Skip to main content
Top
Published in: European Journal of Pediatrics 8/2013

01-08-2013 | Original Article

Comparison between daily supplementation doses of 200 versus 400 IU of vitamin D in infants

Authors: Erman Atas, Ferhan Karademır, Atilla Ersen, Cihan Meral, Secil Aydınoz, Selami Suleymanoglu, Mustafa Gultepe, İsmail Gocmen

Published in: European Journal of Pediatrics | Issue 8/2013

Login to get access

Abstract

The daily supplementation of vitamin D is mandatory for infants. However, there are still conflicting opinions about the exact daily dose. Thus, we aimed to evaluate a daily supplementation dose of 200 IU is sufficient and compared the supplementation doses of 200 and 400 IU per day. One hundred and sixty-nine infants were randomly assigned to two groups (group1, 200 IU/day; group 2, 400 IU/day) and there were 75 infants in group 1 and 64 were in group 2 with a total number of 139. The median levels of 25-hydroxyvitamin D3 were significantly increased in group 2 at the age of 4 months (group 1, 39.60 mcg/L; group 2, 56.55 mcg/L; p < 0.0001). We clearly demonstrated that at the age of 4 months, none of the infants on the group 2 had a serum level of 25-hydroxyvitamin D3 less than 30 mcg/L. However, 21.3 % of the infants in group 1 had a level below 30 mcg/L. Thus, in order to avoid vitamin D deficiency and rickets, we recommend supplementation dose of vitamin D at 400 IU/day as a safe and effective dose.
Literature
1.
go back to reference Ergur AT, Berberoglu M, Atasay B, Siklar Z, Bilir P, Arsan S, Soylemez F, Ocal G (2009) Vitamin D deficiency in Turkish mothers and their neonates and in women of reproductive age. J Clin Res Pediatr Endocrinol 1:266–269PubMedCrossRef Ergur AT, Berberoglu M, Atasay B, Siklar Z, Bilir P, Arsan S, Soylemez F, Ocal G (2009) Vitamin D deficiency in Turkish mothers and their neonates and in women of reproductive age. J Clin Res Pediatr Endocrinol 1:266–269PubMedCrossRef
2.
go back to reference Gartner LM, Greer FR (2003) Prevention of rickets and vitamin D deficiency: new guidelines for vitamin D intake. Pediatrics 111:908–910PubMedCrossRef Gartner LM, Greer FR (2003) Prevention of rickets and vitamin D deficiency: new guidelines for vitamin D intake. Pediatrics 111:908–910PubMedCrossRef
3.
go back to reference Gok F, Kalman S (2002) A rare rickets case: hypophosphatemic rickets. Gulhane Med J 44:450–452 Gok F, Kalman S (2002) A rare rickets case: hypophosphatemic rickets. Gulhane Med J 44:450–452
4.
go back to reference Greer FR (2008) 25-Hydroxyvitamin D: functional outcomes in infants and young children. Am J Clin Nutr 88:529S–533SPubMed Greer FR (2008) 25-Hydroxyvitamin D: functional outcomes in infants and young children. Am J Clin Nutr 88:529S–533SPubMed
5.
go back to reference Greer FR, Marshall S (1989) Bone mineral content, serum vitamin D metabolite concentrations, and ultraviolet B light exposure in infants fed human milk with and without vitamin D2 supplements. J Pediatr 114:204–212PubMedCrossRef Greer FR, Marshall S (1989) Bone mineral content, serum vitamin D metabolite concentrations, and ultraviolet B light exposure in infants fed human milk with and without vitamin D2 supplements. J Pediatr 114:204–212PubMedCrossRef
6.
go back to reference Hatun S, Bereket A, Calıkoglu AS, Ozkan B (2003) Vitamin D deficiency and nutritional rickets today. Çocuk Sağlığı ve Hastalıkları Dergisi 46:224–241 Hatun S, Bereket A, Calıkoglu AS, Ozkan B (2003) Vitamin D deficiency and nutritional rickets today. Çocuk Sağlığı ve Hastalıkları Dergisi 46:224–241
