van der Linden-Kuiper A T, Bunge-van Lent F C, Boere-Boonekamp M M
Groene Kruis Heuvelland, Maastricht.
Ned Tijdschr Geneeskd. 1999 Oct 23;143(43):2146-50.
To inventory the use of colecalciferol in children aged 1-4 years.
Cross-sectional.
Fifteen health centre physicians throughout the Netherlands in April 1998 collected data on the use of colecalciferol among children aged 1 to 4 years. At the periodical medical examination, parents were asked if their child was given colecalciferol and if so, the name of the preparation and the dosage. The child's age and the mother's country of origin were also recorded.
660 Children were evaluated: 190 aged 1 year, 200 aged 2 years, 220 aged 3 years and 50 aged 4 years. There existed a 'top five' of preparations used by 72% of the parents. Fifty-seven per cent of the children (almost) daily received the dose of colecalciferol recommended by the Dutch Health Council (10-15 micrograms). Fifteen per cent received no suppletion at all. The percentage of nonusers increased with age from 9% of those aged 1 year to 26% of those aged 4 years. Of the children given some form of suppletion (almost) every day, 81% received the recommended dose, 16% too little and 3% too much. Suppletion according to the recommendations was found more often for children of European mothers than for children of non-European mothers. Enquiries among all university hospitals left the impression that rickets is infrequent among otherwise healthy children.
统计1至4岁儿童中维生素D3的使用情况。
横断面研究。
1998年4月，荷兰各地的15名健康中心医生收集了1至4岁儿童使用维生素D3的数据。在定期体检时，询问家长他们的孩子是否服用了维生素D3，如果服用了，询问制剂名称和剂量。还记录了孩子的年龄和母亲的原籍国。
对660名儿童进行了评估：190名1岁，200名2岁，220名3岁，50名4岁。72%的家长使用的制剂有“前五名”。57%的儿童（几乎）每天服用荷兰健康委员会推荐的维生素D3剂量（10 - 15微克）。15%的儿童根本没有补充。未使用者的比例随着年龄增长从1岁儿童的9%上升到4岁儿童的26%。在（几乎）每天接受某种形式补充的儿童中，81%接受了推荐剂量，16%剂量不足，3%剂量过量。欧洲母亲的孩子比非欧洲母亲的孩子更常按照推荐进行补充。对所有大学医院的调查显示，在其他方面健康的儿童中佝偻病并不常见。
