Vitamin and Mineral Supplement Adherence in Pediatric Inflammatory Bowel Disease

Greenley, Rachel Neff; Stephens, K; Nguyen, Eve; Kunz, Jennifer; Janas, Lynn Marie; Goday, Praveen S.; Schurman, Jennifer Verrill

doi:10.1093/jpepsy/jst037

Cited by 24 publications

(18 citation statements)

References 31 publications

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“…It can also be helpful to discuss the reasoning behind the prescription, such as the impact of skin color and body weight on vitamin D levels (24) and to involve parents in monitoring usage, especially if the parents themselves are taking supplements, and the children can be involved in making sure the entire family is adherent (25).…”

Section: Supplement Adherencementioning

confidence: 99%

Importance of body weight and skin color in determining appropriate vitamin D3 supplement doses for children and adolescents

Weishaar

Rajan

2014

Pediatr Res

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Background: Deficiencies in vitamin D directly impact children's health and place minority and obese youth at risk for a range of health issues. The Institute of Medicine (IOM) Committee to Review Dietary Reference Intakes for Vitamin D and Calcium has set both a recommended daily allowance (RDA) for vitamin D supplementation and a populationwide sufficiency target for the biomarker of vitamin D status, serum 25-hydroxyvitamin D (25(OH)D). However, new research suggests that the RDA is not sufficient to meet the target biomarker status for individuals who are heavy or who have dark skin. Our objective was to provide appropriate daily vitamin D supplementation levels for these individuals. Methods: Using data derived from the National Health and Nutrition Examination Survey (NHANES) and a recently published dosing formula, we calculated the required supplemental dose of vitamin D to meet the IOM target in children and adolescents. results: To be sure that 95% of the target population meets the IOM's population-wide biomarker target, some individuals require a daily dose of up to 2,000 international units (IUs) of supplemental vitamin D. conclusion: Health professionals should work with their patients to encourage lifelong vitamin D supplement use at a dosage sufficient to obtain adequate 25(OH)D levels.

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Section: Supplement Adherencementioning

confidence: 99%

Importance of body weight and skin color in determining appropriate vitamin D3 supplement doses for children and adolescents

Weishaar

Rajan

2014

Pediatr Res

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“…Five quantitative studies revealed that non-adherence was associated with a lack of knowledge about ffiD treatment and medications, and beliefs that treatment was not necessary or medications were ineffective (Gray et al, 2012;Greenley, Stephens et al, 2013;Ingerski et al, 2010;Kitney et al, 2009). …”

Section: Factors Related To Knowledge and Beliefsmentioning

confidence: 99%

“…Greenley, Stephens et al (2013) examined the adherence rates to multivitamins, iron and calcium supplements in 49 adolescents with ffiD in the USA and the relationship between nonadherence and knowledge about supplements. Supplemental knowledge and adherence were assessed with the MAM.…”

Section: Factors Related To Knowledge and Beliefsmentioning

confidence: 99%

“…Although the findings could have been affected by the subjective assessment method (self-reports on the MAM may have overestimated adherence), they still illuminate an important gap between a lack of knowledge and nonadherence. Use of multiple measures of adherence and qualitative data could have allowed for more careful evaluation of the levels of knowledge and adherence (Greenley, Stephens et al, 2013). …”

Section: Factors Related To Knowledge and Beliefsmentioning

confidence: 99%

“…Methods included mixed methods, both qualitative and quantitative, in one study (Hommel & Baldassano, 2010), qualitative with individual interviews in one study (Hommel, Odell et al, 2011) and quantitative in ten other studies (Gray et al, 2012;Greenley, Stephens et al, 2013;Hommel, Danson et al, 2011;lngerski et al, 2010;Kitney et al, 2009;Leleiko et al, 2013;Mackner & Crandall, 2005;Reed-Knight et al, 2011;Reed-Knight et al, 2013).Adherence to 5-ASA and 6-MP/AZA was also examined in five studies, with subjective and/or objective methods (Greenley, Stephens et al, 2013;Hommel & Baldassano, 2010;Kitney et al, 2009;Leleiko et al, 2013).…”

Section: Factors Related To Knowledge and Beliefsmentioning

confidence: 99%

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The role of family nurse practitioners : promoting oral medication adherence to maintenance treatment among adolescents with inflammatory bowel disease

Cui¹

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The role of family nurse practitioners (FNPs) in promoting medication adherence in adolescents with inflammatory bowel disease (IBD) has not been established. This project provides intervention strategies that FNPs can use to promote oral medication adherence to maintenance treatment in adolescents with IBD. This is a critical need because non-adherence to maintenance therapy is the most significant factor associated with relapses of IBD and a serious health issue in adolescents with illD. There are no current best practice guidelines in promoting adherence to maintenance medications in illD patients. Findings from the literature review suggest that non-adherence to maintenance therapy is complex and multi-factorial. No single intervention strategy has been shown to be effective for all patients and conditions. However, individually tailored interventions that attend to behavioural, educational and psychosocial factors appear promising. The bio-psychosocial model is used as a conceptual framework to examine the factors affecting medication adherence and to explore the intervention strategies for improving medication adherence. Findings of this project are limited by the paucity of research on medication adherence in adolescents with illD. Implications and recommendations for family nurse practitioner practice, education and research are discussed.

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European guideline on obesity care in patients with gastrointestinal and liver diseases – Joint European Society for Clinical Nutrition and Metabolism / United European Gastroenterology guideline

et al. 2022

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Vitamin and Mineral Supplement Adherence in Pediatric Inflammatory Bowel Disease

Abstract: Findings highlight the importance of evaluating and addressing nonadherence to vitamin and mineral supplements in youth with pediatric IBD.

Cited by 24 publications

References 31 publications

Importance of body weight and skin color in determining appropriate vitamin D3 supplement doses for children and adolescents

Importance of body weight and skin color in determining appropriate vitamin D3 supplement doses for children and adolescents

The role of family nurse practitioners : promoting oral medication adherence to maintenance treatment among adolescents with inflammatory bowel disease

European guideline on obesity care in patients with gastrointestinal and liver diseases – Joint European Society for Clinical Nutrition and Metabolism / United European Gastroenterology guideline

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