New Delhi; Does your teenage
daughter often complain of backache and joint pain? Is your college- going
cousin always lethargic? Vitamin D deficiency among youngsters, which causes
such problems, is becoming common these days and is a growing health concern,
doctors say according to IANS. Vikas Ahluwalia, senior consultant of Internal
Medicine at Max Super Speciality hospital, said that vitamin D deficiency
among young people has increased over the last couple of years, especially in
metros like Delhi.
"We have observed a rising number of
cases of young people coming with complaints like backache, leg pain, joint
pain and lethargy, which relate to vitamin D and vitamin D3 deficiency.
It's
a cause of concern," Ahluwalia told IANS. The trend is mostly seen in
metros, like Delhi, he added. "What is even more worrying is that
children as young as 16, who are in the growing stage of their life, are
coming with such problems," Ahluwalia said.
Paediatrician
Anju Virmani of the Indraprastha Apollo hospital agreed. " Vitamin D
deficiency is becoming very common these days, and it's affecting different
sets of population. Among kids too it is becoming common," Virmani told
IANS. "Scientific studies show that vitamin D deficiency is increasing
in each decade.
So the deficiency in the population between
2000 and 2010 was more than the previous decade. And the urban population is
more affected than its rural counterpart," she added.
The
root cause of the problem is lifestyle- related, doctors say. "It starts
right at the beginning - when a woman is pregnant. If she is low on vitamin
D, so will the child be. If there is not enough breastfeeding, the child will
have this and all sorts of other problems when he or she grows older,"
Virmani said.
Young office goers, in their twenties and
early thirties, who mostly have desk jobs and work in air- conditioned
offices, also come with similar complaints. " I remember one patient who
came to us with a fracture. She was married for just six months and we were
concerned if it had to do with domestic abuse. But after two days, her other
leg too had a fracture, removing our doubts, because it meant that her bones
were very brittle because of vitamin D deficiency," she added.
Exposure
to sunlight is the biggest source of vitamin D - something that we consciously
avoid under various pretexts.
"We are a nation obsessed with fair
skin although we are naturally blessed with more melanin which is meant to
protect, unlike our Western counterparts who also have higher incidence of
skin cancer. So people here put lots and lots of sunscreen and sit behind
tinted glasses that blocks UV rays.
This is not always healthy," said Ashu
Agarwal, consultant in internal medicine at a private hospital in Delhi. Pollution
too blocks the sun's rays, she added. "Children
these days hardly play outside. They are running from school to tuitions and
then when they play, it's mostly video games in their rooms. So there is not
enough exposure to sunlight," Ahluwalia said. " Also, the common
trend in all the kids with vitamin D deficiency is that they don't take milk
or milk products.
So where do you get your calcium? Fast food
has added to the problem. The normal range of vitamin D is 30 ( nanogrammes
per millilitre of blood) and at times we get children with 3- 4; so that's
how severe the problem can get," he added.
Virmani advises parents not to encourage
their children, especially their young daughters who are more conscious about
their weight, to have low fat milk. " It hardly does any good and
doesn't slim you down," Virmani said.
"The good thing is that tests for
vitamin D are easily available and more reliable nowadays, so you can keep a
check on it by maintaining a healthy lifestyle and ensure that your children
do too. Ultimately your health is in your hands," Agarwal said.
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