Vitamin and mineral supply in children: a pediatrician’s view
DOI: 10.32364/2618-8430-2020-3-4-319-325
L.S. Starostina
I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow,
Russian Federation
The important role of vitamins for bodily functions was described for the first time by Russian pediatrician N.I. Lunin as early as in 1880. Since then, doctors, biologists, researchers, and other experts have focused on the effects of vitamins on human body and their role in various processes. In 2017, the Union of Pediatricians of Russia has developed “National program of the optimization of vitamin and mineral supply of Russian children” based on the monitoring of child nutrition. Treatment of multivitamin deficiency involves additional intake of missing substances as well as the improvement of their absorption and their synthesis in human body. The vast majority of vitamin and mineral supplements contain daily-recommended amounts of essential vitamins and microelements. However, not all substances are completely absorbed since patients with multivitamin deficiency often have gut microbiome abnormalities resulting in poor availability of s upplemented vitamins and minerals. This paper discusses the rationale of additional vitamins, their role in bodily functions, and signs of vitamin deficiency.
Keywords: children, prevention, vitamins, microelements, macroelements, micronutrients, harmonious development, immunity, microbiota, Bifidobacterium.
For citation: Starostina L.S. Vitamin and mineral supply in children: a pediatrician’s view. Russian Journal of Woman and Child Health. 2020;3(4):319–324. DOI: 10.32364/2618-8430-2020-3-4-319-325.
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2. Vrzhesinskaya O.A., Kodentsova V.M., Pereverzeva O.G., Leonenko S.N. providing vitamins to children attending preschool educational institutions in various regions (Moscow region, Yekaterinburg). Pediatr. 2017;8(5):49–53 (in Russ.). DOI: 10.17816/PED8549-53.
3. Lundina G.V., Repetskaya M.N., Toropova E.A., Golovina V.V. Modern aspects of early childhood nutrition. Eksperimental’naya i klinicheskaya gastroenterologiya. 2018;156(8):41–44 (in Russ.).
4. Zakharova I.N., Sugyan N.G., Dmitrieva Yu.A. Micronutrient deficiency in preschool children. Voprosy sovremennoy pediatrii. 2014;13(4):63–69 (in Russ.). DOI: 10.15690/vsp.v13i4.1086.
5. Sharmanov T.Sh., Salkhanova A.B., Dathabaeva G.K. Comparative characteristics of the actual nutrition of children aged 9–10 years. Voprosy pitaniya. 2018;87(6):28–41 (in Russ.).
6. Martinchik A.N., Baturin A.K., Keshabyants E.E. et al. Analysis of the actual nutrition of children and adolescents in Russia aged 3 to 19 years. Voprosy pitaniya. 2017;86(4):50–60 (in Russ.).
7. Polyashova A.S. The Influence of individual nutrients on the development of mental abilities and the preservation of visual acuity in children of preschool and school age. Voprosy sovremennoy pediatrii. 2012;11(4):153–157 (in Russ.). DOI: 10.15690/vsp.v11i4.376.
8. Kodentsova V.M., Vrzhesinskaya O.A. Vitamin-enriched food products in nutrition of children: background, problems and prospects. Voprosy detskoy dietologii. 2012;10(5):31–44 (in Russ.).
9. Faizullina R.A., Zakirova A.M. The Importance of vitamin-mineral complexes in Pediatrics. Vestnik sovremennoy klinicheskoy meditsiny. 2016;9(2):97–103 (in Russ.). DOI: 10.20969/VSKM.2016.9(2).97-103.
10. Benton D. Evropeyskiy zhurnal po pitaniyu. Yevropeyskiy zhurnal po pitaniyu. 2008;47(3):38–50 (in Russ.).
11. The National Program for Optimization of Vitamin and Mineral Resources for Children of Russia (and the use of vitamin and vitamin-mineral complexes and fortified products in pediatric practice). M.: Pediatr; 2017 (in Russ.).
12. Rebrov V.G., Gromova O.A. Vitamins, macro-and microelements. M.: GEOTAR-Media; 2008 (in Russ.).
13. Korovina N.A., Zakharova I.N., Zaplatnikov I.L. et al. Vitamins and microelements in the practice of a pediatrician. RMJ. 2004;12(1):48–55 (in Russ.).
14. Kosenko I. M. Micronutrients and children’s health. Voprosy sovremennoy pediatrii. 2011;10(6):179–185 (in Russ.).
15. Vitamins in neuropediatrics as antistress factors. Reference manual for doctors. Ed. V.M. Studenikin. M.; 2006 (in Russ.).
16. Studenikin V.M., Spirichev V.B., Samsonova T.V. et al. Influence of supplementary vitamins donation on morbidity and cognitive functions in children. Voprosy detskoy dietologii. 2009;7(3):32–37 (in Russ.).
17. Alekseeva A.A. application of vitamins in pediatric practice. Pediatricheskaya farmakologiya. 2009;6(1):75–80 (in Russ.).
