Vitamin D: still a topical matter in children and adolescents. A position paper by the Committee on Nutrition of the French Society of Paediatrics.

Details

Serval ID
serval:BIB_B59D6BE70CA6
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Title
Vitamin D: still a topical matter in children and adolescents. A position paper by the Committee on Nutrition of the French Society of Paediatrics.
Journal
Archives de Pédiatrie
Author(s)
Vidailhet M., Mallet E., Bocquet A., Bresson J.L., Briend A., Chouraqui J.P., Darmaun D., Dupont C., Frelut M.L., Ghisolfi J., Girardet J.P., Goulet O., Hankard R., Rieu D., Simeoni U., Turck D.
Working group(s)
Comité de nutrition de la Société française de pédiatrie
ISSN
1769-664X (Electronic)
ISSN-L
0929-693X
Publication state
Published
Issued date
2012
Peer-reviewed
Oui
Volume
19
Number
3
Pages
316-328
Language
english
Notes
Publication types: Journal Article, pdf : Recommendations
Abstract
The aims of the present position paper by the Committee on Nutrition of the French Society of Paediatrics were to summarize the recently published data on vitamin D in infants, children and adolescents, i.e., on metabolism, physiological effects, and requirements and to make recommendations on supplementation after careful review of the evidence. Scientific evidence indicates that calcium and vitamin D play key roles in bone health. The current evidence, limited to observational studies, however, does not support other benefits for vitamin D. More targeted research should continue, especially interventional studies. In the absence of any underlying risk of vitamin D deficiency, the recommendations are as follows: pregnant women: a single dose of 80,000 to 100,000 IU at the beginning of the 7th month of pregnancy; breastfed infants: 1000 to 1200 IU/day; children less than 18 months of age, receiving milk supplemented with vitamin D: an additional daily dose of 600 to 800 IU; children less than 18 months of age receiving milk not supplemented with vitamin D: daily dose of 1000 to 1200 IU; children from 18 months to 5 years of age: 2 doses of 80,000 to 100,000 IU every winter (November and February). In the presence of an underlying risk of vitamin D deficiency (dark skin; lack of exposure of the skin to ultraviolet B [UVB] radiation from sunshine in summer; skin disease responsible for decreased exposure of the skin to UVB radiation from sunshine in summer; wearing skin-covering clothes in summer; intestinal malabsorption or maldigestion; cholestasis; renal insufficiency; nephrotic syndrome; drugs [rifampicin; antiepileptic treatment: phenobarbital, phenytoin]; obesity; vegan diet), it may be justified to start vitamin D supplementation in winter in children 5 to 10 years of age as well as to maintain supplementation of vitamin D every 3 months all year long in children 1 to 10 years of age and in adolescents. In some pathological conditions, doses of vitamin D can be increased. If necessary, the determination of 25(OH) vitamin D serum concentration will help determine the level of vitamin D supplementation.
Keywords
Adolescent, Adult, Age Factors, Bone Development/physiology, Calcium/administration & dosage, Calcium/physiology, Child, Child, Preschool, Female, Humans, Infant, Infant, Newborn, Male, Nutrition Policy, Nutritional Requirements, Pediatrics, Pregnancy, Reference Values, Seasons, Societies, Medical, Vitamin D/administration & dosage, Vitamin D/physiology, Vitamin D Deficiency/drug therapy, Vitamin D Deficiency/etiology
Pubmed
Web of science
Create date
22/02/2015 12:06
Last modification date
20/08/2019 15:24
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