Vitamin D Supplementation Guidelines for General Population and Groups at Risk of Vitamin D Deficiency in Poland—Recommendations of the Polish Society of Pediatric Endocrinology and Diabetes and the Expert Panel With Participation of National Specialist Consultants and Representatives of Scientific Societies—2018 Update
Vitamin D deficiency is an important public health problem worldwide. Vitamin D deficiency confers a significant risk for both skeletal and non-skeletal disorders and a number of lifelong negative health outcomes. The objectives of this evidence-based guidelines document are to provide health care p...
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| Published in | Frontiers in endocrinology (Lausanne) Vol. 9; p. 246 |
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| Main Authors | , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Switzerland
Frontiers Media S.A
31.05.2018
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| Subjects | |
| Online Access | Get full text |
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| Abstract | Vitamin D deficiency is an important public health problem worldwide. Vitamin D deficiency confers a significant risk for both skeletal and non-skeletal disorders and a number of lifelong negative health outcomes. The objectives of this evidence-based guidelines document are to provide health care professionals in Poland, an updated recommendation for the prevention, diagnosis and treatment of vitamin D deficiency.
A systematic literature search examining the prevention and treatment strategies for vitamin D deficiency was conducted. Updated recommendations were developed using the Grading of Recommendations, Assessment, Development and Evaluation system describing the strength of the recommendation and the quality of supporting evidence. Twenty-seven contributors representing different areas of expertise and medical specialties, including pediatricians, geriatricians, endocrinologists, epidemiologists, nephrologists, gynecologists and obstetricians evaluated the available published evidence related to vitamin D, formulated the goals of this document and developed a common consolidated position. The consensus group, representing six national specialist consultants and eight Polish and international scientific organizations/societies, participated in the process of grading evidence and drawing up the general and specific recommendations.
The updated recommendations define the diagnostic criteria for the evaluation of vitamin D status and describe the prevention and treatment strategies of vitamin D deficiency in the general population and in groups at increased risk of the deficiency. Age- and weight-specific recommendations for prevention, supplementation and treatment of vitamin D deficiency are presented, and detailed practice guidance is discussed regarding the management in primary and specialized health care.
Vitamin D deficiency remains still highly prevalent in Poland, in all age groups. Currently, there is a great necessity to implement a regular supplementation with recommended doses and to develop an effective strategy to alleviate vitamin D deficiency in the population. These updated recommendations are addressed to health professionals and the authorities pursuing comprehensive health policies and should also be included in public health programs aimed at preventing a broad spectrum of chronic diseases. |
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| AbstractList | Vitamin D deficiency is an important public health problem worldwide. Vitamin D deficiency confers a significant risk for both skeletal and non-skeletal disorders and a number of lifelong negative health outcomes. The objectives of this evidence-based guidelines document are to provide health care professionals in Poland, an updated recommendation for the prevention, diagnosis and treatment of vitamin D deficiency.
A systematic literature search examining the prevention and treatment strategies for vitamin D deficiency was conducted. Updated recommendations were developed using the Grading of Recommendations, Assessment, Development and Evaluation system describing the strength of the recommendation and the quality of supporting evidence. Twenty-seven contributors representing different areas of expertise and medical specialties, including pediatricians, geriatricians, endocrinologists, epidemiologists, nephrologists, gynecologists and obstetricians evaluated the available published evidence related to vitamin D, formulated the goals of this document and developed a common consolidated position. The consensus group, representing six national specialist consultants and eight Polish and international scientific organizations/societies, participated in the process of grading evidence and drawing up the general and specific recommendations.
The updated recommendations define the diagnostic criteria for the evaluation of vitamin D status and describe the prevention and treatment strategies of vitamin D deficiency in the general population and in groups at increased risk of the deficiency. Age- and weight-specific recommendations for prevention, supplementation and treatment of vitamin D deficiency are presented, and detailed practice guidance is discussed regarding the management in primary and specialized health care.