7.
go back to reference Hochberg Z, Bereket A, Davenport M, Delemarre-Van de Waal HA, De Schepper J, Levine MA, Shaw N, Schoenau E, van Coeverden SC, Weisman Y, Zadik Z (2002) Consensus development for the supplementation of vitamin D in childhood and adolescence. Horm Res 58:39–51PubMedCrossRef Hochberg Z, Bereket A, Davenport M, Delemarre-Van de Waal HA, De Schepper J, Levine MA, Shaw N, Schoenau E, van Coeverden SC, Weisman Y, Zadik Z (2002) Consensus development for the supplementation of vitamin D in childhood and adolescence. Horm Res 58:39–51PubMedCrossRef
8.
go back to reference Holick MF (2004) Vitamin D: importance in the prevention of cancers, type 1 diabetes, heart disease, and osteoporosis. Am J Clin Nutr 79:362–371PubMed Holick MF (2004) Vitamin D: importance in the prevention of cancers, type 1 diabetes, heart disease, and osteoporosis. Am J Clin Nutr 79:362–371PubMed
9.
go back to reference Holick MF (2011) Vitamin D: evolutionary, physiological and health perspectives. Curr Drug Targets 12:4–18PubMedCrossRef Holick MF (2011) Vitamin D: evolutionary, physiological and health perspectives. Curr Drug Targets 12:4–18PubMedCrossRef
10.
go back to reference Hollis BW, Wagner CL (2004) Vitamin D requirements during lactation: high-dose maternal supplementation as therapy to prevent hypovitaminosis D for both the mother and the nursing infant. Am J Clin Nutr 80:1752S–1758SPubMed Hollis BW, Wagner CL (2004) Vitamin D requirements during lactation: high-dose maternal supplementation as therapy to prevent hypovitaminosis D for both the mother and the nursing infant. Am J Clin Nutr 80:1752S–1758SPubMed
11.
go back to reference Indian and Inuit Health Committee, Canadian Paediatric Society (1988) Vitamin D supplementation for northern native communities. CMAJ 138:229–230 Indian and Inuit Health Committee, Canadian Paediatric Society (1988) Vitamin D supplementation for northern native communities. CMAJ 138:229–230
12.
go back to reference Ozkan B, Buyukavcı M, Aksoy H, Tan H, Akdag R (1999) Incidence of rickets among 0–3 year old children in Erzurum. Çocuk Sağlığı ve Hastalıkları Dergisi 42:389–396 Ozkan B, Buyukavcı M, Aksoy H, Tan H, Akdag R (1999) Incidence of rickets among 0–3 year old children in Erzurum. Çocuk Sağlığı ve Hastalıkları Dergisi 42:389–396
13.
go back to reference Ozkan B, Doneray H, Karacan M, Vancelik S, Yildirim ZK, Ozkan A, Kosan C, Aydin K (2009) Prevalence of vitamin D deficiency rickets in the eastern part of Turkey. Eur J Pediatr 168:95–100PubMedCrossRef Ozkan B, Doneray H, Karacan M, Vancelik S, Yildirim ZK, Ozkan A, Kosan C, Aydin K (2009) Prevalence of vitamin D deficiency rickets in the eastern part of Turkey. Eur J Pediatr 168:95–100PubMedCrossRef
14.
go back to reference Ross AC, Manson JE, Abrams SA, Aloia JF, Brannon PM, Clinton SK, Durazo-Arvizu RA, Gallagher JC, Gallo RL, Jones G, Kovacs CS, Mayne ST, Rosen CJ, Shapses SA (2011) The 2011 report on dietary reference intakes for calcium and vitamin D from the Institute of Medicine: what clinicians need to know. J Clin Endocrinol Metab 96:53–58PubMedCrossRef Ross AC, Manson JE, Abrams SA, Aloia JF, Brannon PM, Clinton SK, Durazo-Arvizu RA, Gallagher JC, Gallo RL, Jones G, Kovacs CS, Mayne ST, Rosen CJ, Shapses SA (2011) The 2011 report on dietary reference intakes for calcium and vitamin D from the Institute of Medicine: what clinicians need to know. J Clin Endocrinol Metab 96:53–58PubMedCrossRef
