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Update on perinatal and pediatric vitamin D


    Context: Vitamin D has emerged as a topic of great interest among researchers. Recent evidence indicates that today the world is facing vitamin D deficiency pandemic. Sensitizing pediatricians to widespread vitamin D deficiency in children and benefits accrued from it’s correction would go a long way as far as clinical practice and public health is concerned. Evidence Acquisition: We performed a literature search using PubMed/medline, EMBASE and Science Direct databases indexed under the Medical Subject Heading (MeSH) terms; “Vitamin D OR Vitamin D deficiency” combined with the terms “children” OR “pediatric” OR “child health”. The literature search was limited to articles in last 35 years and written in the English language. All articles having direct relevance to the present review were searched. Reference lists of all articles were also reviewed. Emphasis was placed on pediatric literature, although sentinel adult studies relevant to this article have been included. Latest editions of standard texts were also searched. Results: Vitamin D deficiency is highly prevalent throughout the world including India. Though some evidence suggests a role of hypovitaminosis D in pathophysiology of many clinical situations other than rickets and osteomalacia like autoimmune diseases, cardiovascular diseases, infections, cancers, fetal health, and exercise performance, some authorities feel there is a lack of unequivocal evidence in favour of nonskeletal health benefits of vitamin D. Conclusions: Widespread subclinical and pre-rachitic vitamin D deficiency in children should be diagnosed by serum 25(OH)D levels and these levels should be maintained above 20 ng/mL to obtain optimal health benefits. There is a need for large randomized clinical trials to investigate the nonskeletal benefits of vitamin D deficiency.

    Keywords: Vitamin D, Deficiency, Child health, Hypovitaminosis D, Rickets

Article Information

Sr No: 2
Page No: 85-92
Cited By
Language: English
Licence: IJW
Authors: V. K. TANDON*

Authors Address*Senior consultant, Chhatrapati Shahu ji Maharaj University, Kanpur
Uttar Pradesh-208024, India
Correspondence to: email-