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[英伦广角] 2015-04-25 研究:摄入过多维生素伤身

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Let's return to that issue of vitamins. It's X what’s going on Twitter this morning. Would you give your child vitamins under X when they are five? England's chief medical officer says you should, because rickets is on the rise. So let's find out more, from GP Dr. Ali Kallon. Good to see you, Ali, as always. Look. Is this a growing issue?

It is, absolutely. I mean certainly in my practice, a vast number of patients, both adults and children, have vitamin D deficiency, which is related to their diet and related to how much time they spend outside. We know vitamin D deficiency causes rickets. It also causes tiredness and bone pain, so it's very, very important.

We've had a huge amount of comments on this this morning, actually. And now a lot of people are saying, like Richard here, feed your child properly is disgraceful, and he says vitamin shouldn't be needed, if we have a better diet. He also makes the point about the cost of, you know, healthy food, things like fruit and vegetables. But, you know, is it right that we're giving our children these tablets when actually their diet should be, giving them everything they need?

I think the first thing to say about vitamin D is that actually you only get 20% from diet, so most of it comes from our sun exposure, which, as we all know, in this country is pretty lacking. Add on top of that sun block and even less, so obviously the use of the sun block is much more widespread than it used to be. Of course, we need to be feeding our children fruit and vegetables and healthy diets, but at the end of the day, children's diet over the last two decades is changed measurably. Children don't eat smaller portions of what their parents eat. They sort of eat child's meals and all these other things. So, you know, we have to acknowledge that .We can't just blame parents as to say, you need to feed your children better. There's huge amounts of child-friendly food around, and this is really marketed towards parents and kids. You can't criticize parents for taking them on.

But within all of this, when specialist comes, 'cause there are so many problems, obesity, lack of exercise, generally poor diets. This sort of supplement, is it just a sticking plaster of a bigger, sort of, endemic problem when it’s used to be addressed?

I think in some ways, it is a sticking plaster, but I think that you can't get really enough vitamin D, for we are gonna put some sun block on our children to protect them. We don't take them how-to enough. You do have to, you know, you do have to give them a supplement. She does bring us other things in her report to do with obesity, to do with the exercise our kids do. Also I'm really pleased to see there's a concentration of children's mental health, as well.

The X has just strained, we know that. You know that, but the most of us. And what sort of cost, Emily? I mean if all under-5 is gonna sort of get free vitamin D, what is the strain X under resources?

Well, she says, her report shows this is all cause-and-effective, and it's gonna be looked up by nice as the drugs regulation body, and actually will be shown in the long term to be cause-effective, because children won't be developing rickets.

We'll keep you thoughts coming through this morning at SkySteven, at Sky Charlotte, use skynews.com. Look, a girl asks you. Dr. Ali, we've got the new boss of NHS England, coming on the X this morning (Oh, fabulous). Your GP, your working GP, what is the one thing you'd want to ask them or say to them, under the current strains and situations you find yourself in?

How is she going to improve patients’ access to GP services, because my patients cannot get in to see me? And it's not because I'm sitting here. It's because there actually aren't enough appointments for all the patients that we have.

And to your mind, what should the answer be?

The answer should be a massive increase in the number of GPs, numbers of GP training and far, far more resources put into primary care.

Brilliant, Ali, we should see what you say is a little bit strong. Good to see you this morning.

Thank you.

I want you to ask that question as well, because we always have these problems.

I know exactly.

You can't see your GP.

It is a nightmare. There is no doubt about it.
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