Clinical practice guidelines differ on screening recommendations and definitions for adequate vitamin D levels. A chart review of 32 overweight/obese adolescents showed that 91% had low vitamin D levels based on the Endocrine Society definition of sufficient levels (≥ 30 ng/mL), whereas only 56% were low based on the American Academy of Pediatrics definition of sufficient levels (>20 ng/mL). Nurse practitioners should routinely inquire about exercise, healthy diet, and outdoor activities to identify those at risk for low vitamin D. A consensus in recommendations for vitamin D screening and sufficient serum levels would be beneficial for nurse practitioners for early recognition and consistency in care.
•Guidelines lack consensus for vitamin D screening for at-risk adolescents.•In this study, 91% had low vitamin D according to the definition of the Endocrine Society.
•Using the recommendations of the American Academy of Pediatrics, no adolescent in this study would have been screened.
•Assessing of vitamin D intake and sun exposure is recommended to identify those at risk.
•The highest vitamin D level was found in white non-Hispanics and lowest in black non-Hispanics.
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Title
Screening Adolescents at Risk for Vitamin D Deficiency
Publication Details
Journal for nurse practitioners, Vol.13(7), pp.e317-e320