Factors that may increase a child's risk of rickets include:
June 01, 2013
- Age. Children 3 to 36 months old are most at risk of rickets because their skeletons are growing so rapidly.
- Dark skin. Dark skin doesn't react as strongly to sunshine as does lighter colored skin, so it produces less vitamin D.
- Northern latitudes. Children who live in geographical locations where there is less sunshine are at higher risk of rickets.
- Premature birth. Babies born before their due dates are more likely to develop rickets.
- Anti-seizure medications. Certain types of anti-seizure medications appear to interfere with the body's ability to use vitamin D.
- Exclusive breast-feeding. Breast milk doesn't contain enough vitamin D to prevent rickets. Babies who are exclusively breast-fed should receive vitamin D drops.
- Kliegman RM, et al. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.mdconsult.com/das/book/body/208746819-6/0/1608/0.html. Accessed March 12, 2013.
- Ferri FF. Ferri's Clinical Advisor 2013: 5 Books in 1. Philadelphia, Pa.: Mosby Elsevier; 2012. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-0-323-08373-7..00002-9&isbn=978-0-323-08373-7&about=true&uniqId=343863096-23. Accessed March 12, 2013.
- Carpenter T. Overview of rickets in children. http://www.uptodate.com/home. Accessed March 12, 2013.
- Carpenter T. Etiology and treatment of calcipenic rickets in children. http://www.uptodate.com/home. Accessed March 12, 2013.
- Gardner DG, et al. Greenspan's Basic & Clinical Endocrinology. 9th ed. New York, N.Y.: The McGraw-Hill Companies; 2011. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=13. Accessed March 12, 2013.
- Vitamin D. Office of Dietary Supplements. http://ods.od.nih.gov/factsheets/VitaminD-QuickFacts. Accessed March 12, 2013.
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