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我们应该如何给予维生素 D 补充?土耳其儿科医生知识的评估。

How should we give vitamin D supplementation? evaluation of the pediatricians' knowledge in Turkey.

机构信息

Department of Pediatrics, Sisli Hamidiye Etfal Education and Research Hospital, University of Health Sciences, Istanbul, Turkey.

Department of Pediatrics, Bakırköy Dr. Sadi Konuk Education and Research Hospital, University of Health Sciences, Istanbul, Turkey.

出版信息

Ital J Pediatr. 2017 Oct 17;43(1):95. doi: 10.1186/s13052-017-0415-3.


DOI:10.1186/s13052-017-0415-3
PMID:29041957
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5646103/
Abstract

BACKGROUND: We aimed to determine the knowledge and attitudes of Turkish pediatricians concerning vitamin D supplement. METHODS: The study was planned cross-sectional to be carried out between April-May 2015 in Turkey. A questionnaire form that determined the participants' opinions and practices concerning vitamin D supplement was completed via face-to-face interview. RESULTS: A total of 107 pediatricians (49.3%) and 110 pediatric residents (50.7%) participated in the study. Of the physicians, 85.2% recommended vitamin D supplement for all infants and children regardless of diet, 13.4% recommended for the infants which are solely breastfed. Vitamin D supplement is recommended at a dose of 400 IU/day by 88.8% of pediatricians and by 90% of pediatric residents. Of the pediatricians and pediatric residents, 72% and 68.2%, respectively commence vitamin D supplement when the newborn is 15 days old. The rates of recommending vitamin D supplement until the age of one and two years were higher among pediatricians (48.6% and 41.1%, respectively) than pediatric residents (40.9% and 32.7%, respectively). The rate of starting vitamin D supplement for fontanelle closure was significantly higher among pediatric residents (15.5%) than pediatricians (3.7%) (p = 0.002). It was determined that the rate of prescribing vitamin D supplement until fontanelle closure was higher among pediatric residents (18.2%) than pediatricians (0.9%). CONCLUSIONS: The present study suggest that the knowledge of pediatricians about recommendation of vitamin D needs to be enhanced by education programs in addition to free vitamin D supplement provided by the Ministry of Health.

摘要

背景:我们旨在确定土耳其儿科医生对维生素 D 补充剂的知识和态度。

方法:本研究计划于 2015 年 4 月至 5 月在土耳其进行横断面研究。通过面对面访谈完成了一份问卷,该问卷确定了参与者对维生素 D 补充剂的意见和做法。

结果:共有 107 名儿科医生(49.3%)和 110 名儿科住院医师(50.7%)参加了这项研究。在这些医生中,85.2%建议所有婴儿和儿童(无论饮食如何)补充维生素 D,13.4%建议仅母乳喂养的婴儿补充。88.8%的儿科医生和 90%的儿科住院医师建议维生素 D 补充剂量为 400IU/天。72%的儿科医生和 68.2%的儿科住院医师在新生儿 15 天大时开始补充维生素 D。儿科医生(分别为 48.6%和 41.1%)建议在 1 岁和 2 岁时补充维生素 D 的比例高于儿科住院医师(分别为 40.9%和 32.7%)。儿科住院医师(15.5%)开始补充维生素 D 以闭合囟门的比例明显高于儿科医生(3.7%)(p=0.002)。研究发现,儿科住院医师(18.2%)开具直到囟门闭合的维生素 D 补充剂的比例高于儿科医生(0.9%)。

结论:本研究表明,除了卫生部提供的免费维生素 D 补充剂外,还需要通过教育计划来提高儿科医生对维生素 D 推荐的认识。

相似文献

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[10]
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引用本文的文献

[1]
Shedding light on the next pandemic path, from outpatient to ICU, the effect of vitamin D deficiency in the SARS-CoV-2 pandemic.

Front Nutr. 2024-1-8

[2]
Use of Dietary Supplements among Spanish Pediatricians in Daily Practice: A Cross-Sectional Survey Study.

J Nutr Metab. 2019-7-24

[3]
Effects of vitamin D on apoptosis of T-lymphocyte subsets in neonatal sepsis.

Exp Ther Med. 2018-8

本文引用的文献

[1]
Comparative analysis of nutritional guidelines for vitamin D.

Nat Rev Endocrinol. 2017-4-7

[2]
Maternal and cord blood vitamin D status in high-altitude pregnancy.

J Matern Fetal Neonatal Med. 2016

[3]
Incidence of maternal vitamin D deficiency in a region of Ankara, Turkey: a preliminary study.

Turk J Med Sci. 2014

[4]
Severe vitamin D deficiency in 6 Canadian First Nation formula-fed infants.

Int J Circumpolar Health. 2013-4-16

[5]
Vitamin D effects on musculoskeletal health, immunity, autoimmunity, cardiovascular disease, cancer, fertility, pregnancy, dementia and mortality-a review of recent evidence.

Autoimmun Rev. 2013-3-28

[6]
Vitamin D status of exclusively breastfed 4-month-old infants supplemented during different seasons.

Pediatrics. 2012-9-24

[7]
Prevention of Vitamin D deficiency in infancy: daily 400 IU vitamin D is sufficient.

Int J Pediatr Endocrinol. 2011

[8]
Vitamin D deficiency and prevention: Turkish experience.

Acta Paediatr. 2011-7-4

[9]
Nutritional rickets.

J Clin Res Pediatr Endocrinol. 2010

[10]
Vitamin D deficiency in Turkish mothers and their neonates and in women of reproductive age.

J Clin Res Pediatr Endocrinol. 2009

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