European Journal of Pediatrics

, Volume 176, Issue 6, pp 829–831 | Cite as

Vitamin D in European children—statement from the European Academy of Paediatrics (EAP)

  • Zachi Grossman
  • Adamos Hadjipanayis
  • Tom Stiris
  • Stefano del Torso
  • Jean-Christophe Mercier
  • Arunas Valiulis
  • Raanan Shamir
EAP Statement

Abstract

Vitamin D is synthesized in human skin upon sun exposure and is also a nutrient. It regulates calcium and phosphate metabolism and is essential for the maintenance of bone health. Vitamin D supplementation during infancy, in order to prevent rickets, is universally accepted. Many human cell types carry vitamin D receptor, this being a drive for conducting studies on the possible association between vitamin D status and other diseases. Studies have affirmed that a considerable number of healthy European children may be vitamin D deficient, especially in high-risk groups (darker pigmented skin, living in areas with reduced sun exposure and other disorders). However, the definition of deficiency is unclear due to inter assay differences and due to a lack of consensus as to what is an “adequate” 25(OH)D level. Therefore, there is no justification for routine screening for vitamin D deficiency in healthy children. An evaluation of vitamin D status is justified in children belonging to high-risk groups. All infants up to 1 year of age should receive an oral supplementation of 400 IU/day of vitamin D. Beyond this age, seasonal variation of sunlight should be taken into account when considering a national policy of supplementation or fortification.

Keywords

European Academy of Paediatrics Vitamin D 

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Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  • Zachi Grossman
    • 1
  • Adamos Hadjipanayis
    • 2
    • 3
  • Tom Stiris
    • 4
    • 5
  • Stefano del Torso
    • 6
  • Jean-Christophe Mercier
    • 7
  • Arunas Valiulis
    • 8
  • Raanan Shamir
    • 9
  1. 1.Pediatric ClinicMaccabi Health ServicesTel AvivIsrael
  2. 2.Department of PaediatricsLarnaca General HospitalLarnacaCyprus
  3. 3.School of MedicineEuropean University of CyprusNicosiaCyprus
  4. 4.Department of NeonatologyOslo University HospitalOsloNorway
  5. 5.Faculty of MedicineUniversity of OsloOsloNorway
  6. 6.Dipartimento della Sanità Pubblica, ULSS 6PadovaItaly
  7. 7.Service de Pédiatrie-Urgences, Hôpital Louis MourierAssistance Publique-Hôpitaux de Paris and Université Paris DiderotParisFrance
  8. 8.Vilnius University Clinic of Children’s Diseases and Public Health InstituteVilniusLithuania
  9. 9.Institute for Gastroenterology, Nutrition and Liver Diseases, Schneider Children’s Medical CenterTel Aviv UniversityTel AvivIsrael

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