Common cold prevention and treatment

People sick with a runny nose, sore throat and cough from the common cold will try myriad remedies, but only a few have proved to get results, a Canadian doctor says.

Colds are common, affecting adults about two to three times a year and children under age two about six times a year.

Dr. Michael Allan, of the department of family medicine at the University of Alberta in Edmonton, reviewed and summarized the sometimes conflicting research on treatment and prevention of colds in Monday’s issue of the Canadian Medical Association Journal.

“For treatment of common cold, what you’d be looking at are things like fever and pain control, so acetaminophen or ibuprofen, again kids are a little bit better with ibuprofen for fever,” Allan said in an interview.

“For adults, you could consider some of the over-the-counter remedies, particularly the antihistamine combinations can make you feel a little bit better if you’re desperate, but remember at best one in five will feel better on those.”

For children, Allan suggests honey at bedtime for those troubled with cough. Honey should not be given to infants because of the risk of botulism.

“If you give the two to five age group a single dose at bedtime of either half a teaspoon or two teaspoons, what’s been shown is reduction or improvement in sleep scores.”

Over-the-counter cough remedies and combination products are clearly associated with bad events in children under the age of six, he cautioned.

For prevention at all ages, the review suggests that frequent washing of hands as well as alcohol disinfectants and gloves for health-care workers can be effective.

Trying chicken soup, non-traditional remedies?

Zinc may work to prevent colds in children and possibly adults, based on the findings of two randomized trials that pointed to lower rates of colds and fewer absences from school. There’s also some evidence that zinc lozenges may shorten the duration of a cold, although Allan noted many people complain about the bad taste and zinc can cause nausea.

Antihistamines combined with decongestants or pain medications like acetaminophen and ibuprofen appear to be somewhat or moderately effective in treating colds in children over the age of five and adults.

For non-traditional treatments, the role of ginseng in preventing colds is questionable, Allan and co-author Dr. Bruce Arroll of the University of Auckland in New Zealand concluded.

Results were so inconsistent or small effects for other non-traditional treatments, such as vitamin C, that Allan says it “just not worth it.” He also recommended against Chinese remedies, which were “batting one out of 17” in the studies on benefits with no information on potential side-effects.

“Desperation will lead to just about anything,” Allan said with a laugh. “When people are sick, they’ll try everything, from a spoonful of cayenne pepper, etcetera. Of course there’s very little research, or no research, on any of those kind of things.”

Warm soup falls into that category. It’s warm and gentle on the throat, but improbable that a can of soup will help you get rid of a cold any sooner, Allan said.

Some commuters in Toronto pointed to herbal teas as a soothing option.

“I swear by ginger. Freshly grated ginger tea in the morning sets me right for the whole day,” said Prati Vaidya. “The other is a warm glass of milk with tumeric and a little bit of jaggery,” [sugar].

Source: cbc news


Premature Birth Linked to Asthma in Childhood

A new analysis of existing research suggests that premature babies face a higher risk of developing asthma and wheezing disorders when they’re older.

Researchers from Harvard Medical School, the Maastricht University Medical Center in the Netherlands and the University of Edinburgh in Scotland examined 30 studies that included about 1.5 million children.

They found that premature children (born before 37 weeks of gestation) were 46 percent more likely to develop asthma or wheezing problems than kids who weren’t born prematurely. Full-term birth is generally considered about 40 weeks’ gestation.

Very premature children (those born before 32 weeks’ gestation) faced an even higher estimated risk — almost three times that of children born at full term, said Jasper Been, from Maastricht University, and his colleagues.

About 11 percent of children are born prematurely, the study authors said in the report, which was published in the Jan. 28 online edition of the journal PLoS Medicine and these chldren suffer a lot when they go to school. Here are the tips to manage Your Child’s Asthma at School

“The current findings do not support prior suggestions that the association between preterm birth and wheezing disorders becomes less prominent with increasing age,” the researchers wrote in the report. “Instead, the strength of the association was similar across age groups [up to 18 years],” which suggests that the effects of preterm birth on the lungs tend to have life-long consequences.

