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
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