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Vitamin D deficiency in pediatric clinical practice
Gustavo Cediel1, Johanna Pacheco-Acosta2, Carlos CastiUo-Durdn2
1Instituto de Nutrición y Tecnología de los Alimentos (INTA), Universidad de Chile. gcediel@inta.uchile.cl.
Insights
Vitamin D deficiency (VDD) is common in children with various health issues, including infections and autoimmune diseases. Preventing VDD and maintaining adequate vitamin D levels are crucial for pediatric health.
Area of Science:
- Pediatric Endocrinology
- Nutritional Science
- Clinical Medicine
Background:
- Emerging research indicates vitamin D's role extends beyond bone metabolism.
- Vitamin D deficiency (VDD) is increasingly recognized in various pediatric conditions.
Purpose of the Study:
- To provide an updated review of vitamin D deficiency (VDD) in pediatric clinical disorders.
- To synthesize current evidence on the impact of VDD in children and adolescents.
Main Methods:
- Comprehensive literature search of virtual libraries.
- Prioritization of clinical, longitudinal studies, and meta-analyses.
- Focused on the pediatric age group published within the last 20 years using specific search terms.
Main Results:
- VDD in pediatrics is linked to bone alterations, insulin resistance, metabolic syndrome, respiratory infections, asthma, and autoimmune diseases.
- Associated factors include prematurity, obesity, malabsorption, anticonvulsant use, and lifestyle factors like limited sun exposure.
- High prevalence of VDD observed across multiple pediatric disorders.
Conclusions:
- VDD is highly prevalent in various pediatric disorders and diseases.
- Recommendations include VDD prevention in at-risk children.
- Maintain serum 25(OH)D levels above 75 nmol/L for optimal pediatric health.
Introduction:
Vitamin D research suggests it has a role in disorders other than bone metabolism.
Objective:
To update the information on vitamin D deficiency (VDD) in pediatric clinical disorders.
Methods:
Search in virtual libraries, giving priority to clinical and longitudinal studies and meta-analyses on VDD in the pediatric age group published in the past 20 years. The terms "vitamin D deficiency", "children and adolescents" (both in Spanish and English) were used as search descriptors.
Results:
In the pediatric population, VDD is associated with different clinical diseases, such as bone alterations, insulin resistance, metabolic syndrome, respiratory tract infections, asthma, and autoimmune diseases. Besides, it is associated with prematurity, obesity, malabsorption, use of anticonvulsant agents, and lifestyle characteristics, such as clothing, extreme latitudes, low consumption, and little sun exposure.
Conclusions:
According to the evidence, VDD is highly prevalent in several disorders and diseases in the pediatric age group. The recommendation is to prevent VDD in risk conditions and to maintain 25(OH)D serum levels > 75 nmol/L.
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