18. Yaylenko A.A. Role of Macro- and Micronutrients in the Prevention and Correction of Cognitive Disorders in Children. Vestnik Smolenskoy gosudarstvennoy meditsinskoy akademii. 2020;19(1):216–226 (in Russ.).
19. Novikov P.V. Novikov P.V. Nutrigenetics and Nutrigenomics — New Directions in Nutriciology in the Postgenomic Period. Voprosy detskoy dietologii. 2012;1:44–52 (in Russ.).
20. The national program of vitamin D deficiency in children and adolescents of the Russian Federation: modern approaches to correction. M.: Pediatrician; 2018 (in Russ.).
21. Correction of cognitive impairment in children and adolescents. Methodical recommendations of the Moscow Department of Health. 2016 (in Russ.).
22. Gerasimov G.A. Iodine deficiency in Eastern Europe and Asia — state of the problem in 2003. Klinicheskaya tireoidologiya. 2003;1(3):5–13 (in Russ.).
23. Qasem W.A., Friel J.K. An overview of ironin term breastfed infants. Clinical Medical Insights Pediatr. 2015;9:79–84. DOI: 10.4137/CMPed.S26572.
24. Revyakina V.A., Monosova O.Yu., Sharapova K.G. Influence of vitamin and mineral complexes on the course of allergic diseases in children. Allergologiya i immunologiya v pediatrii. 2011;3:31–36 (in Russ.).
25. Romanchuk P.I. Age and microbiota: epigenetic and dietary protection, endothelial and vascular rehabilitation, new managed healthy biomicrobiota. Byulleten’ nauki i praktiki. 2020;6(2):67–110 (in Russ.). DOI: 10.33619/2414-2948/51.
26. Donovan S.M. Promoting bifidobactera in the human infant intestine: why, how and which? J Ped Gasroenterol Nutr. 2011;52(6):648–650. DOI: 10.1097/MPG.0b013e31821e2799.
27. Kau A.L., Ahern P.P., Griffin N.W. et al. Human nutrition, the gut microbiome and the immune system. Nature. 2011;474:327–336. DOI: 10.1038/nature10213.
28. Ley R.E., Turnbaugh P.J., Klein S., Gordon J.I. Microbial ecology human gut microbes associated with obesity. Nature. 2006;444(7122):1022–1023. DOI: 10.1038/4441022a.
29. Cani P.D., Amar J., Iglesias M.A. et al. Metabolic endo‑ toxemia initiates obesity and insulin resistance. Diabetes. 2007;56(7):1761–1772. DOI: 10.2337/db06-1491.
30. Kalliomaki M., Collado M.C., Salminen S., Isolauri E. Early differences in fecal microbiota composition in children may predict overweight. Am J Clin Nutr. 2008;87(3):534–538. DOI: 10.1093/ajcn/87.3.534.
31. Kornienko E.A. Modern concepts of the relationship between obesity and intestinal microbiota. Pediatr. 2013;4(3):3–14 (in Russ.). DOI: 10.17816/PED433-14.
32. Di Baise J.K., Zhang H., Crowell M.D. et al. Gut micro‑biota and its relationship with obesity. Mayo Clin Proc. 2008;83(4):460–469. DOI: 10.4065/83.4.460.
33. Kovrigina E.S., Pankov D.D., Klyuchnikova I.V. Application of vitamin-mineral complex with a different course duration in sickly children in a day hospital. Pediatriya. Zhurnal im. G.N. Speranskogo. 2012;91(6):122–128 (in Russ.).
34. Kodentsova V.M., Gromova O.A., Makarova S.G. Micronutrients in Children’s Diets and Use of Vitamin/Mineral Complexes. Pediatricheskaya farmakologiya. 2015;12(5):537–542 (in Russ.). DOI: 10.15690/pf.v12i5.1455.
35. Klindt-Toldam S., Larsen S., Saaby L. et al. Survival of Lactobacillus acidophilus NCFM® and Bifidobacterium lactis HN019 encapsulated in chocolate during in vitro simulated passage of the upper gastrointestinal tract. LWT — Food Science and Technology. 2016;74:404–410. DOI: 10.1016/J.LWT.2016.07.053.
36. Landuyt A. Tipping the balance in favour of chocolate. Why chocolate is proving an ideal carrier for probiotics. Agro Food Industry Hi-Tech. 2009;20(3):40–42.
37. Yonejima Y., Hisa K., Kawaguchi M. et al. Lactic acid bacteria-containing chocolate as a practical probiotic product with increased acid tolerance. Biocatalysis and Agricultural Biotechnology. 2015;4:773–777. DOI: 10.1016/J.BCAB.2015.09.001.
38. Laličić-Petronijević J., Popov-Raljić J., Obradović D. et al. Viability of probiotic strains Lactobacillus acidophilus NCFM® and Bifidobacteriumlactis HN019 and their impact on sensoryand rheological properties of milk and dark chocolates during storage for 180 days. Journal of Functional Foods. 2015;15:541–550. DOI:10.1016/J.JFF.2015.03.046.
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