{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T18:12:12Z","timestamp":1757700732218,"version":"3.40.5"},"reference-count":48,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2020,6,22]],"date-time":"2020-06-22T00:00:00Z","timestamp":1592784000000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:p>In 2016, a global consensus on the prevention, diagnosis and management of nutritional rickets was published. The bone and mineral working group of the Australasian Paediatric Endocrine Group provides a summary and highlights differences to previous Australian and New Zealand (ANZ) guidelines on vitamin D deficiency and their implications for clinicians. Key points are: (i) The International Consensus document is focused on nutritional rickets, whereas the ANZ guidelines were focused on vitamin D deficiency. (ii) Definitions for the interpretation of 25\u2010hydroxy vitamin D (25OHD) levels do not differ between statements. (iii) The global consensus recommends that routine 25OHD screening should not be performed in healthy children and recommendations for vitamin D supplementation are not based solely on 25OHD levels. The Australasian Paediatric Endocrine Group bone and mineral working group supports that screening for vitamin D deficiency should be restricted to populations at risk. (iv) Recommendations from the global consensus for vitamin D dosages for the therapy of nutritional rickets (diagnosed based on history, physical examination, biochemical testing and a confirmation by X\u2010rays) are higher than in ANZ publications. (v) The global consensus recommends the implementation of public health strategies such as universal supplementation with vitamin D from birth to 1\u2009year of age and food fortification. We conclude that updated global recommendations for therapy of nutritional rickets complement previously published position statements for Australia and New Zealand. Screening, management and the implementation of public health strategies need to be further explored for Australia.<\/jats:p>","DOI":"10.1111\/jpc.14941","type":"journal-article","created":{"date-parts":[[2020,6,22]],"date-time":"2020-06-22T16:19:15Z","timestamp":1592842755000},"page":"841-846","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Global consensus on nutritional rickets: Implications for Australia"],"prefix":"10.1111","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9963-3988","authenticated-orcid":false,"given":"Aris","family":"Siafarikas","sequence":"first","affiliation":[{"name":"Department of Endocrinology and Diabetes Perth Children's Hospital  Perth Western Australia Australia"},{"name":"Telethon Kids Institute for Child Health Research and Division of Paediatrics Medical School, University of Western Australia  Perth Western Australia Australia"},{"name":"Institute for Health Research University of Notre Dame  Fremantle Western Australia Australia"},{"name":"Exercise Medicine Research Institute Edith Cowan University  Joondalup Perth Western Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Simm","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Diabetes Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Paediatrics Murdoch Children's Research Institute, University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Zacharin","sequence":"additional","affiliation":[{"name":"Department of Endocrinology and Diabetes Royal Children's Hospital  Melbourne Victoria Australia"},{"name":"Department of Paediatrics Murdoch Children's Research Institute, University of Melbourne  Melbourne Victoria Australia"},{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig","family":"Jefferies","sequence":"additional","affiliation":[{"name":"Starship Children's Health  Auckland New Zealand"},{"name":"Liggins Institute University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antony R","family":"Lafferty","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Canberra Hospital  Canberra Australian Capital Territory Australia"},{"name":"Paediatrics and Child Health ANU Medical School  Canberra Australian Capital Territory Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3348-5238","authenticated-orcid":false,"given":"Benjamin