Summary

The continuing discovery of low serum 25(OH)D3 concentrations among adults suggests that under-recognition of osteomalacia among adults and the elderly exists in the US and possibly in other technologically advanced nations. The hidden nature of the disease has resulted from poor diagnostic criteria; new criteria with lower cut-off points are under review. The surprising resurgence of rickets in the southern US has resulted from too little guidance by health professionals, poor nutrition knowledge of mothers, or other aspects, such as poverty. Correction of both rickets and osteomalacia can be simply achieved with vitamin D and calcium supplements and increased numbers of servings of calcium-rich foods. Public health agencies need to become more active in this regard.

See also: Bone. Calcium. Older People:

Nutrition-Related Problems. Vegetarian Diets. Vitamin D:

Physiology, Dietary Sources and Requirements.

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