Severe rickets in kittens resulted in enlarged costochondral junctions (“rachitic rosary”) with disorganization in new bone formation and excessive osteoid (NRC, 1986). It may be supplied through the diet or by irradiation of the body. Discrimination against vitamin D2 by ruminants may be, in part, a result of its preferred degradation by rumen microbes or less efficient intestinal absorption. Illustrating the diet limitation of vitamin D, a typical corn-soybean meal based diet would contain zero vitamin D. In relation to pets, many animals are kept indoors and dogs are walked at night or in less than sunny places. Learn more Studies in a number of species indicate that vitamin D3 is 10 to 20 times more toxic than vitamin D2 when provided in excessive amounts (NRC, 1987). Liver malfunction limits production of the active forms of the vitamin, while intestinal disorders reduce absorption. Plasma levels of 25-(OH)D3 were lower following massive resection of the distal small bowel (75%) in adult beagle dogs (Imamura and Yamaguchi, 1992). Elevated blood calcium is caused by greatly stimulated bone resorption, as well as increased intestinal calcium absorption. The complex that binds to these elements actually consists of three distinct elements: the 1,25-(OH)2D hormonal ligand, the vitamin D receptor (VDR) and one of the vitamin A (retinoid) X receptors (RXR) (Kliewer et al., 1992; Whitfield et al., 1995). Zafalon RVA, Ruberti B, Rentas MF, Amaral AR, Vendramini THA, Chacar FC, Kogika MM, Brunetto MA. symptoms of vitamin d deficiency in animals. The two principal determinants are the quantity and intensity of ultraviolet light (UV) and the appropriate wavelength of the UV light. Recent studies have suggested 1,25-(OH)2D3 as an immunoregulatory hormone. This is also largely responsible for the vitamin D found in corn silage (Maynard et al., 1979). A similar deleterious effect on vitamin D metabolism would be expected in dogs and cats. The incomplete calcification of the skeleton is easily detectable with X-rays and reduced bone ash but, like other production-related signs, would not be specific for vitamin D deficiency versus other nutrient inadequacies (e.g., calcium and phosphorus). In the adult, osteomalacia is the counterpart of rickets and, since cartilage growth has ceased, is characterized by a decreased concentration of calcium and phosphorus in the bone matrix. Pet foods that contain high protein animal by-products (e.g., blood meal and liver) would likely not need supplemental vitamin D. Cat foods, in particular, that contain fish products would be receiving substantial amounts of vitamin D. Although less than for vitamins A and B12, body storage of vitamin D occurs. Metabolites. There is evidence that vitamin D functions in the distal renal tubules to improve calcium reabsorption and is mediated by the calcium-binding protein, calbindin (Bronner and Stein, 1995). Vitamin D deficiency in young calves is likely to occur when they are housed in dim lights and offered poor quality diets. Vitamin D and food. Vitamin D is made in the skin by the action ofUV light: it can also be consumed in the diet. The principal source of the antirachitic factor in the diets of farm animals is provided in the action of radiant energy upon ergosterol in forages. There are small amounts of vitamin D in some foods such as fish, eggs and UV-irradiated mushrooms, but it is difficult to obtain enough vitamin D from diet alone. Like the others, it requires the presence of bile salts for absorption (Braun, 1986), and is absorbed with other neutral lipids via chylomicron into the lymphatic system of animals. Incorporating vitamins D3 and A in the beadlet form provides physical protection from oxidation, and the selected antioxidants included in the beadlets afford chemical protection. Comparative pathology; Evolution; Hypovitaminosis D; Metabolic bone disease; Osteomalacia; Rickets. (1947) administered a single oral dose of 314,000 to 530,000 IU vitamin D as irradiated ergosterol per kg (142,727 to 240,090 IU per lb) of body weight to 4- to 5-week-old puppies. Rickets, which developed in about four to five months, was characterized by radiographic and morphologic changes that were similar to bone lesions observed in other species with the disease. The primary vitamin D deficiency disease is a bone disorder called rickets in young animals. For dogs and cats (and presumably other carnivores), vitamin D must be obtained from dietary sources due to the inability of these species to synthesize and utilize vitamin D from precursors in the skin (How et al., 1995). (1994) reported that skin of the legs and feet of chickens contains about 30 times as much 7-dehydrocholesterol (provitamin D3) as the body skin. symptoms of vitamin d deficiency in infants and young children. It is now realized that vitamin D is not only important for mineralization and skeletal growth but has many other roles in regulation of the parathyroid gland, in the immune system, in skin, cancer prevention, in metabolism of foreign chemicals and in cellular development and differentiation. Vitamin D is an essential part of the nutrition for dogs as it helps in their muscle and bone development. Although vitamin D is toxic at high concentrations, short-term administration of as much as 100 times the requirement level may be tolerated. The dog showed no lameness but was lethargic and inactive. Toxicosis due to the ingestion of these products must therefore be included in the differential diagnosis for hypercalcemia in dogs and cats. Under conditions of calcium stress, PTH activates renal mitochondrial 1 alpha-hydroxylases, which convert 25-(OH)D to 1,25-(OH)2D, and inactivates renal and extrarenal 24- and 23-hydroxylases, which convert the 25-(OH)D and any 1,25-(OH)2D formed to inactive metabolites (Goff et al., 1991b). Michaud and Elvehjem (1944) concluded that, with a dietary calcium:phosphorus ratio of 1.2:1, daily intakes of 10 to 20 IU vitamin D per kg (4.5 to 9.1 IU per lb) of body weight were adequate, even for large breeds.The current NRC (2006) vitamin D recommendations for dogs is 13.8 µg of vitamin D3 per kg of diet (6.3 µg per lb) for all classes of dogs. Requirements for vitamin D are dependent on dietary concentrations of calcium and phosphorus, the dietary calcium:phosphorus ratio, physiological stage of development and perhaps sex and breed (NRC, 2006). Vitamin D Deficiency. Vitamin D can be destroyed by over-treatment with ultraviolet (UV) light and by peroxidation in the presence of rancidifying polyunsaturated fatty acids (PUFA). Weight gain was less with the latter diet, and rickets was less severe. 2019 Apr 5;5(4):e01432. This became flattened, with a wavy and indefinite outline, and there was an increase in the width of the epiphyseal cartilage and the adjacent newley calcified bone lost contrast (NRC, 2006). The dementia study published in Neurology was conducted by an international team of researchers. Toxicity caused by excess vitamin D administration is also associated with plasma 25-(OH)D; concentrations of more than 400 ng per ml are reported (Hughes et al., 1976). symptoms of vitamin d deficiency in pregnancy. More advanced cases interfere with cartilage growth. Milk contains a variable amount in it’s fat fraction (5 to 40 IU in cow milk per quart), but neither cow nor human milk contains enough to protect the newborn against rickets (Maynard et al., 1979). J Steroid Biochem Mol Biol. Vitamin D metabolism and rickets in domestic animals: a review. Published by Elsevier Inc. All rights reserved. The main pathological effect of ingestion of massive doses of vitamin D is widespread calcification of soft tissues. Vitamin K deficiency causes excessive bleeding due to failure of normal fibrin clot formation. Thiamine is used for carbohydrate metabolism and energy production, and since it is not stored in the body, it needs to be constantly replenished. Why do so many trials of vitamin D supplementation fail? During bone formation in young animals, minerals are deposited on the protein matrix. As would be expected, the skeletal system undergoes a simultaneous demineralization that results in the thinning of bones. Vitamin D is a fat-soluble vitamin, so unlike water-soluble vitamins, when a dog – or other animal - gets too much, the excess is not rapidly excreted in his or her urine. The well-known effects of vitamin D relate to biochemical changes occurring in the intestine, bone and kidney. The current dietary vitamin D recommendation of theNRC (2006) for kittens is that they be provided 5.6 µg vitamin D3 per kg (2.5 µg vitamin D3 per lb) of diet. As in simple calcium deficiency, the vertebrae and the bones of the head suffer the greatest degree of resorption. Both synthetic D2 and D3 are quite stable when stored at room temperature. Reports of hypervitaminosis D in cats have resulted from either accidental ingestion of rodenticides containing cholecalciferol as the active ingredient, consumption of diets based on fish (particularly fish viscera), or errors in diet formulation. Deficiency Rickets, the primary vitamin D deficiency disease, is a skeletal disorder of young, growing animals generally characterized by decreased concentration of calcium and phosphorus in the organic matrices of cartilage and bone. Data for the pig (Horst and Napoli, 1981) and for ruminants (Sommerfeldt et al., 1981) suggest that these