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Moms, babies found deficient in vitamin D
http://www.healthsentinel.com/news.p..._item&id=3D686
ANDR=C9 PICARD, "Moms, babies found deficient in vitamin D", Globe and Mail, March 15, 2005, Link: http://www.theglobeandmail.com/servl.../20050315/HVI= TAMIND15/TPHealth/ Almost half of new mothers and one-third of their babies suffer from vitamin D deficiency, according to new Canadian research. Vitamin D is essential for proper bone growth and mineralization. Inadequate levels can cause rickets, and may increase the risk of osteoporosis, multiple sclerosis and some forms of cancer, including breast and colorectal cancers. "There's a lot of vitamin D deficiency out there," said Dr. Hope Weiler, an associate professor of human nutritional sciences at the University of Manitoba in Winnipeg. "These numbers suggest that adults are not maintaining good bone health and that children are not building bone as well as they could," she said. The new study, published in today's edition of the Canadian Medical Association Journal, found that children with inadequate levels of vitamin D had low bone mass. None of the children developed rickets -- a painful and once common bone-wrenching condition -- because they were all provided with vitamin D supplements, Dr. Weiler said. "When you get to the point where you see rickets, the vitamin D deficiency is quite severe and devastating," she said. What is unclear, Dr. Weiler said, is the health impact of long-term vitamin D deficiency and, in particular, how it may affect the growth of children and rates of osteoporosis and other diseases in adults. A study released last year by the Canadian Paediatric Society warned that rickets is making an alarming comeback due to chronic vitamin D deficiency in Canadian children. Vitamin D comes principally from the ultraviolet rays in sunlight and from foods such as fatty fish, for example, salmon. Some foods are also fortified with vitamin D, including cow's milk, soy and rice beverages, and margarine. A daily intake of at least 200 international units of vitamin D is recommended as part of a healthy diet; pregnant women should get double that level, 400 IU. But the new study, conducted among mothers giving birth at the Winnipeg Health Sciences Centre, found that 46 per cent did not attain the minimal level of 200 IU. This occurred despite the fact that two in three moms were taking a maternal supplement that was supposed to provide adequate levels of vitamin D. More than 70 per cent of the women who were deficient in vitamin D gave birth to a child who was also deficient. In a commentary also published in the CMAJ, Dr. Leanne Ward, a pediatric endocrinologist at the Children's Hospital of Eastern Ontario in Ottawa, said the data underscore an "important care gap in this country: Vitamin D deficiency among Canadian mother-infant pairs is a persistent problem, despite existing recommendations for its prevention and despite ready access to vitamin D supplementation." She said newborns who are being breastfed should receive a daily supplement of 400 IU of vitamin D, and if they live above the 55th parallel, that dose should increase to 800 IU in the winter months. Dr. Ward said that while breast milk is undeniably the best fluid for babies, it tends not to be rich in vitamin D. Vitamin D supplements for babies are sold in liquid form, and administered with a dropper. Vitamin D deficiency, as well as rickets, is seen principally in dark-skinned children, particularly black and aboriginal children who live in the Far North. Dark skin blocks the absorption of vitamin D from the ultraviolet rays of the sun. The tendency to keep children out of the sun is also limiting their vitamin D. |
#2
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While the title is true enough the substance
of the article is more disappointing both in the lack of specifics and in the resulting final suggestions. My comments are interspersed below. "Roman Bystrianyk" wrote in message oups.com.. . http://www.healthsentinel.com/news.p...st_item&id=686 . ANDRÉ PICARD, "Moms, babies found deficient in vitamin D", Globe and Mail, March 15, 2005, Link: http://www.theglobeandmail.com/servlet/ArticleNews/ TPStory/LAC/20050315/HVITAMIND15/TPHealth/ Almost half of new mothers and one-third of their babies suffer from vitamin D deficiency, according to new Canadian research. That is if one chooses a criteria in which the measured value of 25 (OH) vitamin D is set very low. If the value is raised toward one found in people dwelling in sunnier latitudes the deficicncy in nearly universal among Canadian City dwellers with the exception of perhaps a small proportion of supplement users. The serum 25(OH)D value that has been used by some is 27.5 nmol/L, however a value at or below 37.5 nmol/L (15 ng/mL) if one look the elevation of PTH used by the body to maintain serum calcium levels with absence of fully adequate activated vitamin D levels. Indeed, some have set the value cut off level even higher at 70 to 80 nmol/L PMID 15585802 I suggest the author should