Pediatric Nutrition in Practice

Vitamins and Trace Elements 67

1

Conclusions

• Vitamins and trace elements get into the child
  via natural foods and beverages, fortified prod-
  ucts and oral micronutrient supplements;
  sometimes a combination is needed to achieve
  an adequate diet


• The weaning period for infants and toddlers is
  a challenging period in which to satisfy micro-
  nutrient nutriture
  
  
  • In the community setting, antinutrient sub-
    stances in the diet and recurrent gastrointesti-
    nal infections can interfere with micronutrient
    adequacy
  
  
  • Overconsumption of certain vitamins and
    trace elements is an emerging problem due to
    the overlapping of self-supplementation and
    market-driven fortification in the pediatric
    context
  
  
  
  

11 Alkhouri RH, Hashmi H, Baker RD, Gel-

fond D, Baker SS: Vitamin and mineral

status in patients with inflammatory

bowel disease. J Pediatr Gastroenterol

Nutr 2013; 56: 89–92.

12 Leung WC, Hessel S, Méplan C, Flint J,

Oberhauser V, Tourniaire F, Hesketh JE,

von Lintig J, Lietz G: Two common sin-

gle nucleotide polymorphisms in the

gene encoding β-carotene 15,15 ′ -mon-

oxygenase alter β-carotene metabolism

in female volunteers. FASEB J 2009; 23:

1041–1053.

13 McLaren DS, Kraemer K: Interaction of

vitamin A and other micronutrients.

World Rev Nutr Diet 2012; 103: 101–105.

14 Fischer Walker C, Kordas K, Stoltzfus

RJ, Black RE: Interactive effects of iron

and zinc on biochemical and functional

outcomes in supplementation trials. Am

J Clin Nutr 2005; 82: 5–12.

References

1 Steyn NP, Nel JH, Nantel G, Kennedy G,
Labadarios D: Food variety and dietary
diversity scores in children: are they
good indicators of dietary adequacy?
Public Health Nutr 2006; 9: 644–650.
2 Dwyer J: Convergence of plant-rich and
plant-only diets. Am J Clin Nutr 1999;
70(suppl):620S–622S.
3 Hirschi KD: Nutrient biofortification of
food crops. Annu Rev Nutr 2009; 29:
401–421.
4 Allen LH, de Benoist B, Dary O, Hurrell
R: Guidelines for Food Fortification with
Micronutrients. Geneva, WHO, 1996.
5 Solomons NW: National food fortifica-
tion: a dialogue with reference to Asia

• balanced advocacy. Asia Pac J Clin
  Nutr 2008; 17(suppl 1):20–23.
  6 Palmer AC, West KP Jr, Dalmiya N,
  Schultink W: The use and interpretation
  of serum retinol distributions in evalu-
  ating the public health impact of vita-
  min A programmes. Public Health Nutr
  2012; 15: 1201–1215.

7 Stoltzfus R, Dreyfuss ML: Guidelines for

the Use of Iron Supplements to Prevent

and Treat Iron Deficiency Anemia. In-

ternational Nutritional Anemia Consul-

tancy Group. Washington, ILSI, 1998.

8 Huang HY, Caballero B, Chang S, Alberg

A, Semba R, Schneyer C, Wilson RF,

Cheng TY, Prokopowicz G, Barnes GJ

2nd, Vassy J, Bass EB: Multivitamin/

mineral supplements and prevention of

chronic disease. Evid Rep Technol As-

sess (Full Rep) 2006; 139: 1–117.

9 Solomons NW, Vossenaar M: Nutrient

density in complementary feeding of

infants and toddlers. Eur J Clin Nutr

2013; 67: 501–506.

10 Wong T: Parenteral trace elements in

children: clinical aspects and dosage

recommendations. Curr Opin Clin Nutr

Metab Care 2012; 15: 649–656.

Koletzko B, et al. (eds): Pediatric Nutrition in Practice. World Rev Nutr Diet. Basel, Karger, 2015, vol 113, pp 62–67
DOI: 10.1159/000367871