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

  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},
  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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    The Journal of adolescent health : official publication of the Society for Adolescent Medicine
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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.



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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.

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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
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    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.

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