Prevention and treatment of infant and childhood vitamin D deficiency in Australia and New Zealand : a consensus statement

Prevention and treatment of infant and childhood vitamin D deficiency in Australia and New Zealand : a consensus statement

Munns, Craig, Zacharin, Margaret R., Rodda, Christine P., Batch, Jennifer A., Morley, Ruth, Cranswick, Noel E., Craig, Maria E., Cutfield, Wayne S., Hofman, Paul L., Taylor, Barry J., Grover, Sonia R., Pasco, Julie A., Burgner, David and Cowell, Christopher T. 2006, Prevention and treatment of infant and childhood vitamin D deficiency in Australia and New Zealand : a consensus statement, Medical journal of Australia, vol. 185, no. 5, pp. 268-272.

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Title	Prevention and treatment of infant and childhood vitamin D deficiency in Australia and New Zealand : a consensus statement
Author(s)	Munns, Craig Zacharin, Margaret R. Rodda, Christine P. Batch, Jennifer A. Morley, Ruth Cranswick, Noel E. Craig, Maria E. Cutfield, Wayne S. Hofman, Paul L. Taylor, Barry J. Grover, Sonia R. Pasco, Julie A. Burgner, David Cowell, Christopher T.
Journal name	Medical journal of Australia
Volume number	185
Issue number	5
Start page	268
End page	272
Total pages	5
Publisher	Australasian Medical Publishing Company
Place of publication	Sydney, N.S.W.
Publication date	2006-09-04
ISSN	0025-729X 1326-5377
Keyword(s)	vitamin D infant and childhood vitamin D deficiency
Summary	• Vitamin D deficiency has re-emerged as a significant paediatric health issue, with complications including hypocalcaemic seizures, rickets, limb pain and fracture. • A major risk factor for infants is maternal vitamin D deficiency. For older infants and children, risk factors include dark skin colour, cultural practices, prolonged breastfeeding, restricted sun exposure and certain medical conditions. • To prevent vitamin D deficiency in infants, pregnant women, especially those who are dark-skinned or veiled, should be screened and treated for vitamin D deficiency, and breastfed infants of dark-skinned or veiled women should be supplemented with vitamin D for the first 12 months of life. • Regular sunlight exposure can prevent vitamin D deficiency, but the safe exposure time for children is unknown. • To prevent vitamin D deficiency, at-risk children should receive 400 IU vitamin D daily; if compliance is poor, an annual dose of 150 000 IU may be considered. • Treatment of vitamin D deficiency involves giving ergocalciferol or cholecalciferol for 3 months (1000 IU/day if < 1 month of age; 3000 IU/ day if 1-12 months of age; 5000 IU/day if > 12 months of age). • High-dose bolus therapy (300 000-500 000 IU) should be considered for children over 12 months of age if compliance or absorption issues are suspected.
Language	eng
Field of Research	119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective	970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category	C1.1 Refereed article in a scholarly journal
Copyright notice	©2006, Australasian Medical Publishing Company
Persistent URL	http://hdl.handle.net/10536/DRO/DU:30042790

Document type:	Journal Article
Collection:	School of Medicine

Citation counts:	Cited 79 times in TR Web of Science Cited 93 times in Scopus
Access Statistics:	19 Abstract Views, 1 File Downloads - Detailed Statistics
Created:	Thu, 01 Mar 2012, 10:34:02 EST

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