Sherman Eric M, Svec Rita V
Department of Pediatrics, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA.
Mil Med. 2009 Mar;174(3):302-7. doi: 10.7205/milmed-d-01-4708.
We surveyed military pediatricians and family physicians about barriers to vitamin D supplementation.
We obtained lists of uniformed members of the American Academy of Pediatrics (AAP) and American Academy of Family Practice (AAFP). Three hundred individuals were randomly selected from each group and surveyed about: (1) practice habits; (2) vitamin D use and barriers to supplementation; (3) demographic factors.
Pediatricians were 40% more likely to be aware of AAP recommendations about vitamin D (p < 0.001) and 40% more likely to prescribe vitamin D to exclusively breastfed infants (p < 0.001). The most common reason for not recommending vitamin D was the belief that breastfed infants received adequate sunlight.
Most military pediatricians supplement breastfed infants with vitamin D. Military family physicians are less likely to supplement breastfed infants and are targets for educational interventions. Many physicians mistakenly believe that adequate sunlight exposure prevents vitamin D deficiency, another focus for future interventions.
我们就维生素D补充的障碍对军队儿科医生和家庭医生进行了调查。
我们获取了美国儿科学会（AAP）和美国家庭医疗学会（AAFP）的现役会员名单。从每组中随机选取300人，并就以下方面进行调查：（1）执业习惯；（2）维生素D的使用及补充障碍；（3）人口统计学因素。
儿科医生了解AAP关于维生素D建议的可能性要高40%（p<0.001），给纯母乳喂养婴儿开维生素D处方的可能性也要高40%（p<0.001）。不推荐维生素D的最常见原因是认为母乳喂养婴儿接受了充足的阳光照射。
大多数军队儿科医生会给母乳喂养婴儿补充维生素D。军队家庭医生给母乳喂养婴儿补充维生素D的可能性较小，是教育干预的对象。许多医生错误地认为充足的阳光照射可预防维生素D缺乏，这是未来干预的另一个重点。
