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Recent concepts on vitamin D in children and adolescents

소아청소년기의 비타민 D에 대한 최신 지견

  • Yang, Hye Ran (Committee on Nutrition, Korean Pediatric Society, Department of Pediatrics, Seoul National University College of Medicine Seoul National University Bundang Hospital) ;
  • Seo, Jeong Wan (Department of Pediatrics, Ewha Womans University School of Medicine) ;
  • Kim, Yong Joo (Department of Pediatrics, Hanyang University College of Medicine) ;
  • Kim, Jae Young (Department of Pediatrics, Chungnam National University School of Medicine) ;
  • Ryoo, Eell (Department of Pediatrics, Gachon University, Gil Hospital, Incheon KSCH Pediatric Clinic) ;
  • Sim, Jae Geon (KSCH Pediatric Clinic) ;
  • Yom, Hye Won (Departments of Pediatrics, Seoul Metropolitan Dong-bu Hospital) ;
  • Chang, Ju Young (Department of Pediatrics, Seoul National University College of Medicine, Seoul Metropolitan Boramae Hospital) ;
  • Jung, Ji A (Department of Nutritional Science, Maeil Daires Co.,) ;
  • Choi, Kwang Hae (Department of Pediatrics, Youngnam University College of Medicine)
  • 양혜란 (대한소아과학회 영양위원회, 서울대학교 의과대학 분당서울대병원 소아과학교실) ;
  • 서정완 (이화여자대학교 의학전문대학원 소아과학교실) ;
  • 김용주 (한양대학교 의과대학 소아과학교실) ;
  • 김재영 (충남대학교 의학전문대학원 소아과학교실) ;
  • 류일 (가천의과대학 길병원 소아과학교실) ;
  • 심재건 (늘푸른 소아청소년과) ;
  • 염혜원 (서울특별시 동부병원 소아청소년과) ;
  • 장주영 (서울대학교 의과대학 보라매병원 소아과학교실) ;
  • 정지아 (매일유업(주) 영양과학연구실) ;
  • 최광해 (영남대학교 의과대학 소아과학교실)
  • Received : 2009.09.25
  • Accepted : 2009.09.30
  • Published : 2009.10.15

Abstract

Vitamin D is an important fat-soluble vitamin that functions as a prohormone and affects bone mineralization and calcium homeostasis. Vitamin D deficiency causesboth musculoskeletal manifestations, including rickets, and extra-musculoskeletal symptoms. Because vitamin D is naturally present in only some foods, intake of daily foods cannot meet the dietary reference intake for vitamin D. Sunlight is the main source of vitamin D in humans therefore, the lack of sunlight can easily cause vitamin D deficiency in children and adolescents. Vitamin D deficiency can be diagnosed on the basis ofits typical clinical manifestation, laboratory tests, and radiologic findings. Detection of vitamin D deficiency in children or adolescents necessitates the simultaneous administration of vitamin D and calcium supplements. To prevent vitamin D deficiency, 200 IU of daily vitamin D intake is recommended in infants, and 400 IU of daily vitamin D intake is recommended in Korean children and adolescents.

Keywords

References

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