Vitamin D deficiency remains still highly prevalent in Poland, in all age groups. Currently, there is a great necessity to implement a regular supplementation with recommended doses and to develop an effective strategy to alleviate vitamin D deficiency in the population. These updated recommendations are addressed to health professionals and the authorities pursuing comprehensive health policies and should also be included in public health programs aimed at preventing a broad spectrum of chronic diseases. Vitamin D deficiency is an important public health problem worldwide. Vitamin D deficiency confers a significant risk for both skeletal and non-skeletal disorders and a number of lifelong negative health outcomes. The objectives of this evidence-based guidelines document are to provide health care professionals in Poland, an updated recommendation for the prevention, diagnosis and treatment of vitamin D deficiency.INTRODUCTIONVitamin D deficiency is an important public health problem worldwide. Vitamin D deficiency confers a significant risk for both skeletal and non-skeletal disorders and a number of lifelong negative health outcomes. The objectives of this evidence-based guidelines document are to provide health care professionals in Poland, an updated recommendation for the prevention, diagnosis and treatment of vitamin D deficiency.A systematic literature search examining the prevention and treatment strategies for vitamin D deficiency was conducted. Updated recommendations were developed using the Grading of Recommendations, Assessment, Development and Evaluation system describing the strength of the recommendation and the quality of supporting evidence. Twenty-seven contributors representing different areas of expertise and medical specialties, including pediatricians, geriatricians, endocrinologists, epidemiologists, nephrologists, gynecologists and obstetricians evaluated the available published evidence related to vitamin D, formulated the goals of this document and developed a common consolidated position. The consensus group, representing six national specialist consultants and eight Polish and international scientific organizations/societies, participated in the process of grading evidence and drawing up the general and specific recommendations.METHODSA systematic literature search examining the prevention and treatment strategies for vitamin D deficiency was conducted. Updated recommendations were developed using the Grading of Recommendations, Assessment, Development and Evaluation system describing the strength of the recommendation and the quality of supporting evidence. Twenty-seven contributors representing different areas of expertise and medical specialties, including pediatricians, geriatricians, endocrinologists, epidemiologists, nephrologists, gynecologists and obstetricians evaluated the available published evidence related to vitamin D, formulated the goals of this document and developed a common consolidated position. The consensus group, representing six national specialist consultants and eight Polish and international scientific organizations/societies, participated in the process of grading evidence and drawing up the general and specific recommendations.The updated recommendations define the diagnostic criteria for the evaluation of vitamin D status and describe the prevention and treatment strategies of vitamin D deficiency in the general population and in groups at increased risk of the deficiency. Age- and weight-specific recommendations for prevention, supplementation and treatment of vitamin D deficiency are presented, and detailed practice guidance is discussed regarding the management in primary and specialized health care.RESULTSThe updated recommendations define the diagnostic criteria for the evaluation of vitamin D status and describe the prevention and treatment strategies of vitamin D deficiency in the general population and in groups at increased risk of the deficiency. Age- and weight-specific recommendations for prevention, supplementation and treatment of vitamin D deficiency