Adequacy of vitamin D intakes in children and teenagers from the base diet, fortified foods and supplements.

Abstract:

OBJECTIVE:To describe vitamin D intakes in children and teenagers and the contribution from supplements and fortified foods in addition to the base diet. DESIGN:Analysis of 7 d weighed food records collected during the Children's and Teens' National Nutrition Surveys in Ireland. Food composition data for vitamin D were updated from international analytical sources. SETTING:Nationally representative cross-sectional dietary surveys. SUBJECTS:Children (n 594; 5-12 years) and teenagers (n 441; 13-17 years). RESULTS:Median vitamin D intakes were 1.9, 2.1 and 2.4 μg/d in 5-8-, 9-12- and 13-17-year-olds, respectively. The prevalence of vitamin D-containing supplement use was 21, 16 and 15% in 5-8-, 9-12- and 13-17-year-olds and median intakes in users ranged from 6.0 to 6.7 μg/d. The prevalence of inadequate intakes, defined as the percentage with mean daily intakes below the Estimated Average Requirement of 10 μg/d, ranged from 88 to 96% in supplement users. Foods fortified with vitamin D, mainly breakfast cereals, fat spreads and milk, were consumed by 71, 70 and 63 % of 5-8-, 9-12- and 13-17-year-olds. Non-supplement users who consumed vitamin D-fortified foods had median intakes of 1.9-2.5 μg/d, compared with 1.2-1.4 μg/d in those who did not consume fortified foods. CONCLUSIONS:It is currently not possible for children consuming the habitual diet to meet the US Institute of Medicine dietary reference intake for vitamin D. In the absence of nationally representative 25-hydroxyvitamin D data in children, the implications of this observation for prevalence of vitamin D deficiency and health consequences are speculative.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Black LJ,Walton J,Flynn A,Kiely M

doi

10.1017/S1368980013000359

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

721-31

issue

4

eissn

1368-9800

issn

1475-2727

pii

S1368980013000359

journal_volume

17

pub_type

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