Randomised controlled trial of daily versus stoss vitamin D therapy in Aboriginal children

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    Abstract

    © 2014 The Authors. Journal of Paediatrics and Child Health © 2014 Paediatrics and Child Health Division (Royal Australasian College of Physicians). Aim The prevalence of vitamin D deficiency has risen in countries with a high ultraviolet index and sunny environment such as Australia. There is lack of information on vitamin D status and best possible therapy in Australian Aboriginal children. We aim to (i) describe the vitamin D status in an opportunistic sample of Aboriginal children in Western Australia and (ii) compare the efficacy of oral daily vitamin D with oral stoss vitamin D therapy in this sample. Method Participants were recruited from a metropolitan area (31′ S) and a rural area (17′ S). Those with a 25(OH)D level less than 78 nmol/L were randomised to receive daily or stoss vitamin D therapy with follow-up at 4-6 months and 9-12 months. Biochemical and clinical parameters such as 25(OH)D, alkaline phosphatase, calcium and sun exposure were collected. Results Seventy-three participants were enrolled (61 from a metropolitan and 12 from a rural area). 25(OH)D levels were greater than 78 nmol/L in 9/12 (75%) participants in the rural group and 21/61 (34%) in the metropolitan group. 25(OH)D levels were less than 78 nmol/L in 43/73 (59%) participants. Of these, 34/43 (79%) were insufficient (50-78 nmol/L), 8/43 (19%) mildly deficient (27.5-50 nmol/L) and 1/43 (2%) deficient (
    Original languageEnglish
    Pages (from-to)626-631
    JournalJournal of Paediatrics and Child Health
    Volume51
    Issue number6
    DOIs
    Publication statusPublished - 2015

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    Vitamin D
    Randomized Controlled Trials
    Pediatrics
    Therapeutics
    Western Australia
    Vitamin D Deficiency
    Solar System
    Alkaline Phosphatase
    Calcium
    Physicians
    Child Health

    Cite this

    @article{a1802c3d4ed444dba2a223ddb1028c19,
    title = "Randomised controlled trial of daily versus stoss vitamin D therapy in Aboriginal children",
    abstract = "{\circledC} 2014 The Authors. Journal of Paediatrics and Child Health {\circledC} 2014 Paediatrics and Child Health Division (Royal Australasian College of Physicians). Aim The prevalence of vitamin D deficiency has risen in countries with a high ultraviolet index and sunny environment such as Australia. There is lack of information on vitamin D status and best possible therapy in Australian Aboriginal children. We aim to (i) describe the vitamin D status in an opportunistic sample of Aboriginal children in Western Australia and (ii) compare the efficacy of oral daily vitamin D with oral stoss vitamin D therapy in this sample. Method Participants were recruited from a metropolitan area (31′ S) and a rural area (17′ S). Those with a 25(OH)D level less than 78 nmol/L were randomised to receive daily or stoss vitamin D therapy with follow-up at 4-6 months and 9-12 months. Biochemical and clinical parameters such as 25(OH)D, alkaline phosphatase, calcium and sun exposure were collected. Results Seventy-three participants were enrolled (61 from a metropolitan and 12 from a rural area). 25(OH)D levels were greater than 78 nmol/L in 9/12 (75{\%}) participants in the rural group and 21/61 (34{\%}) in the metropolitan group. 25(OH)D levels were less than 78 nmol/L in 43/73 (59{\%}) participants. Of these, 34/43 (79{\%}) were insufficient (50-78 nmol/L), 8/43 (19{\%}) mildly deficient (27.5-50 nmol/L) and 1/43 (2{\%}) deficient (",
    author = "Jason Tan and Paula Kearns and A.C. Martin and Aris Siafarikas",
    year = "2015",
    doi = "10.1111/jpc.12781",
    language = "English",
    volume = "51",
    pages = "626--631",
    journal = "Journal of Paediatric and Child Health",
    issn = "1034-4810",
    publisher = "John Wiley & Sons",
    number = "6",

    }

    TY - JOUR

    T1 - Randomised controlled trial of daily versus stoss vitamin D therapy in Aboriginal children

    AU - Tan, Jason

    AU - Kearns, Paula

    AU - Martin, A.C.

    AU - Siafarikas, Aris

    PY - 2015

    Y1 - 2015

    N2 - © 2014 The Authors. Journal of Paediatrics and Child Health © 2014 Paediatrics and Child Health Division (Royal Australasian College of Physicians). Aim The prevalence of vitamin D deficiency has risen in countries with a high ultraviolet index and sunny environment such as Australia. There is lack of information on vitamin D status and best possible therapy in Australian Aboriginal children. We aim to (i) describe the vitamin D status in an opportunistic sample of Aboriginal children in Western Australia and (ii) compare the efficacy of oral daily vitamin D with oral stoss vitamin D therapy in this sample. Method Participants were recruited from a metropolitan area (31′ S) and a rural area (17′ S). Those with a 25(OH)D level less than 78 nmol/L were randomised to receive daily or stoss vitamin D therapy with follow-up at 4-6 months and 9-12 months. Biochemical and clinical parameters such as 25(OH)D, alkaline phosphatase, calcium and sun exposure were collected. Results Seventy-three participants were enrolled (61 from a metropolitan and 12 from a rural area). 25(OH)D levels were greater than 78 nmol/L in 9/12 (75%) participants in the rural group and 21/61 (34%) in the metropolitan group. 25(OH)D levels were less than 78 nmol/L in 43/73 (59%) participants. Of these, 34/43 (79%) were insufficient (50-78 nmol/L), 8/43 (19%) mildly deficient (27.5-50 nmol/L) and 1/43 (2%) deficient (

    AB - © 2014 The Authors. Journal of Paediatrics and Child Health © 2014 Paediatrics and Child Health Division (Royal Australasian College of Physicians). Aim The prevalence of vitamin D deficiency has risen in countries with a high ultraviolet index and sunny environment such as Australia. There is lack of information on vitamin D status and best possible therapy in Australian Aboriginal children. We aim to (i) describe the vitamin D status in an opportunistic sample of Aboriginal children in Western Australia and (ii) compare the efficacy of oral daily vitamin D with oral stoss vitamin D therapy in this sample. Method Participants were recruited from a metropolitan area (31′ S) and a rural area (17′ S). Those with a 25(OH)D level less than 78 nmol/L were randomised to receive daily or stoss vitamin D therapy with follow-up at 4-6 months and 9-12 months. Biochemical and clinical parameters such as 25(OH)D, alkaline phosphatase, calcium and sun exposure were collected. Results Seventy-three participants were enrolled (61 from a metropolitan and 12 from a rural area). 25(OH)D levels were greater than 78 nmol/L in 9/12 (75%) participants in the rural group and 21/61 (34%) in the metropolitan group. 25(OH)D levels were less than 78 nmol/L in 43/73 (59%) participants. Of these, 34/43 (79%) were insufficient (50-78 nmol/L), 8/43 (19%) mildly deficient (27.5-50 nmol/L) and 1/43 (2%) deficient (

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    JO - Journal of Paediatric and Child Health

    JF - Journal of Paediatric and Child Health

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