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Wiley InterScience

Journal of Human Nutrition and Dietetics

Journal of Human Nutrition and Dietetics

Volume 2 Issue 2, Pages 105 - 116

Published Online: 28 Mar 2008

© 2010 The British Dietetic Association



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The problem of rickets in UK Asians
M. R. Clements 1 ,
  1 Dunn Nutritional Laboratory, Downhams Lane, Milton Road, Cambridge CB4 1XJ, UK
 

†Consultant Physician, Watford General Hospital, Vicarage Road, Watford, Herts. WD1 8HB, UK.

Copyright 1989 British Dietetic Association
KEYWORDS
Asian rickets • vitamin D • sunlight • Pigmentation • enterohepatic circulation • Phytate • cereals • calcium metabolism disorders • 25-hydroxyvitamin D • hyperparathyroidism • 1 • 25-dihydroxyvitamin D

ABSTRACT

A large body of work relating to the occurrence of rickets in UK Asians is reviewed. Several theories of the aetiology of this condition are shown to be untenable: it is not exclusively a function of sunlight deprivation or of darker pigmentation; nor is it simply due to phytate-induced losses of calcium from the gut. Asian rickets, however, is associated with a high consumption of cereals, and experiments with rats have suggested a mechanism. In the absence of adequate vitamin D from sunlight, the low-calcium, high cereal intake of the UK Asian population may induce a state of mild secondary hyperparathyroidism which enhances the destruction of vitamin D and leads to a progressive reduction in vitamin D status and, ultimately, to the development of clinical rickets.


DIGITAL OBJECT IDENTIFIER (DOI)
10.1111/j.1365-277X.1989.tb00015.x About DOI

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