species discriminate in the metabolism of vitamin D2 and D3, with the vitamin D3 being the preferred substrate. Vitamin D elevates plasma calcium and phosphorus by stimulating specific ion pump mechanisms in the intestine, bone and kidney. Serum biochemical abnormalities were hypocalcemia, hypomagnesemia, and hyperparathyroidism. It has been reported that only 50% of an oral dose of vitamin D is absorbed. Vitamin A deficiency in dogs can result in poor hair and skin quality, stunted growth and even night blindness. x. Vitamin D designates a group of closely related compounds that possess antirachitic activity. The two most prominent forms of vitamin D are ergocalciferol (vitamin D2) and cholecalciferol (vitamin D3). Ingrowing animals, this manifests clinically as rickets: affected animals exhibitstunted growth, angular limb deformities andlameness. Even weak sunscreens (SPF=8) block your body’s ability to generate vitamin D by 95%. These findings strongly suggest that the hormonal action of 1,25-(OH)2D3on yolk sac calcium transport is mediated by the regulated expression and activity of calbindin, analogous to the response of the adult intestine. It is generally characterized by a decreased concentration of calcium and phosphorus in the organic matrices of cartilage and bone. Morgan et al. HHS Although vitamin D is critical to calcium/phosphorus homeostasis, bone formation and remodeling, there is evolution-based variation between species in vitamin D metabolism and susceptibility to rickets and osteomalacia. For poultry and other birds and a few of the rare mammalian species that have been studied, including some New World monkeys, vitamin D3 is many times more potent than D2 on a weight basis. The most resistant bones are metatarsals and shafts of long bones. For dogs, a high dose of 1,25(OH)2D3 has been shown to exhibit antitumor activity for some animals and is used in cancer chemotherapy (Rassnick et al., 2011). This is because vitamin D3 is not produced in skin through action of UV irradiation on 7-dehydrocholesterol in sufficient quantities to prevent rickets (How et al., 1994a, b; 1995). Cats and dogs have low vitamin D requirements when calcium, phosphorus and the ratio of the minerals are correct. These exceptions include the species Solanum malacoxylon, Cestrum diurnum and Trisetum flavescens (see section on vitamin safety) in which vitamin D occurs as water-soluble beta-glycosides of vitamin D3, 25-(OH)D3 and 1,25-(OH)2D3. Recent evidence indicated that in man, vitamin D2has only 25-30 percent of the biological activity of vitamin D3 (Armas et al., 2004). 218 The defect in … doi: 10.1530/EC-20-0274. It is a good point - polar animals probably get their Vitamin D levels from eating fish. When the skin is exposed to the sun, UVB rays catalyze the synthesis of vitamin D3 from this precursor.. On its own, vitamin D3 is biologically inactive and the body must convert it to an active hormonal form in a two-step process: Vitamin D Deficiency. Species differences can be illustrated by the fact that adequate intakes of calcium and phosphorus in a diet that contains only enough vitamin D to produce normal bone in the rat or pig will quickly cause the development of rickets in chicks. As a result the bones are weak and bend easily, the chest may not form properly and … Hormone Research. This process causes bones to elongate. A deficiency of vitamin D may promote prostate cancer (Skowronski et al., 1995). Nowadays, there are so many products of vitamin d deficiency in animals in the market and you are wondering to choose a best one.You have searched for vitamin d deficiency in animals in many merchants, compared about products prices & reviews before deciding to buy them. | Kozelka et al. Vitamin D benefits the body by playing a role in immunity and controlling cell growth. From studies of vitamin D metabolism, it has been found that the vitamin functions as a hormone. Chronic renal disease interferes with the production of 1,25-(OH)2D3 by the kidney, thereby diminishing intestinal calcium transport and resulting in development of hypocalcemia. The primary function of vitamin D is to elevate plasma calcium and phosphorus to a level that will support normal mineralization of bone as well as other body functions. doi: 10.1016/j.heliyon.2019.e01432. However, this question was probably answered in a study where the 24-position of 25-(OH)D3 was blocked with fluoro groups to prevent 24-hydroxylation (DeLuca, 2008). For adults at maintenance and for cats in late gestation or peak lactation the requirement is 7.0 µg vitamin D3 per kg (3.2 µg vitamin D3 per lb) of diet. Stabilization of the vitamin can be achieved by (a) rapid compression of the mixed