Food and Behaviour Research

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Prevention of rickets and osteomalacia in the UK: political action overdue

Uday S, Högler W (2018) Arch Dis Child.  2018 Apr 16.  pii: archdischild-2018-314826. doi: 10.1136/archdischild-2018-314826. [Epub ahead of print] 

Web URL: Read this and related abstracts on PubMed here


The consequences of vitamin D and dietary calcium deficiency have become a huge public health concern in the UK. The burden of disease from these deficiencies includes rickets, and hypocalcaemic seizures, dilated cardiomyopathy and mostly occult myopathy and osteomalacia.

The increasing burden of the disease is intrinsically linked to ethnicity and the population demographic changes in the UK.

Three facts have led to the resurfacing of the English disease:
(1) the UK has no ultraviolet sunlight for at least 6 months of the year,
(2) dark skin produces far less vitamin D than white skin per unit ultraviolet light exposure, and
(3) non-European Union immigration over the last century.

To date, the UK government demonstrates incomplete understanding of these three facts, and its failure to adjust its prevention programmes to changing demographics is endangering the health and life of UK residents with dark skin, of whom infants are the most vulnerable.

Establishing accountability through the implementation of monitored antenatal and infantile supplementation programmes and mandatory food fortification is overdue.


Long-term FAB Research followers will know that we have been flagging the issue of Vitamin D deficiency - including the re-emergence of rickets - as an important public health issue for many years now, e.g. see:

For details of related research, see also:

FAB has also repeatedly highlighted the evidence pointing to low maternal Vitamin D status in pregnancy as a modifiable risk factor for neurodevelopmental and mental health conditions. See: