[Vitamin D deficiency/insufficiency on healthy infants receiving standard supplementation]

Andes Pediatr. 2022 Feb;93(1):59-64. doi: 10.32641/andespediatr.v93i1.3377. Epub 2022 Mar 28.
[Article in Spanish]

Abstract

Vitamin D (VD) is essential for calcium and phosphorus metabolism. Its deficiency can cause rickets. In Chile, newborns receive 400UI/day supplementation from the first day of age until the first year.

Objective: To describe the VD plasma levels in healthy infants who received supplementation and secondarily to correlate this with seasonality and nutritional status.

Subjects and method: Cross sectional study. Infants on exclusive or mixed breastfeeding, with monthly pediatric checkups recei ving 400 UI VD supplementation were evaluated, measuring VD plasma levels at 6 months of age, weight, and length, and their nutritional status was classified according to the WHO growth referen ces (weight/age and weight/length). The VD cut-off concentration values were < 20 ng/ml, 21- 29 ng/ ml, and ≥ 30 ng/ml considered as deficiency, insufficiency, and sufficiency, respectively.

Results: 40 infants were studied, 40% had insufficient levels and 40% presented deficiency. Season and nutritio nal status were variables significantly related to lower VD values (Winter-Spring p = 0.007; at risk of malnutrition p = 0.038).

Conclusions: The population who received supplementation presented a high frequency of VD deficiency and insufficiency which increases during winter and spring and in subjects at risk of malnutrition.

MeSH terms

  • Child
  • Cross-Sectional Studies
  • Dietary Supplements*
  • Female
  • Humans
  • Infant
  • Infant, Newborn
  • Vitamin D
  • Vitamin D Deficiency* / complications
  • Vitamin D Deficiency* / drug therapy
  • Vitamins

Substances

  • Vitamins
  • Vitamin D