Vitamin D

Vitamin D supplements should be taken by everyone.

Everyone should consider taking vitamin D supplements to counter the lack of sunshine in the UK, government experts are proposing.

Everyone should consider taking vitamin D supplements to counter the lack of sunshine in the UK, government experts are proposing The draft Scientific Advisory Committee on Nutrition guidelines suggest, from the age of one, 10 microgram pills be taken to ensure people get enough.

Current advice is only at risk groups – including pregnant women, under fives and over 65s – should take supplements.

But as there is no easy way of assessing who is getting enough vitamin D, SACN has proposed a blanket recommendation for everyone because of the benefits it would bring.

The risk of getting too much vitamin D is considered to be extremely low.

It comes after the National Institute for Health and Care Excellence (NICE), which advises the NHS on treatments, has already suggested vitamin D should be given more widely to counter a hidden epidemics of deficiency.

Official estimates suggest one in five adults and one in six children in England may have low levels.

People get most of their vitamin D from the action of sunlight on their skin. But the amount in food is small, unlike many other vitamins.

The low level of sunlight during winter months means people in the UK are at risk.

The NICE guidelines called for more free supplements and for supermarkets to sell low-cost tablets.

Deficiency can result in rickets and brittle bones.

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Vitamin D- NICE advice to take supplements

People should be given vitamin D supplements according to the UK’s official health watchdog NICE.

People should be given vitamin D supplements according to the UK's official health watchdog NICE.The NHS advisory body, the National Institute for Health and Care Excellence (NICE), says 10 million people across England could be deficient, and many are unaware.

Its report says children should get free supplements and calls for supermarkets to sell low cost tablets.

NICE focused on groups most at risk of having low levels of the vitamin.

The chief medical officer in England has already urged doctors to prescribe tablets to these populations, and similar advice has been issued in Northern Ireland, Wales and Scotland.

But experts are concerned many are still not getting the Vitamin D they need. Official estimates suggest one in five adults and one in six children in England may have low levels.

People get most of their vitamin D from the action of sunlight on their skin. But the amount in food is small, unlike many other vitamins.

The low level of sunlight during winter months means people in the UK must rely on stores built up during the summer.

Professor Mike Kelly, who was involved in producing the NICE guidelines, said: “Around 10 million people in England may have low vitamin D status and so could be at risk of health problems – and they may not know it.

“People with darker skin are particularly at risk – during winter months nearly 75% of adults from Asian or African and Caribbean backgrounds may have low vitamin D levels.”

People at risk include of Vitamin D deficiencies:
  • Children and babies
  • Pregnant women
  • People with darker skin, including many people from African, Caribbean and Asian backgrounds
  • Over-65s
  • People who don’t get much exposure to the sun, such as those who cover up their skin for most of the year
  • People who are housebound.

The NICE report sets out a number of measures, including encouraging local authorities to provide tablets free of charge to children.

The advisory body also urges manufacturers to ensure supplements are sold at the recommended dose – 10 micrograms a day for adults.

And NICE recommends supermarkets stock low-cost vitamin D tablets and promote them to those at risk.

Doctors and other health workers are encouraged to take every opportunity to discuss and record vitamin D intake with any patients who are at risk.

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Britain’s bad summer will see epidemic of vitamin D deficiency

Britain faces an epidemic of vitamin D deficiency which can cause rickets and is linked to cancer and other diseases because of the poor summer, a leading expert has warned.Britain's bad summer will see epidemic of vitamin D deficiencyProf Norman Ratcliffe, from Swansea University, said the dull summer will lead to high levels of deficiency in the sunshine vitamin.

Other experts said vitamin D deficiency was a ‘major public health concern’ and Britain was heading back to the 1920s when large numbers of children suffered bone pain and bowed legs from the effects of rickets.

The combination of a 21st Century childhood of not playing outside, being driven to school and constantly wearing high factor sunscreen will be compounded by the poor weather this summer, they said.

Most doctors have yet to ‘wake-up’ to the problem, it was argued.

Prof Ratcliffe said that because 2012 was one of the dullest summers on record, vitamin D stores have not been replenished in time for winter, when light levels in most of the UK are insufficient to make vitamin D.

Figures from the Met Office show that hours of sunshine in the summer of 2012 were 18 per cent lower than the average over the last 30 years and lower than at least any of the last ten summers.