are presented, and detailed practice guidance is discussed regarding the management in primary and specialized health care.Vitamin D deficiency remains still highly prevalent in Poland, in all age groups. Currently, there is a great necessity to implement a regular supplementation with recommended doses and to develop an effective strategy to alleviate vitamin D deficiency in the population. These updated recommendations are addressed to health professionals and the authorities pursuing comprehensive health policies and should also be included in public health programs aimed at preventing a broad spectrum of chronic diseases.CONCLUSIONVitamin D deficiency remains still highly prevalent in Poland, in all age groups. Currently, there is a great necessity to implement a regular supplementation with recommended doses and to develop an effective strategy to alleviate vitamin D deficiency in the population. These updated recommendations are addressed to health professionals and the authorities pursuing comprehensive health policies and should also be included in public health programs aimed at preventing a broad spectrum of chronic diseases. IntroductionVitamin D deficiency is an important public health problem worldwide. Vitamin D deficiency confers a significant risk for both skeletal and non-skeletal disorders and a number of lifelong negative health outcomes. The objectives of this evidence-based guidelines document are to provide health care professionals in Poland, an updated recommendation for the prevention, diagnosis and treatment of vitamin D deficiency.MethodsA systematic literature search examining the prevention and treatment strategies for vitamin D deficiency was conducted. Updated recommendations were developed using the Grading of Recommendations, Assessment, Development and Evaluation system describing the strength of the recommendation and the quality of supporting evidence. Twenty-seven contributors representing different areas of expertise and medical specialties, including pediatricians, geriatricians, endocrinologists, epidemiologists, nephrologists, gynecologists and obstetricians evaluated the available published evidence related to vitamin D, formulated the goals of this document and developed a common consolidated position. The consensus group, representing six national specialist consultants and eight Polish and international scientific organizations/societies, participated in the process of grading evidence and drawing up the general and specific recommendations.ResultsThe updated recommendations define the diagnostic criteria for the evaluation of vitamin D status and describe the prevention and treatment strategies of vitamin D deficiency in the general population and in groups at increased risk of the deficiency. Age- and weight-specific recommendations for prevention, supplementation and treatment of vitamin D deficiency are presented, and detailed practice guidance is discussed regarding the management in primary and specialized health care.ConclusionVitamin D deficiency remains still highly prevalent in Poland, in all age groups. Currently, there is a great necessity to implement a regular supplementation with recommended doses and to develop an effective strategy to alleviate vitamin D deficiency in the population. These updated recommendations are addressed to health professionals and the authorities pursuing comprehensive health policies and should also be included in public health programs aimed at preventing a broad spectrum of chronic diseases. |
| Author | Zwolińska, Danuta Walczak, Mieczysław Zygmunt, Arkadiusz Michałus, Izabela Bossowski, Artur Jackowska, Teresa Szalecki, Mieczysław Peregud-Pogorzelski, Jarosław Rusińska, Agnieszka Chlebna-Sokół, Danuta Czech-Kowalska, Justyna Książyk, Janusz Helwich, Ewa Ruchała, Marek Lewiński, Andrzej Konstantynowicz, Jerzy Romanowska, Hanna Wielgoś, Mirosław Marcinowska-Suchowierska, Ewa Socha, Piotr Dobrzańska, Anna Płudowski, Paweł Mazur, Artur Borszewska-Kornacka, Maria K. Franek, Edward Kalina, Maria A. Łukaszkiewicz, Jacek |
