Why is vitamin D needed?
Adequate levels of vitamin D are vital for bone health. But it must be taken not only for the prevention of rickets in children of the first year of life.
Skeletal system: mineralization and growth of the skeleton.
Muscular system: maintenance of muscle tone of the skeletal muscles.
Nervous system: involved in the conduction of nervous excitation, protective effect.
Circulatory system: participates in the regulation of blood coagulation processes.
Reproductive system: involved in the regulation of the formation of follicles in the ovaries and spermatogenesis.
Regulates the activity of over 200! genes involved in metabolic processes.
Diseases that are likely to be associated with low levels of vitamin D: bronchial asthma, osteoporosis, certain types of oncology, arterial hypertension, type 1 diabetes, autoimmune diseases.
How to get vitamin D?
Nutrition:
- Fatty fish (mackerel, salmon, sardines, tuna)
- Butter
- Egg yolk
- Milk products
Production in the skin under the influence of UV rays:
Depends on:
- wavelength and angle of incidence of solar radiation
- climatic conditions (cloudiness), air pollution levels
- degree of skin pigmentation (dark or light)
- sunscreen use
What is the amount of vitamin D?
A good (adequate) level of vitamin D is more than 30 ng/ml (75 nmol/l),
Deficiency – 21-30 ng/ml (51-75 nmol/l)
Deficiency – less than 20 ng/ml (50 nmol/l).
What vitamin D to take?
The recommended drug for the prevention of vitamin D deficiency is cholecalciferol (D3).
Which solution is better: water or oil?
You can take any!
How can you tell if you have a vitamin D deficiency?
Make a blood test from a vein for 25(OH)D.
Do children need to be tested for 25(OH)D?
Children who are not at risk do not need to take a vitamin D test to prescribe prophylactic doses!
Risk groups: premature and low birth weight babies; overweight and obese children; clinical signs of rickets, as well as having bone deformities; children with malabsorption syndrome – celiac disease, cystic fibrosis; children with autoimmune diseases; patients with chronic kidney disease.
Will frequent sun exposure help avoid vitamin D deficiency?
Sun exposure is not an adequate measure to prevent vitamin D deficiency!
Be aware of the negative effects of overexposure to the sun.
Solarium lamps do NOT produce vitamin D in the skin.
How long to take for prevention?
Taking vitamin D in a prophylactic dosage is recommended year-round, without a break in the reception for the summer months, even for the southern and sunny regions
Excessive exposure to the sun leads to photoaging of the skin and increases the risk of developing skin cancer in the future (accumulative effect). Therefore, we recommend that you protect yourself from the sun by all known methods and take vitamin D.
Is it enough to take vitamin D only by the mother if the child is breastfed?
Not enough. The child should also receive prophylactic doses of vitamin D.
Does the prescription of vitamin D depend on the type of feeding of the child?
More publications in favor of the fact that it does not depend on the conversion of vitamin D in children to mixed and formula feeding is not required, despite the fact that the mixtures are enriched with vitamin D.
Do children need to take calcium along with vitamin D?
For healthy children, prophylactic calcium intake is not recommended.
Is it better to take it during the day or in the evening?
There are no clear recommendations. It is usually recommended to take it in the first half of the day.
Preventive – how much?
Children from birth to 12 months – 1000 IU/day.
From 1 year to 3 years – 1500 IU/day.
From 3 to 18 years old – 1000 IU/day.