Prof Ratcliffe said parts of northern England recorded sunshine hours in summer similar to late winter.

He said: “Unfortunately, the dull summer of 2012 will probably result in a record number of people with vitamin D deficiency.

“The situation in 2012 is probably much more serious than normal with the dull summer leading to even more people with vitamin D deficiency.

“This deficiency may be present almost continuously throughout 2012, commencing during the summer months rather than, as in previous years, in the winter and spring.

“Thus, vitamin D inadequacy may stretch over much of the period from June 2012 until the spring/summer of 2013.

“The effects of low vitamin D levels in the body are very serious as adequate levels may be necessary to prevent common cancers, heart and autoimmune diseases, rickets, osteomalacia (bone pain and muscle weakness), diabetes, multiple sclerosis, and depression.”

He said widespread fortification of foods with vitamin D and use of supplements was the only way to combat the problem, however pregnant women are not routinely informed that they should be taking vitamin D and vitamins for children under the Healthy Start programme are not promoted, Prof Clarke said.

Pregnant women, children under five, over 65s and people with dark skin are particularly vulnerable to vitamin D deficiency.

The vitamin is present in some foods but most is made by the body when exposed to sunlight and stored.

Prof Clarke said Kellogg’s have now added vitamin D to cornflakes and some other food manufacturers are beginning to talk about it.

Earlier this year Prof Dame Sally Davies, the Chief Medical Officer for England, highlighted the problem and said up to one in four people have low levels of vitamin D.

She said: “A significant proportion of people in the UK probably have inadequate levels of vitamin D in their blood.

“People at risk of vitamin D deficiency, including pregnant women and children under five, are already advised to take daily supplements.

“Our experts are clear – low levels of vitamin D can increase the risk of poor bone health, including rickets in young children.”

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Low vitamin D levels need preventative action

There is growing awareness about the importance of the “sunshine vitamin” – vitamin D – for you health.Low vitamin D levels need preventative actionBut Professor Mitch Blair, from the Royal College of Paediatrics and Child Health, says more action is needed – potentially including fortifying more foods and even cutting the cost of the vitamin to make it more easily available,

Vitamin D is an essential nutrient that contributes to healthy, strong bones and helps to control the amount of calcium in the blood.

Unlike many other vitamins, getting your recommended daily amount of vitamin D is not that easy.

The main source is sunlight; but with short days, long nights and limited sunlight even during the summer, it’s not easy to get your fix that way.

Vitamin D can be found in some foods such as oily fish, eggs and mushrooms – but only 10% of a person’s recommended daily amount is found naturally in food.

Put bluntly, eating more fish and getting out in the sun a bit more won’t make much of a difference to your vitamin D levels.

Unfortunately, there is limited national research on the true extent of vitamin D deficiency in the UK population.

But we do know that there has been a four-fold increase in admissions to hospital with rickets in the last 15 years and that some groups are more ‘at risk’ than others – namely children, pregnant women and certain ethnic minority groups.

Pilot studies and regional monitoring suggests that vitamin D deficiency is likely to affect at least half the UK’s white population, up to 90% of the multi-ethnic population and a quarter of all children living in Britain.

A recent study in Australia revealed that a third of under-25% are vitamin D deficient – perhaps surprising in a country blessed with plenty of sunshine.

Vitamin D deficiency has been linked to a range of debilitating diseases in children and adults – including diabetes, tuberculosis, multiple sclerosis and rickets, a bone disease associated with poor children in Victorian England.

Lack of vitamin D is often cited as a contributory factor in broken bones and fractures, with obvious implications for some child protection cases.

Even the National Institute of Clinical Excellence (NICE) recommends supplements for pregnant or breastfeeding women and their children from six months to four years.

The Chief Medical Officer recommends supplements for children up to the age of five and the government’s Healthy Start programme provides vitamins free for people on income support.

Currently, many brands of cereal and orange juice contain added vitamin D which helps boost daily intake.

In the USA most milk is supplemented with vitamin D, which has helped reduce deficiency, particularly in children. The Scientific Advisory Committee on Nutrition is currently looking into this.

