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Calcium and
Bone Health

 
     
 
Viviany Chang, MD Pediatric Resident 08/2006
 
 
Yingshan Shi, MD 09/06/06, updated on 02/08/2009
 
     
   
     
     
     
     
 
Ages 11-15 are a time when fast-growing bones need calcium. Over 70% of boys and 90% of girls are not getting enough calcium. This lack of calcium will have a big negative impact on bones and teeth.
 
     
     
 

 
     
     
     
     
 

Start healthy eating habits for dairy products and calcium rich foods from the toddler years. The American Academy of Pediatrics recommended 16 oz of dairy products for kids < 9 years old and 24 oz for kids 9 years old and above.

 
     
     
   
     
     
   
     
     
   
     
 
New vitamin D recommendations from American Academy of Pediatrics (AAP) Oct. 2008
 
“All infants, children, adolescents should get at least 400IU a day.”
The revised guidelines recommend “Breast and partially breastfed infants be supplemented with 400 IU per day of vitamin D starting within the first few days of life.”, which replaced a previous guideline that recommended for a minimum daily intake of 200 IU of vitamin D starting in the first two months of life.”
From AAP News in October “Research in adults shows that vitamin D contributes to the prevention of diseases including infection, autoimmune diseases, certain forms of cancer, and type II diabetes.”
 
 
 
 
AAP Guideline
Breastfed and partially breastfed infants: 400 IU/day of vitamin D begining within the first few days of life.
Non breastfed infants and older children: If ingesting <1000ml/day of vitamin D fortified formula or milk, should receive a vitamin D supplement of 400 IU/day.
 
Oral Vitamin D Preparations
Bio-D-Mulsion: 400 IU or 2000 IU per drop
Carlson Lab: 400, 2000, 4000 IU gel caps; 400, 1000, and 2000 IU per drop
Just D: 400 IU per ml
Multivitamin: 400 IU per ml