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Breast-fed babies need vitamin D supplements. (Starting at 2 Months of Age).

OB GYN News

| May 15, 2003 | Mahoney, Diana | COPYRIGHT 2003 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

Infants, whether they are breast-fed or not, should receive 200 IU of supplementary vitamin D daily from 2 months of age until they are drinking a minimum 17 ounces of vitamin D--fortified milk daily to prevent rickets, according to a recent policy statement by the American Academy of Pediatrics.

The AAP Committee on Nutrition drafted these new guidelines (Pediatrics 11 1[4]:908-10, 2003) in response to the new recommended adequate intake of vitamin D by the National Academy of Sciences (NAS) for infants, children, and adolescents, which is 200 IU per day. These changes come in response to reports that the bone-weakening disease rickets continues to be diagnosed in the United States.

In 2001, the Centers for Disease Control and prevention published a report about children in Georgia who had been hospitalized with tickets, including breast-fed infants who were not getting vitamin D supplementation (MMWR 50[12]:224-27, 2001). While there are no national statistics on the incidence of rickets, the CDC report and other anecdotal evidence about the continuing occurrence of the preventable disease prompted the NAS to reconsider criteria for adequate intake.

Until recently, nutritional experts believed the minimal amount of D ...

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