不遵守出院后维生素D摄入指南：一项法国海外产科病房的观察性研究。

IF 1.3 4区医学 Q3 PEDIATRICS

Archives De Pediatrie Pub Date : 2025-07-01 DOI:10.1016/j.arcped.2025.04.005

Mathis Thia , Simon Lorrain , Magali Richard , Alexandre Lapillonne , Silvia Iacobelli

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引用次数: 0

摘要

背景：热带国家的研究表明，维生素D缺乏的患病率很高。法国的建议在维生素D摄入量方面没有区分海外和大陆地区。然而，在法国海外领地的婴儿中维生素D补充剂的普及程度尚不清楚。目的：该研究的主要目的是评估热带海外地区4至9个月婴儿补充维生素D的流行程度。次要目的是评估依从性、依从性和影响维生素D补充的因素。材料和方法：我们对在印度洋的法国海外科La r出生的婴儿进行了横断面研究。我们采访了2022年三个月期间所有足月新生儿的父母。结果：在323名足月婴儿中，在4至9个月大时补充维生素D的患病率为52%。对指导方针的依从性为44.3%。与4到9个月大的婴儿使用维生素D有显著正相关的因素是：在离开产科病房前护理人员提供的维生素D补充信息、补充健康保险的订阅以及儿科医生的随访。父母报告有肠绞痛和服用补充剂的婴儿明显更有可能停止补充维生素D结论：在海外出生的这些婴儿补充维生素D不符合目前的国家建议。

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Non-compliance with post-discharge vitamin D intake guidelines: an observational study in an overseas French maternity ward

Background

Studies in tropical countries revealed a high prevalence of vitamin D insufficiency. The French recommendations did not differentiate between overseas and mainland areas in terms of vitamin D intake. However, the prevalence of vitamin D supplementation in infants in the French overseas territories is unknown.

Aims

The primary objective of the study was to assess the prevalence of vitamin D supplementation in infants aged 4 to 9 months in a tropical overseas region. Secondary objectives were to assess compliance, adherence and factors influencing vitamin D supplementation.

Material and methods

We conducted a cross-sectional study of infants born in La Réunion, a French overseas department in Indian Ocean. We interviewed the parents of all newborns born at term during a three-month period in 2022.

Results

Among the 323 term infants included, the prevalence of vitamin D supplementation at 4 to 9 months of age was 52 %. Compliance to guidelines was 44.3 %. Factors that were significantly and positively associated with vitamin D use at 4 to 9 months of age were: information about vitamin D supplementation by caregivers before leaving the maternity ward, subscription to a supplementary health insurance, and follow-up by a pediatrician. Infants whose parents reported colic and the use of supplements were significantly more likely to discontinue vitamin D supplementation

Conclusion

Vitamin D supplementation in these infants born in an overseas territory was not in line with current national recommendations.

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来源期刊

Archives De Pediatrie 医学-小儿科

CiteScore

2.80

自引率

5.60%

发文量

106

审稿时长

24.1 weeks

期刊介绍： Archives de Pédiatrie publishes in English original Research papers, Review articles, Short communications, Practice guidelines, Editorials and Letters in all fields relevant to pediatrics. Eight issues of Archives de Pédiatrie are released annually, as well as supplementary and special editions to complete these regular issues. All manuscripts submitted to the journal are subjected to peer review by international experts, and must: Be written in excellent English, clear and easy to understand, precise and concise; Bring new, interesting, valid information - and improve clinical care or guide future research; Be solely the work of the author(s) stated; Not have been previously published elsewhere and not be under consideration by another journal; Be in accordance with the journal''s Guide for Authors'' instructions: manuscripts that fail to comply with these rules may be returned to the authors without being reviewed. Under no circumstances does the journal guarantee publication before the editorial board makes its final decision. Archives de Pédiatrie is the official publication of the French Society of Pediatrics.