Dietitians in Nutrition Support

Calcium, phosphorus, and vitamin D - Pediatric micronutrient management

Dietitians in Nutrition Support

Show Notes

Bone mineralization and growth are happening constantly throughout childhood and a few key micronutrients play major roles in bone health as well as other metabolic processes. In this video, Alyson RD, CNSC discusses calcium, phosphorus, and vitamin D including their physiology, lab values, and management in the pediatric clinical setting.

Timestamps: 0:00 Intro 0:45 Physiology 2:43 Calcium 5:08 Phosphorus 9:51 Optimal Rations 10:39 Enteral Nutrition 12:53 Vitamin D 14:42 TPN Monitoring

Closed captions provided by Kaitlyn Batista MS, RDN, CDN, CNSC

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References: Ayers P, Bobo E, Hurt RT, Mays A, Worthington PH. Aspen Parenteral Nutrition Handbook. ASPEN; 2020.

Barbieri J, Cober MP. Select micronutrients for the preterm neonate. Nutr Clin Pract. 2023;38 Suppl 2:S66-S83. doi:10.1002/ncp.11054

Corkins MR. The A.S.P.E.N. Pediatric Nutrition Support Core Curriculum. American Society for Parenteral and Enteral Nutrition; 2015.

Delgado NB, Hastings E, Kommes K, Ling H, Spoede E, Wrobel M. Pediatric Nutrition Reference Guide 13th Edition. Texas Children’s Hospital; 2022.

Faienza MF, D'Amato E, Natale MP, et al. Metabolic Bone Disease of Prematurity: Diagnosis and Management. Front Pediatr. 2019;7:143. Published 2019 Apr 12. doi:10.3389/fped.2019.00143

Hodges BS. Pocket Guide to Neonatal Nutrition. Academy of Nutrition and Dietetics; 2023. Institute of Medicine (US) Standing Committee on the Scientific Evaluation of Dietary Reference Intakes. Dietary Reference Intakes for Calcium, Phosphorus, Magnesium, Vitamin D, and Fluoride. Washington (DC): National Academies Press (US); 1997.

Koletzko B. Nutritional Care of Preterm Infants: Scientific Basis and Practical Guidelines. Karger; 2021.

Kumar M, Chowdhury R, Sinha B, et al. Enteral Calcium or Phosphorus Supplementation in Preterm or Low Birth Weight Infants: a Systematic Review and Meta-analysis. Pediatrics. 2022;150(Suppl 1):e2022057092M. doi:10.1542/peds.2022-057092M

Neonatal Care Resources. ASPEN | Neonatal Care Resources. Accessed July 6, 2024. https://www.nutritioncare.org/Guidelines_and_Clinical_Resources/Neonatal_Care_Resources/.

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