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nobimbo
Fri, Oct-15-04, 18:29
Week of Oct. 16, 2004; Vol. 166, No. 16

Is Vitamin D Fattening?
Janet Raloff

Forget its name. Vitamin D isn't a vitamin, but rather the raw ingredient from which the body fashions one of its most important hormones. And in the past 5 years, dozens of studies have illustrated the power of that hormone to not only build bone but also fight a host of important diseases—from cancer and age-related muscle wasting to diabetes and multiple sclerosis (SN: 10/9/04, p. 232: http://www.sciencenews.org/articles/20041009/bob8.asp).

But one of the newest identified functions of the hormonal form of vitamin D, known as 1,25-D, is its role in determining how the body manages energy. In the American Journal of Clinical Nutrition, this past May, Michael B. Zemel laid out how 1,25-D helps the body decide whether the calories a person eats will be burned or stored as fat.

Earlier, his team at the University of Tennessee showed that calcium-rich products, especially milk and other dairy goods, foster weight loss (SN: 4/29/00, p. 277: http://www.sciencenews.org/articles/20000429/fob2.asp). While investigating the mechanism behind this phenomenon, the Tennessee researchers discovered that fat cells contain receptors for 1,25-D. Furthermore, they found, the hormone actually promotes weight gain by sending calories into storage.


Milk not only accounts for 73 percent of calcium in the U.S. food supply, but, through fortification, is also a leading dietary source of vitamin D.



Zemel emphasizes that "it's not the dietary vitamin D that does this" but its hormonal form. "Moreover, there's no one-to-one relationship between that dietary vitamin D and how much 1,25-D you have," he adds. "That will be determined by your [body's] calcium status."

One way that calcium appears to foster weight reduction, the scientists report in the September FASEB Journal, is by inhibiting the production of 1,25-D.

When calcium concentrations in the body are low, the parathyroid gland in a person's neck senses it and secretes parathyroid hormone, which has a host of activities. One of them is to turn on the production of 1,25-D in the kidneys. So, to keep that hormone at low to moderate concentrations, people must maintain adequate calcium intake, Zemel says.

How adequate? Data from a range of studies now suggest that some 1,200 milligrams per day would be ideal, he says. That's slightly more than the daily calcium intake recommended by the Institute of Medicine for people 14 to 50 years old.

An obsolete adaptation?

In humanity's distant past, when access to food was uncertain, vitamin D's regulation of energy metabolism could have been a survival strategy. In a sense, Zemel notes, "calcium was sort of a marker for calories," because hunter-gatherer societies tended to "eat a fairly calcium-rich diet—albeit that calcium often came in the form of insects, grubs, fish, and small rodents eaten with bones intact."



Though consumption of calcium-rich foods, such as cheese and broccoli, used to be an indicator of the overall adequacy of food availability, it no longer is. Many people now eat calorie-rich diets and virtually no calcium.




As a result, he says, calcium would have signaled when the body had encountered a relative feast and it was safe to use the calories for growth and maintenance of high-energy activities. A plummeting of dietary calcium inputs, by contrast, might indicate the start of a famine and suggest it's time to conserve resources. Then, all spare calories would be stored as fat, to later be drawn down should starvation threaten.

Such a system would have made good evolutionary sense when most people cycled perpetually and unpredictably between feast and famine, Zemel says. He notes that today, however, when food supplies are stable and abundant in much of the world—and therefore there's been a decoupling of calcium supplies and calories—this system may actually foster obesity.

That scenario suggests that there are two reasons for people to make sure that they get adequate calcium and vitamin D, Zemel says. First, the vitamin D helps the body absorb calcium efficiently. Second, adequate calcium ensures that the parathyroid gland won't trigger a fat-inducing 1,25-D buildup.

A faster route to fat

The Tennessee researchers have been investigating the genetics of vitamin D's complex action on energy metabolism. It starts when 1,25-D opens a channel in the outer membrane of fat cells, allowing calcium to pour in. This does two things, Zemel has found.


Though any source of calcium helps to keep a brake on the potentially fattening activities of hormonal vitamin D, the Tennessee team finds that dairy products work best, owing to the synergistic properties of additional agents in milk.



In the nucleus of these cells, the calcium flood turns on a gene called fas, for fatty-acid synthase, which triggers the production of a key enzyme responsible for making more body fat out of simple sugars. In addition, Zemel finds, the intracellular calcium inhibits the biochemical machinery responsible for both the breakdown of fat cells and fat burning.

"Putting all of these elements together," he says, "you find that when you don't have enough calcium in your diet . . . the end result can be bigger, fatter fat cells."

Moreover, 1,25-D inhibits the activation of a gene called UCP-2 (for uncoupling protein 2). Explains Zemel, the protein this gene makes "was originally discovered as one that . . . makes us less efficient at using our energy." In dieters, it means that cells burn fewer calories and store more of them as fat.

The Tennessee researchers have investigated how this happens. One thing that the protein from an expressed UCP-2 gene normally does is regulate the orderly death of fat cells. It targets them for disposal by the body's housekeeping cells, a process that also carries away any fat the cells may have been holding. However, Zemel told Science News Online, "when you suppress UCP-2 with a low-calcium diet or increases in 1,25-D, your body won't be able to do as good a job at killing off your big old fat cells." On the other hand, boosting the diet's calcium content will suppress the 1,25-D in fat cells, he points out, "which will allow UCP-2 expression to proceed normally . . . and help you kill off those big old fat cells, again."

