Vitamin D levels of the healthy infants using oral spray or drop form of vitamin D supplement inthe first year of life

Yıl: 2021 Cilt: 8 Sayı: 1 Sayfa Aralığı: 31 - 36 Metin Dili: İngilizce DOI: 10.14744/nci.2020.09471 İndeks Tarihi: 19-06-2021

Vitamin D levels of the healthy infants using oral spray or drop form of vitamin D supplement inthe first year of life

Öz:
OBJECTIVE: Vitamin D (VD) deficiency is a common problem worldwide, especially in pregnant women and newborns. Regular administration of VD supplements has been recommended worldwide since 2010. Recently, a new formulation pro-viding VD supplementation in the form of a spray which is absorbed through the buccal mucosa has been introduced, but there is very little information in the literature about the effectiveness of it, especially in children. Therefore, in our study, we aim to investigate whether there was a difference in VD levels at one year of age infants who have started oral vitamin D supplements (400 IU/day) as spray or drop form in the neonatal period and have used it regularly during the first year of life.METHODS: In our retrospective study, the medical records of 243 healthy infants at one year of age who were followed up regularly in the first year of life in our well-child follow-up clinic were evaluated. The infants who had congenital anomalies, chronic diseases, and those using irregular vitamin D supplements were excluded from this study.RESULTS: The findings showed that the spray form of VD was used in 136 babies (56.0%) in the study group and the drop form was used in 107 (44.0%) of them. VD deficiency (defined as 25 [OH] D level <20 ng/ml) was 33.3% (n=81). VD levels were 24 ng/ml (8–109 ng/ml) and 21 ng/ml (7–65 ng/ml) in the infants using spray and drop form, respectively. The differ-ence between the two forms of VD supplementation regarding 25 (OH) D levels was significant (p=0.010); VD levels were higher in the infants using the spray form.CONCLUSION: Our study findings suggest that the infants using oral spray form have higher VD levels compared to oral drop form. Concerning VD levels, the spray form may be preferred as a suitable alternative to the drop form, and the spray form may provide regular and easy use in children.
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  • 1. Whiting SJ, Calvo MS, Vatanparast H. Current Understanding of Vitamin D Metabolism, Nutritional Status, and Role in Disease Prevention. In: Boushey CJ, Ferruzzi MG, Delahanty LM. Nutrition in the Prevention and Treatment of Disease. Academic Press: 2017; p. 937– 67.
  • 2. Park JE, Pichiah PBT, Cha YS. Vitamin D and Metabolic Diseases: Growing Roles of Vitamin D. J Obes Metab Syndr 2018;27:223–32.
  • 3. Sassi F, Tamone C, D’Amelio P. Vitamin D: Nutrient, Hormone, and Immunomodulator. Nutrients 2018;10:1656.
  • 4. Hanel A, Carlberg C. Vitamin D and evolution: Pharmacologic implications. Biochem Pharmacol 2020;173:113595.
  • 5. Carlberg C. Nutrigenomics of Vitamin D. Nutrients 2019;11:676.
  • 6. Palacios C, Kostiuk LK, Peña-Rosas JP. Vitamin D supplementation for women during pregnancy. Cochrane Database Syst Rev 2019;7:CD008873.
  • 7. Bhowmik B, Siddique T, Majumder A, Mdala I, Hossain IA, Hassan Z, et al. Maternal BMI and nutritional status in early pregnancy and its impact on neonatal outcomes at birth in Bangladesh. BMC Pregnancy Childbirth 2019;19:413.
  • 8. Pludowski P, Holick MF, Grant WB, Konstantynowicz J, Mascarenhas MR, Haq A, et al. Vitamin D supplementation guidelines. J Steroid Biochem Mol Biol 2018;175:125–35.
  • 9. Wagner CL, Greer FR; American Academy of Pediatrics Section on Breastfeeding; American Academy of Pediatrics Committee on Nutrition. Prevention of rickets and vitamin D deficiency in infants, children, and adolescents. Pediatrics 2008;122:1142–52.
  • 10. Simon AE, Ahrens KA. Adherence to Vitamin D Intake Guidelines in the United States. Pediatrics 2020;145:e20193574.
  • 11. Maurya VK, Bashir K, Aggarwal M. Vitamin D microencapsulation and fortification: Trends and technologies. J Steroid Biochem Mol Biol 2020;196:105489.