have Googled the "Vitamin D Expert Panel Meeting" of October 12-12, 2001 Atlanta, Georgia "Final Report" This reports call the 45 mcg limit for infants a MYTH. The fear of this mythic limit in normal infants and small children condemns many short blighted lives. Even at 100 mcgs of D2 per day it is only the phenotypic abnormal such as Williams syndrome sufferers that showed signs of hypervitaminous. (Bransby et al, 1964) The British enrichment/fortification program of the 1950's at higher than current levels of D2 did lead to problems in the hypersensitive. This is the great failing of such one size fits all programs, as the true level optimal for the normal is toxic for the hypersensitive. Concern for one group condemns some of the other to illness and early death as it currently stands. D3 supplements are the superior mode of admistration as they can be personalized, IMO. Research admit the fortification programs fail to achieve their goals. PMID 15595792 fortification not effective Vitamin D is essential for proper bone growth and mineralization. Inadequate levels can cause rickets, and may increase the risk of osteoporosis, multiple sclerosis and some forms of cancer, including breast and colorectal cancers. Don't forget the preventing and slowing prostate cancer by vitamin D in males and the preventing of autoimmune disorders to which females are especially prone. Other diseases in which a vitamin D shortage has role are inflammatory bowel disease, asthma, tuberculosis, and asthma. PMID 15585793 Vit D and immune status "There's a lot of vitamin D deficiency out there," said Dr. Hope Weiler, an associate professor of human nutritional sciences at the University of Manitoba in Winnipeg. "These numbers suggest that adults are not maintaining good bone health and that children are not building bone as well as they could," she said. "Suggest"? Talk about a lack of backbone!! The time is past for for such language, Doc. The new study, published in today's edition of the Canadian Medical Association Journal, found that children with inadequate levels of vitamin D had low bone mass. This more than a suggestion. Many must have chronic low levels of vitamin D year round given modern lifestyles of indoors living combined with poor diets and the pitifully fortification programs. Consider also Lehtonen-Veromann, Muttonen, Nuotio, Irjala, Leiino, Viikari in Osteoporosis Int. 2002, 13:S5 None of the children developed rickets -- a painful and once common bone-wrenching condition -- because they were all provided with vitamin D supplements, Dr. Weiler said. Rickets is a set of symptoms and malformations at the extreme of deficiency. There are other adverse results of less extreme deficiencies. "When you get to the point where you see rickets, the vitamin D deficiency is quite severe and devastating," she said. What is unclear, Dr. Weiler said, is the health impact of long-term vitamin D deficiency and, in particular, how it may affect the growth of children and rates of osteoporosis and other diseases in adults. What rubbish. Unclear?? Early childhood deficiency condemns many to multiple sclerosis, severe celiac, and type1 diabetes mellitus. PMID 15585788 The press writer needs to quit quoting the "experts" and look at the research and press the "experts" with some slightly hostile questions. It would good to follow some who suffered from rickets or lower vitamin D levels as infants and small children. The Finns have in fact done the latter though they didn't examine bone health but rather the increased in autoimmune disorders. A study released last year by the Canadian Paediatric Society warned that rickets is making an alarming comeback due to chronic vitamin D deficiency in Canadian children. It is easy to do nothing or too little. Vitamin D comes principally from the ultraviolet rays in sunlight and from foods such as fatty fish, for example, salmon. Some foods are also fortified with vitamin D, including cow's milk, soy and rice beverages, and margarine. The fortified foods contain only low levels of vitamin D. And some of it is vitamin D2 not vitamin D3 which is not so good. AS vitamin D2 has a shorter biological half life. It binds less tightly to the binding protein than D3. The use of a (100 mcg) 4000 IU (not 400) supplement in nursing mothers during the darker months of the year will increase their breast milk vitamin D levels to ones that will keep the infant vitamin D replete. What moron would fortify margarine with anything? This is a "food" that should be eliminated from the diet with exception of perhaps Smart Balance and a few other better designed of the products. A daily intake of at least 200 international units of vitamin D is recommended as part of a healthy diet; pregnant women should get double that level, 400 IU. This is utter bunk. The value being suggested is too low in the context of higher than 40 degrees latitude effective sunlight availablility during late fall and winter or in the case of those living indoors. People in Boston (42 degrees) dependent solely on dietary vitamin D3 from November to February. Reports