We also need to make sure healthcare professionals – including GPs, paediatricians, doctors and nurses – know the signs and symptoms of vitamin D deficiency, but more importantly give appropriate advice to patients who are ‘at risk’ to prevent problems developing.

And it’s important that the public are aware of the implications of vitamin D deficiency, where they can get supplements and how they can boost their intake.

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Alzheimer’s- diet can stop brain shrinking

A diet rich in vitamins and fish may protect the brain from Alzheimers and ageing while junk food has the opposite effect new research suggests.Alzheimer's- diet can stop brain shrinkingElderly people with high blood levels of vitamins and omega 3 fatty acids had less brain shrinkage and better mental performance, a Neurology study found.

Trans fats found in fast foods were linked to lower scores in tests and more shrinkage typical of Alzheimer’s. They are common in processed foods, including cakes, biscuits and fried foods.

The best current advice is to eat a balanced diet with plenty of fruit and vegetables, not smoke, take regular exercise and keep blood pressure and cholesterol in check, said Alzheimer’s Research UK.

The research looked at nutrients in blood, rather than relying on questionnaires to assess a person’s diet.  US experts analysed blood samples from 104 healthy people with an average age of 87 who had few known risk factors for Alzheimer’s.

They found those who had more vitamin B, C, D and E in their blood performed better in tests of memory and thinking skills. People with high levels of omega 3 fatty acids – found mainly in fish – also had high scores. The poorest scores were found in people who had more trans fats in their blood.

The researchers, from Oregon Health and Science University, Portland; Portland VA Medical Center; and Oregon State University, Corvallis, then carried out brain scans on 42 of the participants.

They found individuals with high levels of vitamins and omega 3 in their blood were more likely to have a large brain volume; while those with high levels of trans fat had a smaller total brain volume.

Study author Gene Bowman of Oregon Health and Science University said: “These results need to be confirmed, but obviously it is very exciting to think that people could potentially stop their brains from shrinking and keep them sharp by adjusting their diet.”

Co-author Maret Traber of the Linus Pauling Institute at Oregon State University said: “The vitamins and nutrients you get from eating a wide range of fruits, vegetables and fish can be measured in blood biomarkers.

Commenting on the study, Dr Simon Ridley, head of research at Alzheimer’s Research UK, said:  “One strength of this research is that it looked at nutrients in people’s blood, rather than relying on answers to a questionnaire.”

“It’s important to note that this study looked at a small group of people with few risk factors for Alzheimer’s disease, and did not investigate whether they went on to develop Alzheimer’s at a later stage.”

“There is a clear need for conclusive evidence about the effect of diet on our risk of Alzheimer’s, which can only come from large-scale, long-term studies.”

From: http://www.bbc.co.uk/news/health-16344228

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Vitamin D deficiencies linked to cot deaths (SIDS)

Two senior paediatric pathologists say they have discovered vitamin D deficiency in a significant number of children who have died of Sudden Infant Death Syndrome- cot deaths.Vitamin D deficiencies linked to cot deaths (SIDS)The two doctors, Dr Irene Scheimberg and Dr Marta Cohen, say that vitamin D deficiency and associated diseases such as the bone disease rickets could also explain deaths that are often thought to be suspicious.

Both doctors believe their findings merit further investigation and research.

The findings in children from London and Yorkshire followed the discovery by Dr Scheimberg in 2009 of congenital rickets in a four-month-old baby whose parents had been accused of shaking him to death.

Chana Al-Alas,19, and Rohan Wray, 22, were acquitted of murdering their son Jayden after the jury learned that his fractures, supposedly tell tale signs of abuse, could have been caused by his severe rickets. Dr Scheimberg also discovered rickets in Jayden’s mother.

Michael Turner QC, who defended Miss Al-Alas, told the BBC that he was shocked by the lack of knowledge about vitamin D deficiency of some of the expert witnesses at the trial, held at the Old Bailey.

In London, Dr Scheimberg discovered vitamin D deficiency in a further 30 cases. Vitamin D deficiency was found to be a cause of death in three cases. Cardiomyopathy, a disease of the heart muscle, was discovered in two small babies. A third died of hypocalcemic fits, a condition of low serum calcium levels in the blood caused by vitamin D deficiency.

