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[Nutritional rickets. An old disease with new relevance]
1Barneavdelingen, Ullevål sykehus, Oslo.
Summary
Nutritional rickets is rare in Norwegian children but common in immigrants due to vitamin D deficiency, lack of supplementation, and limited sun exposure. This review covers clinical findings, diagnosis, treatment, and prevention strategies.
Area of Science:
- Pediatrics
- Nutritional Science
- Public Health
Background:
- Rickets, historically prevalent due to poor nutrition, is now rare in native Norwegian children.
- A resurgence of rickets has been observed in immigrant children in Norway over the past two decades.
Observation:
- The increased incidence among immigrant children is linked to factors including maternal vitamin D deficiency.
- Other contributing factors include insufficient vitamin D supplementation, prolonged breastfeeding, and reduced sun exposure due to latitude and lifestyle.
Findings:
- The paper details the clinical presentation of rickets in this population.
- Diagnostic methods and effective treatment protocols are reviewed.
- Prevention strategies are discussed, focusing on addressing the identified risk factors.
Implications:
- Highlights the need for targeted public health interventions for at-risk immigrant communities.
- Emphasizes the importance of vitamin D supplementation and education on sun exposure.
- Underscores the role of socioeconomic and cultural factors in pediatric health outcomes.