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Vitamin D and Rickets Beyond America—Reply
Catherine M. Gordon, MD, MSc;
Henry A. Feldman, PhD;
Joanne E. Cox, MD, MPH
Arch Pediatr Adolesc Med. 2008;162(12):1194.
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In reply
We are gratified by the interest expressed by Drs Fischer, Thacher, and Pettifor regarding our recent article1 and the important problem of vitamin D deficiency in young children. We respect each of them as experts in this field and particularly welcome the global context that they provide.
First, we appreciate the point raised about the potential presence of vitamin D deficiency in the mothers of the infants studied. This variable was not examined in our study and would have been informative. There are data that suggest that breast milk is deficient in vitamin D, often related to the presence of this deficiency in mothers.2-4 When a mother is vitamin D–depleted, she cannot excrete adequate concentrations of the vitamin into breast milk to prevent deficiency in an infant. Infants with mothers who are vitamin D–deficient . . . [Full Text of this Article] AUTHOR INFORMATION
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RELATED LETTERS
Defining Vitamin D Deficiency in Infants and Toddlers
James A. Taylor
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EXTRACT
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Vitamin D and Rickets Beyond America
Philip R. Fischer, Tom D. Thacher, and John M. Pettifor
Arch Pediatr Adolesc Med. 2008;162(12):1193.
EXTRACT
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RELATED ARTICLE
Prevalence of Vitamin D Deficiency Among Healthy Infants and Toddlers
Catherine M. Gordon, Henry A. Feldman, Linda Sinclair, Avery LeBoff Williams, Paul K. Kleinman, Jeannette Perez-Rossello, and Joanne E. Cox
Arch Pediatr Adolesc Med. 2008;162(6):505-512.
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