Vitamin D helps bones grow, develop properly and stay strong. Children get most of their vitamin D from sunlight as well as a small amount from some foods. If you’re worried your child has a vitamin D deficiency, this guide will give you some ideas.
Why children and adults need vitamin D
Children need vitamin D for bone growth and development. So do babies developing in the womb. This is because vitamin D helps us absorb calcium.
Serious vitamin D deficiency can cause rickets, delayed motor development, muscle weakness, aches and pains, and fractures.
Vitamin D deficiency in adults has also been linked to osteoporosis, some cancers, heart disease and diabetes.
If women don’t get enough vitamin D during pregnancy, their children might develop neonatal hypocalcaemia (not enough calcium in the blood) or rickets later in childhood.
Vitamin D and sunlight
You need sunlight on your skin for your body to make vitamin D. You get about 80% of your vitamin D this way.
The amount of sun you need depends on where you live in Australia and the time of year.
But no matter where you live, you have to be careful about how much sun you get on your skin. Too much sun can lead to sunburn, skin damage and even skin cancer.
The picture below shows how much sun should be enough to help your body make vitamin D, without putting your skin at risk of sun damage.
Image courtesy of Cancer Council Australia.
Other factors affecting how much sun you need
People with naturally very dark skin need 3-6 times more sun to make vitamin D than the amount fair-skinned people need.
It’s important to note that there is no conclusive Australian or New Zealand data on how much sun children need for good levels of vitamin D.
To get more information and advice about how much sun is right for you, speak with your GP.
Be sun smart
Spending too long in the sun isn’t good for your skin, so it’s important to use sun protection.
During summer, especially between 10 am and 4 pm, make sure your child stays safe in the sun with sunscreen, a hat, sunglasses, clothing that keeps the sun off and access to plenty of shade.
Vitamin D and food
Most children won’t get enough vitamin D from food alone.
But food with lots of vitamin D can add to the vitamin D your child gets from sunshine.
Foods naturally containing vitamin D include fresh fatty fish (salmon, herring, mackerel and sardines), liver, mushrooms and egg yolks.
Some foods have vitamin D added to them. These include margarine and some low-fat milk and dairy products. All infant formula contains vitamin D.
You can boost the benefits of being out in the sun for a little while each day by doing some physical activity while you’re there. This is because daily exercise helps your body make vitamin D.
Vitamin D deficiency
Children might be at risk of vitamin D deficiency if they:
- keep all their skin covered
- spend most of their time indoors and don’t get much or any sun
- have a condition affecting how the body controls vitamin D levels – for example, liver disease, kidney disease, problems with absorbing food (such as coeliac disease or cystic fibrosis and some medicines can affect vitamin D levels
- have darker skin
- have been breastfed for a long time and have a mother whose vitamin D is low.
Signs of vitamin D deficiency include rickets, delayed motor development, muscle weakness, aches and pains, and fractures.
Treating vitamin D deficiency
Talk with your GP if you’re worried about your child’s vitamin D levels, or you’re pregnant and think you might have low vitamin D.
Your GP can order a blood test, which is the best way to check vitamin D levels.
For mild deficiencies, your GP might say that your child needs to get a bit more sun.
If you or your child has a severe vitamin D deficiency, your GP might say you or your child should take vitamin D supplements, as well as getting more sun.
If you or your child can’t get more sun, the GP might say that taking vitamin D supplements is the best thing to do. You might take a vitamin D supplement in one large, single dose, or you might take a supplement for several weeks or months.
You can also talk to a dietitian about vitamin D supplements.
Solariums aren’t recommended as way to improve vitamin D levels or to treat vitamin D deficiency. Solariums can cause skin cancer.
Vitamin D, pregnancy and breastfeeding
A baby’s vitamin D stores go up during development in the womb and go down after birth until the baby starts getting vitamin D from sunlight along with diet.
If a pregnant woman has low levels of vitamin D, she might not pass on enough vitamin D to her baby.
Breastfeeding babies don’t get much vitamin D from breastmilk, because breastmilk doesn’t have much. And if a breastfeeding mum has low vitamin D, it can be even harder for her baby to get enough vitamin D. It’s even trickier if the breastfeeding mum lives further south in Australia and it’s winter.
If you have any concerns about whether your baby is getting enough vitamin D, you can talk with your GP about using a vitamin D supplement. Doctors often say a daily supplement of 400 micrograms (μg) is good for mothers who are breastfeeding babies at risk of vitamin D deficiency.
It’s still OK for you to breastfeed your baby if you’re taking a vitamin D supplement.
Infant formula has higher levels of vitamin D, so formula-fed babies don’t usually need a supplement.
Most cases of rickets in Australia are in children who have dark skin. This is because women who have dark skin – particularly those who wear covered clothing – have been found to have a high risk of vitamin D deficiency and don’t pass on adequate amounts of vitamin D to their children.