Vitamin D Norms: The norms which were put forwards by Indian Council of Medical Research for children in India are not for the children who are in India. The statistical data that Vitamin D deficiency for the Children in India are not put based on the data collected from Indian children. It is for the western countries where the Sunlight is very important for a child to get sufficient vitamin D.
The daily intake of 400 to 1000 IU and 600 to 1000 IU vitamin D by children less than one year and up to 18 years age are not for Indian children, said Indian Academy of Paediatrics. The guidelines of the US Endocrine Society would help the children in the West but would not address the deficiency among the Indian children. The guidelines were based on the local area in western countries but not in India.
In another study, a dose of 60,000 IU (monthly or bi-monthly) achieved vitamin D sufficient status in only 47 per cent girls at the end of one year. While the current recommended does are 400 and 600 IU per day, the studies have shown that it does not work for the Indian children. Paediatricians stated that there have been several studies which showed that vitamin D concentration improves if it is taken together with calcium.
Dr P. Chandra Shekar, a senior paediatrician, said, “We do not have the data but clinical experience showed that such high levels will not work until and unless substituted with calcium and that must be followed so that the deficiency can be reduced.” The compliance must be adhered to and it is found that absorption of calcium and vitamin D is better.
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