New Vitamin D Recommendations for Breastfed Infants
After hearing about new Vit D recommendations for some time, the AAP's Section on Breastfeeding and the Committee on Nutrition has a new report and recommendations for Vit D.
Since exclusively breastfed infants are at a higher risk of developing rickets, the AAP recommends that mothers supplement their babies' diet to ensure an intake of 200 IU per day (this is the same level as the new DRI Adequate Intake of 5 ug/day for infants and children). Supplementation should begin within the first 2 months of life. The committees also state that children's typical source of Vitamin D is the ultraviolet light in sunshine, but due to the risk of skin cancer, they don't recommend children spend more time in the sun. Further, because children often wear sunblock while outside, the sun's exposure doesn't produce additional Vitamin D in the skin.
Most infant formulas have enough Vitamin D that infants who consume 500 ml per day will reach the recommended daily allowance. Infants who consume less than 500ml of formula or vitamin-D-fortified milk, as well as children and adolescents who don't get regular sunlight, should take Vit D supplements (as part of a multivitamin supplement).
REFERENCE:
Gartner, LM, Greer, FR, and the Section on breastfeeding the Committee on Nutrition: Prevention of rickets and vitamin D deficiency: New guidelines for vitamin D intake. Pediatrics, 111:908-910, (April), 2003.
[Ссылки доступны только зарегистрированным пользователям ]
PEDIATRICS Vol. 111 No. 4 April 2003, pp. 908-910
CLINICAL REPORT
Prevention of Rickets and Vitamin D Deficiency: New Guidelines for Vitamin D Intake
Lawrence M. Gartner, MD, Frank R. Greer, MD, Section on Breastfeeding and Committee on Nutrition
Rickets in infants attributable to inadequate vitamin D intake and decreased exposure to sunlight continues to be reported in the United States. It is recommended that all infants, including those who are exclusively breastfed, have a minimum intake of 200 IU of vitamin D per day beginning during the first 2 months of life. In addition, it is recommended that an intake of 200 IU of vitamin D per day be continued throughout childhood and adolescence, because adequate sunlight exposure is not easily determined for a given individual. These new vitamin D intake guidelines for healthy infants and children are based on the recommendations of the National Academy of Sciences.
[Ссылки доступны только зарегистрированным пользователям ]
|