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儿童和青少年的维生素D摄入量与状况:比较素食、纯素食和杂食饮食。

Vitamin D intake and status in children and adolescents: Comparing vegetarian, vegan, and omnivorous diets.

作者信息

Devulapalli Chandra Sekhar

机构信息

Paediatric Outpatient Clinic, Department of Medicine, Helgeland Hospital, Sandnessjøen, Norway.

出版信息

Acta Paediatr. 2025 Mar;114(3):498-504. doi: 10.1111/apa.17463. Epub 2024 Oct 20.

Abstract

AIM

This study aimed to evaluate papers analysing dietary intake, 25-hydroxyvitamin D (25(OH)D) concentrations and anthropometry in children on vegetarian, vegan and omnivorous diets, as research indicates all diets generally fall below recommended vitamin D intake.

METHODS

This mini review examined the vitamin D status of children aged 1-18 years by systematically searching PubMed, Google Scholar and Scopus databases from January 1, 2000, to December 31, 2023.

RESULTS

The review included nine studies published between 2000 and 2023. Four studies reported lower vitamin D intake in children on vegetarian and vegan diets compared to omnivores. Three studies reported lower 25(OH)D concentrations in children on vegetarian and vegan diets. Specifically, one study found lower concentrations in vegans compared to omnivores, another found lower concentrations in vegetarians and vegans not taking supplements and a third reported lower 25(OH)D concentrations in Asian children aged 3-4.5 years compared to Caucasian children. Three studies found no significant differences in 25(OH)D between diet groups. Three studies assessing anthropometry showed that vegetarians have similar body weight and height as omnivores.

CONCLUSION

Children across all dietary groups may have low vitamin D intakes; supplementation should be considered for those with inadequate sun exposure, especially those avoiding animal products.

摘要

目的

本研究旨在评估分析素食、纯素食和杂食儿童的饮食摄入量、25-羟基维生素D(25(OH)D)浓度和人体测量学的论文,因为研究表明所有饮食通常都低于推荐的维生素D摄入量。

方法

本综述通过系统检索2000年1月1日至2023年12月31日期间的PubMed、谷歌学术和Scopus数据库,研究了1至18岁儿童的维生素D状况。

结果

该综述纳入了2000年至2023年发表的9项研究。四项研究报告称,与杂食儿童相比,素食和纯素食儿童的维生素D摄入量较低。三项研究报告称,素食和纯素食儿童的25(OH)D浓度较低。具体而言,一项研究发现纯素食者的浓度低于杂食者,另一项研究发现未补充维生素的素食者和纯素食者的浓度较低,第三项研究报告称,3至4.5岁的亚洲儿童的25(OH)D浓度低于白种儿童。三项研究发现不同饮食组之间的25(OH)D没有显著差异。三项评估人体测量学的研究表明,素食者的体重和身高与杂食者相似。

结论

所有饮食组的儿童维生素D摄入量可能都较低;对于阳光照射不足的儿童,尤其是那些避免食用动物产品的儿童,应考虑补充维生素D。

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