Vitamin D Deficiency: Children Need Vitamin D

This nation has many costly health care problems, but vitamin D deficiency shouldn't be one of them.

A new analysis focusing on U.S. children ages 1 through 11 says about a fifth of youngsters that age aren't getting the minimally required level of vitamin D. Many more may fall short of the optimal dose.

The deficiency puts those children - disproportionately African-American - at risk of ailments such as rickets, a disease that can cause a weakening of growing bones and cartilage.

Rickets was thought to have been conquered in this country shortly after the turn of the 20th century, when it was discovered that sunlight and food supplements could both prevent and treat the disease. But pediatricians have seen a reappearance of rickets in the United States in recent decades.

Sunshine and vitamin D-fortified milk are two key sources of vitamin D. But as an Associated Press article published Monday noted, many children don't drink the multiple glasses of milk a day that would be needed to get the recommended dose of vitamin D.

Sunshine, with its ultraviolet light that the human body turns into vitamin D, is readily available in Florida, but not in the North.

SUPPLEMENT FOR SAFETY

The potential for damage from vitamin-D deficiency in young children is so clear that the American Academy of Pediatrics now recommends that youngsters get a 400-unit, daily supplement.

The new research supports that recommendation, said Dr. Jonathan Mansbach, lead author on the study, which was reported in the November issue of the journal Pediatrics.

Some evidence indicates that teens and adults may need much more vitamin D, well beyond what would be consumed in a good diet. This too suggests that daily supplements would be helpful.

Many questions about vitamin D levels remain unanswered. Health experts should accelerate research into the causes of deficiencies, particularly the prevalence among people of color.

No one should overlook the benefits of fresh air, sunlight and adequate milk intake. But when these are not enough, the growing sentiment among health experts is to recommend a daily supplement.

This solution - accessible, relatively cheap and easy to administer - is far preferable to the possible consequences of vitamin D deficiency.

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