When do you start vitamin D supplementation?

10-year-old Lele will always sweat a lot at night, and she also has pillows (the head is in contact with the pillow where the hair is clearly scarce). Lele’s grandmother, who has extensive experience in childcare, said with certainty that her granddaughter was suffering from a deficiency caused by calcium deficiency. She then let Lele’s mother go to a pharmacy to buy some calcium preparations for Lele’s food.

Out of caution, Lele's mother took Lele to the hospital for an examination and found that, although Lele did suffer from rickets, it was not due to insufficient calcium intake but vitamin D deficiency, which in turn caused calcium absorption disorders. The doctor said that Lele needs to supplement not calcium but vitamin D.

When does vitamin D start?

According to the relevant provisions of China's maternal and child health care system, vitamin D can be used to prevent rickets in children after 2 weeks of birth. In addition, VD preparations can be taken for life. According to the relevant provisions of China's maternal and child health care system, vitamin D supplementation to prevent rickets, focusing on infants within 1 year of age, and system management to 3 years old, recommended intake of 400IU-800IU/day.

Two weeks from the birth of a child to three years of age, preventive vitamin D supplementation

Zhu Xiaohua, deputy chief physician of the Children's Health Department, said that rickets is a common disease in infants and young children. It is a disease caused by calcium and phosphorus metabolism disorders in the body caused by vitamin D deficiency, which causes poor bone calcification. Children with rickets may experience symptoms such as night terrors, pillow baldness, excessive sweating, and incomplete teeth development. Severe cases may include skeletal deformities such as chicken breasts, X-shaped legs, and O-shaped legs. In addition, rickets can also cause the child's resistance to fall, easily merging pneumonia, diarrhea and other diseases, affecting growth and development.

To prevent the occurrence of rickets, first of all, children should be given enough vitamin D. However, infants and children within three years of age grow rapidly, and the body needs more nutrients. Therefore, it is difficult to obtain enough food from food. Vitamin D, so the "comprehensive early management of diarrhea disease" proposal, the child two weeks after birth, the latest 4 weeks, we must start preventive vitamin D supplement, that is, daily supplement 400 IU of vitamin D, until the child is three years old . Preterm infants and low-birth-weight infants should receive 800 IU of vitamin D daily in the first 3 months and then reduce it to 400 IU per day.

After the child is three years old, growth and development are slowed down, outdoor activities increase, and diets are increasingly diversified. Generally, no preventive vitamin D supplementation is required.

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