ESPGHAN's vitamin D supplementation recommendations for vegan children and adolescents


In what appears to be a position paper by the ESPGHAN Nutrition Committee - they write: "A position paper based on a systematic search by the ESPGHAN Nutrition Committee" - you can find recommendations on what amounts of vitamin D vegan children and adolescents should supplement.

I just copied and pasted their Supplementary Table 3:

 

Supplemental Table S3. Recommended vitamin D intake and supplementation in children on a vegan diet.

Age

Adequate intake for general population (EFSA - AI)*

(mg/day)

Supplementation for vegan diet**

Tolerable upper intake level (EFSA - UL)*

(mg/day)

4-6 months

-

·        Infants adopting vegan diet up to 1000 IU/day (25 (mg/day) §

25 (1000 IU)

7-11 months

10 (400 IU)

35 (1400 IU)

1 - 3 years

15 (600 IU)

·        Children and adolescents adopting vegan diet up to 1000 IU/day (25 (mg/day) §§

50 (2000 IU)

4 - 6 years

15 (600 IU)

50 (2000 IU)

7 – 10 years

15 (600 IU)

50 (2000 IU)

11 -14 years

15 (600 IU)

100 (4000 IU)

15 – 18 years

15 (600 IU)

100 (4000 IU)

§ According to Saggese et al., the risk factors for vitamin D deficiency during the first year of life are: Non-caucasian ethnicity with dark skin pigmentation; Vegan diet or inadequate diet; Chronic kidney disease; ; Hepatic failure and/or cholestasis; Malabsorption syndromes (i.e. cystic fibrosis, inflammatory bowel diseases, coeliac disease at diagnosis, etc.); Chronic therapies: anticonvulsants, systemic glucocorticoids, antiretroviral therapy, systemic antifungals (i.e. ketoconazole); Infants born from mothers with multiple risk factors for vitamin D deficiency, particularly in absence of vitamin D supplementation during pregnancy.

§§ According to Saggese et al., the risk factors for vitamin D deficiency between 1 and 18 years are: Non-Caucasian ethnicity with dark skin pigmentation; Reduced sunlight exposure (due to lifestyle factors, chronic illness or hospitalization, complex disability, institutionalization, covering clothing for religious or cultural reasons) and/or constant use of sunscreens; International adoption; Obesity; Vegan diet or inadequate diet; Chronic kidney disease; Hepatic failure and/or cholestasis; Malabsorption syndromes (i.e. cystic fibrosis, inflammatory bowel diseases, coeliac disease at diagnosis, etc.); Chronic therapies: anticonvulsants, systemic glucocorticoids, antiretroviral therapy, systemic antifungals (i.e. ketoconazole).

*European Food Safety Authority [European Food Safety Authority (EFSA) Dietary Reference Values for the EU and European Food Safety Authority panel on dietetic products, nutrition, and allergies. Scientific opinion on dietary reference values for vitamin D. EFSA J. 2016;14(10):4547.

**Saggese, G.; et al. Ital J Pediatr 2018, 44, 51.

Abbreviations: Adequate Intake, AI; Upper Level, UL; International Unit, IU.

Specification: 1 IU is equal to 0.025 µg of vitamin D

"



Reference:

Elvira Verduci, Jutta Kӧglmeier, Nadja Haiden, Laura Kivelä, Barbara de Koning, Susan Hill, Veronica Luque, Sissel J Moltu, Lorenzo Norsa, Miguel Saenz De Pipaon, Francesco Savino, Jiri Bronsky: Vegan diet and nutritional status in infants, children and adolescents: A position paper based on a systematic search by the ESPGHAN Nutrition Committee. J Pediatr Gastroenterol Nutr. 2025 Aug 17. doi: 10.1002/jpn3.70182. Online ahead of print. https://pubmed.ncbi.nlm.nih.gov/40819279/