Although the study found an association between premature birth and respiratory problems such as asthma later in life, it did not prove a cause-and-effect relationship.

Source: web md


FDA: Aleve may be safer on heart than other drugs

Federal health officials say the pain reliever in Aleve may be safer on the heart than other popular anti-inflammatory drugs taken by millions of Americans.

A Food and Drug Administration review posted online Tuesday said naproxen — the key ingredient in Aleve and dozens of other generic pain pills — may have a lower risk of heart attack and stroke than rival medications like ibuprofen, sold as Advil and Motrin. FDA staffers recommend relabeling naproxen to emphasize its safety.

The safety review was prompted by a huge analysis published last year that looked at 350,000 patients taking various pain relievers. The findings suggest naproxen does not carry the same heart risks as other medications in the class known as nonsteroidal anti-inflammatory drugs, or NSAIDs.

The agency released its memo ahead of a public meeting next month where outside experts will discuss the new data and whether naproxen should be relabeled. The agency is not required to follow the group’s advice, though it often does.

If ultimately implemented, the labeling changes could reshape the multibillion-dollar market for drugs used to treat headaches, muscle pain and arthritis.

The change could make Aleve and other naproxen drugs the first choice for patients with a higher risk for heart problems, according to Ira Loss, a pharmaceutical analyst with Washington Analysis. But he added that all NSAIDs will continue to carry warnings about internal bleeding and ulceration, a serious side effect that is blamed for more than 200,000 hospital visits every year.

Source: nbc news


Think twice before giving your child paracetamol!

A new study has found that paracetamol can interfere with the brain development of children, and can even be dangerous for unborn kids.

Researchers at Uppsala University examined paracetamol, one of the most commonly used drugs for pain and fever in children, by giving small doses of it to ten-day-old mice. They later carried out tests on the behavioral habits of the mice in adulthood.

They found that the mice could be hyperactive in adulthood, could display behavioural disturbances, and could have lower memory capability compared to the mice that weren’t given the dose, the Local reported.

Researchers said that the exposure to and presence of paracetamol during a critical period of brain development can induce long-lasting effects on cognitive function and alter the adult response to paracetamol in mice.

They added that parents should be careful in administering the drug. (Read: Why you don’t need medicine every time you have slight fever)

Researcher Henrik Viberg told the Upsala Nya Tidning newspaper that this shows that there are reasons to restrict the use of paracetamol at the end of pregnancy and to hold back from giving the medicine to infants.

The study was published in the online Toxicological Sciences journal.

So when should I take antipyretics like Paracetamol?

Fever up to 38 degree (102° F) might be considered as a safe, beneficial level that should not be interfered with antipyretics every time. Antipyretics should be used only when the temperature of the body is raised high enough to cause discomfort. In general, body temperature between 102° F and 104°F may cause uneasiness, so it’s better to bring it up to or below 102° F. Fever that rises above 104° F is definitely harmful and should be reduced with quick action. (Read: Apollo Hospitals launches fever clinic to tackle recurring, unknown fevers)

Adverse effects

The use of antipyretics to reduce fever is still controversial. Since all the available anitipyretics are pretty effective in managing fever, safety should be the main criteria while taking them. Common side-effects of frequent use of antipyretics include nausea, vomiting, stomach ache, breathing difficulties and headache. (Read: Painkillers or analgesics: Side-effects and precautions)

Most adverse effects due to antipyretics are a result of overdose (due to ignorance and negligence). Most of them have been cited in western literature and therefore may differ from Indian population. Overdose of paracetamol use has shown to cause liver toxicity and may also have an effect on circadian rhythm in healthy individuals. Ibuprofen is may lead to digestive disorders and, rarely, gastrointestinal bleeding. Kidney insufficiency and gastritis are also known adverse effects of antipyretics. (Read: Ibuprofen — why you shouldn’t pop these pills indiscriminately)

