The Guilt over Vitamin D

I have heard the warnings. I have read the reports from the American Academy of Pediatrics. I have even bought the stink'in vitamins. Are my kids get a daily Vitamin D supplement? Nope. I can't stand trying to remember to bug my husband to give it to them. I still have liquid Vitamin D from a year ago that is only supposed to last a month. I started giving it to the baby, but then I forgot. There are some doctors who think Vitamin D supplements are not necessary. I guess that's why I haven't made it a priority. And because I have too many things to remember.. I really think I will spend this weekend getting organized. Do you give your kids a Vitamin D supplement? Do you ever forget?

FROM NBC: We've been hearing a lot about vitamin D lately. Some studies are showing that vitamin d might help lower the risk for several kinds of cancer and maybe diabetes too. And lots of doctors are beginning to test their patients' Vitamin D levels.

But we haven't heard much about Vitamin D and children.Some doctors believe that kids aren't getting enough D, and it could be making them sick.

Problem is, most pediatricians aren't testing for it. Benjamin Smolen/14-years-old: "You're coming home. You're tired. You're aching." 14-year-old Benjamin Smolen was just a freshman in high school, but all of a sudden he was in constant pain. He says his whole body ached. He was getting headaches and feeling exhausted all the time. Benjamin Smolen/14-years-old: "It went on for weeks."

So Benjamin actually asked his mother to see the doctor? Marilyn Berzin/mother: "The pediatrician is like the last person he ever wants to see." His mother is a doctor, Dr. Marilyn Berzin is a DC dermatologist. Because benjamin is an active tennis player, she thought he'd simply pulled a muscle. But after he spent weeks complaining of things like severe body aches and stomach pain, she became concerned that it was something more serious.

Doctors tested him for everything from arthritis to Muscular Dystrophy to Lyme Disease. Marilyn Berzin/Mother:"Everything came out normal except that he had a severe Vitamin D deficiency." Doctors say most kids probably aren't getting enough vitamin d, a compound that aids in the absorption of calcium, which builds strong bones. when adults don't get enough d, they often suffer from Osteoporosis. But when kids don't get it, they never actually develop strong bones.

Dr. Laura Tosi is a pediatric orthopedist at Children's National Medical Center. Dr. Laura Tosi/Pediatric Orthopedist: "Teenagers will stop taking vitamins and particularly our girls will stop drinking milk." Tosi says she's seeing more and more kids coming to her bone health clinic with low Vitamin D levels. One study out of New York found that 70 percent of American kids aren't getting enough D. Researchers believe it's because kids aren't playing outside like they used to and they're not getting enough sunlight, which helps the body produce vitamin d on it's own.

Dr. Laura Tosi/Pediatric Orthopedist: "Now more and more kids are couch potatoes, so they're not getting d from the sun." According to the American Academy of Pediatrics, kids under 18 should be getting at least 400 international units of Vitamin D each day. Considering one glass of milk only has 50 to 100 units, Tosi says kids need to be taking supplements. That's what Benjamin is now doing. Immediately after his diagnosis, doctors give him 50-thousand units of Vitamin D once a week for 8 weeks. now that his levels are back up, he's taking a smaller dose daily to get what he needs.

Dr. Marilyn Berzin/Mother: "Within about 3 weeks he started feeling a lot better. he grew immediately about two inches." Benjamin Smolen/14-years-old:"Tennis felt a lot better, being able to do it. i have a lot more energy, more active, stopped hurting." Doctors say they don't regularly test for vitamin d levels in kids because it's expensive and there isn't one reliable test for it. But there are changes to vitamin d recommendations coming down the pike in the future, so testing may become more prevalent.

-NewsAnchorMom Jen

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Do kids absorb vitamins?

We have discussed whether or not it is necessary to give kids vitamins a couple times on this blog. Some say it's a waste of money. Others say it is a security blanket for picky eaters. I saw this question and answer on CNN. I thought, if you do want to give your kids vitamins, this is some good information about which ones to choose.