Vitamin D deficiency was a co-existing finding in the sudden and unexpected deaths of eight children, so-called Sudden Infant Death or Sids; in five children with bronchial asthma and another five with combined bacteria-polyviral or polyviral infections. Two of the babies, including baby Jayden, also had rib fractures.

In Yorkshire, Dr Cohen found moderate to severe levels of vitamin D deficiency in 45 children, mostly infants aged less than 12 months, who died of natural causes. Of the 24 sudden infant deaths Dr Cohen investigated from this group, 18 – or 75% – were deficient in vitamin D.

Dr Scheimberg said severe vitamin D deficiency could make the bones of small babies very brittle and capable of fracture with little or no real force.

Dame Sally Davies Chief Medical Officer was quoted as “We need to investigate the vitamin D levels of these children carefully and the circumstances in which the bones fracture,” she explained.

“Obviously if you have bones that fracture easily then they will fracture easily they will fracture with any normal movement like trying to put a baby grow on a baby you will twist their arm. In a normal child you won’t produce anything. But in a child whose bones are weakened and [who have] an abnormal cartilage growth area, then it’s easier for them to get these very tiny fractures or even big fractures.”

Vitamin D is actually a hormone, and endocrinologists are experts in how the body is regulated by the hormone excreting glands – or endocrine organs.

Stephen Nussey is professor of endocrinology at St George’s Hospital at Tooting in south London. He believes that, despite repeated government recommendations on vitamin D supplementation, vitamin D deficiency is still not being taken sufficiently seriously by the authorities.

“Lizards are quite like humans in their vitamin D. Their dietary intake is pretty low and they need to have sun exposure and you need to have a light in the enclosure in which you keep your lizard of the right wavelength.

“If you don’t have one of those lights your reptile will get osteomalacia [adult rickets] very similar to humans. I guess the RSPCA would quite rightly prosecute you if you didn’t give your reptile vitamin D.

“But there’s no action taken against you if you don’t give it to your daughter. So that rather illustrates the importance placed on vitamin D for your reptile rather than giving it to your daughter.”

Earlier this week, the chief medical officer for England, Dame Sally Davies, wrote to doctors, nurses and other health professionals advising them to consider vitamin D supplementation for certain at risk groups, including pregnant mothers.

“We know a significant proportion of people in the UK probably have inadequate levels of vitamin D in their blood. People at risk of vitamin D deficiency, including pregnant women and children under five, are already advised to take daily supplements. Our experts are clear – low levels of vitamin D can increase the risk of poor bone health, including rickets in young children,” she explained.BUY NOWIf you have questions about Vitamin D, or you want to buy some great value Vitamin D supplements, please click here now

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Vitamin D supplements recommended by NHS health experts

The chief medical officer for England, Dame Sally Davies, is to contact medical staff about concerns young children and some adults are not getting enough vitamin D.Vitamin D supplements recommended by NHS health expertsGovernment guidelines recommend some groups, including the under-fives, should take a daily supplement.

However, recent research found that many parents and health professionals were unaware of the advice.

There has been an increase in childhood rickets over the past 15 years.

According to Dr Benjamin Jacobs, from the Royal National Orthopaedic Hospital, links to heart disease and some cancers are also being investigated.

The Feeding for Life Foundation report, published in October last year, suggested one in four toddlers in the UK is vitamin D deficient.

However, this may be an underestimate as only vitamin D from food was included, and not any vitamin D obtained through sun exposure.

Vitamin D supplements are recommended for all people at risk of a deficiency, including all pregnant and breastfeeding women, children under five years old, people aged over 65, and people at risk of not getting enough exposure to sunlight.

Vitamin D is mainly obtained from sunlight. However, too much sun exposure increases the risk of skin cancer.

According to one recent study, nearly three-quarters of parents and more than half of health professionals are unaware of the recommendations.

The Department of Health has asked the Scientific Advisory Committee on Nutrition to review the issue of current dietary recommendations on vitamin D.

Dame Sally Davies: “We know a significant proportion of people in the UK probably have inadequate levels of vitamin D in their blood. People at risk of vitamin D deficiency, including pregnant women and children under five, are already advised to take daily supplements. Free supplements

“Our experts are clear – low levels of vitamin D can increase the risk of poor bone health, including rickets in young children.

“Many health professionals such as midwives, GPs and nurses give advice on supplements, and it is crucial they continue to offer this advice as part of routine consultations and ensure disadvantaged families have access to free vitamin supplements through our Healthy Start scheme.