of rickets in infants in the USA extend to Texas the southern most state. A vitamin D levels are low in Queensland, Australia even as skin cancer rates are rather high. PMID 2839537 Boston sunlight in Nov to Feb is not strong enough for previtamin D3 synthesis on clear days. PMID 15225824 8 % deficient and 23 % insufficient of vitamin D in population of Queensland But the new study, conducted among mothers giving birth at the Winnipeg Health Sciences Centre, found that 46 per cent did not attain the minimal level of 200 IU. This occurred despite the fact that two in three moms were taking a maternal supplement that was supposed to provide adequate levels of vitamin D. Most maternal supplements contain 400 IUs of vitamin D which is too little. Hollis has shown even 2000 IU in the mother isn't quite enough and the "4000 IU/d could achieve substantial progress toward improving both maternal and neonatal nutritional vitamin D status." .. More than 70 per cent of the women who were deficient in vitamin D gave birth to a child who was also deficient. In a commentary also published in the CMAJ, Dr. Leanne Ward, a pediatric endocrinologist at the Children's Hospital of Eastern Ontario in Ottawa, said the data underscore an "important care gap in this country: Vitamin D deficiency among Canadian mother-infant pairs is a persistent problem, despite existing recommendations for its prevention and despite ready access to vitamin D supplementation." She said newborns who are being breastfed should receive a daily supplement of 400 IU of vitamin D, and if they live above the 55th parallel, that dose should increase to 800 IU in the winter months. This suggestion is as suitable to the 40th parallel as it is to the 55th. Dr. Ward said that while breast milk is undeniably the best fluid for babies, it tends not to be rich in vitamin D. Vitamin D supplements for babies are sold in liquid form, and administered with a dropper. This is because the physicians and bureaucrats don't give the mothers the needed dose of vitamin D3 which is ten times larger than what they suggest to, enforce on, and prescribe to their patients or subjects. Vitamin D deficiency, as well as rickets, is seen principally in dark-skinned children, particularly black and aboriginal children who live in the Far North. Dark skin blocks the absorption of vitamin D from the ultraviolet rays of the sun. True and False. Yes, heavily pigemented skin is slower to convert cholesterol into the calciferol (vitamin D3) No, it is the pigment that blocks the UV from altering the cholesterol into the previtamin . I'll add as an aside that among the elderly the conversion of cholesterol to vitamin D is cut in half. The tendency to keep children out of the sun is also limiting their vitamin D. In part. Now I leave the review to add a comment on another related point. And it will another couple of generations before these "experts", realise that supplementing with vitamin K is good idea. The authorities in Canada have even banned vitamin K in supplements. Likely using the coumadin takers as an excuse for the ban with the view that clot prone people are too infantile to avoid vitamin K supplements when taking the antivitamin. Or perhaps they lamely imagine the vitamin K causes hypercoagulative state which it doesn't. Thus they are damning even more of their subjects to weak bones and ectopic calcifications such hardening of the arteries. Vitamin D supplement given to the mothers should in my opinion contain a reasonable dose of vitamin K at the level of = 0.5 milligrams of both K1 and K2. PMID 11846334 MK-4 form of K-2 PMID 12361778 10 mgs of Konakion in Euromir mission PMID 11374034 Vascular calcification due to undercarbo- ylation of MGP due lack of vitamin K especially K-2 PMID 7756045 K2 has additional bone preserving properties beyond those of K1 I wonder if any Canadian physician bothers to prescribe there Crohn's patients both vitamin K and D supplements.Or celiac patients for that matter. PMID 15555000 Crohn's patients deficient in both D and K |
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John Que wrote: While the title is true enough the substance of the article is more disappointing both in the lack of specifics and in the resulting final suggestions. My comments are interspersed below. "Roman Bystrianyk" wrote in message oups.com.. . http://www.healthsentinel.com/news.p..._item&id=3D686 . ANDR=C9 PICARD, "Moms, babies found deficient in vitamin D", Globe and Mail, March 15, 2005, Link: http://www.theglobeandmail.com/servlet/ArticleNews/ TPStory/LAC/20050315/HVITAMIND15/TPHealth/ Almost half of new mothers and one-third of their babies suffer from vitamin D deficiency, according to new Canadian research. That is if one chooses a criteria in which the measured value of 25 (OH) vitamin D is set very low. If the value is raised toward one found in people dwelling in sunnier latitudes the deficicncy in nearly universal among Canadian City dwellers with the exception of perhaps a small proportion of supplement users. The serum 25(OH)D value that has been used by some is 27.5 nmol/L, however