Update of the tolerable upper intake level for vitamin D for infants.

作者: , Dominique Turck , Jean‐Louis Bresson , Barbara Burlingame , Tara Dean

DOI: 10.2903/J.EFSA.2018.5365

关键词: HypercalciuriaVitamin D intakePercentileNephrocalcinosisMedicineDietary Reference IntakeVitamin D and neurologyVitaminPediatricsHypercalcaemia

摘要: Following a request from the European Commission, Panel on Dietetic Products, Nutrition and Allergies (NDA) was asked to revise tolerable upper intake level (UL) for vitamin D infants (≤ 1 year) set in 2012. From its literature review, Panel concluded that available evidence on daily risk of adverse health outcomes (hypercalciuria, hypercalcaemia, nephrocalcinosis abnormal growth patterns) cannot be used alone deriving UL infants. The Panel conducted meta-regression analysis collected data, derive dose-response relationship between supplemental mean achieved serum 25(OH)D concentrations. Considering concentration 200 nmol/L or below is unlikely pose infants, Panel estimated percentage reaching above this value at different intakes D. Based overall evidence, Panel kept 25 μg/day aged up 6 months 35 μg/day 6-12 months. Panel was also advise safety consumption infant formulae with an increased maximum content 3 μg/100 kcal (Commission Delegated Regulation (EU) 2016/127 repealing Directive 2006/141/EC 2020). For 4 months, assessment showed use containing may lead some receive without considering intake. 4-12 months, 95th percentile (high consumers) estimated foods fortified not vitamin D does exceed ULs,

参考文章(222)
Merdad Shakiba, S Sadr, Z Nefei, Hassan Mozaffari-Khosravi, Mohmmad Hossein Lotfi, Mohammad Hasan Bemanian, None, Combination of bolus dose vitamin D with routine vaccination in infants: a randomised trial. Singapore Medical Journal. ,vol. 51, pp. 440- 445 ,(2010)
O Akhan, U Saatçi, A Oner, N Beşbaş, R Topaloğlu, A Bakkaloğlu, Nephrocalcinosis due to vitamin D intoxication. Turkish Journal of Pediatrics. ,vol. 31, pp. 239- 244 ,(1989)
Sükrü Hatun, Kadir Babaoğlu, Ayşe Sevim Gökalp, Ismail Pehlivan, Metin Aydoğan, Maternal vitamin D deficiency and vitamin D supplementation in healthy infants. Turkish Journal of Pediatrics. ,vol. 45, pp. 315- ,(2003)
Elizabeth Holt, John J. Wysolmerski, Parathyroid Hormone, Parathyroid Hormone–Related Protein, and Calcitonin Vitamin D (Third Edition)#R##N#Vitamin D. pp. 725- 745 ,(2011) , 10.1016/B978-0-12-381978-9.10041-1
E Ring, M Borkenstein, [Use of the calcium-creatinine ratio in diagnosis and therapy]. Pädiatrie und Pädologie. ,vol. 22, pp. 245- 250 ,(1987)
Francis Glorieux, Edgar Delvin, Bernard-Louis Salle, Vitamin D and pregnancy Bulletin De L Academie Nationale De Medecine. ,vol. 186, pp. 369- 377 ,(2002)
Chantelle Garritty, Nick Barrowman, Vasil Mamaladze, Ann Cranney, David Hanley, Stephanie Atkinson, Margaret Sampson, Fatemeh Yazdi, Siobhan O'Donnell, Hope Weiler, Daylily Ooi, Manchung Fang, Tanya Horsley, Lorri Puil, Leanne Ward, Alex Tsertsvadze, David Moher, Effectiveness and safety of vitamin D in relation to bone health. Evidence Report/Technology Assessment. pp. 1- 235 ,(2007)
C De Jong-Rubingh, RA Bausch-Goldbohm, Opdrachtgever Nutricia Nederland BV, De eet compleet test : 2-daags voedselconsumptie onderzoek onder kinderen van 1-4 jaar die een kinderdagverblijf bezoeken TNO. ,(2015)
Felix P. Heald, Malcolm A. Holliday, O. L. Kline, Charles R. Scriver, Donough O'brien, L. J. Filer, George M. Owen, Howard A. Pearson, Charles U. Lowe, David Baird Coursin, COMMITTEE ON NUTRITION: THE RELATION BETWEEN INFANTILE HYPERCALCEMIA AND VITAMIN D—PUBLIC HEALTH IMPLICATIONS IN NORTH AMERICA Pediatrics. ,vol. 40, pp. 1050- 1061 ,(1967)
Heather B Del Valle, A Catharine Ross, Ann L Yaktine, Christine L Taylor, Dietary Reference Intakes for Calcium and Vitamin D ,(2013)