J","family":"Wheeler","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health University of Otago  Dunedin New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elaine","family":"Tham","sequence":"additional","affiliation":[{"name":"Women's and Children's Hospital  Adelaide South Australia Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Justin","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Paediatrics Monash University  Melbourne Victoria Australia"},{"name":"Department of Paediatric Endocrinology and Diabetes Monash Children's Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Biggin","sequence":"additional","affiliation":[{"name":"Institute of Endocrinology and Diabetes Children's Hospital Westmead  Sydney New South Wales Australia"},{"name":"Discipline of Child and Adolescent Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul","family":"Hofman","sequence":"additional","affiliation":[{"name":"Liggins Institute University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helen","family":"Woodhead","sequence":"additional","affiliation":[{"name":"Sydney Children's Hospital  Sydney New South Wales Australia"},{"name":"Royal North Shore Hospital  Sydney New South Wales Australia"},{"name":"School of Women's and Children's Health University of NSW  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christine","family":"Rodda","sequence":"additional","affiliation":[{"name":"Department of Paediatrics University of Melbourne  Melbourne Victoria Australia"},{"name":"North West Academic Centre AIMSS, The University of Melbourne  Melbourne Victoria Australia"},{"name":"Western Centre for Health Research and Education Western Health Sunshine Hospital  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Diane","family":"Jensen","sequence":"additional","affiliation":[{"name":"Children's Health Queensland Hospital and Health Services District  Brisbane Queensland Australia"},{"name":"Centre for Children's Health Research University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Denise","family":"Brookes","sequence":"additional","affiliation":[{"name":"QUT Centre for Children's Health Research  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Craig F","family":"Munns","sequence":"additional","affiliation":[{"name":"Institute of Endocrinology and Diabetes Children's Hospital Westmead  Sydney New South Wales Australia"},{"name":"Discipline of Paediatrics and Child Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the APEG Bone and Mineral Working Group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,6,22]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_10_2_1","DOI":"10.1210\/jc.2015-2175"},{"doi-asserted-by":"publisher","key":"e_1_2_10_3_1","DOI":"10.5694\/mja11.11592"},{"doi-asserted-by":"publisher","key":"e_1_2_10_4_1","DOI":"10.5694\/mja11.10301"},{"doi-asserted-by":"publisher","key":"e_1_2_10_5_1","DOI":"10.1210\/jc.2007-1907"},{"unstructured":"National Health and Medical Research Council.Procedures and Requirements for Meeting the 2011 NHMRC Standard for Clinical Practice Guidelines \u2013 Summary for Developers. Canberra ACT. 2011.","key":"e_1_2_10_6_1"},{"doi-asserted-by":"publisher","key":"e_1_2_10_7_1","DOI":"10.1016\/j.beem.2015.03.003"},{"doi-asserted-by":"publisher","key":"e_1_2_10_8_1","DOI":"10.1007\/s00247-009-1470-8"},{"doi-asserted-by":"publisher","key":"e_1_2_10_9_1","DOI":"10.1373\/clinchem.2008.110452"},{"doi-asserted-by":"publisher","key":"e_1_2_10_10_1","DOI":"10.5694\/mja11.10662"},{"doi-asserted-by":"publisher","key":"e_1_2_10_11_1","DOI":"10.1111\/jpc.12781"},{"doi-asserted-by":"publisher","key":"e_1_2_10_12_1","DOI":"10.4103\/2230-8210.145043"},{"doi-asserted-by":"publisher","key":"e_1_2_10_13_1","DOI":"10.1542\/peds.104.5.1152"},{"key":"e_1_2_10_14_1","first-page":"5","article-title":"Why calcium in breastmilk is independent of maternal dietary calcium and vitamin D","volume":"17","author":"Kent JC","year":"2009","journal-title":"Breastfeed. Rev."},{"doi-asserted-by":"publisher","key":"e_1_2_10_15_1","DOI":"10.1007\/s00198-012-2231-3"},{"doi-asserted-by":"publisher","key":"e_1_2_10_16_1","DOI":"10.1007\/BF02405328"},{"doi-asserted-by":"publisher","key":"e_1_2_10_17_1","DOI":"10.1146\/annurev.nu.08.070188.002111"},{"key":"e_1_2_10_18_1","first-page":"24","article-title":"Vitamin D production after UVB: Aspects of UV\u2010related and personal factors","volume":"243","author":"Bogh MK","year":"2012","journal-title":"Scand. J. Clin. Lab. Invest. Suppl."},{"doi-asserted-by":"publisher","key":"e_1_2_10_19_1","DOI":"10.1136\/bmj.280.6216.751"},{"doi-asserted-by":"publisher","key":"e_1_2_10_20_1","DOI":"10.1017\/S0007114511006246"},{"doi-asserted-by":"publisher","key":"e_1_2_10_21_1","DOI":"10.1136\/bmj.281.6232.11"},{"doi-asserted-by":"publisher","key":"e_1_2_10_22_1","DOI":"10.1210\/jc.2010-2704"},{"doi-asserted-by":"publisher","key":"e_1_2_10_23_1","DOI":"10.1093\/ajcn\/80.6.1752S"},{"doi-asserted-by":"publisher","key":"e_1_2_10_24_1","DOI":"10.1089\/bfm.2006.1.59"},{"doi-asserted-by":"publisher","key":"e_1_2_10_25_1","DOI":"10.1111\/j.1740-8709.2008.00145.x"},{"doi-asserted-by":"publisher","key":"e_1_2_10_26_1","DOI":"10.1016\/j.mayocp.2013.09.012"},{"doi-asserted-by":"publisher","key":"e_1_2_10_27_1","DOI":"10.3390\/nu10010086"},{"doi-asserted-by":"publisher","key":"e_1_2_10_28_1","DOI":"10.1093\/ajcn.83.3.657"},{"doi-asserted-by":"publisher","key":"e_1_2_10_29_1","DOI":"10.1097\/00006250-199910000-00017"},{"doi-asserted-by":"publisher","key":"e_1_2_10_30_1","DOI":"10.1016\/j.ajog.2006.01.068"},{"doi-asserted-by":"publisher","key":"e_1_2_10_31_1","DOI":"10.1093\/ajcn\/32.11.2301"},{"doi-asserted-by":"publisher","key":"e_1_2_10_32_1","DOI":"10.1111\/j.1651-2227.1984.tb09933.x"},{"doi-asserted-by":"publisher","key":"e_1_2_10_33_1","DOI":"10.1016\/S0022-3476(95)70401-9"},{"doi-asserted-by":"publisher","key":"e_1_2_10_34_1","DOI":"10.1056\/NEJM199908193410803"},{"doi-asserted-by":"publisher","key":"e_1_2_10_35_1","DOI":"10.1093\/tropej\/49.4.201"},{"doi-asserted-by":"publisher","key":"e_1_2_10_36_1","DOI":"10.1210\/jc.2013-3655"},{"doi-asserted-by":"publisher","key":"e_1_2_10_37_1","DOI":"10.1111\/jpc.14127"},{"doi-asserted-by":"publisher","key":"e_1_2_10_38_1","DOI":"10.1080\/20469047.2016.1248170"},{"doi-asserted-by":"publisher","key":"e_1_2_10_39_1","DOI":"10.1111\/j.1365-2265.2008.03316.x"},{"volume-title":"Feature Article: Vitamin D","year":"2014","author":"Australian Health Survey","key":"e_1_2_10_40_1"},{"doi-asserted-by":"publisher","key":"e_1_2_10_41_1","DOI":"10.1111\/1753-6405.12390"},{"doi-asserted-by":"publisher","key":"e_1_2_10_42_1","DOI":"10.1111\/j.1442-200X.2007.02343.x"},{"doi-asserted-by":"publisher","key":"e_1_2_10_43_1","DOI":"10.1210\/jc.2007-2790"},{"volume-title":"Guidelines on Food Fortification with Micronutrients","year":"2006","author":"World Health Organization","key":"e_1_2_10_44_1"},{"doi-asserted-by":"publisher","key":"e_1_2_10_45_1","DOI":"10.1515\/jpem-2016-0310"},{"doi-asserted-by":"publisher","key":"e_1_2_10_46_1","DOI":"10.1017\/S1368980011002084"},{"doi-asserted-by":"publisher","key":"e_1_2_10_47_1","DOI":"10.1093\/jn\/136.4.1055"},{"doi-asserted-by":"publisher","key":"e_1_2_10_48_1","DOI":"10.1136\/archdischild-2012-302287"},{"doi-asserted-by":"publisher","key":"e_1_2_10_49_1","DOI":"10.1111\/jgs.12213"}],"container-title":["Journal of Paediatrics and Child Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.14941","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jpc.14941","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpc.14941","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T00:41:12Z","timestamp":1693615272000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpc.14941"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6]]},"references-count":48,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1111\/jpc.14941"],"URL":"https:\/\/doi.org\/10.1111\/jpc.14941","archive":["Portico"],"relation":{},"ISSN":["1034-4810","1440-1754"],"issn-type":[{"type":"print","value":"1034-4810"},{"type":"electronic","value":"1440-1754"}],"subject":[],"published":{"date-parts":[[2020,6]]},"assertion":[{"value":"2019-03-31","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-04-20","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}