a value at or below 37.5 nmol/L (15 ng/mL) if one look the elevation of PTH used by the body to maintain serum calcium levels with absence of fully adequate activated vitamin D levels. Indeed, some have set the value cut off level even higher at 70 to 80 nmol/L PMID 15585802 I suggest the author should have Googled the "Vitamin D Expert Panel Meeting" of October 12-12, 2001 Atlanta, Georgia "Final Report" This reports call the 45 mcg limit for infants a MYTH. The fear of this mythic limit in normal infants and small children condemns many short blighted lives. Even at 100 mcgs of D2 per day it is only the phenotypic abnormal such as Williams syndrome sufferers that showed signs of hypervitaminous. (Bransby et al, 1964) The British enrichment/fortification program of the 1950's at higher than current levels of D2 did lead to problems in the hypersensitive. This is the great failing of such one size fits all programs, as the true level optimal for the normal is toxic for the hypersensitive. Concern for one group condemns some of the other to illness and early death as it currently stands. D3 supplements are the superior mode of admistration as they can be personalized, IMO. Research admit the fortification programs fail to achieve their goals. PMID 15595792 fortification not effective Vitamin D is essential for proper bone growth and mineralization. Inadequate levels can cause rickets, and may increase the risk of osteoporosis, multiple sclerosis and some forms of cancer, including breast and colorectal cancers. Don't forget the preventing and slowing prostate cancer by vitamin D in males and the preventing of autoimmune disorders to which females are especially prone. Other diseases in which a vitamin D shortage has role are inflammatory bowel disease, asthma, tuberculosis, and asthma. PMID 15585793 Vit D and immune status "There's a lot of vitamin D deficiency out there," said Dr. Hope Weiler, an associate professor of human nutritional sciences at the University of Manitoba in Winnipeg. "These numbers suggest that adults are not maintaining good bone health and that children are not building bone as well as they could," she said. "Suggest"? Talk about a lack of backbone!! The time is past for for such language, Doc. The new study, published in today's edition of the Canadian Medical Association Journal, found that children with inadequate levels of vitamin D had low bone mass. This more than a suggestion. Many must have chronic low levels of vitamin D year round given modern lifestyles of indoors living combined with poor diets and the pitifully fortification programs. Consider also Lehtonen-Veromann, Muttonen, Nuotio, Irjala, Leiino, Viikari in Osteoporosis Int. 2002, 13:S5 None of the children developed rickets -- a painful and once common bone-wrenching condition -- because they were all provided with vitamin D supplements, Dr. Weiler said. Rickets is a set of symptoms and malformations at the extreme of deficiency. There are other adverse results of less extreme deficiencies. "When you get to the point where you see rickets, the vitamin D deficiency is quite severe and devastating," she said. What is unclear, Dr. Weiler said, is the health impact of long-term vitamin D deficiency and, in particular, how it may affect the growth of children and rates of osteoporosis and other diseases in adults. What rubbish. Unclear?? Early childhood deficiency condemns many to multiple sclerosis, severe celiac, and type1 diabetes mellitus. PMID 15585788 The press writer needs to quit quoting the "experts" and look at the research and press the "experts" with some slightly hostile questions. It would good to follow some who suffered from rickets or lower vitamin D levels as infants and small children. The Finns have in fact done the latter though they didn't examine bone health but rather the increased in autoimmune disorders. A study released last year by the Canadian Paediatric Society warned that rickets is making an alarming comeback due to chronic vitamin D deficiency in Canadian children. It is easy to do nothing or too little. Vitamin D comes principally from the ultraviolet rays in sunlight and from foods such as fatty fish, for example, salmon. Some foods are also fortified with vitamin D, including cow's milk, soy and rice beverages, and margarine. The fortified foods contain only low levels of vitamin D. And some of it is vitamin D2 not vitamin D3 which is not so good. AS vitamin D2 has a shorter biological half life. It binds less tightly to the binding protein than D3. The use of a (100 mcg) 4000 IU (not 400) supplement in nursing mothers during the darker months of the year will increase their breast milk vitamin D levels to ones that will keep the infant vitamin D replete. What moron would fortify margarine with anything? This is a "food" that should be eliminated from the diet with exception of perhaps Smart Balance and a few other better designed of the products. A daily intake of at least 200 international units of vitamin D is recommended as part of a healthy diet; pregnant women should get double that level, 400 