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Description of the use of Vitamin D in children aged 0-18 months
Margot Vrignaud1, Stéphanie Provôt2, Fabienne Aubin3
1Nantes University, CHU Nantes, Pharmacy, F-44000 Nantes, France.
Insights
Vitamin D supplementation for young children shows significant disparities in administration and parental understanding. Misinformation is widespread, necessitating improved public education on vitamin D
Area of Science:
- Pediatrics
- Public Health
- Nutritional Science
Background:
- Recent years have seen increased vitamin D intoxication cases in children, linked to natural medicine trends and health authority alerts.
- Parental concerns and varying opinions on vitamin D supplementation are prevalent.
- Disparities exist in vitamin D administration practices.
Purpose of the Study:
- To describe vitamin D intake patterns in children under 18 months in Western France.
- To identify factors influencing vitamin D supplementation, including caregiver knowledge and drug administration.
- To highlight misinformation surrounding vitamin D.
Main Methods:
- Data collected from caregivers and on drug administration for 506 patients under 18 months.
- Information gathered included caregiver demographics, pregnancy supplementation, patient details, and vitamin D product specifics (prescriber, form, dosage, omissions).
- Surveys were conducted in three hospitals and via social networks.
Main Results:
- Vitamin D was not administered in 7% of cases due to lack of prescription.
- Food supplements were used by 16% of respondents.
- Only 43% of mothers received vitamin D supplementation during pregnancy.
- Significant variation in opinions on vitamin D's usefulness was noted, from skepticism to strong confidence.
Conclusions:
- There is a significant disparity in vitamin D administration and a prevalence of misinformation among the French population.
- Targeted educational strategies, including leaflets and public media campaigns, are needed to improve understanding of vitamin D's role.
- Addressing parental confusion and ensuring proper prescription and administration are crucial for child health.
Abstract:
Following the alerts issued by the French health authorities and the craze among parents wishing to use natural medicine, many cases of intoxication have occurred in recent years. We aimed to describe vitamin D intake by patients under 18 months of age in three hospitals in the Great West of France and via social networks. Data were collected on the caregivers (age, place of residence, vitamin D supplementation during mother's pregnancy, opinion on vitamin D), the patient (age, place in sibling group, diet), and the drug (prescriber, origin, form prescribed versus administered, dosage, medication or dietary supplement, number of omissions, reason for non-administration if any). Five hundred six responses were collected, highlighting a disparity in vitamin D administration in drug and dietary supplement form. Vitamin D was not administered in 7 % of the responses collected because there was no initial or renewed prescription). Food supplement was given to 77, i.e., 16 % of respondents. Only 43 % of mothers received supplementation during pregnancy. One person mentioned being very careful with the dosage as there had been a case of overdosing in their family. There were many different opinions expressed on the usefulness of supplementation: from "no interest," "gives colic," and "questionable composition," to "I am confused," and also "essential" or "I have complete confidence in my doctor." Misinformation about vitamin D supplementation persists in the French population and leads us to consider how to educate the population about the role of vitamin D: handing out leaflets in maternity wards, increasing communication in magazines accessible to the general public, a media campaign, etc.
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