To summarize, antipyretics should not be used to bring down fever completely. The use of antipyretics should be limited just for symptomatic relief and to ensure that it is not raised to a dangerous level. Most of the times people also use antipyretics when there is minimal fever or to prevent fever from recurring. However, there is no evidence suggesting that antipyretics prevent fever from recurring. Also, half of times the dosage taken is incorrect. With this the chances of toxicity and adverse effects increase. Therefore, it is better to check the labels before taking an antipyretic drug and think about the long term complications you might have to face.

source: newsr


A man dies of prostate cancer every 17 minutes!

If you are a man and are least interested in going to the doctor for those little ailments you have, its time you took notice. According to experts areas like cancer, heart disease and other lifestyle related diseases affect men two times more than women. This disparity is also seen in the national health programmes that focus mostly on communicable diseases and on children and women. ‘Men’s Health remains neglected and is not a focus of any national programme as most of them focus on mostly on communicable diseases, child and woman health’, say doctors. ‘The average life span of man is five years shorter than that of a woman in India,’ said Dr Rajeev Sood, head of department of Urology in RML Hospital,

He said cancer, stone disease (like kidney stones etc.) as well as those of heart and life style grip men 2-4 times more than women. To address the issue and discuss health programmes that can be framed for them on a national scale, the Urological Society of India is all set to host the 47th annual conference here from tomorrow.

‘Studies have shown that the incidences of prostate cancer are growing by one per cent every year. A new case occurs every 2.5 minutes and a man dies from prostate cancer every 17 minutes. ‘It has become the second most frequently diagnosed cancer after lung cancer. Of the 7.6 million deaths due to cancer worldwide, one-sixth are caused by prostate cancer,’ said Sood who is organising secretary of USICON 2014. Could you be at risk of suffering from the disease?

The conference aims at enhancing the skills of urologists in the performance of advanced urologic endoscopic surgery. The five-day conference will be attended by over 3000 urologists across India, SAARC countries, US, Europe (UK, France, Germany, Spain) and Australia.

India has a population of over 1.3 billion, but only a handful of Urologists to cater to urological problems. It will also address numerous important issues of national concern like organ donation and urinary genital cancers among others.

The conference will begin with the pre-conference live workshop which will feature robotic and laparoscopic surgeries in 3D. The focus will be the technological advances like Fusion Biopsy and Photodynamic therapy for focal ablation of prostate cancer and pharmacological advances in terms of newer molecules that can be disease altering. Recently scientists also discovered a way to assess the risk of prostate cancer recurring.

Here are some facts about the disease:

One new case of prostate cancer occurs every 2.5 minutes, and a man dies from prostate cancer every 17 minutes.

A non-smoking man is more likely to get prostate cancer than lung, bronchus, colon, rectal, bladder, lymphoma, melanoma, oral and kidney cancers combined.
Because prostate cancer is a relatively slow-growing cancer, the 5-year survival rate for prostate cancer survivours – at all stages – is 98%. The relative 10-year survival rate is 84% and the 15-year survival rate is 56%.

In the West, where a number of celebrities and high profile people have spoken publicly about the disease, awareness has steadily risen. Hollywood stalwarts Robert De Niro andMichael Douglas have undergone treatment for prostate cancer, so have South Africa’s iconic former President Nelson Mandela and former US Secretary of State Colin Powell.
Age, genetic predispositions and diet all seem to have a direct correlation with the risk of prostate cancer. Some studies have also indicated that men with sexually transmitted diseases too, have a higher chance of getting afflicted with prostate cancer.

Of the 7.6 million deaths due to cancer worldwide, one-sixth are caused by prostate cancer which is also today the second most frequently diagnosed cancer type after lung cancer.

