Shedding Light on Vitamin D Status and Its Complexities during Pregnancy, Infancy and Childhood: An Australian Perspective

被引:9
作者
Di Marco, Nelfio [1 ]
Kaufman, Jonathan [1 ,2 ]
Rodda, Christine P. [1 ,2 ,3 ]
机构
[1] Sunshine Hosp, Womens & Childrens Div, St Albans, Vic 3021, Australia
[2] Univ Melbourne, Dept Paediat, Royal Childrens Hosp, Parkville, Vic 3052, Australia
[3] Univ Melbourne, Australian Inst Musculoskeletal Sci, Sunshine Hosp, St Albans, Vic 3021, Australia
关键词
Vitamin D deficiency; rickets; vitamin D during pregnancy; foetal life; infancy and lactation; UV B; sun exposure; health literacy; mineral ion nutrition; vitamin D dependent rickets; COD-LIVER OIL; D DEFICIENCY; D SUPPLEMENTATION; YOUNG-CHILDREN; SKIN-CANCER; RICKETS; SUNLIGHT; BIRTH; SUN; METABOLISM;
D O I
10.3390/ijerph16040538
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Ensuring that the entire Australian population is Vitamin D sufficient is challenging, given the wide range of latitudes spanned by the country, its multicultural population and highly urbanised lifestyle of the majority of its population. Specific issues related to the unique aspects of vitamin D metabolism during pregnancy and infancy further complicate how best to develop a universally safe and effective public health policy to ensure vitamin D adequacy for all. Furthermore, as Australia is considered a sunny country, it does not yet have a national vitamin D food supplementation policy. Rickets remains very uncommon in Australian infants and children, however it has been recognised for decades that infants of newly arrived immigrants remain particularly at risk. Yet vitamin D deficiency rickets is entirely preventable, with the caveat that when rickets occurs in the absence of preexisting risk factors and/or is poorly responsive to adequate treatment, consideration needs to be given to genetic forms of rickets.
引用
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页数:17
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