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KMID : 0363420120260010070
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Journal of Korean Oriental Pediatrics
2012 Volume.26 No. 1 p.70 ~ p.78
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Korean Guidelines for Breast-fed Infants for Vitamin D Supplements
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Kim Hyun-Ji
Cho Sun-Young
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Abstract
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Objectives: Recently, vitamin D supplements to breast-fed infants are being encouraged in Korea, and other countries. However, the reliability and validity assessment of supplements is insufficient. Therefore, this study suggests new Korean guidelines for vitamin D supplements of breast-fed infant.
Methods: The roles of Vitamin D for bone metabolism in children and the correlation between breast milk and Vitamin D were examined throughout domestic and international literature review. In addition, the efficacy and safety of vitamin D supplements were reviewed.
Results: Preventive effects of rickets by vitamin D supplementation remain unclear. Furthermore, concerns about the safety of vitamin D supplements intake have been raised. Korean guideline suggests breast-fed infants can get vitamin D through the skin safely, but maternal intake of vitamins through sunbath and diet is more effective and safe.
Conclusions: Limiting sunlight excessively and applying foreign countries’ medical guideline for vitamin D supplements are not valid to apply as a domestic guideline for Korean breast-fed infants without considering ethnic and cultural characteristics.
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KEYWORD
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Vitamin D, Guidelines, Rickets, Breast feeding
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