In India the awareness about the disease still remains low.
Wondering how you can prevent it? Here are some essential dos and don’ts to help you keep prostate cancer at bay:

Do’s

Exercise: Regular exercise and a constant weight go a long way in fighting diseases, especially prostate cancer. All you need is a brisk walk every day, find out how.
Eat healthy: Include cereals, fish, green leafy vegetables, and green tea into your diet. They help fight the ill effects of anti oxidants and prevent the onset of the disease.

Don’ts

Ignore the symptoms: The signs of prostate cancer are very easy to overlook. Don’t ignore the symptoms. Get then checked as soon as you notice anything amiss. An early diagnosis is the best way to successful treatment.

Eat fatty foods: Avoid red meat (as it contains a lot of fat that can lead to prostate cancer) and sugary and starch rich foods (both these components lead to inflammation and can speed up the process of formation of the cancer). Read about the top 5 ways to prevent the onset of prostate cancer.

Source: health India


Poor sleep speeds cancer growth

Poor-quality sleep marked by frequent awakenings can speed cancer growth and increase tumour aggressiveness, a new study has warned.

The study is the first to demonstrate, in an animal model, the direct effects of fragmented sleep on tumour growth and invasiveness.

“Fragmented sleep changes how the immune system deals with cancer in ways that make the disease more aggressive,” said study director David Gozal, chairman of pediatrics at the University of Chicago Comer Children’s Hospital.

“Fortunately, our study also points to a potential drug target,” he said.

“Toll-like receptor 4, a biological messenger, helps control activation of the innate immune system. It appears to be a lynchpin for the cancer-promoting effects of sleep loss. The effects of fragmented sleep that we focused on were not seen in mice that lacked this protein,” Gozal said.

Gozal and colleagues from the University of Chicago and the University of Louisville devised a series of experiments to measure the effects of disrupted sleep on cancer.

They used mice, housed in small groups. During the day – when mice normally sleep – a quiet, motorised brush moved through half of the cages every two minutes, forcing those mice to wake up and then go back to sleep. The rest of the mice were not disturbed.

After seven days in this setting, both groups of mice were injected with cells from one of two tumour types (TC-1 or 3LLC). All mice developed palpable tumours within 9 to 12 days. Four weeks after inoculation the researchers evaluated the tumours.

They found that tumours from mice with fragmented sleep were twice as large, for both tumour types, than those from mice that had slept normally.

A follow-up experiment found that when tumour cells were implanted in the thigh muscle, which should help contain growth, the tumours were much more aggressive and invaded surrounding tissues in mice with disrupted sleep.

The difference appeared to be driven by cells from the immune system, called tumour-associated macrophages (TAMs), which cluster at the site of tumours.

TAMs are a hallmark of the immune system’s response to cancer. Some, labelled M1, promote a strong immune response and can eliminate tumours cells. Others, known as M2, suppress the immune response and instead promote the growth of new blood vessels – which encourages tumour growth.

Well-rested mice had primarily M1-type TAMs, concentrated in the core of the tumours. Sleep-fragmented mice had primarily M2-type TAMs, researchers said.

The study was published in the journal Cancer Research.

Source: Zee news


Best ways to prevent and treat the common cold

Although the world of medicine has made incredible progress when it comes to tackling certain illnesses, scientists still have not been able to find the cure for the common cold. But there are ways to prevent colds as well as treat them. The question is, which are the most effective?

According to a review in the recent edition of the Canadian Medical Association Journal, hand washing and possibly taking zinc seem to be the best ways to avoid getting sick. Investigators reviewed 67 randomized controlled trials that showed hand washing as well as alcohol disinfectants are the best ways to ward off colds.

Zinc was found to work mostly in children, with two trials showing that little ones who took 10 to 12 milligrams of zinc sulfate every day had fewer colds and fewer absences from school because of colds. Authors of the study suggest that zinc could work for adults. Vitamin C, the “gold standard” of cold fighters, did not seem as effective.

