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Use of supplemental vitamin d among infants breastfed for prolonged periods.
Pediatrics. 2010 Jan; 125(1):105-11.Ped

Abstract

OBJECTIVES

To determine the rate of vitamin D supplementation in predominantly breastfed children. To identify patient characteristics, parental beliefs, and practitioner policies associated with supplementation.

METHODS

A prospective observational study was conducted in a practice-based research network. Network pediatricians completed a survey regarding their policy on vitamin D supplementation for breastfed infants. Parents of children 6 to 24 months old completed a survey on the initial type of feeding given to the child, length of breastfeeding, formula supplementation, and use of multivitamins. Parents indicated their level of agreement with statements regarding vitamin D supplementation.

RESULTS

Among 44 responding pediatricians, 36.4% indicated that they recommended vitamin D supplementation for all breastfed infants. A total of 2364 surveys were completed on age-eligible children; 1140 infants were breastfed for at least 6 months with little or no formula supplementation. The rate of vitamin D use for these infants was 15.9%. Use of vitamin D was significantly associated with parental agreement that their child's pediatrician recommended supplementation (odds ratio [OR]: 7.8), and that vitamins are unnecessary because breast milk has all needed nutrition (OR: 0.12). Among parents of predominantly breastfed infants who indicated that their child's doctor recommended vitamin D, 44.6% gave the supplementation to their child. Conversely, 67% of parents agreed that breast milk has all needed nutrition, and only 3% of these parents gave vitamin D to their children.

CONCLUSIONS

A minority of breastfed infants received vitamin D supplementation. Educational efforts directed at both physicians and parents are needed to increase compliance with vitamin D supplementation guidelines.

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Authors+Show Affiliations

Taylor JA
Department of Pediatrics, University of Washington, Seattle, Washington 98195, USA. uncjat@u.washington.edu
Geyer LJ
No affiliation info available
Feldman KW
No affiliation info available

MeSH

Analysis of VarianceAttitude of Health PersonnelBreast FeedingConfidence IntervalsDietary SupplementsEvidence-Based MedicineFemaleHealth Care SurveysHumansInfantInfant, NewbornMaleMultivariate AnalysisNeeds AssessmentOdds RatioPediatricsPractice Patterns, Physicians'ProbabilityProspective StudiesRicketsRisk AssessmentTime FactorsUnited StatesVitamin D

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

19948571

Citation

Taylor, James A., et al. "Use of Supplemental Vitamin D Among Infants Breastfed for Prolonged Periods." Pediatrics, vol. 125, no. 1, 2010, pp. 105-11.
Taylor JA, Geyer LJ, Feldman KW. Use of supplemental vitamin d among infants breastfed for prolonged periods. Pediatrics. 2010;125(1):105-11.
Taylor, J. A., Geyer, L. J., & Feldman, K. W. (2010). Use of supplemental vitamin d among infants breastfed for prolonged periods. Pediatrics, 125(1), 105-11. https://doi.org/10.1542/peds.2009-1195
Taylor JA, Geyer LJ, Feldman KW. Use of Supplemental Vitamin D Among Infants Breastfed for Prolonged Periods. Pediatrics. 2010;125(1):105-11. PubMed PMID: 19948571.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Use of supplemental vitamin d among infants breastfed for prolonged periods. AU - Taylor,James A, AU - Geyer,Leah J, AU - Feldman,Kenneth W, Y1 - 2009/11/30/ PY - 2009/12/2/entrez PY - 2009/12/2/pubmed PY - 2010/2/5/medline SP - 105 EP - 11 JF - Pediatrics JO - Pediatrics VL - 125 IS - 1 N2 - OBJECTIVES: To determine the rate of vitamin D supplementation in predominantly breastfed children. To identify patient characteristics, parental beliefs, and practitioner policies associated with supplementation. METHODS: A prospective observational study was conducted in a practice-based research network. Network pediatricians completed a survey regarding their policy on vitamin D supplementation for breastfed infants. Parents of children 6 to 24 months old completed a survey on the initial type of feeding given to the child, length of breastfeeding, formula supplementation, and use of multivitamins. Parents indicated their level of agreement with statements regarding vitamin D supplementation. RESULTS: Among 44 responding pediatricians, 36.4% indicated that they recommended vitamin D supplementation for all breastfed infants. A total of 2364 surveys were completed on age-eligible children; 1140 infants were breastfed for at least 6 months with little or no formula supplementation. The rate of vitamin D use for these infants was 15.9%. Use of vitamin D was significantly associated with parental agreement that their child's pediatrician recommended supplementation (odds ratio [OR]: 7.8), and that vitamins are unnecessary because breast milk has all needed nutrition (OR: 0.12). Among parents of predominantly breastfed infants who indicated that their child's doctor recommended vitamin D, 44.6% gave the supplementation to their child. Conversely, 67% of parents agreed that breast milk has all needed nutrition, and only 3% of these parents gave vitamin D to their children. CONCLUSIONS: A minority of breastfed infants received vitamin D supplementation. Educational efforts directed at both physicians and parents are needed to increase compliance with vitamin D supplementation guidelines. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/19948571/Use_of_supplemental_vitamin_d_among_infants_breastfed_for_prolonged_periods_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=19948571 DB - PRIME DP - Unbound Medicine ER -