Care home residents and those on the government’s new shielding list are among the 2.5 million people in England being offered free vitamin D pills this winter, the government has announced.
As well as care homes, others on the government's new 'clinically extremely vulnerable’ list (which comes into effect from 2 December) will be sent a letter asking if they would like four months’ worth of supplements delivered to their homes from January.
With more people with serious health conditions and care home residents having spent more time indoors shielding from COVID-19 during the pandemic, the government has acknowledged there is a higher risk of vitamin D deficiency in these groups of people.
'May increase the risk of falls in older people'
Public Health England (PHE) and National Institute for Health and Care Excellence (NICE) are reviewing the evidence on vitamin D and COVID-19.
In a joint statement PHE and NICE stated: ‘Vitamin D is needed for healthy bones and muscles. Everyone is advised to take a supplement of vitamin D during winter months.
‘Too little vitamin D can lead to bone problems such as rickets in children, and bone pain and muscle weakness in adults, which may also increase the risk of falls in older people.
‘There have been some reports about vitamin D potentially reducing the risk of coronavirus (COVID-19). As yet there is insufficient evidence to prove that it helps people respond to COVID-19, but as more evidence is accumulated, our understanding may change.
‘There are also trials underway which we are keeping a close eye on.’
82% of people hospitalised with COVID-19 were vitamin D deficient.
A study (published in The Journal of Clinical Endocrinology & Metabolism on 27 October) found 82 per cent of people hospitalised with COVID-19 were deficient in vitamin D.
Health Secretary Matt Hancock had asked NICE and PHE to re-review the existing evidence on the link between COVID-19 and vitamin D.
Matt Hancock said: “Because of the incredible sacrifices made by the British people to control the virus, many of us have spent more time indoors this year and could be deficient in Vitamin D.
“A number of studies indicate Vitamin D might have a positive impact in protecting against COVID-19. I have asked NICE and PHE to re-review the existing evidence on the link between COVID-19 and Vitamin D to ensure we explore every potential opportunity to beat this virus.”
The PHE and NICE joint statement added: 'It is likely that many of us have been indoors more than usual this spring and summer, and some of us have been shielding, so we might not have been making enough vitamin D from sunlight.
'Some of us are more at risk of not having enough vitamin D even in spring and summer, including those with dark skin (such as those with African, African-Caribbean or south Asian backgrounds), those who are not outdoors often, those in care homes, and those who cover up most of the skin when outdoors.
'We advise these people to take a vitamin D supplement all year round.'
During winter, the recommended dose of vitamin D is 10 micrograms (400 International Units (IU)) per day.