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Article #211: Vitamin D: Its Deficiency And Prevention

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Deficiency: rickets as a menace to child health is
(1) Rickets: Vitamin D deficiency leads overshadowed by the prevalence of protein
to rickets, which is usually observed in energy malnutrition.
young children between the age of six Prevention: Preventive measures include
months and two years. There is reduced (a) Educating parents to expose their
calcification of growing bones. The children regularly to sunshine;
disease is characterized by growth (b) Periodic dosing (prophylaxis) of
failure, bone deformity, muscular young children with vitamin D; and
hypotonia, tetany and convulsions due to vitamin D fortification of foods,
hypo-calcemia. There is an elevated especially milk. Some industrialized
concentration of alkaline phosphates in countries still carry out the last
the serum. The bony deformities include measure. Periodic dosing and education
curved legs, deformed pelvis, pigeon appear to be the most practical
chest, Harrison's sulcus, rickety rosary, approaches in developing countries.
kyphoscoliosis, etc. The milestones of Fraser urges caution concerning oral
development such as walking and teething supplementation, because orally
are delayed. administered vitamin D appears to bypass
(2) Osteomalcia. In adults, vitamin D the protective mechanism the prevent
deficiency may result in osteomalacia, excessive 25 (OH) D 3 formation. The
which occurs mainly in women, especially margin of safety with oral vitamin D
during pregnancy and lactation when between the nutrient requirement and
requirements of vitamin D are increased. toxic intake is narrow. The signs of
Both rickets and osteomalacia are vitamin d toxicity are usually related to
frequently reported in India, although hypercalcemia, like thirst, anorexia,
they do not appear to be a problem of polyuria and the risk of metastic
public health importance. In the world as calcification.
a whole, their prevalence has declined as Find complete and updated information on
a result of changes in social customs vitamin, vitamin c, health food vitamin,
(e.g., purdah system), and the expansion vitamin b12, vitamin supplement, vitamin
of mother and children health services world, vitamin e, vitamin d, vitamin b,
leading to better care and feeding of vitamin k, vitamin a, liquid vitamin,
infants and children vitamin b complex, vitamin and mineral,
(3). In the developing countries today, multi vitamin.






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