Rickets in Children


It is caused by the body’s lack of vitamin D, leading to calcium deficiency that affects the development of the skeletal system. It occurs in children under 3 years old, the highest in 3-18 months. The most common cause is vitamin D deficiency due to lack of supply (less sun exposure, dark skin, premature babies, too dense baby …), in addition to rickets due to loss of vitamin D through the kidney …, resistant rickets vitamin D.

Disease manifestations:

Signs of calcium deficiency: crying, sleepiness, or startling sleepiness, loss of hair in the back of the nape of the neck, slow teething, enlargement of the head, hump or headache, decrease muscle tone, slow movement development (slow to flip, crawling, walking, standing …)

– If severe rickets have sequelae: ribs, Harrison, neck, legs, wrists, X-shaped legs, O.
– X-rays can mimic abnormalities: osteosarcoma, striated ribs, premature aging compared to age.
– The most valuable indicator is a reduction of 25-hydroxyvitamin D (calcidiol) in the blood.

Vitamin D metabolism in the body:

Under the skin of children are available pre-vitamin D (7 dehydro- cholesterol), under the effect of ultraviolet radiation of the sun, will activate into vitamin D3 (cholecalciferol).The main source of vitamin D for children is sun exposure. Vitamin D is given as a dietary supplement in the form of vitamin D2 (ergocalciferol), derived from plants and fungi, which is added in formula milk.
Vitamin D2 and vitamin D3 are thought to be prohormones, reaching the liver and being converted to 25-hydroxyvitamin D (calcidiol) which is the circulating vitamin D in the blood. Upon reaching the kidneys, calcidiol is hydroxylated again and becomes a biologically active 1,25-dihydroxyvitamin D (calcitriol). Calcitriol stimulates the absorption of calcium and phosphorus in the intestinal tract, the reabsorption of calcium in the kidneys and the mobilization of calcium and phosphorus from the bones.


  • Daily sunbathing: Leave your legs, arms, back, and belly for 15-30 minutes in the morning (before 9am). Note that direct sunbathing, means that don’t stand upbehind the window glass, will not be effective.
  • When kids eat: give them calcium-rich foods (milk, eggs, shrimp, crabs, fish, greens, etc.) and grease.
  • In areas where the sun is lacking, supplementvitamin Dis highly dependent on diet. All infants, infants, and teens must receive at least 400 UI of vitamin D a day. To meet this need, the

American Academy of Pediatrics recommends:

  • Supplement Vitamin D from the day of delivery for complete breastfeeding and partial breastfeeding at a dose of 400 UI/ day (10 μg cholecalciferol) until the infant is about 1l of milk per day or over 250ml of supplemental milk Do not use fresh cow’s milk for children under 1 year old.
  • Young children and teens should eat vitamin D supplements (milk, starch, egg yolk, etc.) and vitamin D200-400 UI daily.
  • Children who are at risk of vitamin D deficiency such as poor fat absorption (hypopituitarism, chronic liver disease, etc.), use of anti-epileptic drugs should be monitored for vitamin D levels and periodic replenishment. The dose is 2-4 times higher than normal.
  • When pregnant, the mother must have a reasonable working and resting regime. Vitamin D can be taken at 7 months of pregnancy: 200,000UI/ one time.

Some notes:

  • Young children may still be deficient in vitamin D if they are not exposed to sunlight due to high demand.
  • Dark-skinned children are more susceptible to vitamin D deficiency.
  • Eating too much protein also increases calcium loss through the kidneys.
  • Stunted children, whose weight and height are lower than normal children, may have stunted or not. The rate of stunting in Vietnam is still high, according to data from the National Institute of Nutrition 2007, 33.9%, ranked in 20 countries with the highest rate of stunting in the world.
  • Vitamin D is an oil-soluble vitamin. If the diet is too greasy, even with young vitamin D intake, it can not be absorbed.
  • The level of vitamin D in breast milk is low, about 22 UI/ l. Therefore, breastfed children should be exposed to sunlight regularly, during the winter months to take vitamin D supplement.

5 Foods to Get More Vitamin D for Rickets in Children

In addition to the food, the children exposed to sunlight at the appropriate time is essential.

Rickets is osteodystrophy body vitamin D deficiency, affecting the absorption, metabolism of calcium and phosphorus. It is common in children under 3 years old. The major causes of rickets in young children are lack of sunlight, low birth weight babies, preterm birth, non-breastfeeding children, malabsorption syndrome, malnourished children.

Children often manifest crying, sleep disturbance, startling, sweating more, the hair loss in the back of the neck to form a ring, the teeth grow slow, slow to know, crawling, walking, standing … In severe cases, the child is disturbed in the bone with a wide area, with hump of the forehead, deformed chest, ribs, wrists, ankles, knees, bowls, etc. Here are some foods that support the treatment of rickets so that mothers can process for the baby.

Crab leg powder: crab legs 300g, lotus seed 50g, green beans 50g.
Pick up the legs of the healthy crabs, wash the dried to a smooth paste. Lotus seeds, green beans are powdered. The above stuff mixed together. Each time you eat a teaspoon of crab leg powder mixed with rice or thick porridge, can add sugar or salt to eat to fit the mouth. Eating 2 times per day, need to eat for 10 – 15 days..

Chicken egg yolk porridge: 2 egg yolks, 50g rice, seasoning powder. Cooked chicken egg yolks, whites, yolks, dried powder. Yellow rice is powdered. Mix the two, put in the pot, pour the water just enough to boil the porridge thoroughly, add the seasoning powder stirring, boiling again. Feed the child once a day. Need to eat for 20 – 30 days.

Shrimp porridge: shrimp 150g, 50g rice, just enough spice powder. Shrimp is washed, peeled and left to stand. Shrimp paste is small. Shrimp, dried shrimps dried flour smooth. Rice grinds into flour. All mixed, add the seasoning powder, add to the pot, pour enough water to cook porridge. When the porridge is cooked for stirring, boiling porridge is okay. Give children to eat once a day when they are hungry, within a month.

Pigs cartilage porridge: pig cartilage 100g, rice 50g, MSG, spices powder enough. Pig cartilage bone is washed, grinded as a powder, marinated with seasoning. Rice grinds into flour. Bend the cartilage to the pot add 150ml of water over low heat, when the cartilage to stir the rice flour, boil until the ripe porridge for monosodium glutamate. Children eat 2 times per day when they are hungry. Need to eat instant 15 – 20 days.

How to prevent rickets for children

To prevent rickets in children, during pregnancy, the mother should eat foods rich in calcium. Breastfeeding is recommended for the first 6 months. Daily sunbathing is about 10 – 15 minutes in the morning. Enhance the child to eat calcium, phosphorus rich foods such as eggs, fish, shrimp, crabs, clam, shellfish and milk, cheese. If necessary, vitamin D, calcium supplement for children as prescribed by the doctor. The child’s home should have enough light. If children suffer from diseases of the gastrointestinal tract, respiratory … need to be treated soon.

Also Read – Pranayam for your best health


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