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Updated: Dec 17, 2025

Scanning Skeletal Remains for Bone Mineral Density in Forensic Contexts
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Global consensus on nutritional rickets: Implications for Australia.

Aris Siafarikas1,2,3,4, Peter Simm5,6,7, Margaret Zacharin5,6,7

  • 1Department of Endocrinology and Diabetes, Perth Children's Hospital, Perth, Western Australia, Australia.

Journal of Paediatrics and Child Health
|June 23, 2020
PubMed
Summary
This summary is machine-generated.

Global guidelines for nutritional rickets management recommend higher vitamin D doses than Australian and New Zealand guidelines. Routine screening in healthy children is not advised, focusing instead on at-risk populations and public health strategies.

Keywords:
endocrinologygeneral paediatricsvitamin D supplementation

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Area of Science:

  • Pediatric Endocrinology
  • Nutritional Science
  • Public Health

Background:

  • A 2016 global consensus on nutritional rickets was published.
  • Australasian Paediatric Endocrine Group (APEG) reviewed this consensus.
  • Comparison made between global guidelines and existing Australian and New Zealand (ANZ) guidelines on vitamin D deficiency.

Purpose of the Study:

  • To summarize the global consensus on nutritional rickets.
  • To highlight differences between global and ANZ guidelines.
  • To discuss implications for clinicians in Australia and New Zealand.

Main Methods:

  • Comparative analysis of the 2016 global consensus document and previous ANZ guidelines.
  • Focus on definitions, screening recommendations, supplementation dosages, and public health strategies.
  • Expert group review and summary by the APEG bone and mineral working group.

Main Results:

  • Global consensus focuses on nutritional rickets; ANZ guidelines focus on vitamin D deficiency.
  • Definitions for 25-hydroxy vitamin D (25OHD) levels are consistent.
  • Global consensus advises against routine 25OHD screening in healthy children, recommending it for at-risk groups.
  • Global consensus suggests higher vitamin D therapy dosages for diagnosed nutritional rickets compared to ANZ publications.
  • Global consensus advocates for public health strategies like universal infant supplementation and food fortification.

Conclusions:

  • Updated global recommendations for nutritional rickets therapy complement existing ANZ statements.
  • Differences in therapeutic dosages and screening approaches exist.
  • Further exploration needed for screening, management, and public health strategies implementation in Australia.