  • 12. Mentaverri R, Souberbielle JC, Brami G, Daniel C, Fardellone P. Pharmacokinetics of a New Pharmaceutical Form of Vitamin D3 100,000 IU in Soft Capsule. Nutrients 2019;11:703.
  • 13. Manson JE, Brannon PM, Rosen CJ, Taylor CL. Vitamin D Deficiency - Is There Really a Pandemic? N Engl J Med 2016;375:1817–20.
  • 14. Holick MF, Binkley NC, Bischoff-Ferrari HA, Gordon CM, Hanley DA, Heaney RP, et al; Endocrine Society. Evaluation, treatment, and prevention of vitamin D deficiency: an Endocrine Society clinical practice guideline. J Clin Endocrinol Metab 2011;96:1911–30.
  • 15. Pazirandeh S, Burns DL. Overview of vitamin D. Up to Date. Available at: https://www.uptodate.com/contents/overview-of-vitamin-d. Accessed Dec 30, 2020.
  • 16. Yu EA, Huey SL, Peña-Rosas JP, Mehta S. The effects of oral vitamin D supplementation on linear growth and non-communicable diseases among infants and children younger than five years of age. Cochrane Database Syst Rev 2017;2017:CD012875.
  • 17. Topal İ, Mertoğlu C, Arslan YK, Gümüş A, Kara İS, Peker N. Evaluation of Vitamin D Levels of Children According to Age, Gender and Seasons at Erzincan Field. Firat Med J 2018;23:168–72.
  • 18. Solak I, Cihan FG, Mercan S, Kethuda T, Eryılmaz MA. Evaluation of 25-Hydroxyvitamin D Levels in Central Anatolia, Turkey. Biomed Res Int 2018;2018:4076548.
  • 19. Celep G, Durmaz ZH, Duyan Çamurdan A. Vitamin D Status in a Population of Well Children: Amasya Sample. P R Health Sci J 2019;38:255–61.
  • 20. Gupta R, Behera C, Paudwal G, Rawat N, Baldi A, Gupta PN. Recent Advances in Formulation Strategies for Efficient Delivery of Vitamin D. AAPS PharmSciTech 2018;20:11.
  • 21. Salam R, Baruah MP, Kalra B. Way to bone health may be just under the tongue! Sublingual vitamin D. J Med Nutr Nutraceut 2014;3:12.
  • 22. Nibha PK, Pancholi SS. An overview on: sublingual route for systemic drug delivery. Int J Res Pharm Biomed Sci 2012;3:913–23.
  • 23. Satia MC, Mukim AG, Tibrewala KD, Bhavsar MS. A randomized two way cross over study for comparison of absorption of vitamin D3 buccal spray and soft gelatin capsule formulation in healthy subjects and in patients with intestinal malabsorption. Nutr J 2015;14:114.
  • 24. Todd JJ, McSorley EM, Pourshahidi LK, Madigan SM, Laird E, Healy M, et al. Vitamin D3 supplementation in healthy adults: a comparison between capsule and oral spray solution as a method of delivery in a wintertime, randomised, open-label, cross-over study. Br J Nutr 2016;116:1402–8.
  • 25. Williams CE, Williams EA, Corfe BM. Rate of change of circulating 25-hydroxyvitamin D following sublingual and capsular vitamin D preparations. Eur J Clin Nutr 2019;73:1630–5.
  • 26. Penagini F, Borsani B, Maruca K, Giosia V, Bova S, Mastrangelo M, et al. Short-Term Vitamin D3 Supplementation in Children with Neurodisabilities: Comparison of Two Delivery Methods. Horm Res Paediatr 2017;88:281–4.
  • 27. Wagner CL, Greer FR; American Academy of Pediatrics Section on Breastfeeding; American Academy of Pediatrics Committee on Nutrition. Prevention of rickets and vitamin D deficiency in infants, children, and adolescents. Pediatrics 2008;122:1142–52.
  • 28. Dawodu A, Tsang RC. Maternal vitamin D status: effect on milk vitamin D content and vitamin D status of breastfeeding infants. Adv Nutr 2012;3:353–61.
  • 29. Simon AE, Ahrens KA. Adherence to Vitamin D Intake Guidelines in the United States. Pediatrics 2020;145:e20193574.
  • 30. Akkermans MD, Eussen SR, van der Horst-Graat JM, van Elburg RM, van Goudoever JB, Brus F. A micronutrient-fortified young-child formula improves the iron and vitamin D status of healthy young European children: a randomized, double-blind controlled trial. Am J Clin Nutr 2017;105:391–9.
