Praticò Andrea D, Lo Bianco Manuela, Leonardi Roberta, Polizzi Agata, Ruggieri Martino
Unit of Pediatrics, Department of Medicine and Surgery, University Kore of Enna, 94100 Enna, Italy.
Unit of Pediatric Clinic, Department of Clinical and Experimental Medicine, University of Catania, 95123 Catania, Italy.
Nutrients. 2024 Dec 20;16(24):4395. doi: 10.3390/nu16244395.
Vitamin D plays a pivotal role in early childhood development, influencing skeletal strength, neuromuscular coordination, and neurodevelopment. This study aimed to evaluate the impact of different durations of Vitamin D supplementation on achieving developmental milestones.
A retrospective study was conducted on 209 children, divided into two cohorts based on Vitamin D supplementation duration: six months ( = 102) and twelve months ( = 107). Developmental milestones were assessed across motor (sitting, walking), fine motor (object tracking, grasping), and social (smiling, speech) domains. Statistical analyses, including -tests and effect size calculations, were performed to compare the mean ages of milestone achievement.
The 12-month group achieved several milestones significantly earlier than the 6-month group. These included walking, object tracking, and combining words into phrases. Differences in other milestones, such as sitting and smiling, were not statistically significant. Effect sizes ranged from small to moderate.
Extended Vitamin D supplementation is associated with modest yet significant advancements in key developmental milestones. However, socio-environmental factors, including parental involvement, likely contributed to these differences. This study's retrospective design limits causal interpretation, emphasizing the need for prospective, randomized studies to validate findings. These results support the potential benefits of extending Vitamin D supplementation beyond six months to optimize developmental outcomes in infants.
维生素D在儿童早期发育中起着关键作用,影响骨骼强度、神经肌肉协调和神经发育。本研究旨在评估不同时长的维生素D补充对实现发育里程碑的影响。
对209名儿童进行了一项回顾性研究,根据维生素D补充时长将其分为两个队列:六个月组(n = 102)和十二个月组(n = 107)。对运动(坐、走)、精细运动(物体追踪、抓握)和社交(微笑、说话)领域的发育里程碑进行了评估。进行了包括t检验和效应量计算在内的统计分析,以比较达到各里程碑的平均年龄。
十二个月组比六个月组显著更早地实现了几个里程碑。这些里程碑包括走路、物体追踪以及将单词组合成短语。其他里程碑,如坐和微笑方面的差异无统计学意义。效应量范围从小到中等。
延长维生素D补充与关键发育里程碑方面适度但显著的进展相关。然而,包括父母参与在内的社会环境因素可能导致了这些差异。本研究的回顾性设计限制了因果解释,强调需要进行前瞻性随机研究来验证研究结果。这些结果支持了将维生素D补充延长至六个月以上以优化婴儿发育结局的潜在益处。