![]() ![]() Vitamin D stores in the fetus depend on maternal vitamin D status and breastfed infants continue to rely upon their mother's nutritional status. However, several studies have shown that there is little correlation between maternal and neonatal ferritin concentrations 5, 6), and that maternal anemia does not affect breast milk iron or lactoferrin concentration at birth and during early lactation 7). The American Academy of Pediatrics' (AAP) recommendations indicate that supplementation of oral iron drops before 6 months to breastfed infants may be needed to support iron stores 4). It has been reported that infants born to anemic mothers have low iron stores and are more likely to develop anemia 2, 3). Given that maternal nutritional status affects the contents of breast milk, it can be hypothesized that the deficiency of iron and other nutrients in mothers may reduce the micronutrient stores in their infants. This includes information on the Healthy Start Scheme for low income families.There has been debate about the adequacy of the human milk for maintaining an ideal iron status and for providing other micronutrients in exclusively breastfed infants 1). There is more information for the public about vitamin D guidelines and supplements available on the NHS website. There is more information about our work on nutritional rickets (a rare outcome of vitamin D deficiency) available through the British Paediatric Surveillance Unit. how vitamin D status should be assessed and who should be tested.the role of vitamin D in children and young people. ![]() ![]() This guide is based on current evidence and covers topics including: The Royal Osteoporosis Society published a practical guide on vitamin D and bone health in children and young people was published in December 2018, authored by paediatricians Dr Paul Arundel and Professor Nick Shaw. Parents should consider giving the same dose to children over four years, particularly through the winter months. ![]() All infants should receive a daily vitamin D supplement of 8.5-10 mcg from birth until one year old, unless they are consuming more than 500 mL of formula milk a day, as infant formula is fortified with vitamin D.Ĭhildren aged between one and four years should receive a daily vitamin D supplement of 10 mcg. ![]()
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