Although any calcium source will do—even supplement pills—Zemel's team has shown in a series of studies that "dairy products are more effective than plain calcium" at suppressing 1,25-D concentrations in fat cells. It turns out, he says, that "there are other components in dairy [foods] that act synergistically with the calcium to inhibit fat synthesis and augment fat breakdown." One essential amino acid that appears to play an important role is leucine, he says. It's an agent his team will be focusing on in future studies.


References:

Institute of Medicine and National Research Council. 1997. Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride. Washington, D.C.: National Academy Press. Available at http://www.nap.edu/books/0309063507/html/.

Sun, X. and M.B. Zemel. 2004. Role of uncoupling protein 2 (UCP2) expression and 1á, 25 -dihydroxyvitamin D3 in modulating adipocyte apoptosis. FASEB Journal 18 (September):1430-1432. Abstract available at http://dx.doi.org/10.1096/fj.04-1971fje.

Zemel, M.B. 2004. Role of calcium and dairy products in energy partitioning and weight management. American Journal of Clinical Nutrition 79(May 1):907S-912S. Abstract available at http://www.ajcn.org/cgi/content/abstract/79/5/907S.


Further Readings:

Raloff, J. 2004. Vitamin D: What's enough? Science News 166(Oct.16):248-249. Available at http://www.sciencenews.org/articles/20041016/bob9.asp.

______. 2004. Vitamin boost. Science News 166(Oct.9):232-233. Available at http://www.sciencenews.org/articles/20041009/bob8.asp.

______. 2000. Calcium may become a dieter's best friend. Science News 157(April 29):277. Available at http://www.sciencenews.org/articles/20000429/fob2.asp.


Sources:

Michael B. Zemel
University of Tennessee Nutrition Institute
1215 W. Cumberland Avenue, Room 229
Knoxville, TN 37996-1920





http://www.sciencenews.org/articles/20041016/food.asp

From Science News, Vol. 166, No. 16, Oct. 16, 2004

Copyright (c) 2004 Science Service. All rights reserved.

Dodger
Sat, Oct-16-04, 18:55
One thing the article did not point out is that Vitamin D fortified skim (fat-free)milk has little/no vitamin D absorption. This reduces the calcium absorption also and makes low-fat milk a poor calcium source.

Janette360
Mon, Oct-18-04, 09:56
So what would be the best calcium source?

Zuleikaa
Mon, Oct-18-04, 10:21
Calcium carbonate with food, calcium citrate without and 1 hour before meals both have the same absorbtion rates if taken as directed. Both vitamin D and calcium are best taken in divided doses.

The information on Leucine is very helpful.

tom sawyer
Mon, Oct-18-04, 11:32
All this stuff on gene activation, is such a house of cards. They take an ordinary observation like "adequate calcium helps weight loss", and they go in and focus on one tiny little part of what is undoubtedly a hugely intricate mechanism. They detect a gene that is expressed in the cells they're interested in, then they pull it out and play with it in an in vitro expression system, and throw in some stuff and it gets turned on so they automatically assume this is the key to the whole process. Its one artifact built on another, all supporting the original observation but not really explaining it in any substantive way. This is my view of such research, based on having seen some of it up close.

And milk somehow is better than other sources of calcium and vitamin D? Milk doesn't even normally HAVE any vitamin D. Sounds like something the milk producers might want to throw money at.

tortoise
Mon, Oct-18-04, 12:05
Although I generally like Janet Raloff's writing, I am finding this particular piece more confusing than illuminating, at least with regards to the title. I get the calcium thing, but it seems to say little to nothing about what it means for Vitamin D consumption/accumulation - and that is what the title is about. As far as I've been reading, there is an escalating problem with Vitamin D deficiency, at least in the US. And Vitamin D deficiency is correlated with obesity (though it may be that obese people require more Vitamin D, not that obesity is caused by the deficiency).

ItsTheWooo
Mon, Oct-18-04, 14:30
One thing the article did not point out is that Vitamin D fortified skim (fat-free)milk has little/no vitamin D absorption. This reduces the calcium absorption also and makes low-fat milk a poor calcium source.

Very few people drink or eat fat free products in absence of any dietary fat, even individuals on a low fat diet.

I think people on LC diets are really irrationally biased against reduced fat products... they take them to imply that a "good" diet has as little fat as possible, or that fat is somehow bad. I see reduced fat products as a valuable tool to increase dietary quality.

IMO reduced fat products are a great help for individuals who need to be on a restricted calorie diet due to weight loss or a slower metabolism (like myself). When you can't eat very much food you need to make extra certain that what you eat is really healthy, and per calorie contains a lot of nutrients. I use reduced and low fat products simply because it allows me to eat more and a greater variety of food, thus "increasing" the calorie/nutrient ratio. A glass of whole milk supplies 150 calories. A glass of non fat milk supplies 90 calories. Both have the exact same properties, except the non fat milk has very little fatty acids (a nutrient source which is already throughly abundant in my diet). By drinking the milk without the fat as part of a well balanced meal, I reduce "extra" calories (I already have more than adequate dietary fat) but I get all of the mineral and vitamin benefits.

tom sawyer
Mon, Oct-18-04, 14:56
I'm the opposite. I avoid low-fat products, because I have a hard time getting them in the rest of my diet. I like leaner cuts of meat, not phobic of fat just a personal preference.

If the assertion that you don't absorb vitamin D as well from fortified skim milk is true, then you would not have an equivalent source. Vitamin D is fat-soluble, so I do wonder how they get it to stay in solution in skim milk.

tortoise
Mon, Oct-18-04, 18:22
I've found a good overview article on Vitamin D:

http://slate.msn.com/id/2105560/

tom sawyer
Tue, Oct-19-04, 07:48
Thanks Laura, taht was informative. Plus their link to the NIH vitamin guideline sheets is another good reference.