Understanding Vitamin and Mineral Deficiency in Children

Children need vitamins and minerals for healthy growth and development. If your child doesn’t get enough of an essential nutrient, they may have a vitamin or mineral deficiency. Keep reading to learn about the importance of vitamins and minerals, signs that your child may be deficient in a pair of key nutrients and how to help them get enough.

What Are Vitamins and Minerals?

You need vitamins and minerals for your body to function properly. However, your body doesn’t make the vast majority of these nutrients, so you have to get them from other sources, mainly food.

“Vitamins are a group of unrelated organic substances that the human body can’t synthesize,” says Dr. Sherry Huang, Site Medical Director for Pediatrics Lower Manhattan and an assistant professor of clinical pediatrics at Weill Cornell Medicine. “So, they need to be ingested in small quantities for optimal health.”

Vitamins fall into two categories:

  • Fat-soluble vitamins, such as vitamins A and D, dissolve in fat and accumulate in the body.
  • Water-soluble vitamins, such as B vitamins and vitamin C, dissolve in water, after which your body can absorb them.

Minerals, such as calcium and zinc, are inorganic substances found in the environment. Plants absorb them, and animals get them through food.

5 Common Nutritional Deficiencies in Children

Vitamin D

Vitamin D enables the body to absorb calcium, which helps your child build strong bones. This vitamin also helps the nervous and immune systems work properly, and prevents a condition called rickets (bone softening). Vitamin D deficiency may not cause symptoms. However, according to Dr. Huang, lagging growth and development, poor school performance and bone pain in the legs may point to a vitamin D deficiency.

Iron

Iron is a mineral that helps make red blood cells, which transport oxygen throughout the body. It also fuels brain growth and helps the body fight germs. Iron deficiency can lead to anemia, a low level of red blood cells. If your child has an iron deficiency, they may be fatigued, irritable or have unusually pale skin.

Zinc

Zinc is essential for cell growth and tissue repair throughout the body. It also supports a healthy immune system. Children who are low in zinc may experience frequent colds, slow-healing wounds, slow growth or skin problems.

Iodine

Iodine is a mineral that helps your child’s thyroid produce important hormones that regulate metabolism, bone development and brain growth. Because the body doesn’t make iodine naturally, it has to come from diet. A deficiency in iodine can lead to an enlarged thyroid gland or growth and developmental delays.

Vitamin B12

Vitamin B12 is an energy and brain booster. It is necessary for making healthy nerve and blood cells. Animal products are rich sources of vitamin B12, so children on plant-based diets are at higher risk for developing a deficiency. Signs and symptoms of a deficiency can include developmental delays, weakness and fatigue.

Eat Up to Fuel Growth

Most children can meet their nutritional needs through a healthy, balanced diet. Here is how to help your child get enough of these five powerhouses.

Vitamin D

Children older than age 1 need 600 international units of vitamin D per day, according to the National Institutes of Health. They can get it from limited exposure to sunlight—just remember to protect their skin from damage—and certain foods, including:

  • Eggs
  • Fatty fish, such as tuna
  • Foods fortified with vitamin D, such as cereal, juice, milk and yogurt
  • Mushrooms

Iron and Zinc

Children’s iron and zinc needs vary by age and activity level. Good sources include:

  • Beans
  • Beef
  • Certain fruits and vegetables, including mushrooms, pomegranate and spinach
  • Chicken
  • Fortified cereals
  • Nuts
  • Seafood

To help the body absorb iron more effectively, pair these foods with a source of vitamin C, such as oranges or tomatoes.

Iodine

When cooking at home, consider using iodized table salt. You can also boost your child’s iodine intake through:

  • Dairy products, including milk, cheese and yogurt
  • Eggs
  • Seafood, especially cod and shrimp

Vitamin B12

For B12, look to animal-based proteins, including chicken and eggs. For families following a vegan or vegetarian diet, fortified nutritional yeast or fortified dairy alternatives can help fill the gap.

Should Your Child Take a Supplement?

Your child’s doctor can help you decide whether your child should take a supplement to reduce their risk of a vitamin or mineral deficiency. Supplements are available in many forms, including liquids, gummies and chewable tablets. Alexis Fissinger, MS, RD, CSP, CDN, a pediatric dietitian at NewYork-Presbyterian Center for Advanced Digestive Care and NewYork-Presbyterian/Weill Cornell Medical Center's Ambulatory Care Network, advises parents to store gummies, which can resemble candy, out of children’s reach to prevent overdoses. She also recommends reading the label carefully.

“Follow the dosing instructions on the container,” Fissinger says. “Products usually have specific instructions for different age groups. Stick to the label’s maximum dose for your child’s age.”

The Bottom Line

A vitamin or mineral deficiency can significantly impact your child’s health, but you can reduce their risk. Here’s how:

  1. Watch for signs of common nutritional deficiencies in kids. Slow growth and development could be a sign of a vitamin D or iodine deficiency. Fatigue may indicate an iron or vitamin B12 deficiency. Frequent illness may point to a deficiency in zinc.
  2. Ensure your child’s diet is balanced and healthy to include sources of vitamins D and B12, iron, iodine and zinc. You can find iodine and vitamins B12 and D in eggs and certain types of seafood. Good sources of iron and zinc include chicken and fortified cereals.
  3. Talk with your child’s doctor about a supplement. If your child isn’t getting enough of a vitamin or mineral from food, supplements are available in several kid-friendly forms.

Need an expert’s help ensuring your child gets the nutrients they need to support a healthy life? Find a doctor at Weill Cornell Medicine who can provide recommendations for proper nutrition and monitor your child’s growth and development.

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