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Canadian Paediatric Society – vitamin D recommendations unchanged since 2007 – Jan 2017

Vitamin D supplementation: Recommendations for Canadian mothers and infants

The Canadian Paediatric Society, Posted: Oct 1 2007 | Reaffirmed: Jan 30 2017

They acknowledge that more studies are needed, but appear to have not made any changes

Examples of obsolete recommendations

  • “Consideration should be given to administering 2000 IU of vitamin D daily to pregnant and lactating women, especially during the winter months, to maintain vitamin D sufficiency”
    • trials have found that 4,000 – 6,000 IU is needed
  • “Total vitamin D intake from all sources for the premature infant should be 200 IU/kg/day to a maximum of 400 IU/day (recommendation grade A ).”
    • various groups around the world argue for 1,000 to 1,600 IU/day
  • “To take advantage of cutaneous production of vitamin D, yet minimize possibility of skin damage, infants and children should be exposed to sunlight for short periods (probably less than 15 min/day) (recommendation grade B )”
    • 15 minutes might be enough if only wearing a diaper, in the summer, in the middle of the day, in the summer, for a light-skinned infant/child, in the Southern portion of Canada, etc.


The latest reference is from 2007


See also VitaminDWiki

Healthy pregnancies need lots of vitamin D has the following summary
Most were taking 2,000 to 7,000 IU daily for >50% of pregnancy
   Click on hyperlinks for details

Problem
Vit. D
Reduces
Evidence
0. Chance of not conceiving3.4 times Observe
1. Miscarriage 2.5 times Observe
2. Pre-eclampsia 3.6 timesRCT
3. Gestational Diabetes 3 times RCT
4. Good 2nd trimester sleep quality 3.5 times Observe
5. Premature birth 2 times RCT
6. C-section - unplanned 1.6 timesObserve
     Stillbirth - OMEGA-3 4 timesRCT - Omega-3
7. Depression AFTER pregnancy 1.4 times RCT
8. Small for Gestational Age 1.6 times meta-analysis
9. Infant height, weight, head size
     within normal limits
RCT
10. Childhood Wheezing 1.3 times RCT
11. Additional child is Autistic 4 times Intervention
12.Young adult Multiple Sclerosis 1.9 timesObserve
13. Preeclampsia in young adult 3.5 timesRCT
14. Good motor skills @ age 31.4 times Observe
15. Childhood Mite allergy 5 times RCT
16. Childhood Respiratory Tract visits 2.5 times RCT

RCT = Randomized Controlled Trial


Created by admin. Last Modification: Monday August 21, 2017 15:04:09 GMT-0000 by admin. (Version 2)