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Acta Paediatr. 2017 Dec;106(12):2038-2041. doi: 10.1111/apa.14054. Epub 2017 Oct 8.

Vitamin D status of gastrostomy-fed children with special needs: a cross-sectional pilot study.

Author information

1
Department of Community Paediatric Dietetics, Royal Manchester Children's Hospital, Manchester, UK.
2
Department of Paediatric Endocrinology, Royal Manchester Children's Hospital, Manchester, UK.

Abstract

AIM:

To assess the vitamin D status of gastrostomy-fed children.

METHODS:

Vitamin D status was measured in 32 children aged five to 16 years recruited from special schools in Manchester, UK (53° 48' N). All children were receiving a nutritionally complete, commercially prepared enteral feed via gastrostomy, and had been established on this regimen for over 12 months. Serum concentrations of 25-hydroxyvitamin D (25OHD) were measured at the end of winter. Children with serum concentrations of 25OHD >50 nmol/L were considered to be sufficient, and those with concentrations <25 nmol/L were considered to be deficient.

RESULTS:

Approximately 83% of subjects had sufficient concentrations of serum 25OHD (>50 nmol/L). One subject was vitamin D deficient (serum 25OHD <25 nmol/L), and four were vitamin D insufficient (serum 25OHD >25 nmol/L - <50 nmol/L). The median vitamin D derived from enteral feeds was 9.45 μg/day; range 3.5-30; 13 children (41%) received less than 10 μg of vitamin D per day from their enteral feed.

CONCLUSION:

Nutritionally complete gastrostomy feeds may be protective against vitamin D deficiency in the majority of children with special needs. We recommend that all children over 1 year of age receive 10 μg (400 IU) of vitamin D, as recommended by the Scientific Advisory Committee on Nutrition (SACN).

KEYWORDS:

Enteral feeding; Gastrostomy; Paediatric; Vitamin D

PMID:
28862805
DOI:
10.1111/apa.14054
[Indexed for MEDLINE]

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