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Nutritional rickets in Turkey.

Behzat Ozkan1

  • 1Ataturk University, Pediatric Endocrinology, Erzurum, Turkey.

The Eurasian Journal of Medicine
|January 23, 2015
PubMed
Summary
This summary is machine-generated.

Nutritional rickets (NR), a bone disease, is common in Turkey due to vitamin D deficiency. Supplementation is crucial to prevent skeletal issues and long-term health problems.

Keywords:
Nutritional ricketsTurkey

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Area of Science:

  • Pediatrics
  • Endocrinology
  • Public Health

Background:

  • Nutritional rickets (NR) is a prevalent developmental bone disease in Turkey.
  • Etiology ranges from vitamin D to calcium deficiency, with vitamin D deficiency being the primary cause in Turkey.
  • Infant vitamin D deficiency is linked to increased risk of diabetes mellitus, cancer, and multiple sclerosis.

Purpose of the Study:

  • To highlight the significant incidence of nutritional rickets in Turkey.
  • To discuss the multifactorial causes of vitamin D deficiency contributing to NR.
  • To emphasize the importance of adequate vitamin D supplementation for skeletal health.

Main Methods:

  • Diagnosis relies on comprehensive medical history and physical examination.
  • Laboratory evaluation is essential for confirming the diagnosis.
  • Literature review on optimal vitamin D levels and their benefits.

Main Results:

  • Vitamin D deficiency significantly impacts short- and long-term skeletal development.
  • Factors contributing to deficiency include reduced sun exposure, indoor lifestyles, and traditional clothing.
  • Maternal vitamin D deficiency and unsupplemented breastfeeding are key issues in Turkey.

Conclusions:

  • Adequate vitamin D supplementation is necessary to achieve serum 25-hydroxyvitamin D levels of at least 20 ng/ml (50 nmol/l).
  • This level optimizes calcium absorption, reduces parathyroid hormone secretion, and lowers fracture risk.
  • Preventing and treating vitamin D deficiency is crucial for mitigating long-term negative health effects.