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Vitamin D in European children – no consensus on “adequate” levels – April 2017

Vitamin D in European children—statement from the European Academy of Paediatrics (EAP)

European Journal of Pediatrics, pp 1–3, First Online: 12 April 2017
Zachi Grossman, Adamos Hadjipanayis adamos at paidiatros.com, Tom Stiris, Stefano del Torso, Jean-Christophe Mercier, Arunas Valiulis, Raanan Shamir

See also VitaminDWiki

Infant-Child category starts with

Having a good level of vitamin D cuts in half the amount of:

Need even more IUs of vitamin D to get a good level if;

  • Have little vitamin D: premie, twin, mother did not get much sun access
  • Get little vitamin D: dark skin, little access to sun
  • Vitamin D is consumed faster than normal due to sickness
  • Older (need at least 100 IU/kilogram, far more if obese)
  • Not get any vitamin D from formula (breast fed) or (fortified) milk
    Note – formula does not even provide 400 IU of vitamin D daily

Infants-Children need Vitamin D

Items in both categories Infant-child and Europe are listed here:

Items in both categories Infant-child and High-Risk are listed here:

Items in both categories Infant-child and Testing are listed here:

Vitamin D is synthesized in human skin upon sun exposure and is also a nutrient. It regulates calcium and phosphate metabolism and is essential for the maintenance of bone health. Vitamin D supplementation during infancy, in order to prevent rickets, is universally accepted. Many human cell types carry vitamin D receptor, this being a drive for conducting studies on the possible association between vitamin D status and other diseases.

Studies have affirmed that a considerable number of healthy European children may be vitamin D deficient, especially in high-risk groups (darker pigmented skin, living in areas with reduced sun exposure and other disorders). However, the definition of deficiency is unclear due to inter assay differences and due to a lack of consensus as to what is an “adequate” 25(OH)D level.

Therefore, there is no justification for routine screening for vitamin D deficiency in healthy children.

An evaluation of vitamin D status is justified in children belonging to high-risk groups. All infants up to 1 year of age should receive an oral supplementation of 400 IU/day of vitamin D. Beyond this age, seasonal variation of sunlight should be taken into account when considering a national policy of supplementation or fortification.

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