Document Detail


Is daily 400 IU of vitamin D supplementation appropriate for every country: a cross-sectional study.
MedLine Citation:
PMID:  20169351     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Vitamin D deficiency in childhood is a significant problem worldwide. Religious, social customs, and lack of food fortification were significant hurdles in the way of the rickets scourge. Recent data support a serum level of 25(OH)D level > 40 ng/mL as the appropriate standard to achieve to prevent rickets. Herein, the current approaches of preventing rickets and optimal level of different vitamin D intakes were evaluated.
METHODS: A total of 148 fully breastfed, healthy children between age of 2-24 months were investigated by screening serum 25(OH)D from April 1 to May 31, 2006. Three groups were composed according to ages (2-6, 6-12, 12-24 months), and those groups were paired with three subgroups established according to vitamin D intake of ≤300, 400, and 600 IU/day. Vitamin D status was evaluated with regard to cut-off value of 15 ng/mL and 40 mg/dL. The clothing types and vitamin D supplementation of mothers were recorded.
RESULTS: We found that 27.3% of cases in 2-6 months, 8.3% in 6-12 months and 30% in 12-24 months had 25(OH)D <15 ng/mL and 54.5, 33.3, and 50% of cases were <40 ng/dL with 400 IU/day vitamin D intake. With 600 IU/day supplementation, 14.3, 10.3, and 4.8% of cases had 25(OH)D <15 ng/mL, respectively.
CONCLUSION: Vitamin D intake of 400 IU/day seems to be favorable at the first year in breastfed children but vitamin D deficiency was still evident after prophylaxis. Vitamin D supplementation should be at least 600 IU/day in Turkey, and nutrition policy should focus on the food fortification with vitamin D.
Authors:
Hasan Onal; Erdal Adal; Seçil Alpaslan; Atilla Ersen; Ahmet Aydin
Publication Detail:
Type:  Journal Article     Date:  2010-02-19
Journal Detail:
Title:  European journal of nutrition     Volume:  49     ISSN:  1436-6215     ISO Abbreviation:  Eur J Nutr     Publication Date:  2010 Oct 
Date Detail:
Created Date:  2010-09-24     Completed Date:  2011-01-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888704     Medline TA:  Eur J Nutr     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  395-400     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Division of Metabolic Diseases, Ministry of Health Bakirkoy Maternity and Children Education Hospital, Istanbul, Turkey. hasanonal@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Breast Feeding
Child Nutritional Physiological Phenomena
Child, Preschool
Cross-Sectional Studies
Developing Countries
Dietary Supplements / standards*
Female
Food, Fortified*
Humans
Infant
Male
Nutrition Policy
Public Health
Rickets / prevention & control
Turkey
Vitamin D / blood*,  metabolism
Vitamin D Deficiency / prevention & control*
Chemical
Reg. No./Substance:
1406-16-2/Vitamin D

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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