin D, so people should look to other safe sources.5 Most of Europe lies at similar or higher latitudes than Boston, so the same applies.

Your body can store some vitamin D in body fat during sunny months. But the store runs down. In one study, people with no UV light at all (submarine crews) lost about half of their vitamin D in two months.6

Living in a sunny country does not guarantee a good level either. A study of 729 adults in Recife, Brazil, where the sun is strong all year, found that 31% still had low vitamin D and 63% were below 30 ng/mL.7 How much time you spend outside, your skin and your age matter as much as where you live.

What this website does about it

The sun is strong enough in every month of the year, somewhere. When it is dark winter in northern Europe, it is high summer in the southern hemisphere, and the tropics stay sunny most of the year.

But it is not the same everywhere in the same month. A beach in Greece in April gives you far less than one in Mozambique, and a rainy-season island can give you little even near the equator. The destination has to be picked for the month.

That is what the Sun Atlas map does. For each month it uses the same sun and cloud model as the Sundi app to colour every sea-holiday country and US state from None (UV Index never reaches 2.5) to Excellent (a long, strong midday window). Click a country to see the best region, the main places to visit, and book.

A sunny holiday can help you build a reserve for darker months, but it does not replace a supplement if your doctor recommends one.

Getting vitamin D from the sun, safely

As a rough guide from this site's model, about 1000 IU of vitamin D takes roughly 5 to 15 minutes of midday sun on bare arms and legs at a high UV Index, for light skin. It takes much longer at a low UV Index. The Sundi app works out your own numbers.

Who is at higher risk of too little?

A blood test is the only way to know your level. Ask your doctor, especially if you are in one of these groups.

Common myths

"The more sun, the more vitamin D."

Not true. How much you make depends on time of day, season, latitude, skin colour and clothing. Staying longer does not give more benefit, and it raises your risk of burning.

"Sunscreen completely blocks vitamin D."

Sunscreen can reduce how much you make, but sun protection is still important. Food and supplements can cover the gap.

"The more vitamin D I take, the better."

No. Too much from supplements can raise the calcium in your blood and cause other problems. More is not automatically better.

"D2 and D3 are the same."

They are different forms. D3 comes from skin and animal foods. D2 comes from plants and fungi. D3 usually keeps your level up for longer.

"I eat healthily, so I must have enough."

Food helps, but your level also depends on sun, age, skin colour, weight and health.

"If I were low, I would feel it."

Not necessarily. Low vitamin D can have no clear symptoms. A blood test is the way to check.

"Vitamin D can replace medical treatment."

No. It has important roles, but a supplement does not replace diagnosis or treatment of a disease.

Sources

  1. Holick MF. The cutaneous photosynthesis of previtamin D3: a unique photoendocrine system. J Invest Dermatol 1981;77:51–58.
  2. Wacker M, Holick MF. Sunlight and vitamin D: a global perspective for health. Dermato-Endocrinology 2013;5(1):51–108.
  3. MacLaughlin J, Holick MF. Aging decreases the capacity of human skin to produce vitamin D3. J Clin Invest 1985;76:1536–8, as described in Wacker and Holick (2013).
  4. Webb AR, Kline L, Holick MF. Influence of season and latitude on the cutaneous synthesis of vitamin D3. J Clin Endocrinol Metab 1988;67:373–8.
  5. Gill P, Kalia S. Assessment of the feasibility of using sunlight exposure to obtain the recommended level of vitamin D in Canada. CMAJ Open 2015;3(3):E258–E263.
  6. Webb AR, Engelsen O. Calculated ultraviolet exposure levels for a healthy vitamin D status. Photochem Photobiol 2006;82:1697–1703.
  7. Azevedo M, et al. Vitamin D deficiency, skin phototype, sun index, and metabolic risk among patients with high rates of sun exposure living in the tropics. J Clin Aesthet Dermatol 2018;11(8):15–18.

Source titles are in English. Also used: the Sundi project's vitamin D fact sheet, and Miyauchi and Nakajima (Photochem Photobiol 2016) on UV exposure time, Dowdy, Sayre and Holick (J Steroid Biochem Mol Biol 2010) on "Holick's rule", and Blumthaler et al. (J Photochem Photobiol B 1997) on UV and altitude.

Education and wellness only. This is an estimate for education and wellness purposes only. It is not medical advice, a diagnosis, or a treatment recommendation. Always consult a qualified healthcare professional before making decisions about sun exposure or vitamin D intake. Sun exposure carries a risk of sunburn and long-term skin damage, so wear sun protection and seek shade when UV is high.