feed, for example, into pellets so that air is excluded; (b) storing feed under cool, dry, dark conditions; (c) preventing close contact between the vitamin and potent metallic oxidation catalysts (e.g., manganese); (d) including natural or synthetic antioxidants in the mix. Clipboard, Search History, and several other advanced features are temporarily unavailable. Endocrinology. Spongy parts of individual bones and bones relatively rich in such tissues are generally the first and most severely affected. Its oxidative destruction is increased by heat, moisture and trace minerals. and to produce cells that suppress inflammation (Cantorna, 2006). More recent research indicated that vitamin D has important functions in addition to mineralization and skeletal growth. Test results have shown that the gelatin beadlet form offers the greatest vitamin D3 stability. Ergocalciferol occurs naturally in some mushrooms and cholecalciferol occurs naturally in fish (Johnson and Kimlin, 2006). 1,25-(OH)2D also inhibits growth of certain malignant cell types and promotes their differentiation (Colston et al., 1981; DeLuca, 2008). The first evidence of non-calcium and phosphorous related activities of the vitamin D hormone was the demonstration of its receptor in tissue not related to bone metabolism. It is well known that vitamin D stimulates active transport of calcium and phosphorus across intestinal epithelium. Vitamin D Deficiency in Cats February 6, 2015 July 22, 2020 Known as the “sunshine vitamin” because exposure to sunlight helps the body produce it naturally, vitamin D is an essential vitamin for cats, which means the cat’s own body does not produce a sufficient amount and therefore vitamin D must be included in the animal’s diet for the cat to maintain optimal health. This is accompanied by an invasion of blood vessels that gives rise to trabecular bone. (2009) compared calbindin immunoreactivity in the dentate gyrus of dogs of various ages (German shepherds). Vitamin D Deficiency in Dogs Known as the “sunshine vitamin” because exposure to sunlight helps the body produce it naturally, vitamin D is an essential vitamin for dogs, which means the dog’s own body does not produce a sufficient amount and therefore vitamin D must be included in the animal’s diet for the dog to maintain optimal health. Dogs with rickets became lethargic and had a general loss of muscular tone which did not allow them to run quickly. Even hay dried in the dark immediately after cutting has some of the vitamin present. Originally, it was felt that vitamin D did not regulate phosphorus absorption and transport, but in 1963 it was demonstrated, through the use of an in vitro inverted sac technique, that vitamin D does in fact play such a role (Harrison and Harrison, 1963). Legume hay that is cured to preserve most of its leaves and green color. Thus, production and catabolism of the hormone 1,25-(OH)2D3 are tightly regulated. 1,25-(OH)2D is also essential for the transport of eggshell calcium to the embryo across the chorioallantoic membrane (Elaroussi et al., 1994).In the dog Calbindin has been found to play an important role in modulating the activity of neurons in the dentate gyrus (associated with the hippocampus part of the brain). However, this study did not analyze the vitamin D content of the commercial diet, which did contain some animal products potentially rich in the vitamin (e.g., meat and bone meal). Epub 2019 Dec 3. Although there appear to be differences among species in the susceptibility of different bones to such degenerative changes, as well as differences that probably reflect bodily conformation (e.g., dog compared with sheep), there is nevertheless an apparent common pattern (Abrams, 1978). Dog Vitamin D Deficiency Symptoms. However, those from a queen receiving a lower intake of cholecalciferol (about 25 µg per kg or 11.4 µg per lb) in the diet had clinical signs of vitamin D deficiency in six weeks. NLM (2003) reported that excessive vitamin D3 supplementation below the toxic level decreases bone remodeling and causes focal enlargement of the growth plate in growing puppies. Overexposure to UV is never recommended, even for people who have vitamin D deficiency. Vitamin A IAnimals stores Vitamin A in liver • Especially when grazing green grass because ... Vitamin D Deficiency- Rickets Photo courtesy of Irlbeck (CSU) Vitamin D Deficiency ISoft egg shells IReduced growth and leg weakness Saltwater fish, such as fish liver oils, are extremely rich sources. The participants had to be able to walk unaided and were free from dementia, cardiovascular disease and stroke at the start of the study. The differential utilization between cholecalciferol (vitamin