Who needs vitamins?
© 2011 Roy Benaroch, MD
For November, I’m concentrating my writing chops on National Novel Writing Month. Fun! So I’m re-running revised versions of some classic posts. And by classic, I mean “old.” This one was originally from June, 2008. Enjoy!
“Should I give my kids multivitamins?”
Most of the food in the developed world is fortified with multiple vitamins and minerals. With very few exceptions (we’ll talk about those later), vitamin deficiencies are just about unheard of in the United States, at least among children who have ready access to decent food. On the other hand, an ordinary multivitamin with safe doses of vitamins is probably harmless, and may put your mind at ease.
If you’d like to start your children on a multivitamin, I suggest an inexpensive one that tastes good. Any store-brand generic chewable multivitamin for children is absolutely fine and will cover what you need. There are also “Gummi” forms that some kids like. These are usually packaged for dosing in children age 4 years and up. For your 15 month old, ½ of the 4 year dose is probably fine, but check with your own doctor. At 15 months, you should “pre-crush” a ½ chewable tablet and give it mixed into some food. The multivitamins packaged for 15 month olds are liquids that taste terrible. I don’t know if giving the liquid is worth the fight, but you can try!
Remember that vitamins are medicines, and need to be kept out of reach of children. They’re in cute shapes that kids find attractive. An overdose of a vitamin should be immediately reported to a poison center (in the United States, call 800-222-1222.)
I do not recommend that any parent buy expensive, name-brand, or specialty-packaged vitamins. They are just not necessary. A chemical is a chemical, and a vitamin is a vitamin. Some are sold aggressively through shady multilevel marketing schemes—stay well away from those. You’ve got far more important things to spend your money on!
What are the vitamin deficiencies that do still occur in the United States?
Iron deficiency—this is especially common among children in lower socioeconomic groups, but can affect anyone. Good iron sources are fortified breakfast cereal, red meat, beans, peanut butter, and eggs. If your child doesn’t regularly consume these, either ask your pediatrician to screen him for iron deficiency or get him on a multivitamin with iron.
Calcium deficiency—calcium is best obtained from dairy sources. If your child isn’t big on milk, cheese, or yogurt, you’re may have a tough time finding calcium sources. Consider calcium-fortified juice, or a chocolate-like tasty calcium supplement.
Vitamin D—if your child doesn’t spend much time in the sunshine, or has dark skin, she’s at risk for vitamin D deficiency. Milk is vitamin-D fortified, which helps; but you may wish to discuss your exact situation with your physician. Vitamin D deficiency is more common than many people realize.
So: though vitamin deficiencies are rare, a few individual kinds of vitamins and minerals are sometimes easy to miss for certain kids. You do not have to pay a lot to get a good vitamin supplement. Since there is little risk and little expense of giving a supplement to your children, it’s a good idea.
FDA info on supplements: http://www.cfsan.fda.gov/~dms/supplmnt.html
US Dept Agriculture food and dietary info: http://fnic.nal.usda.gov/nal_display/index.php?info_center=4&tax_level=1
Info on individual vitamins and what they’re for: http://www.kidshealth.org/kid/stay_healthy/food/vitamin.html