Evidence map›Paper›PMID 41616856›Full record

Trial reportThe Journal of nutrition2026

Higher Prevalence of Inadequate Vitamin D Intake in Toddlers Not Consuming a Vitamin D Supplement in Vancouver, Canada.

Alejandra M Wiedeman, Victoria M Lampkemeyer, Timothy J Green, Constadina Panagiotopoulos, Rajavel Elango, Angela M Devlin

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Journal of nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alejandra M WiedemanDepartment of Pediatrics, BC Children's Hospital Research Institute, The University of British Columbia, Vancouver, BC, Canada; School of Nutrition and Dietetics, Faculty of Pharmacy, University of Valparaíso, Valparaíso, Chile.
Victoria M LampkemeyerDepartment of Pediatrics, BC Children's Hospital Research Institute, The University of British Columbia, Vancouver, BC, Canada.
Timothy J GreenCaring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.
Constadina PanagiotopoulosDepartment of Pediatrics, BC Children's Hospital Research Institute, The University of British Columbia, Vancouver, BC, Canada.
Rajavel ElangoDepartment of Pediatrics, School of Population and Public Health, BC Children's Hospital Research Institute, The University of British Columbia, Vancouver, BC, Canada.
Angela M DevlinDepartment of Pediatrics, BC Children's Hospital Research Institute, The University of British Columbia, Vancouver, BC, Canada. Electronic address: adevlin@bcchr.ubc.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVitamin D is required for growth and development. However, little is known about dietary intake and status during early childhood.

objectivesTo determine vitamin D intake and status in a group of Canadian toddlers.

methodsThis is a secondary analysis of data from toddlers enrolled in a double-blind randomized controlled trial of fatty acid supplementation, between ages 1 y and 2 y in Vancouver (latitude 49°N), Canada. Dietary information was collected using a 3-d food record, and supplement use by questionnaire. Plasma 25-hydroxyvitamin D

resultsAt age 1 y (n = 110) and 2 y (n = 86), the top food sources of vitamin D were dairy (73‒81%), fish (6.8‒14%), and eggs (4.1‒5.5%). Vitamin D-containing supplements were consumed by 43% of the toddlers at age 1 y and 48% at 2 y. Daily median (interquartile range) total vitamin D intakes were 7.9 (4.9‒13) μg at age 1 y and 7.2 (4.8‒14) μg at age 2 y. There was a higher prevalence of inadequate intake (<10 μg/d) in toddlers not using vitamin D supplements at age 1 y (92% compared with 19%) and 2 y (96% compared with 34%). Overall, mean (standard deviation) 25OHD concentrations were 59.9 (17.6) nmol/L at age 1 y (n = 124) and 60.9 (13.6) nmol/L at 2 y (n = 104). The prevalence of low vitamin D status (<50 nmol/L) was 27% at age 1 y and 22% at 2 y. At age 1 y, the prevalence of low vitamin D status was higher in winter (adjusted prevalence 43% compared with 13%; P < 0.001). Total vitamin D intake correlated with 25OHD at both ages (r ∼0.2, P < 0.05).

conclusionsThese findings suggest a high prevalence of inadequate vitamin D intakes in toddlers who do not consume a vitamin D supplement. A national-level surveillance is needed for this important life stage.

Indexed as

Dietary SupplementsVitamin DVitamin D DeficiencyAnimalsBritish ColumbiaCalcifediolCanadaChild, PreschoolDietDouble-Blind MethodFemaleHumansInfantMaleNutritional StatusPrevalenceCalcifediolVitamin Ddietfortified foodsnutritional statussupplementsyoung children

Identifiers

PMID41616856
PMCPMC13084571

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.