![]() The infant was born at term after an uncomplicated pregnancy, labor, and delivery to a 43-year-old primiparous college-educated mother. In order to meet consumer desires to prevent deficiencies or optimize health benefits related to vitamin D, preparations of higher concentrations of over-the-counter vitamin D supplements have become readily available for the general public, with the potential for inadvertent overdosing in young infants and children.Ī 3-month-old Asian-American infant was evaluated by his primary care pediatrician for parental concerns of vitamin D overdosing. Therefore, vitamin D supplements become an important source of dietary vitamin D. An infant or a child must drink 4 servings (1 liter or 32 ounces) of vitamin D-fortified milk to meet the AAP recommended intake of vitamin D (400 IU/day), which seems to be a tall order for many. Vitamin D-fortified milk and infant formula remains the main dietary source of vitamin D. Of these sources, photosynthesized vitamin D is the major contributor to human vitamin D status. Humans meet their vitamin D needs from sunlight exposure, diet and/or supplements. 8 Without fortification, very few foods are rich in vitamin D. ![]() ![]() 6– 7 Recently, the Institute of Medicine (IOM) revised its RDA for vitamin D from 200 IU to 400 IU in infants (0 to 12 months) and from 200 IU to 600 IU in children (1 to 8 years). 2– 5 The American Academy of Pediatrics (AAP) increased its recommended dietary allowance (RDA) of vitamin D for the prevention of vitamin D deficiency in infants and children from 200 IU to 400 IU in 2008. 1 Reemergence of rickets among vulnerable infants (dark-skinned and/or breast-fed without vitamin D supplementation) and reports of excessive prevalence of vitamin D deficiency and insufficiency among children have reemphasized the importance of optimal intakes of vitamin D. Vitamin D, the “sunshine vitamin,” is back in the limelight. ![]()
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