15.
go back to reference Srivastava T, Garg U, Ruiz M, Dai H, Alon US (2013) Serum 25(OH)-vitamin D level in children: is there a need to change the reference range based on 2011 Institute of Medicine report? Clin Pediatr (Phila) 52:178–182CrossRef Srivastava T, Garg U, Ruiz M, Dai H, Alon US (2013) Serum 25(OH)-vitamin D level in children: is there a need to change the reference range based on 2011 Institute of Medicine report? Clin Pediatr (Phila) 52:178–182CrossRef
17.
go back to reference Vieth R (2006) Critique of the considerations for establishing the tolerable upper intake level for vitamin D: critical need for revision upwards. J Nutr 136:1117–1122PubMed Vieth R (2006) Critique of the considerations for establishing the tolerable upper intake level for vitamin D: critical need for revision upwards. J Nutr 136:1117–1122PubMed
18.
go back to reference Vieth R (2011) Why the minimum desirable serum 25-hydroxyvitamin D level should be 75 nmol/L (30 ng/ml). Best Pract Res Clin Endocrinol Metab 25:681–691PubMedCrossRef Vieth R (2011) Why the minimum desirable serum 25-hydroxyvitamin D level should be 75 nmol/L (30 ng/ml). Best Pract Res Clin Endocrinol Metab 25:681–691PubMedCrossRef
19.
go back to reference Wagner CL, Greer FR (2008) Prevention of rickets and vitamin D deficiency in infants, children, and adolescents. Pediatrics 122:1142–1152PubMedCrossRef Wagner CL, Greer FR (2008) Prevention of rickets and vitamin D deficiency in infants, children, and adolescents. Pediatrics 122:1142–1152PubMedCrossRef
20.
go back to reference Ward LM (2005) Vitamin D deficiency in the 21st century: a persistent problem among Canadian infants and mothers. CMAJ 172:769–770PubMedCrossRef Ward LM (2005) Vitamin D deficiency in the 21st century: a persistent problem among Canadian infants and mothers. CMAJ 172:769–770PubMedCrossRef
22.
go back to reference Winzenberg T, Powell S, Shaw KA, Jones G (2011) Effects of vitamin D supplementation on bone density in healthy children: systematic review and meta-analysis. BMJ 342:c7254PubMedCrossRef Winzenberg T, Powell S, Shaw KA, Jones G (2011) Effects of vitamin D supplementation on bone density in healthy children: systematic review and meta-analysis. BMJ 342:c7254PubMedCrossRef
23.
go back to reference Yates AA, Schlicker SA, Suitor CW (1998) Dietary reference intakes: the new basis for recommendations for calcium and related nutrients, B vitamins, and choline. J Am Diet Assoc 98:699–706PubMedCrossRef Yates AA, Schlicker SA, Suitor CW (1998) Dietary reference intakes: the new basis for recommendations for calcium and related nutrients, B vitamins, and choline. J Am Diet Assoc 98:699–706PubMedCrossRef
Metadata
Title
Comparison between daily supplementation doses of 200 versus 400 IU of vitamin D in infants
Authors
Erman Atas
Ferhan Karademır
Atilla Ersen
Cihan Meral
Secil Aydınoz
Selami Suleymanoglu
Mustafa Gultepe
İsmail Gocmen
Publication date
01-08-2013
Publisher
Springer Berlin Heidelberg
Published in
European Journal of Pediatrics / Issue 8/2013
Print ISSN: 0340-6199
Electronic ISSN: 1432-1076
DOI
https://doi.org/10.1007/s00431-013-1997-4

Other articles of this Issue 8/2013

European Journal of Pediatrics 8/2013 Go to the issue