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    Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.

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  • April 11, 2009

    Vitamins and kids' health

    By Jennifer Nelson, M.S., R.D. and Katherine Zeratsky, R.D.

2 comments posted

According to a report in the February 2009 issue of the "Archives of Pediatric and Adolescent Medicine," 34% of U.S. kids ages 2 to 17 take multivitamin supplements.  Interestingly, most of these children and adolescents are generally healthy — they have access to food and health care and have healthy lifestyle habits. In contrast, the report found that children and adolescents at greatest risks of vitamin and mineral deficiencies — such as those with less healthy nutrition and activity patterns and less access to health care — use supplements the least.

Reflecting on this report, these thoughts came to mind:

  • Fortunately — and unfortunately — our understanding of the benefits of supplementing children's diets comes from research in developing countries. It begs the question: Do children in developed countries where food is plentiful need multivitamins or supplements of any kind?
  • The American Academy of Pediatrics does not generally recommend multivitamins for children with a healthy, varied diet.
  • Programs such as WIC and food stamps are designed to help families acquire healthy foods for their children. The sad reality, however, is that many still lack food security — access to sufficient, safe and nutritious food — despite such programs. What do we do about this? Do we recommend multivitamins for kids in this situation when we know food is the better option? Might we be changing our view of the "need" for vitamin supplementation as we learn more about vitamin D requirements and deficiency in children?

Will we be putting more emphasis on individualized approaches to supplement use? Tailoring recommendations by age, region, season and socioeconomics?

What are your thoughts?

In closing, I think of my mother-in-law, a former teacher, who lobbied for school breakfast at her school. She saw children coming to school hungry, not having had a meal since the school lunch the day before. We all know the benefits of breakfast and performance at school. It seems obvious that feeding kids healthy foods keeps kids healthy. I'm not a mathematician, but I think if we did that we'd see tremendous savings in short- and long-term health care spending.

2 comments posted

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References
  1. Shaikh U, at el. Vitamin mineral supplement use by children and adolescents in the 1999-2004 National Health and Nutrition Examination Survey: Relationship with nutrition, food security, physical activity, and health care access. Archives of Pediatric and Adolescent Medicine. 2009;163:150.

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April 11, 2009

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