Vitamin D supplementation: are multivitamins sufficient?

Arch Dis Child. 2020 Aug;105(8):791-793. doi: 10.1136/archdischild-2018-316339. Epub 2019 Feb 25.

Abstract

Background: Public Health England advises 400 IU/day vitamin D supplementation for children over 1 year. Commercially available children's multivitamin and vitamin D supplements were surveyed to determine the vitamin D content.

Methods: Multivitamins and vitamin D supplements marketed at children <12 years and sold by nine UK supermarkets and health supplement retailers were surveyed. Vitamin D content was determined from manufacturer's websites and product packaging.

Results: 67 multivitamins were surveyed, containing 0-800 IU/day vitamin D. Only 25%-36%, depending on the child's age, provided ≥400 IU/day vitamin D. Supplements containing only vitamin D or labelled as for 'healthy bones' typically had higher vitamin D content (57%-67% contained ≥400 IU/day).

Conclusions: Few multivitamin products supply the recommended 400 IU/day vitamin D. Clinicians need to be aware of this when recommending vitamin D supplementation and advise parents/carers to choose a product that contains ≥400 IU/day vitamin D.

Keywords: Vitamin D; dietary supplementation; multivitamin; rickets.

MeSH terms

  • Child
  • Child, Preschool
  • Dietary Supplements*
  • Humans
  • Infant
  • Infant, Newborn
  • Recommended Dietary Allowances*
  • United Kingdom
  • Vitamin D*
  • Vitamins*

Substances

  • Vitamins
  • Vitamin D