Does low vitamin D give dogs cancer?

A post going around says dogs with low vitamin D had nearly four times the risk of cancer, and that you should have your dog's level tested. The study is real. This page is what it found, what it cannot show, and the part the post hurries past: vitamin D is one of the few vitamins that can kill a dog when there is too much of it.

What the study found

The study is by Kim Selting and colleagues, published in Veterinary and Comparative Oncology. They measured 25-hydroxyvitamin D, which is the form of vitamin D a blood test reads, in 282 healthy dogs and in 63 dogs brought in bleeding inside the abdomen, 43 of them with a malignant tumour and 20 with a benign one. That is 345 dogs, which is the "nearly 350" in the post.

Set against the healthy dogs, the dogs with less vitamin D were more likely to be among the cancer dogs, and the less they had, the more likely it was. The paper puts it as relative risk:

Vitamin D in the bloodRelative risk of cancer
Under 40 ng/mL3.9 times
Under 60 ng/mL2.0 times
Under 80 ng/mL1.4 times
Over 100 ng/mL0.18 times

Two other blood values, parathyroid hormone and C-reactive protein, which rises with inflammation, stopped changing once vitamin D reached about 100 ng/mL, and the authors proposed 100 to 120 ng/mL as the range that means "enough" for a dog.

Variation in both iPTH and c-CRP plateaued at 25(OH)D concentrations of 100-120 ng mL-1.Selting and colleagues, Veterinary and Comparative Oncology, 2016

What it cannot show

This is the sentence the post leaves out. The cancer dogs were tested on the day they came in bleeding from a tumour. So the study shows that sick dogs had less vitamin D than healthy dogs. It does not show which came first. A dog that is ill, eating less and losing blood can have low vitamin D because it is ill.

A second study, in the Journal of Veterinary Internal Medicine in 2017, measured vitamin D in dogs newly diagnosed with three cancers and in healthy dogs, found the same kind of difference, and wrote the caution in plain words:

Whether these differences in vitamin D metabolism are associated with development of certain cancers or are a consequence of cancer cannot be determined by this study design.Weidner and colleagues, Journal of Veterinary Internal Medicine, 2017

No study has given dogs vitamin D and then counted fewer cancers. So the honest version of the post is this: dogs with cancer tend to have lower vitamin D, and nobody yet knows whether raising it does anything.

Where the "low" line comes from

The 40 ng/mL in the post is one row of the study's table. The authors' own line for enough is 100 ng/mL, and most dogs do not reach it. In 2015 the same group tested 320 dogs and found a median of 67.9 ng/mL in dogs fed commercial foods. By the 100 line, most dogs on a normal complete food count as insufficient, and the authors say so.

Many apparently healthy dogs are vitamin D insufficient and a few are even deficient.Sharp, Selting and Ringold, BMC Research Notes, 2015

That range was also set with one laboratory's method. The 2017 paper notes it:

A previous study suggested that a range of 100–120 ng/mL (249.6–299.52 nmol/L) be used to define vitamin D sufficiency in dogs, using a chemiluminesence immunoassay to measure 25(OH)D concentrations.Weidner and colleagues, Journal of Veterinary Internal Medicine, 2017

Laboratories use different methods and print different reference ranges on the report. So whether the word "low" appears on your dog's result depends partly on whose test it was.

Where a dog's vitamin D comes from

The post is right about the sun. People make vitamin D in the skin; dogs and cats barely do. That was shown in 1994, in a paper whose title says it all: dietary vitamin D dependence of cat and dog due to inadequate cutaneous synthesis of vitamin D. The 2015 diet study puts it in one line:

Dogs produce negligible amounts of vitamin D via sunlight and rather derive their vitamin D requirement through diet.Sharp, Selting and Ringold, BMC Research Notes, 2015

So it comes from the food. A food sold as complete and balanced has to contain vitamin D: the AAFCO dog food nutrient profiles set a minimum of 500 IU per kilogram of dry matter and a maximum of 3,000. That is the number the makers formulate to, and it is why a dog on a complete food gets vitamin D every day without anyone thinking about it. Fatty fish such as salmon and sardines contain vitamin D too, and a spoonful is a fine topper. It is a topper, not a treatment.

Too much is the real danger

Vitamin D is stored in fat, not flushed out, so extra builds up. In December 2018 the FDA warned about dry dog foods from nine makers, and the foods were pulled from sale.

State and private lab test results indicate that the food contained as much as approximately 70 times the intended amount of vitamin D.US Food and Drug Administration, alert of 3 December 2018

The FDA's own summary is that vitamin D is an essential nutrient for dogs, but very high amounts can cause serious health problems like kidney failure or death. The signs it lists are vomiting, loss of appetite, increased thirst, increased urination, excessive drooling and weight loss.

The ASPCA Animal Poison Control Center's brief on vitamin D poisoning lists the other ways it happens: rat and mouse baits made of cholecalciferol, human vitamin D pills, calcium chews and multivitamins, and prescription psoriasis creams. Signs start 12 to 36 hours after the dog eats it, blood calcium rises, and the kidneys take the damage.

If your dog has eaten rat bait, human vitamin D, calcium chews or a psoriasis cream, call your vet or the ASPCA Animal Poison Control Center on (888) 426-4435 now, before any signs. A fee applies to the poison line.

The blood test

A test for 25-hydroxyvitamin D exists for dogs. Your vet draws blood and sends it to a laboratory; VDI Laboratory and several university diagnostic laboratories run it. There are good reasons to ask for it: a dog with an illness where vitamin D is part of the picture, a dog on a home-made diet with no vitamin D source, or a dog whose vet wants a baseline before a treatment. For a healthy dog on a complete food there is nothing yet to do with the number, because no study has shown that pushing it higher prevents anything.

If the number does come back low, the change goes through the vet: the diet first, and any supplement at a dose the vet sets and rechecks. The vitamin that was low in the cancer dogs is the same one that put nine brands of dog food on a recall list.

What to do today

Sources

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