IU. This is utter bunk. The value being suggested is too low in the context of higher than 40 degrees latitude effective sunlight availablility during late fall and winter or in the case of those living indoors. People in Boston (42 degrees) dependent solely on dietary vitamin D3 from November to February. Reports of rickets in infants in the USA extend to Texas the southern most state. A vitamin D levels are low in Queensland, Australia even as skin cancer rates are rather high. PMID 2839537 Boston sunlight in Nov to Feb is not strong enough for previtamin D3 synthesis on clear days. PMID 15225824 8 % deficient and 23 % insufficient of vitamin D in population of Queensland But the new study, conducted among mothers giving birth at the Winnipeg Health Sciences Centre, found that 46 per cent did not attain the minimal level of 200 IU. This occurred despite the fact that two in three moms were taking a maternal supplement that was supposed to provide adequate levels of vitamin D. Most maternal supplements contain 400 IUs of vitamin D which is too little. Hollis has shown even 2000 IU in the mother isn't quite enough and the "4000 IU/d could achieve substantial progress toward improving both maternal and neonatal nutritional vitamin D status." . More than 70 per cent of the women who were deficient in vitamin D gave birth to a child who was also deficient. In a commentary also published in the CMAJ, Dr. Leanne Ward, a pediatric endocrinologist at the Children's Hospital of Eastern Ontario in Ottawa, said the data underscore an "important care gap in this country: Vitamin D deficiency among Canadian mother-infant pairs is a persistent problem, despite existing recommendations for its prevention and despite ready access to vitamin D supplementation." She said newborns who are being breastfed should receive a daily supplement of 400 IU of vitamin D, and if they live above the 55th parallel, that dose should increase to 800 IU in the winter months. This suggestion is as suitable to the 40th parallel as it is to the 55th. Dr. Ward said that while breast milk is undeniably the best fluid for babies, it tends not to be rich in vitamin D. Vitamin D supplements for babies are sold in liquid form, and administered with a dropper. This is because the physicians and bureaucrats don't give the mothers the needed dose of vitamin D3 which is ten times larger than what they suggest to, enforce on, and prescribe to their patients or subjects. Vitamin D deficiency, as well as rickets, is seen principally in dark-skinned children, particularly black and aboriginal children who live in the Far North. Dark skin blocks the absorption of vitamin D from the ultraviolet rays of the sun. True and False. Yes, heavily pigemented skin is slower to convert cholesterol into the calciferol (vitamin D3) No, it is the pigment that blocks the UV from altering the cholesterol into the previtamin . I'll add as an aside that among the elderly the conversion of cholesterol to vitamin D is cut in half. The tendency to keep children out of the sun is also limiting their vitamin D. In part. Now I leave the review to add a comment on another related point. And it will another couple of generations before these "experts", realise that supplementing with vitamin K is good idea. The authorities in Canada have even banned vitamin K in supplements. Likely using the coumadin takers as an excuse for the ban with the view that clot prone people are too infantile to avoid vitamin K supplements when taking the antivitamin. Or perhaps they lamely imagine the vitamin K causes hypercoagulative state which it doesn't. Thus they are damning even more of their subjects to weak bones and ectopic calcifications such hardening of the arteries. Vitamin D supplement given to the mothers should in my opinion contain a reasonable dose of vitamin K at the level of =3D 0.5 milligrams of both K1 and K2. PMID 11846334 MK-4 form of K-2 PMID 12361778 10 mgs of Konakion in Euromir mission PMID 11374034 Vascular calcification due to undercarbo- ylation of MGP due lack of vitamin K especially K-2 PMID 7756045 K2 has additional bone preserving properties beyond those of K1 I wonder if any Canadian physician bothers to prescribe there Crohn's patients both vitamin K and D supplements.Or celiac patients for that matter. PMID 15555000 Crohn's patients deficient in both D and K I was having a discussion with a friend of mine regarding the Kyoto controls, and he mentioned that the increasing haze of air pollution was responsible in part for the increasing lack of vitamin D. (It's a damned if you do/don't kind of thing -- the haze does protect against excessive UV, and although the atmosphere has thinned due to pollution we're (better) protected from excessive UV now...although it's more likely that we're experiencing higher temps, resulting in increased electricity usage, resulting in increased coal usage, resulting in increased haze, and so forth...). Deficiencies don't worry me as much as excessive Hg found in songbirds -- that, well, that bums me out. Caledonia |
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