Vitamin D: increasing supplement use among at-risk groups (NICE guideline PH56)

@article{Wood2015VitaminDI,
  title={Vitamin D: increasing supplement use among at-risk groups (NICE guideline PH56)},
  author={Claire L. Wood and Tim D. Cheetham},
  journal={Archives of Disease in Childhood: Education \& Practice Edition},
  year={2015},
  volume={101},
  pages={43 - 45}
}
  • C. Wood, T. Cheetham
  • Published 10 July 2015
  • Medicine
  • Archives of Disease in Childhood: Education & Practice Edition
Vitamin D deficiency is a significant public health problem. There is a resurgence of rickets1 and osteomalacia and the association between vitamin D status and many other diseases remains under close scrutiny.2 Recent surveys have suggested that over 1 billion people worldwide are vitamin D deficient3 and 50% of white adults and >90% of South Asians in the UK have insufficient vitamin D levels.4 Young people and those with darker skin or limited sunlight exposure are particularly at risk and… 

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Trends in the Diagnosis of Vitamin D Deficiency

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Vitamin D in Adolescents: A Systematic Review and Narrative Synthesis of Available Recommendations.

  • M. PatseadouD. Haller
  • Medicine
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Vitamin D deficiency in adolescents in a tier 4 psychiatric unit

Blood test results of 56 patients admitted to a tier 4 adolescent psychiatric unit in north London between 2012 and 2014 were examined to determine whether vitamin D levels had been tested, and results were analysed by gender and ethnicity.

References

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The diagnosis and management of vitamin D insufficiency and deficiency in children and adults according to evidence from descriptive and observational studies, randomised trials, and metaanalyses are discussed.

Vitamin D deficiency: prevention or treatment?

Vitamin D deficiency is re-emerging in the Burnley Health Care NHS Trust and the overwhelming majority of patients are of Asian origin, it is suggested that Primary Care Trusts provide funds for vitamin D supplementation of Asian children for at least the first 2 years of life.

Vitamin D supplementation: Putting recommendations into practice

There has been a gradual increase in the uptake of healthy start preparations and a case finding survey identified a 59% reduction in the incidence of symptomatic vitamin D deficiency in young children.

Prevalence of vitamin D deficiency among healthy adolescents.

Vitamin D deficiency was present in many US adolescents in this urban clinic-based sample and the prevalence was highest in African American teenagers and during winter, although the problem seems to be common across sex, season, and ethnicity.

Hypovitaminosis D in British adults at age 45 y: nationwide cohort study of dietary and lifestyle predictors.

Prevalence of hypovitaminosis D in the general population was alarmingly high during the winter and spring, which warrants action at a population level rather than at a risk group level.

Update on vitamin D

Most of the recent reviews on the subject suggest that the reference values of 25OHD obtained in apparently healthy populations are too low and that there exist a deficiency in vitamin D between 50 and 100 nmol/L (20 and 40 ng/mL).

Vitamin D deficiency.

  • M. Holick
  • Medicine
    The New England journal of medicine
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The role of vitamin D in skeletal and nonskeletal health is considered and strategies for the prevention and treatment ofitamin D deficiency are suggested.

Vitamin D and multiple health outcomes: umbrella review of systematic reviews and meta-analyses of observational studies and randomised trials

Evidence does not support the argument that vitamin D only supplementation increases bone mineral density or reduces the risk of fractures or falls in older people, and highly convincing evidence of a clear role of vitamin D does not exist for any outcome, but associations with a selection of outcomes are probable.

A qualitative study of uptake of free vitamins in England

Low uptake rates can be explained by poor accessibility of vitamins and lack of awareness and motivation to take vitamin supplements among eligible families, universal provision and better training for health professionals are identified.