Source:http://linkedlifedata.com/resource/pubmed/id/15585790
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6 Suppl
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pubmed:dateCreated |
2004-12-8
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pubmed:abstractText |
Reports of hypovitaminosis D among adults in the United States have drawn attention to the vitamin D status of children. National data on hypovitaminosis D among children are not yet available. Reports from 2000 and 2001 of rickets among children living in North Carolina, Texas, Georgia, and the mid-Atlantic region, however, confirmed the presence of vitamin D deficiency among some US children and prompted new clinical guidelines to prevent its occurrence. We reviewed reports of nutritional rickets among US children <18 y of age that were published between 1986 and 2003. We identified 166 cases of rickets in 22 published studies. Patients were 4-54 mo of age, although in 17 studies the maximal age was <30 mo. Approximately 83% of children with rickets were described as African American or black, and 96% were breast-fed. Among children who were breast-fed, only 5% of records indicated vitamin D supplementation during breast-feeding. The American Academy of Pediatrics (AAP) recently recommended a minimal intake of 200 IU/d vitamin D for all infants, beginning in the first 2 mo of life. AAP recommends a vitamin D supplement for breast-fed infants who do not consume at least 500 mL of a vitamin D-fortified beverage. Given our finding of a disproportionate number of rickets cases among young, breast-fed, black children, we recommend that education regarding AAP guidelines emphasize the higher risk of rickets among these children. Education should also emphasize the importance of weaning children to a diet adequate in both vitamin D and calcium.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0002-9165
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
80
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
1697S-705S
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:15585790-Adolescent,
pubmed-meshheading:15585790-African Continental Ancestry Group,
pubmed-meshheading:15585790-Breast Feeding,
pubmed-meshheading:15585790-Child,
pubmed-meshheading:15585790-Child, Preschool,
pubmed-meshheading:15585790-Child Nutrition Disorders,
pubmed-meshheading:15585790-Female,
pubmed-meshheading:15585790-Guidelines as Topic,
pubmed-meshheading:15585790-Humans,
pubmed-meshheading:15585790-Infant,
pubmed-meshheading:15585790-Male,
pubmed-meshheading:15585790-Nutrition Policy,
pubmed-meshheading:15585790-Rickets,
pubmed-meshheading:15585790-United States
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pubmed:year |
2004
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pubmed:articleTitle |
Nutritional rickets among children in the United States: review of cases reported between 1986 and 2003.
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pubmed:affiliation |
Maternal Child Nutrition Branch, Division of Nutrition and Physical Activity, Centers for Disease Control and Prevention, Atlanta, GA 30341-3724, USA.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Review,
Meta-Analysis
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