From sunlight to modern life, why vitamin D deficiency has become widespread.
VITAMIN D IS A STORY WRITTEN IN SUNLIGHT
Long before supplements and laboratory tests, sunlight was part of humanity’s natural pharmacy. For most of recorded history, humankind’s relationship with light influenced its health at a fundamental level. In the story of Vitamin D, we find not only a nutrient, but a record of how humans evolved, migrated, and adapted to life across the Earth.
EQUATORIAL ORIGINS
When human skin is exposed to ultraviolet B (UVB) light, it initiates a process that converts a molecule already present in the skin into Vitamin D. For much of our evolutionary past, we lived under equatorial skies. In these regions, sunlight — specifically UVB radiation — reaches the Earth with relatively consistent intensity throughout the year.
Research provides a glimpse into how Vitamin D levels remain stable among people who still live in this part of the world. Studies of contemporary populations in East Africa who maintain traditional ways of life, including Maasai and Hadza communities, have reported average blood concentrations of approximately 115 nmol/L (about 46 ng/mL) of serum 25-hydroxyvitamin D — the biomarker commonly used to assess vitamin D status.[1] These concentrations contrast with patterns observed in more northern populations, where serum 25-hydroxyvitamin D levels fluctuate seasonally and often decline during winter months when UVB radiation is weaker.
Understanding these vast discrepancies requires looking at one of the most significant chapters in human history: the migration of our species out of Africa and into regions with very different patterns of sunlight.
A MIGRATION FROM THE LIGHT
Between roughly 50,000 and 70,000 years ago, humans began migrating out of Africa, gradually settling across the globe in environments with widely varying levels of sunlight exposure.
During autumn and winter in many northern regions, sunlight may contain very little of the UVB wavelength required for meaningful Vitamin D production.
Slowly, people living in these new environments did adapt — but not fully. One of the most visible adaptations involved changes in skin pigmentation. Lighter skin allows more UVB to penetrate in lower-light environments, helping to support Vitamin D synthesis. Darker pigmentation, by contrast, provides protection against intense UVB radiation.
Even with these adaptations, however, humans continued to rely on sunlight as a major source of Vitamin D.
WHY DOES ALL OF THIS MATTER?
When UVB radiation reaches the skin, it converts a naturally occurring molecule called 7-dehydrocholesterol into Vitamin D₃. This compound then travels through the bloodstream to the liver and kidneys, where it is converted into its biologically active hormonal form.
Once activated, Vitamin D interacts with the Vitamin D receptor (VDR), a protein found in many tissues throughout the body. Through this receptor, Vitamin D participates in immune regulation, influencing innate defence mechanisms and inflammatory pathways.[2][3] Though it is often associated with bone health, and severe deficiency is known to cause rickets in children, and osteomalacia in adults, this is actually only one of many important functions that Vitamin D serves in the body.
Scientists do distinguish between biological mechanisms and confirmed clinical outcomes, however. While vitamin D clearly interacts with immune pathways, evidence that supplementation broadly prevents infections across populations remains mixed; however, adequate vitamin D status supports normal immune function and may influence responses once infection occurs.
A WIDESPREAD DEFICIENCY
Many of the environments we inhabit today differ dramatically from those in which human physiology evolved. Modern life increasingly takes place indoors — in homes, offices, schools, and vehicles. Clothing, sunscreen, and atmospheric pollution can all influence how much UVB radiation reaches the skin, and ordinary window glass blocks most UVB entirely.
These modern indoor lifestyles therefore represent a significant shift from the environments in which Vitamin D physiology evolved. As a result, low vitamin D status has become widespread. Global research suggests that large portions of the world’s population have blood concentrations below commonly used sufficiency thresholds, making Vitamin D deficiency a significant public health concern.[4]
RECONNECTING WITH THE LIGHT
Unlike most vitamins, which are obtained primarily from diet, Vitamin D connects us directly to the sun. It is a nutrient shaped by exposure and time — a link to the outdoors that many of us have lost.
Public health strategies now include food fortification, supplementation, and renewed awareness around responsible sun exposure. Some researchers are exploring whether maintaining year-round Vitamin D levels similar to those observed in equatorial populations might support immune function and long-term health.
Most health authorities consider serum 25-hydroxyvitamin D levels of about 50 nmol/L (20 ng/mL) sufficient for bone health.[5] However, some researchers have proposed that higher levels may be relevant for potential extra-skeletal effects, including those related to immune function, although this remains an area of active scientific debate.
CONCLUSION
The story of Vitamin D is more than biochemical; it is evolutionary, environmental, and deeply human. By understanding how our relationship with sunlight shaped human biology — and how modern life has gradually altered that relationship — we gain a clearer perspective on one of the most fundamental links between the natural world and human health.
Perhaps the question it leaves us with is simple: how might we reconnect, thoughtfully and responsibly, with the light that originally shaped us?
SCIENTIFIC REVIEW
This paper has been independently scientifically reviewed by Martin Hewison, PhD — Professor, Department of Metabolism and Systems Science, School of Medical Sciences, University of Birmingham. Review conducted without financial compensation and does not constitute product endorsement.
DISCLAIMER
This article is for educational and informational purposes only. It does not constitute medical advice or promote any specific product. Readers concerned about Vitamin D should consult a qualified healthcare professional.
REFERENCES
[1] Luxwolda MF, Kuipers RS, Kema IP, Dijck-Brouwer DA, Muskiet FA. Traditionally living populations in East Africa have a mean serum 25-hydroxyvitamin D concentration of 115 nmol/l. Br J Nutr. 2012 Nov 14;108(9):1557-61. doi: 10.1017/S0007114511007161. Epub 2012 Jan 23. PMID: 22264449.
[2] Vitamin D and Immune Regulation: Antibacterial, Antiviral, Anti-Inflammatory.L Bishop E, Ismailova A, Dimeloe S, Hewison M, White JH.JBMR Plus. 2020 Sep 15;5(1):e10405. doi: 10.1002/jbm4.10405. eCollection 2021 Jan. PMID: 32904944
[3] Vitamin D and its analogs in immune system regulation.Artusa P, White JH. Pharmacol Rev. 2025 Mar;77(2):100032. doi: 10.1016/j.pharmr.2024.100032. Epub 2024 Dec 24.PMID: 40148037
[4] Holick MF, Chen TC. Vitamin D deficiency: a worldwide problem with health consequences. Am J Clin Nutr. 2008 Apr;87(4):1080S-6S. doi: 10.1093/ajcn/87.4.1080S. PMID: 18400738.
[5] Vitamin D for the Prevention of Disease: An Endocrine Society Clinical Practice Guideline.Demay MB, Pittas AG, Bikle DD, Diab DL, Kiely ME, Lazaretti-Castro M, Lips P, Mitchell DM, Murad MH, Powers S, Rao SD, Scragg R, Tayek JA, Valent AM, Walsh JME, McCartney CR.J Clin Endocrinol Metab. 2024 Jul 12;109(8):1907-1947. doi: 10.1210/clinem/dgae290. PMID: 38828931