“It is important to raise awareness of this issue, and I will be contacting health professionals on the need to prescribe and recommend vitamin D supplements to at-risk groups.”

It has long been known that vitamin D prevents rickets and children were once given food supplements like cod liver oil.

However, this practice was stopped in the 1950s because it was thought unnecessary.

In the last 10 years, doctors have been seeing more cases of vitamin D deficiency, leading to a debate over the use of food supplements and concern that many medical staff are unaware of the problem. BUY NOWIf you have questions about Vitamin D, or you want to buy some great value Vitamin D supplements, please click here now

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All pregnant women should take vitamin D coroner warns

A coroner has written to the Health Secretary calling for all pregnant women and those who breastfeed to take vitamin D.All pregnant women should take vitamin D coroner warnsNorth London coroner Andrew Walker said action should be taken to reduce the risk to others after he held an inquest last week into the death of a three month old boy.

In his letter to Andrew Lansley, Mr Walker said Milind Agarwal was taken to the doctor in July with symptoms of a probable viral infection.

He was sent home with saline nasal drops. A later telephone consultation with another doctor led to his parents being advised to give him paracetamol.

But his mother and father still had concerns and called an ambulance. Their son was taken to Northwick Park Hospital in north London ”where it was recognised he was seriously unwell”.

The baby died from septic inflammation of the heart against a background of an abnormal aortic heart valve.

A consultant paediatric pathologist told the coroner’s court that vitamin D deficiency played a role in progression of the infection and suggested all pregnant and breastfeeding women be prescribed vitamin D daily.

In his letter, Mr Walker told Mr Lansley that consideration should be given ”to increasing public awareness of vitamin D deficiency”, in particular that all pregnant and breastfeeding mothers should receive 10mcg of Vitamin D every day.

Research has previously found that pregnant women and those trying to conceive are lacking vitamin D.

In 2009, experts warned that a lack of vitamin D in pregnancy can lead to a youngster suffering rickets and longer-term problems such as schizophrenia and Type 1 diabetes.

While many people can get vitamin D from sunshine, those living in cooler countries may not be getting enough.

As a result, the body often relies on its own stores of vitamin D in the winter months. Otherwise, dietary intake or multivitamins are needed.

Vitamin D is found in small quantities in a few foods such as oily fish, eggs and liver, and in fortified foods such as margarine, breakfast cereals and powdered milk.

But pregnant women are advised to avoid liver and liver products, raw or under-cooked eggs and to limit their intake of certain fish such as tuna.BUY NOWIf you have questions about Vitamin D, or you want to buy some great value Vitamin D supplements, please click here now.

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Vitamin D deficiencies lead to rise of rickets in the UK

Vitamin D deficiencies are creating a big increase in the number of children suffering from rickets.Vitamin D deficiencies lead to rise of rickets in the UKRickets was common in the early 1900s but had almost disappeared from Britain. However, a recent study carried out by Professor Nicholas Clarke, a consultant orthopaedic surgeon at Southampton General Hospital, found there were 185 cases in 2001 and that figure rose to 479 cases in 2009.

The data was from 42 Primary Care Trusts (PCTs) which responded to the survey, commissioned by Kelloggs.

Professor Clarke said: “I saw an infant a month ago who was referred to me because of delayed walking. The child was 15 months old and could not stand physically.”

He acknowledges the balance parents have to strike, but lifestyle changes concern him greatly.  Rickets causes the bones to soften and legs to bow.

A lack of exposure to sunlight can lead to a vitamin D deficiency, which causes the disease.

It helps control the amount of calcium we absorb and is important for the development of strong bones.  Without it rickets can develop which cause bones to soften and usually legs appear bowed.

What is Vitamin D?

Vitamin D is known as the sunshine vitamin because our skin can produce vitamin D from the sun’s ultra violet light (UVB). It helps control the amount of calcium we absorb therefore and is important for developing and maintaining strong bones.

Why do we need Vitamin D?

A lack of Vitamin D can reduce the body’s ability to absorb calcium, and have a negative impact on bone health.

