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How do Icelandic people get vitamin D?

5 min read

Iceland, positioned near the Arctic Circle, experiences very limited sunlight for a significant part of the year, yet modern dietary surveys reveal that many residents maintain adequate vitamin D levels, largely thanks to supplementation and a diet rich in fish. This raises the question of how do Icelandic people get vitamin D, especially when natural sun exposure is so scarce for half the year.

Quick Summary

Icelandic people combat the annual lack of sunlight by relying on dietary sources like fatty fish, traditional cod liver oil, and vitamin D supplements, which are officially recommended by public health authorities.

Key Points

  • Supplements are vital: Due to minimal sunlight for half the year, the Icelandic Directorate of Health recommends daily vitamin D supplementation for all ages.

  • Cod liver oil is traditional: Historically and currently, cod liver oil (Lýsi) is a significant source of vitamin D and is deeply ingrained in Icelandic culture.

  • Diet includes fatty fish: The traditional diet, rich in oily fish like salmon and herring, provides substantial natural vitamin D.

  • Fortified foods play a role: Some products, including certain types of milk, are fortified with vitamin D to help boost intake.

  • Risk of deficiency remains: Despite recommendations and high supplement usage, studies show that suboptimal vitamin D levels are still present, especially among those who do not adhere to supplement guidelines.

  • Sunlight is a seasonal factor: While sun exposure is a primary source elsewhere, it's only a viable factor in Iceland during the short summer months.

In This Article

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.

Frequently Asked Questions

No, it is impossible for Icelanders to get enough vitamin D from sunlight alone, as there is insufficient sun exposure for vitamin D synthesis for a large portion of the year due to the country's high latitude.

The primary source of vitamin D for most Icelanders is supplementation, with cod liver oil being a traditional and common option, along with other vitamin D supplements.

Yes, cod liver oil, or Lýsi, remains a widely consumed and culturally significant supplement in Iceland, available in various modern formats like capsules and flavored liquids.

Studies have shown that a significant number of Icelandic children and adolescents have suboptimal vitamin D levels, especially those who do not take supplements consistently.

The official daily recommendations for vitamin D vary by age in Iceland: 10 µg for infants and younger children, 15 µg for adults aged 10-70, and 20 µg for those 71 and older.

Iceland's vitamin D recommendations are higher than some other countries' due to the national climate, which features fewer sunny days than other Nordic nations.

Yes, some fortified foods like milk, margarine, and specific oils contribute to Icelandic vitamin D intake, though supplementation is emphasized as the most reliable method.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice.