Original Paper

HOR MON E RE SE ARCH I N PÆDIATRIC S

Horm Res Paediatr 2014;82:103–106 DOI: 10.1159/000362236

Received: December 11, 2013 Accepted: March 17, 2014 Published online: July 19, 2014

Efficacy and Tolerability of a High Loading Dose (25,000 IU Weekly) Vitamin D3 Supplementation in Obese Children with Vitamin D Insufficiency/ Deficiency Nalini N.E. Radhakishun a, d Mariska van Vliet e Dennis C.W. Poland b Olivier Weijer a Jos H. Beijnen b Dees P.M. Brandjes c Michaela Diamant d Ines A. von Rosenstiel a Departments of a Pediatrics, b Pharmacy and Pharmacology, and c Internal Medicine, Slotervaart Hospital, d Diabetes Center, Department of Internal Medicine, VU University Medical Center, Amsterdam, and e Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands

Abstract Background: The recommended dose of vitamin D supplementation of 400 IU/day might be inadequate to treat obese children with vitamin D insufficiency. Therefore, we tested the efficacy and tolerability of a high loading dose vitamin D3 supplementation of 25,000 IU weekly in multiethnic obese children, 8–18 years of age, with vitamin D insufficiency/deficiency. Methods: Fasting blood samples were drawn for the assessment of vitamin D. Vitamin D-insufficient/-deficient children (50 nmol/l) was reached in >75% without side effects nor reaching toxic levels. Results: In total, 109 children (mean ± SD age 11.1 ± 3.0, 34.2% boys, 90.8% obese) received vitamin D supplementation. In 84.4% of the children, the vitamin D status improved from insufficiency/defi-

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ciency (

deficiency.

The recommended dose of vitamin D supplementation of 400 IU/day might be inadequate to treat obese children with vitamin D insufficiency. Therefore, w...
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