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Archives of Disease in Childhood 2007;92:737-740; doi:10.1136/adc.2007.122689
Copyright © 2007 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health

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Perspectives

Vitamin D

Mother-child vitamin D deficiency: an international perspective

Adekunle Dawodu1, Carol L Wagner2

1 Center for Global Child Health, Cincinnati Children’s Hospital Medical Center and University of Cincinnati, Cincinnati, OH, USA
2 Division of Neonatology, Department of Pediatrics, Medical University of South Carolina, Charleston, SC, USA

Correspondence to:
Dr Adekunle Dawodu, Center for Global Child Health, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, MLC 5041, Cincinnati, OH 45229-3039, USA; adekunle.dawodu@cchmc.org

Accepted for publication 31 May 2007


Perspective on the paper by Dijkstra et al (see page 750)

The first 150 words of the full text of this article appear below.

Rickets is often considered a 19th century disease. However, despite the availability of vitamin D and demonstration of its efficacy in preventing rickets, vitamin D deficiency rickets still exists as a public health problem with significant morbidity in the Middle East15 and in many Asian countries,6 7 and has been reported with increasing prevalence in minority groups in North America810 and in immigrant populations in Europe, Australia and New Zealand.11 In many countries, there are reports of a high prevalence of subclinical vitamin D deficiency in children and adolescents12 13 and rickets may merely represent the tip of the iceberg.

With more studies, there are reports from many countries of a high prevalence of vitamin D deficiency in women of child-bearing age1420 and during pregnancy2124 and in nursing mothers,2527 with likely adverse consequences for women, the fetus and growing infants and children.21 What seemed to be a rare entity has . . . [Full text of this article]


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