[Prevention of vitamin D deficiency in the child and adolescent. I. Proposal and arguments for use of a decision tree].
A decision-making table, using three questionnaires, is proposed to determine the vitamin D status in children and adolescents. The first questionnaire assesses the vitamin D endogenous synthesis, taking into account the sunlight exposure and the time interval out of the sun. The second questionnaire quantifies the vitamin D dietary intake within three levels: optimal, medium or low. In case of a medium dietary score, a third questionnaire evaluates the daily calcium intake, taking into account the fact that vitamin D metabolism is increased by a low calcium intake (under 400 mg/day). This decision-making table should enable the detection of children and adolescents at risk of vitamin D deficiency and requiring an adapted prophylaxis. Its accuracy will be assessed in prospective surveys.
Garabédian
M
M
Unité CNRS UPR 1524, hôpital Saint-Vincent-de-Paul, Paris, France.
Menn
S
S
Nguyen
T M
TM
Ruiz
J C
JC
Callens
A
A
Uhlrich
J
J
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003663:Decision Trees; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D009751:Nutritional Requirements; D014807:Vitamin D / Q000008:administration & dosage; D014808:Vitamin D Deficiency / Q000175:diagnosis / Q000209:etiology / Q000517:prevention & control*
D014807:Vitamin D