| AuthorAffiliation | 6 Department of Neonatology and Neonatal Intensive Care Unit, The Children’s Memorial Health Institute , Warsaw , Poland 14 Faculty of Pharmacy with Laboratory Medicine, Medical University of Warsaw , Warsaw , Poland 20 Clinic of Endocrinology and Diabetology, The Children’s Memorial Health Institute , Warsaw , Poland 22 1st Department of Obstetrics and Gynecology, Medical University of Warsaw , Warsaw , Poland 1 Department of Paediatric Propedeutics and Bone Metabolic Diseases, Medical University of Lodz , Lodz , Poland 4 Neonatal and Intensive Care Department, Medical University of Warsaw , Warsaw , Poland 5 Department of Pediatrics, Endocrinology and Diabetology with Cardiology Divisions, Medical University of Bialystok , Bialystok , Poland 12 Department of Pediatrics, Nutrition and Metabolic Diseases, The Children’s Memorial Health Institute , Warsaw , Poland 15 Department of Geriatrics, The Centre of Postgraduate Medical Education , Warsaw , Poland 19 Department of Gastroenterology, Hepato |
| AuthorAffiliation_xml | – name: 2 Department of Biochemistry, Radioimmunology and Experimental Medicine, The Children’s Memorial Health Institute , Warsaw , Poland – name: 4 Neonatal and Intensive Care Department, Medical University of Warsaw , Warsaw , Poland – name: 11 Department of Pediatric Rheumatology, Immunology, and Metabolic Bone Diseases, Medical University of Bialystok , Bialystok , Poland – name: 17 Department of Pediatrics and Pediatric Oncology, Pomeranian Medical University , Szczecin , Poland – name: 20 Clinic of Endocrinology and Diabetology, The Children’s Memorial Health Institute , Warsaw , Poland – name: 18 Department of Endocrinology, Metabolism and Internal Diseases, Poznan University of Medical Sciences , Poznan , Poland – name: 16 2nd Department of Pediatrics, Endocrinology, Diabetology, University of Rzeszow , Rzeszow , Poland – name: 19 Department of Gastroenterology, Hepatology, Nutritional Disorders and Pediatrics, The Children’s Memorial Health Institute , Warsaw , Poland – name: 22 1st Department of Obstetrics and Gynecology, Medical University of Warsaw , Warsaw , Poland – name: 5 Department of Pediatrics, Endocrinology and Diabetology with Cardiology Divisions, Medical University of Bialystok , Bialystok , Poland – name: 3 Department of Pediatrics, Endocrinology, Diabetology, Metabolic Diseases and Cardiology of the Developmental Age, Pomeranian Medical University , Szczecin , Poland – name: 7 Mossakowski Medical Research Center, Polish Academy of Sciences, Department of Internal Diseases, Endocrinology and Diabetology, Central Hospital MSWiA , Warsaw , Poland – name: 14 Faculty of Pharmacy with Laboratory Medicine, Medical University of Warsaw , Warsaw , Poland – name: 6 Department of Neonatology and Neonatal Intensive Care Unit, The Children’s Memorial Health Institute , Warsaw , Poland – name: 8 Department of Neonatology, Institute of Mother and Child , Warsaw , Poland – name: 10 Division of Clinical Genetics, Department of Molecular Biology and Genetics, School of Medicine in Katowice, Medical University of Silesia , Katowice , Poland – name: 23 Department of Pediatric Nephrology, Wroclaw Medical University , Wroclaw , Poland – name: 9 Department of Pediatrics, The Medical Centre of Postgraduate Education , Warsaw , Poland – name: 12 Department of Pediatrics, Nutrition and Metabolic Diseases, The Children’s Memorial Health Institute , Warsaw , Poland – name: 21 Faculty of Medicine and Health Sciences, Jan Kochanowski Univeristy , Kielce , Poland – name: 15 Department of Geriatrics, The Centre of Postgraduate Medical Education , Warsaw , Poland – name: 1 Department of Paediatric Propedeutics and Bone Metabolic Diseases, Medical University of Lodz , Lodz , Poland – name: 13 Department of Endocrinology and Metabolic Diseases, Medical University of Lodz, Polish Mother’s Memorial Hospital – Research Institute , Lodz , Poland |
