Statut en vitamine D des enfants de 6 à 10ans : étude nationale multicentrique chez 326 enfants

Mallet, E.; Gaudelus, J.; Reinert, Philippe; Stagnara, J.; Bénichou, Jacques; Basuyau, J.P.; Maurin, Marie‐Laure; Cordero, José F.; Roden, A de Neve de; Uhlrich, J.

doi:10.1016/j.arcped.2014.04.012

Cited by 20 publications

(9 citation statements)

References 13 publications

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“…Yet, these nutrients are known for being largely deficient in French diets, for both children and adults [ 29 ], indicating that this is not a deficit specific to school food. In France, one school child out of three is deficient in vitamin D, advocating for systematic winter supplementation of this vitamin [ 32 ]. When it comes to alpha-linolenic acid, the GEM-RCN document recommends using mixtures of oils with high alpha-linolenic acid content [ 11 ].…”

Section: Discussionmentioning

confidence: 99%

Nutritional Quality of School Meals in France: Impact of Guidelines and the Role of Protein Dishes

Vieux

Dubois²,

Duchène

et al. 2018

Nutrients

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In France, school meals must comply with 15 frequency criteria (FC) expressed as nutritional requirements (e.g., “starters containing more than 15% fat served no more than four times out of 20”) in a series of 20 consecutive meals. The objective was to assess, for the first time, the nutritional impact of complying with French school food FC. Based on 40 series of meals actually served in primary schools (“observed series”), several scenarios (1600 series per scenario) of compliance or non-compliance with FC were simulated, and nutritional quality was assessed via the mean adequacy ratio (MAR/2000 kcal). In the observed series, only 9.7 FC on average (range 4–14) were fulfilled. In the simulated series: (i) MAR was positively associated with FC compliance level, with the highest MAR obtained with complete compliance; (ii) MAR decreased when meat or fish-based dishes were replaced by dishes without meat or fish; and (iii) removing the protein dish without replacement led to the lowest MAR. This study demonstrates that French school food guidelines ensure good nutritional quality of food services. It also shows that generalizing the service of meals without meat or fish would deteriorate overall nutritional quality, highlighting the need to define the composition of vegetarian dishes and their frequency of service to children.

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Section: Discussionmentioning

confidence: 99%

Nutritional Quality of School Meals in France: Impact of Guidelines and the Role of Protein Dishes

Vieux

Dubois²,

Duchène

et al. 2018

Nutrients

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“…Le résultat principal de ce travail est de montrer l'importance de la prévalence du déficit en vitamine D chez les enfants âgés de 5 à 10 ans (52 %), ce qui est supérieur à la prévalence du déficit de 37,4 % observé dans une étude française récente [4]. [ ( F i g u r e _ 1 ) T D $ F I G ] [16][17][18].…”

Section: Discussionunclassified

“…Cependant, il a été montré dans une récente étude française multicentrique, n'incluant pas de centres bretons, et dans de rares études internationales qu'il existait un déficit fréquent chez les enfants de cet âge et de ce fait, certains auteurs recommandent la supplémentation systématique de tous les enfants jusqu'à la fin de la croissance [2][3][4]. Aujourd'hui, il est établi que la vitamine D et le calcium sont des éléments clés de l'homéostasie phosphocalcique et de la santé osseuse [5].…”

Section: Introductionunclassified

Prévalence du déficit en vitamine D chez les enfants âgés de 5 à 10ans en Bretagne Occidentale

Beuzit

L’hour

Roudaut

et al. 2015

Archives de Pédiatrie

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“…There are several studies on vitamin D status of children living in North Italy [5–13] but only one was an intervention study, using vitamin D3 (cholecalciferol) [11], and one in paediatric primary care setting [9]. In this research severe vitamin D deficiency (25-OH-D < 10 ng/ml) was rare as in other studies [14–17], but subclinical vitamin D deficiency or insufficiency frequently occurred, as previously described in otherwise healthy people [12, 14, 18, 19].…”

Section: Introductionmentioning

confidence: 90%

Effect of vitamin D3 seasonal supplementation with 1500 IU/day in north Italian children (DINOS study)

2019

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BackgroundThe appropriate dose of vitamin D supplementation in children is still debated. We calculated that the recommended dose of 600–1000 IU vitamin D3/day is not sufficient to reach a serum 25-hydroxyvitamin D (25-OH-D) level of at least 30 ng/ml (75 nmol/l) in north Italian children > 12 months. The aim of this study was to analyse the effect of seasonal supplementation with 1500 IU (=37.5 μg) vitamin D3/day.MethodsDINOS (D-vitamIN Oral Supplementation) study was a pilot, monocentric, non-random case-control register study. It was conducted in a paediatric primary care setting near Padova (North Italy, 45°N latitude). The data of 203 children (girls:boys 1:1,33) aged 2–15 years, collected between November 2010 and January 2015, were analysed. Active group A (n = 82) were given 1500 IU vitamin D3/day from November to April; control Group B (n = 121) received no supplementation. The serum 25-OH-D test was part of a laboratory tests panel and performed using a chemiluminescence immunoassay method.ResultsSerum 25-OH-D mean level + standard deviation throughout the period was 32 + 13 ng/ml (80 + 32 nmol/l) in group A vs 22 + 10 ng/ml (55 + 25 nmol/l) in group B. In group A 12% had vitamin D deficiency 25-OH-D < 20 ng/ml (50 nmol/l) and 1.2% severe vitamin D deficiency 25-OH-D < 10 ng/ml (25 nmol/l). In group B 46% had vitamin D deficiency and 9% severe deficiency (P < 0.001). In group A mean levels were normal or near-normal all the year except in May. Group B reached mean 25-OH-D levels close to 30 ng/ml (75 nmol/l) only in late summer. The active group mean 25-OH-D level was normal in preschoolers and schoolers but not in adolescents. Non-white children had a three-times vitamin D deficiency probability despite supplementation.ConclusionsVitamin D supplementation with at least 1500 IU vitamin D3/day from November to April was found appropriate for children in North Italy. A prolongation until May could be useful. Higher doses and/or prolonged periods could be more appropriate especially in adolescents and in non-white children.Study registrationDINOS gained the approval of Padova Ethics Committee (n. 3960/U16/2016).Electronic supplementary materialThe online version of this article (10.1186/s13052-018-0590-x) contains supplementary material, which is available to authorized users.

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Statut en vitamine D des enfants de 6 à 10ans : étude nationale multicentrique chez 326 enfants

Cited by 20 publications

References 13 publications

Nutritional Quality of School Meals in France: Impact of Guidelines and the Role of Protein Dishes

Nutritional Quality of School Meals in France: Impact of Guidelines and the Role of Protein Dishes

Prévalence du déficit en vitamine D chez les enfants âgés de 5 à 10ans en Bretagne Occidentale

Effect of vitamin D3 seasonal supplementation with 1500 IU/day in north Italian children (DINOS study)

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