  • 31. Nakano S, Suzuki M, Minowa K, Hirai S, Takubo N, Sakamoto Y, et al. Current Vitamin D Status in Healthy Japanese Infants and Young Children. J Nutr Sci Vitaminol (Tokyo) 2018;64:99–105.
  • 32. Trivedi M, Faridi MMA, Aggarwal A, Madhu SV, Malhotra RK. Oral Vitamin D Supplementation to Mothers During Lactation-Effect of 25(OH)D Concentration on Exclusively Breastfed Infants at 6 Months of Age: A Randomized Double-Blind Placebo-Controlled Trial. Breastfeed Med 2020;15:237–45.
  • 33. Sultan RA, Sultan RA, Al-Agha AE, Mahjoub AO. Association between vitamin D deficiency and weight gain in children: A cross-sectional study. Curr Pediatr Res 2018;22:207–11.
  • 34. Saleem J, Zakar R, Zakar MZ, Belay M, Rowe M, Timms PM, et al. High-dose vitamin D3 in the treatment of severe acute malnutrition: a multicenter double-blind randomized controlled trial. Am J Clin Nutr 2018;107:725–33.
APA kabakoglu unsur e (2021). Vitamin D levels of the healthy infants using oral spray or drop form of vitamin D supplement inthe first year of life. , 31 - 36. 10.14744/nci.2020.09471
Chicago kabakoglu unsur emel Vitamin D levels of the healthy infants using oral spray or drop form of vitamin D supplement inthe first year of life. (2021): 31 - 36. 10.14744/nci.2020.09471
MLA kabakoglu unsur emel Vitamin D levels of the healthy infants using oral spray or drop form of vitamin D supplement inthe first year of life. , 2021, ss.31 - 36. 10.14744/nci.2020.09471
AMA kabakoglu unsur e Vitamin D levels of the healthy infants using oral spray or drop form of vitamin D supplement inthe first year of life. . 2021; 31 - 36. 10.14744/nci.2020.09471
Vancouver kabakoglu unsur e Vitamin D levels of the healthy infants using oral spray or drop form of vitamin D supplement inthe first year of life. . 2021; 31 - 36. 10.14744/nci.2020.09471
IEEE kabakoglu unsur e "Vitamin D levels of the healthy infants using oral spray or drop form of vitamin D supplement inthe first year of life." , ss.31 - 36, 2021. 10.14744/nci.2020.09471
ISNAD kabakoglu unsur, emel. "Vitamin D levels of the healthy infants using oral spray or drop form of vitamin D supplement inthe first year of life". (2021), 31-36. https://doi.org/10.14744/nci.2020.09471
APA kabakoglu unsur e (2021). Vitamin D levels of the healthy infants using oral spray or drop form of vitamin D supplement inthe first year of life. İstanbul Kuzey Klinikleri, 8(1), 31 - 36. 10.14744/nci.2020.09471
Chicago kabakoglu unsur emel Vitamin D levels of the healthy infants using oral spray or drop form of vitamin D supplement inthe first year of life. İstanbul Kuzey Klinikleri 8, no.1 (2021): 31 - 36. 10.14744/nci.2020.09471
MLA kabakoglu unsur emel Vitamin D levels of the healthy infants using oral spray or drop form of vitamin D supplement inthe first year of life. İstanbul Kuzey Klinikleri, vol.8, no.1, 2021, ss.31 - 36. 10.14744/nci.2020.09471
AMA kabakoglu unsur e Vitamin D levels of the healthy infants using oral spray or drop form of vitamin D supplement inthe first year of life. İstanbul Kuzey Klinikleri. 2021; 8(1): 31 - 36. 10.14744/nci.2020.09471
Vancouver kabakoglu unsur e Vitamin D levels of the healthy infants using oral spray or drop form of vitamin D supplement inthe first year of life. İstanbul Kuzey Klinikleri. 2021; 8(1): 31 - 36. 10.14744/nci.2020.09471
IEEE kabakoglu unsur e "Vitamin D levels of the healthy infants using oral spray or drop form of vitamin D supplement inthe first year of life." İstanbul Kuzey Klinikleri, 8, ss.31 - 36, 2021. 10.14744/nci.2020.09471
ISNAD kabakoglu unsur, emel. "Vitamin D levels of the healthy infants using oral spray or drop form of vitamin D supplement inthe first year of life". İstanbul Kuzey Klinikleri 8/1 (2021), 31-36. https://doi.org/10.14744/nci.2020.09471