Which children need Vitamin D tests (no consensus, should give Vit D to all)

Created February 2019

Vitamin D screening variations in children and adolescents: Who should be screened?

Journal of Pediatric Nursing, Volume 45, March–April 2019, Pages 57-61, https://doi.org/10.1016/j.pedn.2019.02.002

Renée L. Davis DNP, RN, CPNP-PCaAlongkorn Aksornsri MNS, Rnb Michelle M.Papachrisanthou DNP, RN, CPNP-PCc

Most of the crteria concern detecting health problems, rather than preventing the problems None of the groups include the followinfg problems often associated with low vitamin D * pre-term births * breathing problems * allergies * diabetes * live from from equator * poor sleep * IBD * low strength * rarely get outdoors due to a medical problem --- * Romania joins Turkey in giving free Vitamin D to all infants – 2018 * Infants need 400 IU of vitamin D to prevent rickets – meta-analysis Feb 2019 * Vitamin D consensus for Italian children, 30 ng needed, up to 4,000 IU if over age 10 – May 2018 * Vitamin D levels have been crashing since 1995 (Polish Children, Elite Military, etc) * Unfortunately. most organizations are unaware how quickly the situation is getting worse * 10 Reasons why children no longer have healthy levels of Vitamin D * Reasons for children having low vitamin D (proposed by 10 societies) - May 2018 1. Infant-Child category starts with {include} {include}

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Highlights

  • Early vitamin D deficiency detection can improve the health of children.

  • Vitamin D screening recommendations are based on risk factors.

  • No consensus on vitamin D deficiency screening in children and adolescents exists.

Problem: No consensus on vitamin D deficiency (VDD) screening in children and adolescents exists. Early VDD detection can improve the health of children. VDD can cause bone mineralization diseases, such as rickets in children. The purpose of this review is to determine existing VDD screening recommendations or clinical practice guidelines in children and adolescents.

Eligibility criteria: Inclusion criteria were VDD screening ‘guideline’, ‘clinical practice guideline’, and ‘recommendations’ for children and adolescents in English, published 2001–2018.

Results: Eight current guidelines addressed VDD screening recommendations with the common recommendation results endorsing screening only for VDD in at-risk children and adolescents.

Conclusions: There is insufficient evidence for pediatric healthcare providers to recommend which VDD risk factors should be utilized for screening in children and adolescents.

Implications: Further studies should focus on developing a validated VDD screening tool for children and adolescents based on risk factors.

Tags: Infant-Child