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Related Experiment Videos

Nutritional rickets in San Diego.

I Hayward, M T Stein, M I Gibson

    American Journal of Diseases of Children (1960)
    |October 1, 1987
    PubMed
    Summary

    Nutritional rickets can affect breast-fed infants even in sunny climates. Pediatricians should ensure all nursing infants receive vitamin D supplements to prevent this condition.

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    Area of Science:

    • Pediatrics
    • Nutritional Science
    • Public Health

    Background:

    • Infants can synthesize vitamin D from sunlight, but nutritional rickets still occurs.
    • Nutritional rickets is a concern even in sunny regions.
    • Breast-fed infants are at risk, especially with limited sun exposure and darker skin pigmentation.

    Observation:

    • A case of nutritional rickets in a 1-year-old breast-fed infant in San Diego was reported.
    • Predisposing factors included unsupplemented breast milk, limited sunlight exposure, and darkly pigmented skin.
    • A survey of San Diego pediatricians revealed that 29% do not prescribe vitamin D supplements for breast-fed infants.

    Findings:

    • Pediatricians in practice for less than ten years were less likely to recommend vitamin D supplements.
    • A significant percentage of healthcare providers are not adhering to recommended supplementation practices.
    • The study highlights a gap in vitamin D supplementation for at-risk infant populations.

    Implications:

    • Vitamin D supplementation is crucial for all breast-fed infants, regardless of climate.
    • Healthcare providers need education on rickets prevention in infants.
    • Public health strategies should emphasize vitamin D supplementation for vulnerable infants.

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