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A recent study published in the Archives of Pediatrics and Adolescent Medicine brought up a topic that many moms wonder about: do children benefit from taking multivitamins?
When you think about how picky children can be with food, especially toddlers, it seems to make sense. Take a supplement, get a little insurance. But it doesn’t always work out that way and I’ll show you why.
How Many Children are Taking Vitamins?
In the above study researchers tracked over 10,000 children and adolescents 2-17 years of age from 1999 to 2004 and found that over one-third had taken a multivitamin in the last month. The interesting finding was that those children that were taking multivitamins didn’t necessarily need them. They tended to be the children with regular access to healthcare, balanced diets and had parents with higher incomes.
The study questioned whether multivitamins are being used appropriately – and on the right children.
How to Tell if Kids Need Multivitamins
First off, there’s no evidence that multivitamins are beneficial for children at all. In fact, the American Academy of Pediatrics (AAP) and the American Dietetic Association recommend that vitamin and minerals come from diet, not supplements. That’s because the benefits of vitamins and minerals are not isolated. Fruits and vegetables, for example, also contain fiber and antioxidants. Additionally, many foods are already fortified with vitamins and minerals (e.g., cereals, nutrition bars, specialty food items) making supplementation less of an issue.
In general, if your child eats a variety of foods (dairy, meats, whole grains, fruits and vegetables) and is at a healthy weight he or she probably doesn’t need a multivitamin. But if your child eats very poorly, is underweight, is on a restricted diet (that includes strict vegetarians) or has any other nutrition-related concerns then talk to your child’s pediatrician to see if a multivitamin, or supplementing with specific nutrients, is appropriate.
A Better Strategy
When children aren’t eating in a consistent manner, mothers think that giving a multivitamin will help cover their unmet needs. But doesn’t it make more sense to evaluate their diet and see what they’re missing — and then try to fix it with food?
Check the Resources section of this site for age-specific nutrition information which will continually be updated. If you can’t find what you need there, check MyPyramid for kids and get age-specific guidelines for your child’s nutritional needs. When you find your child’s diet is lacking in a certain area, then make an effort to add the food group back into his or her diet.
For example, if your infant or toddler eats very little meat you’d want to offer iron fortified cereals or other sources of iron with vitamin-C rich fruits/veggies to help increase the absorption. This is especially true for non-meat sources of iron which are not absorbed as well.
School-aged children tend to have low intakes of vitamin E, calcium, magnesium, potassium and fiber so make an effort to provide foods from these sources throughout the week. And many young children shy away from vegetables but readily accept fruit. Keep offering vegetables without forcing but vary their fruit intake by including vitamin-A sources of fruit such as cantaloupe and more acceptable vitamin-A rich veggies like carrots and sweet potatoes.
When Diet Isn’t Enough
Throughout this blog you’ll often see me write about vitamin D, a nutrient that has become a major public health concern. The scientific community is learning that most people (kids and adults) do not get enough – and most health experts believe current recommendations are too low.
The American Academy of Pediatrics recently changed its recommendation for breastfed infants to receive 400 International Units (IU) of vitamin D the first days of life. This should continue throughout childhood (whether they were breastfed or formula-fed) unless children are drinking one liter (four cups) of milk a day. The major source of vitamin D is the sun and with the increase in sunscreen use, most children — and adults — fall short. Insufficient vitamin D has been linked to everything from compromised bone health to the development of cancer to a variety of autoimmune diseases.
It’s also important for adults to make sure that they are getting enough vitamin D. A good place to start is with your annual physical. Ask for a vitamin D test to see if you have enough in your blood. If you don’t, your doctor is likely to recommend supplementation. This is important for those of you who want to have more children. If you are vitamin D-deficient during pregnancy, you’re likely to have a baby that is also lacking in vitamin D.
So check with your doctor, offer your child a variety of foods they need and supplement when there is good reason – and you can’t go wrong.
For more information on vitamin D check out the article: Is Your Family at Risk for Vitamin D Deficiency?
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References/Resources:
http://archpedi.ama-assn.org/cgi/content/full/163/2/192
Prevention of Rickets and Vitamin D Deficiency: New Guidelines for Vitamin D Intake
{ 2 comments… read them below or add one }
thanks for this information. do you feel that even though we live in southern california, we should be supplementing vitamin d (assuming our children aren’t lathered with sunscreen all the time? if so, why? thanks!
Yes, I think following the AAP recommendation for vitamin D is important regardless of local. The AAP recommends keeping babies out of the sun for the first 6 months anyway. Just getting some sun here and there won’t guarantee that your little on is getting enough. That’s because most of the vitamin D is produced between 10 and 3pm, pollution can decrease the amount of vitamin D that the body makes and babies with darker skin won’t make as much vitamin D even when exposed to the sun. Always check with your pediatrician to be sure. I’ll have plenty more posts/articles on this subject coming up!