Division of Pediatric Emergency Medicine, Emory University School of Medicine, USA.
Curr Opin Pediatr. 2009 Dec;21(6):817-23. doi: 10.1097/MOP.0b013e328332c62d.
To review the recent literature on three topics that are important in pediatric office practice: vitamin D deficiency, eosinophilic esophagitis, and health literacy. Review of current literature will help pediatricians understand the prevalence of vitamin D deficiency, its potential negative health effects, and vitamin D supplementation guidelines. This article also provides practitioners with current knowledge of the evaluation and treatment of eosinophilic esophagitis. The article concludes with a summary of recent literature on health literacy and available techniques to improve patient education.
Vitamin D deficiency in pediatric and adolescent patients is extremely common and has potential negative skeletal and extra-skeletal effects. Eosinophilic esophagitis is an increasingly recognized problem. Pediatric patients benefit from early recognition and treatment of the disease. There are effective techniques that improve patient health literacy.
Vitamin D deficiency, eosinophilic esophagitis, and poor health literacy are three important problems that potentially negatively impact the lives of children and adolescents. Pediatricians should regularly counsel their patients regarding appropriate vitamin D intake. Practitioners should be aware of the clinical presentation of eosinophilic esophagitis. Pediatricians should utilize strategies to improve patient education with the goal of improving health outcomes.
回顾有关儿科临床实践中三个重要主题的最新文献：维生素 D 缺乏、嗜酸性食管炎和健康素养。对现有文献的回顾将帮助儿科医生了解维生素 D 缺乏的流行情况、其潜在的健康影响以及维生素 D 补充指南。本文还为临床医生提供了有关嗜酸性食管炎的评估和治疗的最新知识。本文最后总结了最近关于健康素养和提高患者教育的可用技术的文献。
儿科和青少年患者的维生素 D 缺乏极为常见，且可能对骨骼和骨骼外产生负面影响。嗜酸性食管炎是一个日益被认识到的问题。儿童患者受益于早期识别和治疗该疾病。有一些有效的技术可以提高患者的健康素养。
维生素 D 缺乏、嗜酸性食管炎和较差的健康素养是三个可能对儿童和青少年生活产生负面影响的重要问题。儿科医生应定期向患者提供有关适当维生素 D 摄入的咨询。临床医生应了解嗜酸性食管炎的临床表现。儿科医生应利用策略来改善患者教育，以改善健康结局。
