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Vitamin D in the healthy European paediatric population.
J Pediatr Gastroenterol Nutr 2013; 56(6):692-701JP

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.

Authors+Show Affiliations

Division of Gastroenterology and Nutrition, University Children's Hospital Zurich, Zurich, Switzerland. Christian.Braegger@kispi.uzh.chNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

23708639

Citation

Braegger, Christian, et al. "Vitamin D in the Healthy European Paediatric Population." Journal of Pediatric Gastroenterology and Nutrition, vol. 56, no. 6, 2013, pp. 692-701.
Braegger C, Campoy C, Colomb V, et al. Vitamin D in the healthy European paediatric population. J Pediatr Gastroenterol Nutr. 2013;56(6):692-701.
Braegger, C., Campoy, C., Colomb, V., Decsi, T., Domellof, M., Fewtrell, M., ... van Goudoever, J. (2013). Vitamin D in the healthy European paediatric population. Journal of Pediatric Gastroenterology and Nutrition, 56(6), pp. 692-701. doi:10.1097/MPG.0b013e31828f3c05.
Braegger C, et al. Vitamin D in the Healthy European Paediatric Population. J Pediatr Gastroenterol Nutr. 2013;56(6):692-701. PubMed PMID: 23708639.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vitamin D in the healthy European paediatric population. AU - Braegger,Christian, AU - Campoy,Cristina, AU - Colomb,Virginie, AU - Decsi,Tamas, AU - Domellof,Magnus, AU - Fewtrell,Mary, AU - Hojsak,Iva, AU - Mihatsch,Walter, AU - Molgaard,Christian, AU - Shamir,Raanan, AU - Turck,Dominique, AU - van Goudoever,Johannes, AU - ,, PY - 2013/5/28/entrez PY - 2013/5/28/pubmed PY - 2014/1/11/medline SP - 692 EP - 701 JF - Journal of pediatric gastroenterology and nutrition JO - J. Pediatr. Gastroenterol. Nutr. VL - 56 IS - 6 N2 - 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. SN - 1536-4801 UR - https://www.unboundmedicine.com/medline/citation/23708639/Vitamin_D_in_the_healthy_European_paediatric_population_ L2 - http://Insights.ovid.com/pubmed?pmid=23708639 DB - PRIME DP - Unbound Medicine ER -