Many children and adolescents are vitamin D deficientWorldwide, there is a high prevalence of vitamin D deficiency among infants, children, and adolescents. Vitamin D deficiency is a risk factor for rickets and may be a risk factor for development of a number of chronic diseases, such as cardiovascular diseases and cancer. In this paper, S.Y. Huh and C.M. Gordon review the sources of vitamin D, which includes endogenous synthesis (the first step of which is the absorption of ultraviolet B radiation), how vitamin D deficiency is defined and measured, and the prevalence of and risk factors for vitamin D deficiency, which includes reduced sun exposure. In addition, the authors review the health effects of vitamin D deficiency and its prevention and treatment. Huh and Gorden stress the importance of additional research to determine the optimum concentration of vitamin D for children of different ages and to compare different regimens designed to prevent and treat vitamin D deficiency as well as to better understand short and long-term impacts on critical health outcomes.
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