Vitamin D Deficiency in Children - Are we over Diagnosing and Over Treating?
Journal Title: Indian Journal of Trauma and Emergency Pediatrics - Year 2018, Vol 10, Issue 2
Abstract
Objective: To assess the 25 (OH) vitamin D level in children of Central Kerala, aged 1 to 5 years and to find its correlation with clinical manifestations of vitamin D deficiency. Methods: Children aged 1 to 5 years, attending the immunization clinic, OPD and well baby clinic in the department of Pediatrics, Government Medical College, Thrissur, Kerala. Children were examined for clinical features of rickets. Serum 25(OH) D and PTH levels were assessed. Results: Among the 108 children included in the study group, none had clinical features of rickets. Male to female ratio was 56:52. The mean Vit D level detected was 18.51ng/ml (3.7-68.0ng/dl). Majority of them (54.6%) had levels between 10-20 ng/ml. The mean PTH was 31.3pg/ml (6.5-53.6pg/ml). Ca, P and ALP level had average values of 8.77mg/dl, 6.17mg/dl and 202.7 IU respectively. Conclusions: The mean level of 25OH D in Indian children is ‘low’ when compared to the western literature, though none of them had rickets or biochemical evidence of secondary hyperparathyroidism. More data in children are needed to determine the ‘cut off ‘ level of 25 hydroxy D in children below which appropriate vitamin D supplements can be prescribed.
Authors and Affiliations
Ananda Kesavan
Keywords
Related Articles
- EP ID EP646028
- DOI 10.21088/ijtep.2348.9987.10218.1
- Views 40
- Downloads 0
Rheumatic Pneumonia: A Rare Complication of Acute Rheumatic Fever
Rheumatic heart disease is still a leading cause of acquired heart disease in children, in developing countries. Rheumatic pneumonia is a well-described burt very rare manifestation of rheumatic fever, that is generally...
Comparison of Plaster Cast Versus Plaster Splint the Treatment of Children with Isolated Torus Fractures of the Radius or Ulna
A torus fracture (or buckle fracture) is an incomplete fracture of the long bones at the metaphysis and is characterised by bulging of the cortex. Surprisingly there is very little consensus on the ideal immobilization t...
Ultrasound Appearance of Lungs in Patients with Ventilator Associated Pneumonia
entilator associated pneumonia is a complication in pediatric intensive care units and increases the morbidity and mortality in mechanically ventilated children. Ultrasound examination of lungs can be easily performed by...
Vitamin D Deficiency in Children - Are we over Diagnosing and Over Treating?
Objective: To assess the 25 (OH) vitamin D level in children of Central Kerala, aged 1 to 5 years and to find its correlation with clinical manifestations of vitamin D deficiency. Methods: Children aged 1 to 5 years, att...
Pcos in Adolescent Girls: Pathophysiology and Clinical Features
The Polycystic Ovarian Syndrome is a complex condition in women associated with psychological, reproductive & metabolic features. The syndrome is diagnosed when following three criteria are present: 1. Anovulation/ Olig...