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Vitamin-D-Versorgung im Säuglings-, Kindes- und Jugendalter

Kurzfassung der Stellungnahme der Ernährungskommission der Deutschen Gesellschaft für Kinder- und Jugendmedizin (DGKJ) in Zusammenarbeit mit der Arbeitsgemeinschaft Pädiatrische Endokrinologie (APE)

Vitamin D supply in infancy, childhood, and adolescence

Abbreviated version of the statement issued by the Nutrition Committee of the German Society of Pediatrics and Adolescent Medicine

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An Erratum to this article was published on 20 November 2011

Zusammenfassung

Aktuelle nationale und internationale Publikationen beschreiben eine suboptimale Vitamin-D-Aufnahme bzw. einen unzureichenden Vitamin-D-Status in allen Altersstufen. Ziel dieser Stellungnahme ist es, die vorhandene Literatur und Evidenz zu den Referenzbereichen von Vitamin-D-Aufnahme und zur Vitamin-D-Versorgung sowie zum tatsächlichen Verzehr zusammenzustellen. Auf dieser Basis wurden Empfehlungen für Säuglinge, Kinder und Jugendliche, die in Deutschland leben, erarbeitet. Sinnvolle Maßnahmen zur Erreichung eines verbesserten Vitamin-D-Status sind: geschützte Sonnenlichtexposition, intensive Bewegung (mindestens 1 h täglich) im Freien, und Erhöhung der Vitamin-D-Zufuhr durch Supplemente. Ein besonderes Augenmerk ist auf Risikogruppen (vegetarisch ernährte Kinder, Migranten, Personen mit limitierter Sonnenlichtexposition, chronisch Kranke) zu legen, bei denen regelmäßige Kontrollen des 25-Hydroxyvitamin-D-Spiegels im Serum erwogen werden sollen. Eine systematische Überwachung der Vitamin-D-Versorgung im Kindes- und Jugendalter und eine Kosten-Nutzen-Analyse der empfohlenen bzw. durchgeführten Maßnahmen sollten erfolgen. Im Folgenden ist eine Kurzfassung der Stellungnahme der Ernährungskommission der Deutschen Gesellschaft für Kinder- und Jugendmedizin (DGKJ) abgedruckt. Eine Langfassung ist unter www.dgkj.de publiziert.

Abstract

Current national and international publications describe a suboptimal vitamin D intake or an inadequate vitamin D status in all age groups. The aim of this statement is to summarize the available literature and evidence for reference values of vitamin D intake and vitamin D supply as well as for the current consumption. On this basis, recommendations for infants, children, and adolescents living in Germany were developed. Reasonable measures for achieving an improved vitamin D status are: protected sunlight exposure, intensive physical activity (at least 1 h daily) outside, and increase of vitamin D intake via supplements. Special attention is given to risk groups (children nourished on a vegetarian diet, migrants, persons with limited sunlight exposure, and chronically ill persons) for which regular control of serum 25-hydroxyvitamin D levels has to be considered. A systematic supervision of vitamin D supply in childhood and adolescence and a cost-benefit analysis of recommended or conducted measures should be performed. In the following an abbreviated version of the statement of the Nutrition Committee of the German Society of Pediatrics and Adolescent Medicine (DGKJ) is printed. The full version is published under http://www.dgkj.de.

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  1. Ernährungskommission, Deutsche Gesellschaft für Kinder- und Jugendmedizin e.V., Chausseestraße 128/129, 10115, Berlin, Deutschland

    M. Wabitsch, B. Koletzko & A. Moß

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  1. M. Wabitsch
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  2. B. Koletzko
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  3. A. Moß
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Correspondence to M. Wabitsch.

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Eine ausführliche Version der Stellungnahme mit mehr Informationen zur Physiologie, Pathophysiologie und zu klinischen Studien ist im Internet unter http://www.dgkj.de zu finden.

An erratum to this article can be found at http://dx.doi.org/10.1007/s00112-011-2535-y

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Wabitsch, M., Koletzko, B. & Moß, A. Vitamin-D-Versorgung im Säuglings-, Kindes- und Jugendalter. Monatsschr Kinderheilkd 159, 766–774 (2011). https://doi.org/10.1007/s00112-011-2407-5

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