Why breastfed babies need extra protection from preventable rickets

A varied diet, appropriate supplements and medical advice can help protect growing children from vitamin D deficiency and the bone deformities linked to rickets.

Rickets remains a preventable but serious childhood condition that can leave bones soft, weak and more prone to bending or breaking. The problem is most often linked to too little vitamin D, a nutrient the body needs to absorb calcium and phosphorus properly as bones grow.

Health sources including MedlinePlus, Mayo Clinic and the American Academy of Pediatrics say parents can lower the risk by making sure children get enough vitamin D through food, supplements when needed and safe sunlight exposure. Fatty fish such as salmon and trout can help, as can fortified foods including milk, breakfast cereals and some juices. If diet alone is not enough, paediatric advice is important before starting any supplement.

Infants need particular attention. Cleveland Clinic and the American Academy of Pediatrics note that breastfed babies are especially vulnerable to vitamin D shortfalls because breast milk alone may not provide enough of the nutrient. In many cases, babies need a daily vitamin D supplement, but the right dose should be confirmed with a doctor.

Sun exposure can also support natural vitamin D production, although it is not always sufficient on its own. MedlinePlus and Mayo Clinic say factors such as skin tone, latitude, weather and sunscreen use can all affect how much vitamin D the body makes. That is why sunlight should be seen as part of a broader prevention strategy rather than the only answer.

A balanced diet matters as well. Calcium and phosphorus work with vitamin D to build strong bones, so children should eat a varied mix of nutrient-rich foods during growth. Parents should also be alert to medical conditions that can interfere with absorption, including disorders affecting the gut, liver or kidneys, as well as the higher risk faced by premature babies. If a child develops bowed legs, widened wrists or ankles, muscle weakness, bone pain or slower-than-expected growth, medical review should not be delayed.

Disclaimer: This content is for informational purposes only and is not intended to be a substitute for professional medical judgment, advice, diagnosis, or treatment.