Journal ArticleDOI
Vitamin D in the healthy European paediatric population.
Christian Braegger,Cristina Campoy,Virginie Colomb,Tamás Decsi,Magnus Domellöf,Mary Fewtrell,Iva Hojsak,Walter A. Mihatsch,Christian Mølgaard,Raanan Shamir,Dominique Turck,Johannes B. van Goudoever +11 more
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There is insufficient evidence from interventional studies to support vitamin D supplementation for other health benefits in infants, children, and adolescents, and national authorities should adopt policies aimed at improving vitamin D status using measures such as dietary recommendations, food fortification, vitamin D supplements, and judicious sun exposure, depending on local circumstances.Abstract:
In recent years, reports suggesting a resurgence of vitamin D deficiency in the Western world, combined with various proposed health benefits for vitamin D supplementation, have resulted in increased interest from health care professionals, the media, and the public. The aim of this position paper is to summarise the published data on vitamin D intake and prevalence of vitamin D deficiency in the healthy European paediatric population, to discuss the health benefits of vitamin D and to provide recommendations for the prevention of vitamin D deficiency in this population. Vitamin D plays a key role in calcium and phosphate metabolism and is essential for bone health. There is insufficient evidence from interventional studies to support vitamin D supplementation for other health benefits in infants, children, and adolescents. The pragmatic use of a serum concentration >50 nmol/L to indicate sufficiency and a serum concentration <25 nmol/L to indicate severe deficiency is recommended. Vitamin D deficiency occurs commonly among healthy European infants, children, and adolescents, especially in certain risk groups, including breast-fed infants, not adhering to the present recommendation for vitamin D supplementation, children and adolescents with dark skin living in northern countries, children and adolescents without adequate sun exposure, and obese children. Infants should receive an oral supplementation of 400 IU/day of vitamin D. The implementation should be promoted and supervised by paediatricians and other health care professionals. Healthy children and adolescents should be encouraged to follow a healthy lifestyle associated with a normal body mass index, including a varied diet with vitamin D-containing foods (fish, eggs, dairy products) and adequate outdoor activities with associated sun exposure. For children in risk groups identified above, an oral supplementation of vitamin D must be considered beyond 1 year of age. National authorities should adopt policies aimed at improving vitamin D status using measures such as dietary recommendations, food fortification, vitamin D supplementation, and judicious sun exposure, depending on local circumstances.read more
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Journal ArticleDOI
Vitamin D deficiency.
TL;DR: It is suggested that if assessment of overdoses were left to house doctors there would be an increase in admissions to psychiatric units, outpatients, and referrals to social services, but for house doctors to assess overdoses would provide no economy for the psychiatric or social services.
Journal ArticleDOI
Consensus Statement: Global Consensus Recommendations on Prevention and Management of Nutritional Rickets
Craig F Munns,Nick Shaw,Mairead Kiely,Bonny Specker,Tom D. Thacher,Keiichi Ozono,Toshimi Michigami,Dov Tiosano,M Zulf Mughal,Outi Mäkitie,Lorna Ramos-Abad,Leanne M Ward,Linda A. DiMeglio,Navoda Atapattu,Hamilton Cassinelli,Christian Braegger,John M. Pettifor,Anju Seth,Hafsatu Wasagu Idris,Vijayalakshmi Bhatia,Junfen Fu,Gail R. Goldberg,Lars Sävendahl,Rajesh Khadgawat,Paweł Płudowski,Jane Maddock,Elina Hyppönen,AO Oduwole,Emma Frew,Magda Aguiar,Ted Tulchinsky,Gary Butler,Wolfgang Högler +32 more
TL;DR: Rickets, osteomalacia, and vitamin D and calcium deficiencies are preventable global public health problems in infants, children, and adolescents and implementation of international rickets prevention programs, including supplementation and food fortification, is urgently required.
Journal ArticleDOI
Complementary Feeding: A Position Paper by the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition (ESPGHAN) Committee on Nutrition.
Mary Fewtrell,Jiri Bronsky,Cristina Campoy,Magnus Domellöf,Nicholas D. Embleton,Nataša Fidler Mis,Iva Hojsak,Jessie M. Hulst,Flavia Indrio,Alexandre Lapillonne,Christian Mølgaard,Christian Mølgaard +11 more
TL;DR: All infants should receive iron-rich CF including meat products and/or iron-fortified foods and no sugar or salt should be added to CF and fruit juices or sugar-sweetened beverages should be avoided.
Journal ArticleDOI
Vitamin D deficiency 2.0: an update on the current status worldwide.
Karin Amrein,Mario Scherkl,Magdalena Hoffmann,Stefan Neuwersch-Sommeregger,Markus Köstenberger,Adelina Tmava Berisha,Gennaro Martucci,Stefan Pilz,Oliver Malle +8 more
TL;DR: The data on a benefit for mortality and prevention of infections, at least in severely deficient individuals, appear convincing, and a worldwide public health intervention that includes vitamin D supplementation in certain risk groups, and systematic vitamin D food fortification to avoid severe vitamin D deficiency, would appear to be important.
Journal ArticleDOI
Vitamin D: An overview of vitamin D status and intake in Europe
A. Spiro,Judy Buttriss +1 more
TL;DR: In most European countries, there seems to be a shortfall in achieving current vitamin D recommendations, and an exception is Finland, where dietary survey data indicate that recent national policies that include fortification and supplementation have resulted in an increase in vitamin D intakes, but this may not be a suitable strategy for all European populations.
References
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Journal ArticleDOI
Vitamin D Deficiency
TL;DR: The role of vitamin D in skeletal and nonskeletal health is considered and strategies for the prevention and treatment ofitamin D deficiency are suggested.
Journal ArticleDOI
Evaluation, Treatment, and Prevention of Vitamin D Deficiency: an Endocrine Society Clinical Practice Guideline
Michael F. Holick,Neil Binkley,Heike A. Bischoff-Ferrari,Catherine M. Gordon,David A. Hanley,Robert P. Heaney,M. Hassan Murad,Connie M. Weaver +7 more
TL;DR: Considering that vitamin D deficiency is very common in all age groups and that few foods contain vitamin D, the Task Force recommended supplementation at suggested daily intake and tolerable upper limit levels, depending on age and clinical circumstances.
Journal Article
Evaluation, treatment, and prevention of vitamin D deficiency: An endocrine society clinical practice guideline (Journal of Clinical Endocrinology and Metabolism (2011) 96, (1911-1930))
Michael F. Holick,Neil Binkley,Heike A. Bischoff-Ferrari,Catherine M. Gordon,David A. Hanley,Robert P. Heaney,M. Hassan Murad,Connie M. Weaver +7 more
TL;DR: The Task Force as discussed by the authors provided guidelines to clinicians for the evaluation, treatment, and prevention of vitamin D deficiency with an emphasis on the care of patients who are at risk for deficiency, based on systematic reviews of evidence and discussions during several conference calls and e-mail communications.
Journal ArticleDOI
Vitamin D deficiency.
TL;DR: It is suggested that if assessment of overdoses were left to house doctors there would be an increase in admissions to psychiatric units, outpatients, and referrals to social services, but for house doctors to assess overdoses would provide no economy for the psychiatric or social services.
Book
Dietary Reference Intakes for Calcium and Vitamin D
TL;DR: The evidence supported a role for these nutrients in bone health but not in other health conditions, and there is emerging evidence that too much of these nutrients may be harmful.
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Prevention of Rickets and Vitamin D Deficiency in Infants, Children, and Adolescents
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