FROM CNN:
"I've heard a lot about vitamins and supplements passing through the body unabsorbed, especially when in pill form. I've also heard that this can be a more common problem with low-cost and generic versions, even though the ingredient list is identical. My solution lately has been to crush the pill to powder and down it with some milk. Does this solve the problem or is there something inherent in cheaper supplements that inhibits absorption?" Dr. Melina Jampolis said: This is an interesting question that brings up several important points. First of all, price or brand do not necessarily determine the quality of a vitamin supplement. An independent testing lab, consumerlabs.com, found that several higher priced vitamins were among the worst offenders in terms of contaminants or not having the vitamin levels stated on the label. In my opinion, the best solution would be to go with a brand that carries the seal of USP or NSF, two nonprofit organizations that certify that vitamins are contaminant free and made according to good manufacturing practices. If products don't carry the seal, this does not necessarily mean that they are inferior; they may simply be untested so if they are made by a reputable company, they are most likely safe and well made.

While crushing pills may ensure that they break down appropriately in the stomach, taking them with milk is not great idea, as milk may interfere with the absorption of some of the nutrients in a multivitamin such as iron. Taking them with juice is a better idea, as the acid and vitamin C in juice may help with the absorption. Taking a vitamin supplement with a meal is the best approach as many of the vitamins and minerals are better absorbed by the body in the presence of fat and protein.

-NewsAnchorMom Jen

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Before You Buy Children's Vitamins

If you read this blog, you know I can't seem to decide whether to give my kids vitamins. There is so much information on both sides of the argument. Here's the latest version from About.com to help you make an informed decision.

Most children do not need supplemental vitamins or minerals. According to the American Academy of Pediatrics, a diet based on the Food Guide Pyramid provides adequate amounts of all the vitamins a child needs. Still, there are situations where children's vitamins are necessary, especially if your child is a very picky eater or has a poor diet, that doesn't include a lot of iron rich foods. Some vegetarians may also need vitamins to meet all of their nutritional needs.(My son hates veggies, so I am confident he is missing some nutrients, but then again he eats a ton of fruit. I just don't know. I think I need a vitamin test or something.)

According to new AAP recommendations, exclusively breastfed infants should receive 200 IU of Vitamin D each day. Older children who don't drink at least 500ml (about 17 ounces) of Vitamin D fortified milk will also need Vitamin D supplements if they don't get regular sunlight exposure.

Children and adolescents need the mineral iron to prevent anemia. Those most at risk of iron deficiency are infants who are not given extra iron after six months of age (usually in the form of an iron fortified infant cereal), and babies who drink low-iron formula, cow's milk or goats milk. Good sources or iron include meats, fish, legumes, and fortified foods, such as breads and cereals. Adolescent girls are also at risk of anemia once they begin having their periods.

Calcium is another important mineral, and it is necessary for healthy bones and teeth. Children who drink milk and eat dairy products, such as yogurt, ice cream and cheese, usually get enough calcium from their diet. Children with milk allergies or who just don't like milk are a little more of a challenge to meet these requirements, but it is still easy if you find other foods high in calcium, such as calcium fortified orange juice. Vitamins, even those with extra calcium, generally only have about 200mg, or 20% of daily requirements, so you usually also need to supplement these vitamins with foods labeled 'High in Calcium'.

Most children get enough fluoride to build healthy teeth if they are drinking fluoridated water, either from tap water in a city that adds fluoride to the water, or bottled water that also has added fluoride. Since too much fluoride can cause staining of your child's teeth, talk with your Pediatrician or Dentist before giving your child fluoride supplements.

Multivitamins for infants are available as drops and usually contain Vitamin A, Vitamin C, and Vitamin D. They may also have added iron and other vitamins and minerals, such as thiamine, riboflavin, niacin, pyridoxine, Vitamin B12, and Vitamin E.

Multivitamins for older children are usually given as a chewable tablet. Finding your child's favorite character may make taking vitamins easy and fun.

Keep in mind that many 'complete' multivitamins do not have all of the recommended amounts of the vitamins and minerals that your child needs each day and most don't have enough calcium.

-NewsAnchorMom Jen

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