Prevention and treatment of infant and childhood vitamin D deficiency in Australia and New Zealand : a consensus statement
Data(s) |
04/09/2006
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Resumo |
• Vitamin D deficiency has re-emerged as a significant paediatric health issue, with complications including hypocalcaemic seizures, rickets, limb pain and fracture. <br /><br />• A major risk factor for infants is maternal vitamin D deficiency. For older infants and children, risk factors include dark skin colour, cultural practices, prolonged breastfeeding, restricted sun exposure and certain medical conditions. <br /><br />• To prevent vitamin D deficiency in infants, pregnant women, especially those who are dark-skinned or veiled, should be screened and treated for vitamin D deficiency, and breastfed infants of dark-skinned or veiled women should be supplemented with vitamin D for the first 12 months of life. <br /><br />• Regular sunlight exposure can prevent vitamin D deficiency, but the safe exposure time for children is unknown. <br /><br />• To prevent vitamin D deficiency, at-risk children should receive 400 IU vitamin D daily; if compliance is poor, an annual dose of 150 000 IU may be considered. <br /><br />• Treatment of vitamin D deficiency involves giving ergocalciferol or cholecalciferol for 3 months (1000 IU/day if < 1 month of age; 3000 IU/ day if 1-12 months of age; 5000 IU/day if > 12 months of age). <br /><br />• High-dose bolus therapy (300 000-500 000 IU) should be considered for children over 12 months of age if compliance or absorption issues are suspected.<br /> |
Identificador | |
Idioma(s) |
eng |
Publicador |
Australasian Medical Publishing Company |
Relação |
http://dro.deakin.edu.au/eserv/DU:30042790/pasco-preventionandtreatment-2006.pdf https://www.mja.com.au/journal/2006/185/5/prevention-and-treatment-infant-and-childhood-vitamin-d-deficiency-australia-and |
Direitos |
2006, Australasian Medical Publishing Company |
Palavras-Chave | #vitamin D #infant and childhood vitamin D deficiency |
Tipo |
Journal Article |