Paper
Vitamin D in pediatric health and disease
Published Feb 1, 2020 · D. Peroni, Irene Trambusti, M. D. Di Cicco
Pediatric Allergy and Immunology
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Abstract
Several scientific societies established that vitamin D (VD), in its metabolized form 25(OH)D, levels higher than 20 ng/mL are sufficient to ensure optimal bone health, while 25(OH)D levels higher than 30 ng/mL are needed to favor VD extraskeletal actions. However, it has been estimated that approximately 30% of children and 60% of adults worldwide are VD deficient and insufficient, respectively. This is the reason why it is important to provide a practical approach to VD supplementation for infants, children, and adolescents. It is the pediatrician's role to evaluate the modifiable lifestyle risk factors for deficiency, particularly a reduced sun exposure, following an evidence‐based approach, and to suggest VD supplementation only when there is a rational reason to support its use.
Vitamin D supplementation is crucial for optimal bone health in children, but pediatricians should consider lifestyle risk factors and only suggest it when rational reasons exist for its use.
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