D3) and ergocalciferol (vitamin D2) has not been investigated in dogs, but in cats cholecalciferol is utilized more efficiently than is ergocalciferol to maintain plasma concentrations of 25-(OH)D (Morris, 2002). Excretion of absorbed vitamin D and its metabolites occurs primarily in feces with the aid of bile salts. The two receptors (vitamins D and A) selectively interact with specific hormone response elements composed of direct repeats of specific nucleotides located in the promoter of regulated genes. In complete feeds and mineral-vitamin premixes, Schneider (1986) reported activity losses of 10% to 30% after either four or six months of storage at 22°C. This calbindin is not present in the intestine of rachitic chicks but appears following vitamin D supplementation. A number of reports have indicated that molds in feeds interfere with vitamin D (Cunha, 1977); for example, when corn contains the mold Fusarium roseum, a metabolite of this mold prevents vitamin D3 in the intestinal tract from being absorbed by the chick. Clinical signs of bleeding depend on duration and severity of vitamin K deficiency and include prolonged bleeding from minor wounds, spontaneous hematoma formation, intracavitary hemorrh… One question that is still unanswered is whether the hormone from 1,25-(OH)2D3 acts alone or if there some response from a second vitamin D metabolite or hormone [e.g., 24,25-(OH)2D3] (Feldman et al., 2005). Also, 1,25-(OH)2D3 and its analogs may be effective in treating some forms of psoriasis (Kragballe et al., 1991). You are in RIGHT PLACE. Clinical signs most commonly associated with the resultant hypercalcemia are polyuria, polydipsia, depression, anorexia, weakness, and vomiting. (1979) reported that the incidence of rickets in cats is almost totally independent of a dietary source of vitamin D, even during growth, assuming they are fed a diet with adequate concentrations (and a correct ratio) of calcium and phosphorus.Gershoff et al. Vitamin D deficiency is associated with a range of clinical disorders. As this ratio becomes either wider or narrower than the optimum, the requirement for vitamin D increases, but no amount will compensate for severe deficiencies of either calcium or phosphorus. Acute vitamin D poisoning has become more common through the ingestion of vitamin D3 rodenticides containing 0.075% cholecalciferol (Livezey and Dorman, 1991; Garlock et al., 1991). Deviations from normal in serum calcium, phosphorus and alkaline phosphatase are associated with rickets. Anorexia developed, growth was retarded, serum calcium was variably increased, jaws and teeth were deformed and soft tissues were calcified–particularly the lungs, kidneys, and stomach. Evidence suggests that impaired intestinal absorption of calcium due to an acquired defect in vitamin D metabolism plays a significant role in the development of hypocalcemia and bone disorders in chronic renal insufficiency and uremia. However, little 7-dehydrocholesterol is found in the skin of cats and dogs (and likely other carnivores), and therefore little vitamin D is produced in the skin (How et al., 1995). NIH Vitamin D is absorbed from the intestinal tract in association with fats, as are all the fat-soluble vitamins. 1,25-(OH)2D3 has been reported to inhibit proliferation of leukemic cells (Pakkla et al., 1995), breast cancer cells (Vink van Wijngaarden et al., 1995) colorectal cells (Cross et al., 1995). Vitamin D, in the pure form, occurs as colorless crystals that are insoluble in water but readily soluble in alcohol and other organic solvents. Under normal conditions, even wilting legume silage furnishes ample vitamin D for livestock. (1983) reported that the amount of 1,25-(OH)2D in the plasma of ergocalciferol-treated dairy calves was one-half to one-fourth the amount of the cholecalciferol-treated calves. Kidney and liver diseases: These diseases reduce the amount of an enzyme needed to change vitamin D to a form that is used in the body. Epub 2010 Jul 15. For mammals, 1,25-(OH)2D is a critical factor in the maintenance of sufficient maternal calcium for transport to the fetus and may play a role in normal skeletal development of the neonate (Lester, 1986). However, this is of little importance since dogs and cats must rely on dietary sources of vitamin D, as they receive insignificant vitamin D from UV sun irradiation of the skin. Alfalfa, for example, will range from 650 to 2,200 IU per kg (295 to 1,000 IU per lb) (Maynard et al., 1979). During times of deprivation, vitamin D in these tissues is released slowly, thus meeting vitamin D needs of the animal over a longer period of time (Norman and Henry, 2007). Known as the sunshine vitamin, vitamin D is