When it came to treating colds, the review stated that acetaminophen, ibuprofen and perhaps a antihistamine/decongestant were the best ways to keep runny noses, sore throats, fevers and coughs under control.

Ibuprofen and acetaminophen, which are both pain relievers, helped with the aches and fever. Ibuprofen worked better in children who had higher temperatures.

Combining antihistamines with decongestants or pain medication was somewhat effective in older children but not in children under the age of 5 or in adults.

Congestion was more difficult to handle. Nasal spray with ipratropium, which is used to treat serious pulmonary disorders, was found to stop drippy noses but did nothing to cut down on the stuffiness both in the nose and the chest.

Even though there were no major surprises in the findings, doctors said the review does stress the need to wash your hands, something a lot of people don’t do enough of.

“This is a thorough meta- analysis,” said Dr. Assil Saleh, an internist with Foxhall Internists in Washington. “It reaffirmed that the fundamental common sense measure of hand washing is the most effective measure to reduce the transmission of respiratory infections caused by viruses or bacteria.”

A point was also made that colds are usually viruses, with only about 5% being caused by bacterial infection. Yet, many patients with colds are prescribed antibiotics, which don’t help.

“Treatment typically aims to relieve symptoms rather than eradicate the infection itself, “noted Saleh. “It’s important to emphasize that bacteria-killing antibiotics are often overused in treating what is almost always a viral illness.”

While doctors shouldn’t be prescribing antibiotics for colds, patients should their part and not insist on antibiotics. If they are used too often for things they can’t treat, they can stop working effectively against bacteria when you or your child really needs them. The CDC has been concerned about antibiotic resistance for years and considers it to be one of the world’s most critical public health threats.

According to the review, the common cold affects adults approximately two to three times a year and children under the age of 2 about six times a year. A strong cold can keep people in bed, knocking many of them out their routines for a week or longer. That’s why doctors say prevention is so important.

“Although self-limiting, the common cold is highly prevalent and may be debilitating, ” says review authors Drs Michael Allan, from the Department of Family Medicine, University of Alberta, in Edmonton, Canada, and Bruce Arroll with the Department of General Practice and Primary Health Care, University of Auckland in New Zealand. “It causes declines in function and productivity at work and may affect other activities such as driving.”

Source: CNN health

 


DDT: Pesticide linked to Alzheimer’s

Exposure to a once widely used pesticide, DDT, may increase the chances of developing Alzheimer’s disease, suggest US researchers.

A study, published in JAMA Neurology, showed patients with Alzheimer’s had four times the levels of DDT lingering in the body than healthy people.

Some countries still use the pesticide to control malaria.

Alzheimer’s Research UK said more evidence was needed to prove DDT had a role in dementia.

DDT was a massively successful pesticide, initially used to control malaria at the end of World War Two and then to protect crops in commercial agriculture.

However, there were questions about its impact on human health and wider environmental concerns, particularly for predators.

It was banned in the US in 1972 and in many other countries. But the World Health Organization still recommends using DDT to keep malaria in check.

Not clear
DDT also lingers in the human body where it is broken down into DDE.

The team at Rutgers University and Emory University tested levels of DDE in the blood of 86 people with Alzheimer’s disease and compared the results with 79 healthy people of a similar age and background.

The results showed those with Alzheimer’s had 3.8 times the level of DDE.

However, the picture is not clear-cut. Some healthy people had high levels of DDE while some with Alzheimer’s had low levels. Alzheimer’s also predates the use of DDT.

The researchers believe the chemical is increasing the chance of Alzheimer’s and may be involved in the development of amyloid plaques in the brain, a hallmark of the disease, which contribute to the death of brain cells.

Prof Allan Levey, the director of the Alzheimer’s Disease Research Centre at Emory, said: “This is one of the first studies identifying a strong environmental risk factor for Alzheimer’s disease.

“The magnitude of the effect is strikingly large, it is comparable in size to the most common genetic risk factor for late-onset Alzheimer’s.”

