3.2 Nutritional- Vit D deficiency in indigenous infants Flashcards
Poor nutrition especially in the first _ years old like affects future ___, _____, ______
- first 2 years
- cog fx
- milestone acheivement
- behav issues
What are manifestations of severe vitamin D deficiency?
3
- rickets
- cardiomyopathy
- hypocalcemic seizures
Are breastfed or formula fed infants more at risk of vit d deficiency (VitDD)
breastfed
formula fed have vit d added to formula but both breastfed and formula fed can get it
What are risk factors for VitDDef besides being breastfed
5
- darker skin
- winter season/reduced sun exposure
- maternal vitDDef
- lower socicoeconomic status
- fodd insecurity
What is the most significant barrier to effective VitDDef prevention in Canada
adherence to supplementation
What 3 steps must providers take during routine prenatal and well infant/child visits to address VitDDef risk
- assess mother + child for VitDDef risk
- determine appropriate dosage for VitD supplements
- support and monitor adherence
What is the recommended vit D intake of PREGNANT women
600IU/day
in addition vit d can be found in
fish, lower fat milk, and fortified soy beverages.
What is the recommended amount of VitD supplementation per day for low risk infants who are fully or partially breastfed
0-12 months
400IU/day
all infants <2 who are fully or partially breastfed
What is the recommended amount of VitD supplementation per day for high risk infants who are fully or partially breastfed
800IU/day
What is the recommended amount of VitD supplementation per day for low risk infants who are fully formula fed?
low risk - no supplementation
What is the recommended amount of VitD supplementation per day for high risk infants who are fully formula fed
high risk- 400IU/day
For children 1-5 years old who are at low risk of VitD Def what supplementation is needed
none- just dietary advice
For children 1-5 years old who are at high risk of VitD Def what supplementation is needed
dietary advice + 400IU/day
