Variations in infant and childhood vitamin D supplementation programs across Europe and factors influencing adherence.
Endocr Connect. 2017 Sep 18. pii: EC-17-0193. doi: 10.1530/EC-17-0193. [Epub ahead of print]
Uday S1, Kongjonaj A2, Aguiar M3, Tulchinsky T4, Hoegler W5.
- 1 S Uday, Endocrinology and Diabetes, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, B15 2TG, United Kingdom of Great Britain and Northern Ireland.
- 2 A Kongjonaj, MEAL specialist, Save the children international , Albania, United Kingdom of Great Britain and Northern Ireland.
- 3 M Aguiar, Health Economics, University of Birmingham, Birmingham, United Kingdom of Great Britain and Northern Ireland.
- 4 T Tulchinsky, Hebrew University of Jerusalem Braun School of Public Health and Community Medicine, Jerusalem, Israel.
- 5 W Hoegler, University of Birmingham, Birmingham, United Kingdom of Great Britain and Northern Ireland Wolfgang.Hogler at bch.nhs.uk.
No indication in this 2014 survey of
- Vitamin D levels to be achieved (10-30 ng)
- Vitamin D levels actually achieved
- Dose size recommended (200 IU - 2000 IU)
- Increased dose if breastfeeding
only tiny % have enough Vitamin D in their breast milk - Vitamin D recommendation during pregnancy (200 IU - 6,000 IU)
- Vitamin D supplementation to be continued after weaning
- No increased recommendation for infants at high risk of vitamin D deficiency
Dark Skin, premature, mother wearing excessive clothes, excessive infant illnesses, etc.
- Infant-Child category listing has
780 items along with related searches - All pregnant women in Scotland to get free vitamin D - April 2017
- Maternal vitamin D supplementation – only 1 in 300 in Spain– April 2014
- Nordic mothers vitamin D deficient even though meet recommendations – April 2010
- Vitamin D once during pregnancy reduced infant health care costs (300 times ROI) – RCT Dec 2015
- Leading cause of death age 0-5 – vitamin D deficiency
US
- Most European infants get vitamin D supplements, vs only 1 in 50 in US – June 2013
- Many US kids have less than 40 ng of Vitamin D – 99 out of 100 blacks, 91 out of 100 whites – Jan 2017
- Vitamin D in US children: those having more than 40 ng increased 60 percent (2001-2010) - Dec 2016
- Infants in France and Finland need 1000 IU of vitamin D, but apparently infants in US need only 400 - 2013
- Vitamin D guidelines of American Academy of Pediatrics said none should be even tested, yet 91 percent had less than 30 ng – June 2017
Items in both categories Infant/Child and Europe are listed here:
- French pediatric consensus: 30 – 60 ng of Vitamin D – Feb 2022
- 26 X increase in Vitamin D prescriptions for youths in England in 8 years – Dec 2019
- European Food Safety Authority (EFSA) found “paucity” of Vitamin D data for infants – Nov 2019
- Polish pediatric center: 40 percent took vitamin D – March 2019
- 34 percent increase in hospital admissions for low vitamin D in a single year (UK) – Feb 2019
- Romania joins Turkey in giving free Vitamin D to all infants – 2018
- Young white children helped by 1500 IU of vitamin D – Jan 2019
- UK infants are the least likely to get Vitamin D in Europe – political action overdue – April 2018
- When to start Vitamin D after European births - UK 180 days, many 6-31 days, the rest 1-5 days - Sept 2017
- 10X increase in cost of vitamin D per child-year in UK in 6 years - Aug 2017
- Vitamin D in European children – no consensus on “adequate” levels – April 2017
- High vitamin D levels in Romanian children – wonder why – May 2015
- 3X increase in UK children who are vitamin D deficient in just 5 years – Nov 2015
- Only 1 in 10 UK parents had been told about vitamin D by their child’s doctor – April 2015
- Only 1 in 4 UK children had EVER gotten vitamin D supplements – April 2015
- UK program to increase Vitamin D (Healthy Start) continues to be a farce - Nov 2014
- UK people and doctors still clueless about vitamin D – Survey Oct 2014
- 3X more kids were vitamin D deficient when entering UK hospitals than 4 years before – Oct 2014
- Vitamin D levels in Europe – Sept 2014
- Even after informing mothers of the importance of vitamin D supplementation few did so – Aug 2014
- Post-mortem analysis of children in London Hospital – only 1 child had adequate level of vitamin D – July 2014
- Danish study of childhood diseases vs vitamin D fortification – May 2013
- Presentation: pre and post natal vitamin D, with audience comments – Manchester UK Sept 2013
- Most European infants get vitamin D supplements, vs only 1 in 50 in US – June 2013
- UK Milk producer sets vitamin D day, yet UK milk rarely has vitamin D – March 31 2013
- Fewer than 15 percent of 5 year-olds getting vitamin D prescriptions in France – Nov 2012
- UK Day-Cares being offered grants to develop vitamin D methods – July 2012
- UK pediatricians have a lot to learn about vitamin D – May 2012
- Death of Babies in UK due to vitamin D deficiency – Jan 2012
- Nutritional Rickets in Denmark especially among immigrant children- Feb 2012
- Recommend 100 IU of vitamin D per kg of infant - Poland July 2011
- All babies in Ireland should have 200 IU of vitamin D - Feb 2011
- Chief UK Medical Officer recommends only 280 IU for children - Jan 2011
Download the PDF from VitaminDWikiGraphics in the PDF
BACKGROUND:
Nutritional rickets is a growing global public health concern despite existing prevention programs and health policies. We aimed to compare infant and childhood vitamin D supplementation policies, implementation strategies and practices across Europe and explore factors influencing adherence.METHODS:
European Society for Paediatric Endocrinology Bone and Growth Plate Working Group members and other specialists completed a questionnaire on country-specific vitamin D supplementation policy and child healthcare programs, socioeconomic factors, policy implementation strategies, and adherence. Factors influencing adherence were assessed using Kendall's tau-b correlation coefficient.RESULTS:
Responses were received from 29 of 30 European countries (97%). Ninety-six per cent had national policies for infant vitamin D supplementation. Supplements are commenced on day 1-5 in 48% (14/29) of countries, day 6-21 in 48% (14/29); only the UK (1/29) starts supplements at 6 months. Duration of supplementation varied widely (6 months to lifelong in at-risk populations). Good (≥80% of infants), moderate (50-79%) and low adherence (<50%) to supplements was reported by 59% (17/29), 31% (9/29) and 10% (3/29) of countries, respectively. UK reported lowest adherence (5-20%). Factors significantly associated with good adherence were universal supplementation independent of feeding mode (p=0.007), providing information at neonatal unit (NNU) discharge (p=0.02), financial family support (p=0.005); monitoring adherence at surveillance visits (p=0.001) and the total number of factors adopted (p<0.001).CONCLUSIONS:
Good adherence to supplementation is a multi-task operation that works best when parents are informed at birth, all babies are supplemented and adherence monitoring is incorporated into child health surveillance visits. Implementation strategies matter for delivering efficient prevention policies.PMID: 28924002 DOI: 10.1530/EC-17-0193
When to start Vitamin D after European births - UK 180 days, many 6-31 days, the rest 1-5 days - Sept 2017Printer Friendly Follow this page for updates2354 visitors, last modified 20 Sep, 2017, This page is in the following categories (# of items in each category)Attached files
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