Fellow researcher Dr Jason Richardson added: “We are still being exposed to these chemicals in the United States, both because we get food products from other countries and because DDE persists in the environment for a long time,” .

Dr Simon Ridley, the head of research at the charity Alzheimer’s Research UK, said: “It’s important to note that this research relates to DDT, a pesticide that has not been used in the UK since the 1980s.

“While this small study suggests a possible connection between DDT exposure and Alzheimer’s, we don’t know whether other factors may account for these results.

“Much more research would be needed to confirm whether this particular pesticide may contribute to the disease.”

Source; BBC news


The Older Mind May Just Be a Fuller Mind

People of a certain age (and we know who we are) don’t spend much leisure time reviewing the research into cognitive performance and aging. The story is grim, for one thing: Memory’s speed and accuracy begin to slip around age 25 and keep on slipping.

The story is familiar, too, for anyone who is over 50 and, having finally learned to live fully in the moment, discovers it’s a senior moment. The finding that the brain slows with age is one of the strongest in all of psychology.

Over the years, some scientists have questioned this dotage curve. But these challenges have had an ornery-old-person slant: that the tests were biased toward the young, for example. Or that older people have learned not to care about clearly trivial things, like memory tests. Or that an older mind must organize information differently from one attached to some 22-year-old who records his every Ultimate Frisbee move on Instagram.

Now comes a new kind of challenge to the evidence of a cognitive decline, from a decidedly digital quarter: data mining, based on theories of information processing. In a paper published in Topics in Cognitive Science, a team of linguistic researchers from the University of Tübingen in Germany used advanced learning models to search enormous databases of words and phrases.

Since educated older people generally know more words than younger people, simply by virtue of having been around longer, the experiment simulates what an older brain has to do to retrieve a word. And when the researchers incorporated that difference into the models, the aging “deficits” largely disappeared.
“What shocked me, to be honest, is that for the first half of the time we were doing this project, I totally bought into the idea of age-related cognitive decline in healthy adults,” the lead author, Michael Ramscar, said by email. But the simulations, he added, “fit so well to human data that it slowly forced me to entertain this idea that I didn’t need to invoke decline at all.”

Can it be? Digital tools have confounded predigital generations; now here they are, coming to the rescue. Or is it that younger scientists are simply pretesting excuses they can use in the future to cover their own golden-years lapses?

In fact, the new study is not likely to overturn 100 years of research, cognitive scientists say. Neuroscientists have some reason to believe that neural processing speed, like many reflexes, slows over the years; anatomical studies suggest that the brain also undergoes subtle structural changes that could affect memory.

Still, the new report will very likely add to a growing skepticism about how steep age-related decline really is. It goes without saying that many people remain disarmingly razor-witted well into their 90s; yet doubts about the average extent of the decline are rooted not in individual differences but in study methodology. Many studies comparing older and younger people, for instance, did not take into account the effects of pre-symptomatic Alzheimer’s disease, said Laura Carstensen, a psychologist at Stanford University.

Dr. Carstensen and others have found, too, that with age people become biased in their memory toward words and associations that have a positive connotation — the “age-related positivity effect,” as it’s known. This bias very likely applies when older people perform so-called paired-associate tests, a common measure that involves memorizing random word pairs, like ostrich and house.

“Given that most cognitive research asks participants to engage with neutral (and in emotion studies, negative) stimuli, the traditional research paradigm may put older people at a disadvantage,” Dr. Carstensen said by email.

The new data-mining analysis also raises questions about many of the measures scientists use. Dr. Ramscar and his colleagues applied leading learning models to an estimated pool of words and phrases that an educated 70-year-old would have seen, and another pool suitable for an educated 20-year-old. Their model accounted for more than 75 percent of the difference in scores between older and younger adults on items in a paired-associate test, he said.

That is to say, the larger the library you have in your head, the longer it usually takes to find a particular word (or pair).

