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儿童维生素 D 补充:指南综述。

Vitamin D Supplementation in Childhood - A Review of Guidelines.

机构信息

Department of Pediatrics, Government Medical College and Hospital, Sector 32, Chandigarh, 160030, India.

出版信息

Indian J Pediatr. 2018 Mar;85(3):194-201. doi: 10.1007/s12098-017-2476-0. Epub 2017 Sep 30.

Abstract

Vitamin D, a unique vitamin with endocrine function is required in the human body primarily for calcium homeostasis and possibly several other functions. Deficiency of the vitamin is extremely frequent world-wide. Studies on Indian population place the prevalence of deficiency at 70 to 100% in healthy individuals. There are several guidelines available on definition of vitamin D deficiency and supplementation in healthy children and adults. Sufficiency or deficiency of the vitamin depend upon the levels of 25OHD and various cut-offs are suggested by different groups formulating the guidelines. Although the vitamin is synthesized in the skin with the help of sunlight, it is mostly agreed by various groups that oral supplementation must be done in infants and in certain high risk groups. No such formal guidelines currently exist for Indian children though there is a need to develop one.

摘要

维生素 D 是一种独特的具有内分泌功能的维生素,人体主要需要它来维持钙的平衡,可能还有其他一些功能。全世界范围内,维生素 D 缺乏极其普遍。对印度人口的研究表明,健康人群中维生素 D 缺乏的患病率为 70%至 100%。目前有一些关于健康儿童和成人维生素 D 缺乏和补充的指南。维生素 D 的充足或缺乏取决于 25OHD 的水平,不同的制定指南的团体提出了不同的界限。虽然维生素 D 可以在皮肤中通过阳光合成,但各个团体普遍认为,婴儿和某些高危人群必须进行口服补充。尽管印度儿童有制定这样的指南的需求,但目前还没有这样的正式指南。

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