Infant and Toddler Forum Welcomes Royal College of Paediatrics and Child Health Early Years Call to Action on Vitamin D

A call to action announced today by the Royal College of Paediatrics and Child Health (RCPCH), is very much welcomed by the Infant & Toddler Forum (ITF).

Today the Royal College of Paediatrics and Child Health (RCPCH) called for widely available and low-cost vitamin D supplements, fortification of foods, greater knowledge amongst healthcare professionals (HCPs) and better public awareness to tackle the growing incidence of vitamin D deficiency amongst the UK population.

Recognition that vitamin D is essential for good bone health and optimum immune system function is increasing, but more awareness is needed about meeting requirements in the early years for its benefits to have the best chance for toddlers’ long-term health. Most vitamin D is made in the skin when outside in sunlight during the summer months. Very few foods provide it – only oily fish is a good source. With our indoor lifestyles it is difficult to guarantee that young children will get enough from sunlight so supplements are required to ensure sufficiency. On average, children aged 18 months to three years only consume about a third of their daily requirement of vitamin D because very few are given the recommended supplement. Some foods are fortified with vitamin D including formula milks, margarine and some yogurts and breakfast cereals. However they contain very small amounts.

The ITF hopes that this new RCPCH call to action can help add to the effort to achieve this. The re-emergence of rickets – thought to have disappeared at the beginning of the last century – is again a UK public health concern[1] and this call to action could not have come sooner.
In early 2012, the Chief Medical Officers’ letter to GPs, health visitors and community nurses was to remind them to raise awareness of vitamin D’s importance particularly with key at-risk groups. Professional guidance is vital in preventing deficiency but despite some targeted outreach, awareness around the importance of vitamin D supplements for under-fives and pregnant and breastfeeding women remains low.

As part of the combined effort by key stakeholders, in June 2012, the ITF produced Preventing Vitamin D Deficiency in Toddlers; an easy-to-follow resource, containing peer-reviewed guidance, outlining the key role for HCPs in preventing vitamin D deficiency. This provides clarity for HCPs and families on how vitamin D can be safely provided by sunlight, supplements and the very few foods it is present in.

Judy More, Paediatric Dietitian and member of the ITF, said: “Unfortunately many parents and healthcare professionals think that a nutritious balanced diet will provide all the vitamins needed by young children. However vitamin D is the exception and even children who eat very well get very little vitamin D from their food. Without a daily vitamin D supplement they are at risk of vitamin D deficiency and along with that poor bone health and susceptibility to infections and long term diseases such as diabetes.”

For more information and expert advice on vitamin D and the early years, visit the Infant & Toddler Forum’s website:


The Infant & Toddler Forum is supported by an educational grant from Danone UK. The views and outputs of the group, however, remain independent of Danone UK and its commercial interests.

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Further Reading

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  • By Dr. Gillian Harris, Honorary Senior Lecturer in Applied Developmental Psychology at the University of Birmingham and ITF member Most parents will struggle at some point to get their toddlers to eat certain foods. Is toddler food refusal a sign of an eating disorder. or is it merely a phase? In the run up to Eating Disorder Awareness Week, Gill Harris provides practical advice to help parents tackle fussy eating in toddlers.  
  • By Lucy Upton, on behalf of the Infant and Toddler Forum On behalf of the members of the Infant and Toddler Forum, I am proud to announce the launch of a new infant feeding educational programme, which includes practical resources for frontline healthcare professionals (HCPs) working with parents and infants.