Clinical characteristics and prevalence of vitamin D insufficiency in children less than two years of age / 소아과
Korean Journal of Pediatrics
;
: 298-303, 2011.
Artigo
em Inglês
| WPRIM
| ID: wpr-158742
ABSTRACT
PURPOSE:
To evaluate the clinical characteristics of vitamin D deficiency and its association with iron deficiency anemia (IDA).METHODS:
A total of 171 children aged less than two years underwent 25-hydroxyvitamin D3 tests between January 2007 and July 2009. The study was classified into two groups normal and vitamin D insufficiency, by their vitamin 25-hydroxyvitamin D3 levels.RESULTS:
In total, 120 children were in the normal group (mean age, body weight and heights 12.5+/-7.0, 9.3+/-0.9 kg and 76.8+/-1.1 cm), and 51 children in the vitamin D insufficiency group (9.9+/-5.4 months, 9.0+/-0.9 kg and 75.1+/-0.9 cm). Vitamin D insufficiency was most commonly diagnosed in the spring (44%). The proportion of complete breast-feeding was higher in the insufficiency (92%), and 25.5% of the children in the deficient group also experienced IDA compared that 12% of normal group. Ten children in the insufficiency group experienced bony changes. Six children received calcitriol medication in the normal group, in whom the mean vitamin 25-hydroxyvitamin D3 level increased from 39.6+/-14.6 ng/mL (pre-medication) to 41.8+/-17.2 ng/mL (post-medication), and 13 in the insufficiency group, in whom the mean vitamin 25-hydroxyvitamin D3 increased from 20.7+/-7.0 ng/mL to a mean post-treatment level of 43.7+/-23.8 ng/mL.CONCLUSION:
This study demonstrated that approximately 30% of children aged < or =2 years experienced vitamin D insufficiency associated with subclinical rickets. Many children also experienced concurrent IDA. Guidelines for vitamin D supplement in such children must therefore be established.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Raquitismo
/
Vitamina D
/
Deficiência de Vitamina D
/
Vitaminas
/
Peso Corporal
/
Calcifediol
/
Calcitriol
/
Prevalência
/
Anemia Ferropriva
/
Anemia
Tipo de estudo:
Guia de Prática Clínica
/
Estudo de prevalência
Limite:
Idoso
/
Criança
/
Humanos
Idioma:
Inglês
Revista:
Korean Journal of Pediatrics
Ano de publicação:
2011
Tipo de documento:
Artigo
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