Nutritional rickets in three toddlers during Covid-19 pandemic lockdown

Nutritional rickets is a worldwide problem which has been increasingly reported globally. Three toddlers aged 1-2 years presented in March to April 2021 with bony deformities following one year of national Covid-19 pandemic lockdown since March 2020. All three patients were breastfed till presentati...

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Main Authors: Lee, Yee Lin, Yusoff, Nor Azyati, Ting, Tzer Hwu
Format: Article
Published: International Islamic University Malaysia 2022
Online Access:http://psasir.upm.edu.my/id/eprint/102353/
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author Lee, Yee Lin
Yusoff, Nor Azyati
Ting, Tzer Hwu
author_facet Lee, Yee Lin
Yusoff, Nor Azyati
Ting, Tzer Hwu
author_sort Lee, Yee Lin
building UPM Institutional Repository
collection Online Access
description Nutritional rickets is a worldwide problem which has been increasingly reported globally. Three toddlers aged 1-2 years presented in March to April 2021 with bony deformities following one year of national Covid-19 pandemic lockdown since March 2020. All three patients were breastfed till presentation without formula milk supplementation. Weaning occurred at 4-6 months of age but without proper complementary food intake. All three patients and their nursing mothers were mostly confined indoors during the pandemic lockdown. Bone metabolic profile and radiological imaging confirmed vitamin D deficiency rickets. All three patients responded well to vitamin D3 treatment and calcium supplementation for 3-6 months duration. Vitamin D deficiency rickets appears to be an increasing problem in breastfed toddlers following the prolonged movement control order, particularly amongst picky eaters and young children on restrictive diets. Sun exposure and early vitamin D supplementation are crucial to prevent the development of nutritional rickets.
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institution Universiti Putra Malaysia
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publisher International Islamic University Malaysia
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spelling upm-1023532023-08-22T03:36:44Z http://psasir.upm.edu.my/id/eprint/102353/ Nutritional rickets in three toddlers during Covid-19 pandemic lockdown Lee, Yee Lin Yusoff, Nor Azyati Ting, Tzer Hwu Nutritional rickets is a worldwide problem which has been increasingly reported globally. Three toddlers aged 1-2 years presented in March to April 2021 with bony deformities following one year of national Covid-19 pandemic lockdown since March 2020. All three patients were breastfed till presentation without formula milk supplementation. Weaning occurred at 4-6 months of age but without proper complementary food intake. All three patients and their nursing mothers were mostly confined indoors during the pandemic lockdown. Bone metabolic profile and radiological imaging confirmed vitamin D deficiency rickets. All three patients responded well to vitamin D3 treatment and calcium supplementation for 3-6 months duration. Vitamin D deficiency rickets appears to be an increasing problem in breastfed toddlers following the prolonged movement control order, particularly amongst picky eaters and young children on restrictive diets. Sun exposure and early vitamin D supplementation are crucial to prevent the development of nutritional rickets. International Islamic University Malaysia 2022 Article PeerReviewed Lee, Yee Lin and Yusoff, Nor Azyati and Ting, Tzer Hwu (2022) Nutritional rickets in three toddlers during Covid-19 pandemic lockdown. IIUM Medical Journal Malaysia, 22 (3). pp. 166-169. ISSN 1823-4631; ESSN: 2735-2285 https://journals.iium.edu.my/kom/index.php/imjm/article/view/2128 10.31436/imjm.v22i3.2128
spellingShingle Lee, Yee Lin
Yusoff, Nor Azyati
Ting, Tzer Hwu
Nutritional rickets in three toddlers during Covid-19 pandemic lockdown
title Nutritional rickets in three toddlers during Covid-19 pandemic lockdown
title_full Nutritional rickets in three toddlers during Covid-19 pandemic lockdown
title_fullStr Nutritional rickets in three toddlers during Covid-19 pandemic lockdown
title_full_unstemmed Nutritional rickets in three toddlers during Covid-19 pandemic lockdown
title_short Nutritional rickets in three toddlers during Covid-19 pandemic lockdown
title_sort nutritional rickets in three toddlers during covid-19 pandemic lockdown
url http://psasir.upm.edu.my/id/eprint/102353/
http://psasir.upm.edu.my/id/eprint/102353/
http://psasir.upm.edu.my/id/eprint/102353/