| Author_xml | – sequence: 1 givenname: Agnieszka surname: Rusińska fullname: Rusińska, Agnieszka – sequence: 2 givenname: Paweł surname: Płudowski fullname: Płudowski, Paweł – sequence: 3 givenname: Mieczysław surname: Walczak fullname: Walczak, Mieczysław – sequence: 4 givenname: Maria K. surname: Borszewska-Kornacka fullname: Borszewska-Kornacka, Maria K. – sequence: 5 givenname: Artur surname: Bossowski fullname: Bossowski, Artur – sequence: 6 givenname: Danuta surname: Chlebna-Sokół fullname: Chlebna-Sokół, Danuta – sequence: 7 givenname: Justyna surname: Czech-Kowalska fullname: Czech-Kowalska, Justyna – sequence: 8 givenname: Anna surname: Dobrzańska fullname: Dobrzańska, Anna – sequence: 9 givenname: Edward surname: Franek fullname: Franek, Edward – sequence: 10 givenname: Ewa surname: Helwich fullname: Helwich, Ewa – sequence: 11 givenname: Teresa surname: Jackowska fullname: Jackowska, Teresa – sequence: 12 givenname: Maria A. surname: Kalina fullname: Kalina, Maria A. – sequence: 13 givenname: Jerzy surname: Konstantynowicz fullname: Konstantynowicz, Jerzy – sequence: 14 givenname: Janusz surname: Książyk fullname: Książyk, Janusz – sequence: 15 givenname: Andrzej surname: Lewiński fullname: Lewiński, Andrzej – sequence: 16 givenname: Jacek surname: Łukaszkiewicz fullname: Łukaszkiewicz, Jacek – sequence: 17 givenname: Ewa surname: Marcinowska-Suchowierska fullname: Marcinowska-Suchowierska, Ewa – sequence: 18 givenname: Artur surname: Mazur fullname: Mazur, Artur – sequence: 19 givenname: Izabela surname: Michałus fullname: Michałus, Izabela – sequence: 20 givenname: Jarosław surname: Peregud-Pogorzelski fullname: Peregud-Pogorzelski, Jarosław – sequence: 21 givenname: Hanna surname: Romanowska fullname: Romanowska, Hanna – sequence: 22 givenname: Marek surname: Ruchała fullname: Ruchała, Marek – sequence: 23 givenname: Piotr surname: Socha fullname: Socha, Piotr – sequence: 24 givenname: Mieczysław surname: Szalecki fullname: Szalecki, Mieczysław – sequence: 25 givenname: Mirosław surname: Wielgoś fullname: Wielgoś, Mirosław – sequence: 26 givenname: Danuta surname: Zwolińska fullname: Zwolińska, Danuta – sequence: 27 givenname: Arkadiusz surname: Zygmunt fullname: Zygmunt, Arkadiusz |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29904370$$D View this record in MEDLINE/PubMed |
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| Copyright | Copyright © 2018 Rusińska, Płudowski, Walczak, Borszewska-Kornacka, Bossowski, Chlebna-Sokół, Czech-Kowalska, Dobrzańska, Franek, Helwich, Jackowska, Kalina, Konstantynowicz, Książyk, Lewiński, Łukaszkiewicz, Marcinowska-Suchowierska, Mazur, Michałus, Peregud-Pogorzelski, Romanowska, Ruchała, Socha, Szalecki, Wielgoś, Zwolińska and Zygmunt. 2018 Rusińska, Płudowski, Walczak, Borszewska-Kornacka, Bossowski, Chlebna-Sokół, Czech-Kowalska, Dobrzańska, Franek, Helwich, Jackowska, Kalina, Konstantynowicz, Książyk, Lewiński, Łukaszkiewicz, Marcinowska-Suchowierska, Mazur, Michałus, Peregud-Pogorzelski, Romanowska, Ruchała, Socha, Szalecki, Wielgoś, Zwolińska and Zygmunt |
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| Keywords | supplementation treatment recommendations of the experts vitamin D vitamin D deficiency vitamin D in Poland |
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| Snippet | Vitamin D deficiency is an important public health problem worldwide. Vitamin D deficiency confers a significant risk for both skeletal and non-skeletal... IntroductionVitamin D deficiency is an important public health problem worldwide. Vitamin D deficiency confers a significant risk for both skeletal and... |
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| SubjectTerms | Endocrinology recommendations of the experts supplementation treatment vitamin D vitamin D deficiency vitamin D in Poland |
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| Title | Vitamin D Supplementation Guidelines for General Population and Groups at Risk of Vitamin D Deficiency in Poland—Recommendations of the Polish Society of Pediatric Endocrinology and Diabetes and the Expert Panel With Participation of National Specialist Consultants and Representatives of Scientific Societies—2018 Update |
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