The Sunlight Problem: Latitude and Vitamin D Synthesis
Iceland's high latitude, between 63° and 66°N, means residents experience prolonged periods with insufficient sunlight for vitamin D synthesis. From approximately October to April, the angle of the sun is too low for the skin to produce vitamin D effectively from UV-B radiation. Due to insufficient sun exposure for vitamin D synthesis for a large portion of the year, dietary sources and supplements are necessary.
Traditional Icelandic Diet and Seafood
The traditional Icelandic diet has historically been rich in fatty fish, which is a key source of vitamin D. This practice helped generations of Icelanders, as well as other Nordic populations, compensate for the lack of sunlight. Species such as cod, herring, salmon, trout, and mackerel are staples in the Icelandic diet and naturally contain high levels of vitamin D. Cod liver oil (Lýsi) is a traditional and highly potent source of vitamin D, and has been a cultural mainstay for centuries. The practice of giving children cod liver oil daily in schools continued until around 1970. Today, Icelandic companies like Lýsi and Dropi produce high-quality cod liver oil products. While less significant than fish, eggs and liver are also traditional sources of vitamin D in the Icelandic cuisine.
Fortified Foods and Modern Recommendations
While traditionally milk and dairy products in Iceland have not been widely fortified, the situation has evolved. Icelanders now consume a portion of their vitamin D from fortified products and follow official health recommendations that emphasize supplementation. Certain milk products and other foods, such as certain oils, are fortified with vitamin D. However, unlike some other Nordic countries, fortification is not universal. The Directorate of Health strongly advises all Icelanders to take vitamin D supplements, particularly during the long, dark winter months. Recent surveys indicate that over half the population regularly takes supplements.
Comparison of Icelandic and Non-Icelandic Vitamin D Intake
To illustrate the differences in vitamin D sources and recommendations, the following table compares the typical approach in Iceland versus a sunnier country, like a Mediterranean nation or a country near the equator.
| Feature | Iceland (High Latitude) | Sunny Country (e.g., Near Equator) | 
|---|---|---|
| Sunlight Exposure | Inadequate for vitamin D synthesis for up to half the year (October–April). | Abundant year-round, sufficient for natural vitamin D synthesis. | 
| Reliance on Supplements | High, with public health authorities strongly recommending daily use, especially in winter. | Low, often only recommended for specific populations with deficiency or limited exposure. | 
| Dietary Focus | Traditionally heavy on oily fish and fish liver oil. | Varied, but less dependent on specific vitamin D-rich foods as a primary source. | 
| Main Source | Supplements (cod liver oil, tablets) and fatty fish. | Direct sun exposure on the skin. | 
The Role of Cod Liver Oil in Icelandic Health
The tradition of consuming cod liver oil, or Lýsi, is more than just a remedy for seasonal sunlight scarcity; it is deeply ingrained in Icelandic culture. Rich in both vitamin D and omega-3 fatty acids, it has long been credited with promoting bone health and supporting the immune system. This historical practice provided a reliable source of the fat-soluble vitamin, protecting against conditions like rickets that were historically prevalent in other high-latitude regions. While cod liver oil was traditionally a required part of a child's school day, today's options include flavored liquid versions, capsules, and other vitamin D supplements, making it easier for people of all ages to meet their needs.
Official Icelandic Health Recommendations
The Icelandic Directorate of Health issues specific guidelines for vitamin D intake, reflecting the country's unique challenges with sun exposure. Their recommendations are often higher than those from international bodies like the World Health Organization due to the climatic conditions. They emphasize that supplements are necessary to meet these levels, as diet alone is often insufficient. For example, the daily recommendations are 10 µg for infants and children (1-9 yrs), 15 µg for adults (10-70 yrs), and 20 µg for older adults (71+ yrs). Public health surveys show that while supplement usage is widespread, suboptimal vitamin D levels are still prevalent in segments of the population, particularly among young children who do not consistently follow supplement recommendations. Regular supplementation is seen as the most reliable strategy to ensure adequate levels throughout the year. A 2021 study revealed that 61% of Icelanders consumed vitamin D supplements at least four times a week.
Conclusion
Icelanders have developed a multi-faceted approach to obtaining vital vitamin D, necessitated by their high-latitude geography. This strategy hinges on a powerful tradition of consuming fatty fish and cod liver oil, reinforced by modern public health mandates for daily supplementation, particularly during the sun-deprived winter months. While sunlight provides a boost during the short summer, it is the deliberate inclusion of nutrient-dense seafood and consistent supplementation that truly secures the population's vitamin D intake. The strong cultural acceptance of cod liver oil, now available in various modern formats, further solidifies this strategy, ensuring Icelanders can maintain strong bone health and immune function despite their climatic challenges.
How do Icelandic people get vitamin D? - A Closer Look at Sources and Habits
Can Icelanders get enough vitamin D from the sun?
Due to the country's high latitude, UV-B radiation is too low for significant skin synthesis of vitamin D from approximately October to April.
Is cod liver oil a significant source of vitamin D in Iceland?
Yes, cod liver oil is a major and traditional source of vitamin D in Iceland. Known as Lýsi, it has been a cultural staple for centuries and is still widely used today.
What are other dietary sources of vitamin D for Icelanders?
Besides cod liver oil, Icelanders get vitamin D from oily fish like herring, salmon, and mackerel, as well as fortified milk products and egg yolks.
Do Icelandic health authorities recommend vitamin D supplements?
The Icelandic Directorate of Health strongly recommends that everyone take vitamin D supplements, with specific dosages suggested for different age groups.
Is vitamin D deficiency common in Iceland?
Vitamin D deficiency is common in Iceland, especially among those who do not take supplements regularly. A 2020 study found that over 60% of adolescents had suboptimal vitamin D levels.
Are any foods fortified with vitamin D in Iceland?
Yes, some milk products and other foods, such as certain oils, are fortified with vitamin D. However, unlike some other Nordic countries, fortification is not universal.
How does regular fish consumption help Icelanders get vitamin D?
Regular consumption of oily fish, such as salmon and trout, provides a natural and potent source of vitamin D that complements supplementation and limited sunlight exposure.