Appropriate and inappropriate vitamin supplementation in children

Martini, Lucia; Pecoraro, Luca; Salvottini, Chiara; Piacentini, Giorgio; Atkinson, Richard L.; Pietrobelli, Angelo

doi:10.1017/jns.2020.12

Cited by 24 publications

(25 citation statements)

References 69 publications

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“…Vitamin A is the name of a group of fat-soluble retinoids that can be found in foods of animal origin and in many types of fruits and vegetables containing carotenoids which are vitamin A precursors. Maintaining muscular integrity and vision is essential for growth, both general and cellular, differentiation and signaling, normal metabolism, and for immunological purposes [73].…”

Section: Micronutrientsmentioning

confidence: 99%

“…This is why vitamin A is considered essential for healthy vision [78]. The recommended dietary intake in the pediatric population is from 200 to 500 µg/d [64,73,79]. Vitamin A supplementation is recommended in children between the ages of 6 months and 5 years in all developing countries, while in developed countries supplementation is not indicated [80,81].…”

Section: Micronutrientsmentioning

confidence: 99%

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Complementary Feeding: Pitfalls for Health Outcomes

D’Auria

Borsani

Pendezza

et al. 2020

IJERPH

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The term complementary feeding is defined as the period in which a progressive reduction of breastfeeding or infant-formula feeding takes place, while the infant is gradually introduced to solid foods. It is a crucial time in the infant’s life, not only because of the rapid changes in nutritional requirements and the consequent impact on infant growth and development, but also for a generation of lifelong flavor preferences and dietary habits that will influence mid and long-term health. There is an increasing body of evidence addressing the pivotal role of nutrition, especially during the early stages of life, and its link to the onset of chronic non-communicable diseases, such as obesity, hypertension, diabetes, and allergic diseases. It is clear that the way in which a child is introduced to complementary foods may have effects on the individual’s entire life. The aim of this review is to discuss the effects of complementary feeding timing, composition, and mode on mid and long-term health outcomes, in the light of the current evidence. Furthermore, we suggest practical tips for a healthy approach to complementary feeding, aiming at a healthy future, and highlight gaps to be filled.

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Section: Micronutrientsmentioning

confidence: 99%

Section: Micronutrientsmentioning

confidence: 99%

Complementary Feeding: Pitfalls for Health Outcomes

D’Auria

Borsani

Pendezza

et al. 2020

IJERPH

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“…However, the vitamin status of a child depends on many factors. Children do not benefit from random supplementation; in contrast, an inappropriate vitamin intake may cause significant side effects [ 25 ]; therefore, supplementations should be guided by a specialist, unlike our participants.…”

Section: Discussionmentioning

confidence: 99%

Use of Health-Promoting Food and Supplements in Swiss Children

et al. 2022

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Introduction: Our diet is the sum of many different influences and has visibly changed over the past decades. Since children also imitate their parents when it comes to eating habits, the aim of the study was to assess the current dietary habits in Swiss children. Method: Cross-sectional study of children between 0 and 18 years of age in Switzerland. Results: A total of 1964 children participated, with an average age of 7.4 years. A total of 57.9% of participants stated to buy supplements to promote health, while fruit juices/smoothies were the most popular product (42.5%), followed by protein-enriched products (40%) and vitamins/minerals (29%). A statistically significant correlation between longer screen time, a higher socioeconomic background, and the intake of supplements was found. Over 20% of all families regularly consume plant-based drinks. Discussion: This Swiss cross-sectional study of over 1900 participants reveals that 58% of all participants buy supplements or special kid’s food to promote the child’s health. There is a correlation between higher screen time, higher parental income, and the usage of supplements. A total of 23% of participating families consume at least one plant-based drink on a regular basis. As more and more families use supplements, the pediatrician should not only focus on weight, which reflects the intake of macronutrients but should also take a history of whether children omit certain foods or take supplements to ensure the child does not have a deficiency of micronutrients.

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“…Vitamin C was prescribed more commonly in children aged less than 18 years. Although it has been used for years for the prevention of the common cold, no evidence supports that expected effect in the general population 28,29 . Thus, inquiring about the indications of its use is pertinent based on its poor therapeutic benefit 4 .…”

Section: Discussionmentioning

confidence: 99%

Vitamin, micronutrients and supplement prescribing patterns in a group of ambulatory colombian patients, 2016

2020

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Introduction: Vitamins and micronutrients are essential organic substances in the metabolic processes of living things, and supplementation is only recommended in conditions of nutritional deficits. Objective: To determine the prescription patterns of vitamins and supplements in a group of patients enrolled in the Colombian Health System in 2016. Methodology: This was a cross-sectional study based on a population database. Vitamin-prescribed patients of both sexes and all ages were selected for 3 consecutive months. A database was designed using the dispensing records. SPSS 23.0 was used for the univariate, bivariate and multivariate analyses. A p-value <0.05 was considered statistically significant. Results: In total, 9998 patients receiving vitamin supplementation were identified. A female predominance was observed (n=8341, 83.4%). The mean age was 57.7±18.7 years. The most commonly formulated vitamins and micronutrients were vitamin D (58.0%), calcium (55.0%) and folic acid (25.0%). Overall, 60.8% of patients were prescribed more than one vitamin. The most frequent multiple-nutrient association was between calcium and vitamin D (n=5505); 77.3% received concurrent treatment with other medications to manage comorbidities. The probability of comedication in the multivariate analysis was higher for folic acid (OR:3.10, 95%CI 2.69-3.59), thiamine (OR:2.75, 95%CI:2.15-3.5) and calcium + vitamin D (OR:1.61, 95%CI: 1.42-1.82) and for those individuals older than 65 years (OR:1.24, 95%CI:1.02-1.51). Conclusions: Vitamins are widely used in the Colombian population. The results of this study elucidate the patterns of use of these supplements and offer proposed strategies to the future and to evaluate and minimize prescriptions that are potentially inappropriate or of little therapeutic value. MÉD.UIS. 2020;33(2):41-8

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Appropriate and inappropriate vitamin supplementation in children

Cited by 24 publications

References 69 publications

Complementary Feeding: Pitfalls for Health Outcomes

Complementary Feeding: Pitfalls for Health Outcomes

Use of Health-Promoting Food and Supplements in Swiss Children

Vitamin, micronutrients and supplement prescribing patterns in a group of ambulatory colombian patients, 2016

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