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Iranian Journal of Pediatrics
Tehran University of Medical Sciences Press
ISSN: 1018-4406
EISSN: 2008-2150
Vol. 19, No. 2, 2009, pp. 159-162
Bioline Code: pe09025
Full paper language: English
Document type: Research Article
Document available free of charge

Iranian Journal of Pediatrics, Vol. 19, No. 2, 2009, pp. 159-162

 en Urinary Calcium/Creatinin Ratio with Different Dosages of Vitamin D3 Prophylaxis in Infants
Shajari, Ahmad; Shakiba, Mehrdad; Nourani, Forough; Zaki, Maryam & Kheirandish, Maryam

Abstract

Objective: The requirement of vitamin D for breast-fed term infants remains an area of controversy. Different dosage is needed according to environmental factors such as sunlight exposure. Reception of more than 400 I.U. of vitamin D daily produces hypercalcemia. A random urine calcium/creatinin ratio (UCa/Cr) is a screening test for detection of hypercalciuria. Setting adequate values of vitamin D3 prophylaxis by random UCa/Cr in infant population of Yazd city in Iran, is the aim of present study.
Methods: A total of 90 healthy, full term newborns of both genders were enrolled in the study. They were divided equally into three receiving vitamin D3 prophylaxis groups as follow: (I) 200 IU/daily, (II) 400 IU/daily and (III) 50000 IU two times in fifteen and sixty days after birth. A random urine specimen from each subject was analyzed for calcium, creatinin and serum 25-hydroxy-vitamin D at the end of three months of life.
Findings: From all 90 studied infants, 25 (83.3%) infants with 200 IU/daily vitamin D3, 23 (76.7%) infants with 400 IU/daily vitamin D3 and 28 (93.3%) who received 50000 IU two times (76 infants, 84.4%) had hypercalciuria and 14 (15.6%) infants remained with low values of Ca/Cr ratios.
Conclusion: According to high prevalence of hypercalciuria in this survey, it is recommended to evaluate the vitamin D level in infants and use proper amount of supplemented vitamin D. It seems that 200 IU/daily could be used in infants in our area.

Keywords
Hypercalciuria, Vitamin D3-Prophylaxis, Calcium/Creatinin Ratio, Vitamin D, Infant

 
© © 2009 by Center of Excellence for Pediatrics, Children’s Medical Center, Tehran University of Medical Sciences,All rights reserved.
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