Scientists who study thinking and memory often make a broad distinction between “fluid” and “crystallized” intelligence. The former includes short-term memory, like holding a phone number in mind, analytical reasoning, and the ability to tune out distractions, like ambient conversation. The latter is accumulated knowledge, vocabulary and expertise.

“In essence, what Ramscar’s group is arguing is that an increase in crystallized intelligence can account for a decrease in fluid intelligence,” said Zach Hambrick, a psychologist at Michigan State University. In a variety of experiments, Dr. Hambrick and Timothy A. Salthouse of the University of Virginia have shown that crystallized knowledge (as measured by New York Times crosswords, for example) climbs sharply between ages 20 and 50 and then plateaus, even as the fluid kind (like analytical reasoning) is dropping steadily — by more than 50 percent between ages 20 and 70 in some studies. “To know for sure whether the one affects the other, ideally we’d need to see it in human studies over time,” Dr. Hambrick said.

Dr. Ramscar’s report was a simulation and included no tested subjects, though he said he does have several memory studies with normal subjects on the way.

For the time being, this new digital-era challenge to “cognitive decline” can serve as a ready-made explanation for blank moments, whether senior or otherwise.

It’s not that you’re slow. It’s that you know so much.

Source: New York Times

 


Kids’ Vitamins Often Exceed Recommended Doses

Young children who take vitamins may be consuming much greater levels than recommended of the nutrients, a new study suggests.

For the research, scientists reviewed the labels of nearly 200 dietary supplements marketed for children in two age groups: younger than 12 months, and 1 to 4 years old. The researchers determined the level of vitamins that children would consume if they used the product as directed. (Specifically, they looked at levels of vitamins A, C, D, E, K and B12, along with thiamin, riboflavin, niacin, folate, biotin and choline.)

Most products contained vitamin levels much greater than those recommended for children in a single day. For example, dietary supplements for children ages 1 to 4 contained, on average, about 300 percent of the daily recommended levels of vitamin A, thiamin and riboflavin, 500 percent of the recommended level of vitamin C and more than 900 percent of the recommended level of biotin

Vitamin D was the only vitamin that was present at or below recommended levels for both age groups.

It’s too soon to know whether these findings are concerning, said study researcher Michael Madden, an assistant professor at Lake Erie College of Osteopathic Medicine (LECOM) School of Pharmacy. That’s because few studies have explored the effects of greater-than-recommended levels of vitamins on infants and young children. So in many cases, the maximum amount of a vitamin that’s safe for a child to take is not known, the researchers said.

For this reason, the Institute of Medicine (IOM) recommends that young children not consume excess levels of certain vitamins, including vitamins K and B12, thiamin, riboflavin, folate, pantothenic acid and biotin. (Infants should not consume excess levels of most vitamins.) The IOM, part of the U.S. National Academies, is a national nonprofit that advised the nation on health.

There is also a concern that children’s bodies may lack the ability to handle excess amounts of certain vitamins, the IOM says.

The findings suggests that “much of the pediatric vitamin supplementation is not based on IOM recommendations and therefore represents wholesale over-supplementation,” the researchers wrote in the Jan. 27 issue of the journal JAMA Pediatrics.

Some studies have also shown that dietary supplements may contain levels of vitamins that are different from what’s listed on the label.

The American Academy of Pediatrics (AAP) says parents should speak with their pediatricians about whether their young child may need to take supplements. Toddlers who eat a balanced diet should be getting adequate levels of most vitamins and so should not need supplements, the AAP says. And very high doses of some vitamins, such as vitamin A, may even pose risks because they can accumulate in the body, the AAP says.

But some children may need supplements if, for instance, they have selective eating habits, and therefore don’t get adequate levels of vitamins through food, the AAP says.

In addition, the AAP recommends vitamin D supplements for infants, children and adolescents so that they consume 400 International Units (IU) of vitamin D per day.

Source: live science