Health Care Professionals are seeing more cases of children with Rickets in their hospitals due to a lack of Vitamin D. 82% of Paediatric Dietitians say they have seen an increase in Rickets over the last 5 years.*

Rickets is a condition that affects growing bones – so it only occurs in children. It is a softening of the bones that can lead to fractures and deformity.

Why children don’t have enough Vitamin D in the UK?

There is a combination of reasons for children not getting enough Vitamin D – spending more time indoors and not playing outside, and covering up with sunblock means they are not exposed to the sun. Also there are few foods that provide Vitamin D, and children may not be taking supplements when it is recommended – worryingly many children are not getting enough of this important vitamin.

Who is at risk of Vitamin D Deficiency:

Some groups of the population are thought to be at high risk of deficiency. These include:

  •     Pregnant or breast feeding women
  •     Breast fed infants from 6 months
  •     Formula fed infants, if formula fed is less than 500mls a day
  •     Children up to 5 years
  •     People with dark skin pigmentation
  •     The elderly (over 64 years)
  •     People who don’t go outside much
  •     People who cover skin with clothing for majority of summer months e.g. religious reasons
  •     People with poor or restricted diet

    How to get Vitamin D

Spend 15-20 mins outside in sunshine 2-3 times each week without suncream. Encourage children to play outside, take a brisk walk or do some gardening?

Try to eat oily types of fish regularly (at least 1-2/week). This includes salmon, trout, mackerel, herrings or sardines.

Choose a breakfast cereal with added vitamin D (not all cereals are fortified so check the label). Kellogg’s Cornflakes, Kellogg’s Choc N Roll, Special K and Bran Flakes all include Vitamin D. We are adding it to all of our children’s cereals by July 2012.

Ensure that babies and young children have a vitamin D supplement, e.g. Healthy Start vitamin drops from the Healthy Visitor and if you are pregnant speak to your GP about taking vitamin D supplements.

    Should I give my child Vitamin D supplements?

The Department of Health has recommended vitamin D supplements for infants and children up to the ages of 5 years, as well as pregnant and breast feeding mothers.

If you have questions about Vitamin D, or you want to buy some great value Vitamin D supplements, please click here now BUY NOW

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Vitamin D3 supplements can help reduce Crohn’s disease

Taking supplements of vitamin D3 reduces symptoms of Crohn’s disease, the inflammatory bowel condition, according to new research.Vitamin D3 supplements can help reduce Crohn's diseaseThe research found, in that people given either a low dose (1,000 International Units) of the vitamin or a high dose (10,000IU), those given the high dose had less symptoms after six months.

The researchers, from Weill-Cornell Medical Centre in New York, concluded: “Our interim analysis suggests that supplementation with 10,000 IU of Vitamin D3 may be an effective adjunctive therapy for ameliorating symptoms in Crohn’s disease patients.”

The results were presented at the annual conference of the American College of Gastroenterology.

Crohn’s disease affects about 120,000 people in Britain- which works out at approximately 500 sufferers per 100,000 population.

Crohn’s disease, also known as regional enteritis, is a type of inflammatory bowel disease that may affect any part of the gastrointestinal tract from mouth to anus, causing a wide variety of symptoms.

It primarily causes abdominal pain, diarrhea (which may be bloody if inflammation is at its worst), vomiting (can be continuous), or weight loss, but may also cause complications outside the gastrointestinal tract such as skin rashes, arthritis, inflammation of the eye, tiredness, and lack of concentration.

Poorly understood interactions between environmental, immunological and bacterial factors play a role in causing Crohn’s disease.

This results in a chronic inflammatory disorder, in which the body’s immune system attacks the gastrointestinal tract possibly directed at a microbial antigens.

There is evidence of a genetic link to Crohn’s disease, putting individuals with siblings afflicted with the disease at higher risk.

Males and females are equally affected. Smokers are two times more likely to develop Crohn’s disease than nonsmokers.

Crohn’s disease tends to present initially in the teens and twenties, with another peak incidence in the fifties to seventies, although the disease can occur at any age.

There is no known pharmaceutical or surgical cure for Crohn’s disease.

Treatment options are restricted to controlling symptoms, maintaining remission, and preventing relapse.

The disease was named after American gastroenterologist Burrill Bernard Crohn, who, in 1932, together with two colleagues, described a series of patients with inflammation of the terminal ileum, the area most commonly affected by the illness.

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