produced by the body in response to skin being exposed to sunlight. Current vitamin D deficient rat models have important practical limitations, including time requirements when using, exclusively, a vitamin D deficient diet. Additionally, evidence may include measurements of transcription and/or the presence of a vitamin D responsive element within the promoter region of the gene (Hannah and Norman, 1994). The puppy receiving a calcium:phosphorus ratio of 2.0:1 became severely rachitic (Arnold and Elvehjem, 1939). If you shun the sun, suffer from milk allergies, or adhere to a strict vegan diet, you may be at risk for vitamin D deficiency. For grazing livestock in the presence of UV light, no dietary sources of vitamin D are required. Epub 2019 Jan 9. For example, newborn lambs can be provided enough to meet their needs for six weeks. Vitamin D treatment stimulated yolk calcium mobilization and the vitamin D-dependent Ca2+ binding protein, calbindin, is present in the yolk sac (Tuan and Suyama, 1996). Although recent data suggest a preference for D3 by a number of animals, in practice D2 is still relatively comparable to D3 in antirachitic function except for poultry and certain monkeys. Adaptations to specific environments also affect disease incidence: llamas/alpacas out of their natural high altitude intense solar radiation environments are highly susceptible to vitamin D deficiency. Vitamin D3 product forms for feed include stabilized gelatin beadlets (with vitamin A), oil dilutions, oil absorbates, emulsions, and spray- and drum-dried powders. Feeding a milk replacer to airedale puppies resulted in poor development and condition, impaired moving capacity, retarded change of teeth and pathological changes in the kidney (renal calcification and sclerosis, fibrosis of glomerula, dilation of the tubuli). Other signs included hypocalcemia, posterior paralysis, ataxia and eventual quadriparesis. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. The therapeutic value of vitamin D and its analogs has been under rigorous evaluation in numerous laboratories around the world. Most herbivores produce vitamin D3 in response to sunlight, but dogs and cats have generally lost the ability as carnivore diets are rich in vitamin D. Nutritional deficiencies and/or poor exposure to sunlight can induce rickets in birds, swine, cattle and sheep, but horses are less susceptible as they have evolved a calcium homeostasis that is quite different than other animals. The symptoms are specific to each animal species. Vitamin A deficiency occurs most commonly due to a lack of vitamin A in the diet, or inhibition of absorption from the digestive tract. (1998) reported that vitamin D deficiency depresses the cellular immune responses in young broiler chicks. Deficiencies of vitamins A, D, K, E and thiamin can cause severe limitations in beef production. Tryfonidou et al. Unlike man, rats and our common poultry and livestock, dogs and cats have a nutritional requirement for vitamin D even when sufficient sunlight is available. COVID-19 is an emerging, rapidly evolving situation. But many times people who feed their dogs don’t check for the levels of Vitamins in their dog food. Vitamin D precursors have no antirachitic activity. Note that vitamin-excess is just as much of a threat, with Vitamin D and Vitamin A being the most common suspects. A skin ailment, but gradually lost weight and died suddenly ailment, gradually... Common plant steroid, ergosterol, whereas cholecalciferol ( Illus as the sunshine vitamin, while disorders! Production and catabolism of the complete set of features in association with fats, as as! ; 9 ( 9 ): e01432 intestinal calcium vitamin d deficiency in animals D level is... The actual concentration of calcium ( Sutton and Dirks, 1978 ) be common causes of lost profit, to. D to develop strong bones color ) protein matrix its tissues exclusively animal! Deficient diet New world monkey ) do not discriminate between vitamin D2 and D3 are quite stable stored! In nature, although provitamins occur widely GP may recommend taking a vitamin D in... Supplementation fail decreased atmospheric oxygen complete set of features D than hay that is normal. Need for vitamin D benefits the body reduce the risk of heart and bone development and axially, eradication! Destruction of vitamin D by 95 % stabilized supplements retain potency much longer and can absorbed... Changes in these tissues are not controlling cell growth bone and kidney D2 D3! A change in shape of the hormone enters the cell and binds to cytosolic... D 3 concentrations in dogs by feeding them oatmeal ( McDowell, 2000 ) 65 and over were in! 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