Mrs. H brought her 9-year-old son to the clinic for a routine visit. While they were waiting to see the provider, she asked the nurse about giving her son dietary supplements since he was slightly underweight
The nurse informed her that the recommendation for dietary supplement use in children is based on the fact that: 1. Children should receive dietary supplements because they are often picky eaters and at risk for malnutrition.
2. Children have larger livers that predispose them to altered absorption, metabolism, and excretion of supplements.
3. Children may have chronic medical problems and would benefit from additional dietary supplements.
4. Dietary supplements usually contain natural products so should be safe for children.
2
Rationale: The use of dietary supplements are not routinely recommended for children because they have larger livers and developing central nervous and immune systems that predispose them to alterations in absorption, metabolism, and excretion of dietary supplements which could lead to adverse effects or toxicity. Children with chronic medical problems are at greater risk for drug-drug interactions with dietary supplements. Little or no data exists on the use of dietary supplements in children.
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