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Which children need Vitamin D tests (no consensus, should give Vit D to all) – March 2019

Vitamin D screening variations in children and adolescents: Who should be screened?

Journal of Pediatric Nursing, Volume 45, March–April 2019, Pages 57-61, https://doi.org/10.1016/j.pedn.2019.02.002
Renée L. Davis DNP, RN, CPNP-PCaAlongkorn Aksornsri MNS, Rnb Michelle M.Papachrisanthou DNP, RN, CPNP-PCc

VitaminDWiki

Most of the crteria concern detecting health problems, rather than preventing the problems
None of the groups include the followinfg problems often associated with low vitamin D

  • pre-term births
  • breathing problems
  • allergies
  • diabetes
  • live from from equator
  • poor sleep
  • IBD
  • low strength
  • rarely get outdoors due to a medical problem

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

  • Sun is great – well known for 1,000’s of years.
    US govt (1934) even said infants should be out in the sun
  • One country recommended 2,000 IU daily for decades – with no known problems
  • As with adults, infants and children can have loading doses and rarely need tests
  • Daily dose appears to be best, but monthly seems OK
  • Vitamin D is typically given to infants in the form of drops
       big difference in taste between brands
       can also use water-soluable form of vitamin D in milk, food, juice,
  • Infants have evolved to get a big boost of vitamin D immediately after birth
    Colostrum has 3X more vitamin D than breast milk - provided the mother has any vitamin D to spare
  • 100 IU per kg of infant July 2011, Poland etc.
    1000 IU per 25 lbs.jpg
    More than 100 IU/kg is probably better

Getting Vitamin D into infants

Many infants reject vitamin D drops, even when put on nipple
I speculate that the rejection is due to one or more of: additives, taste, and oils.
Infants have a hard time digesting oils, 1999  1997   and palm oils W.A. Price 1 2 3
Coconut oil, such as in D-Drops, is digested by infants. 1,   2   3
Bio-Tech Pharmacal Vitamin D has NO additves, taste, oil
One capsule of 50,000 Bio-Tech Pharmacal Vitamin D could be stirred into monthly formula
   this would result in ~1,600 IUs per day for infant, and higher dose with weight/age/formula consumption


 Download the PDF from Sci-Hub via VitaminDWiki
Image

Highlights

  • Early vitamin D deficiency detection can improve the health of children.
  • Vitamin D screening recommendations are based on risk factors.
  • No consensus on vitamin D deficiency screening in children and adolescents exists.

Problem: No consensus on vitamin D deficiency (VDD) screening in children and adolescents exists. Early VDD detection can improve the health of children. VDD can cause bone mineralization diseases, such as rickets in children. The purpose of this review is to determine existing VDD screening recommendations or clinical practice guidelines in children and adolescents.

Eligibility criteria: Inclusion criteria were VDD screening ‘guideline’, ‘clinical practice guideline’, and ‘recommendations’ for children and adolescents in English, published 2001–2018.

Results: Eight current guidelines addressed VDD screening recommendations with the common recommendation results endorsing screening only for VDD in at-risk children and adolescents.

Conclusions: There is insufficient evidence for pediatric healthcare providers to recommend which VDD risk factors should be utilized for screening in children and adolescents.

Implications: Further studies should focus on developing a validated VDD screening tool for children and adolescents based on risk factors.

Created by admin. Last Modification: Monday February 11, 2019 16:06:43 GMT-0000 by admin. (Version 7)

Attached files

ID Name Comment Uploaded Size Downloads
11364 Screening children.jpg admin 11 Feb, 2019 15:18 134.39 Kb 22
11363 Screening children.pdf PDF 2019 admin 11 Feb, 2019 15:17 549.12 Kb 4
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