| | | |

## Economic and Social Factors in the Etiology of Childhood Rickets over the Past Four Centuries

#### Russell CHESNEY [1]

Economic and social factors can determine the prevalence and severity of a health condition, as well as enhance co-morbidities. This article reviews forces that have influenced the appearance and persistence of nutritional rickets over the past 400 years. Childhood rickets first appeared from 1600 to 1640 as an epidemic disorder in the south and west of England when the woolen trade developed as a home labor industry. Later, with the coal-fueled factory system, agrarian laborers migrated to cities, creating a wage earner class. Their children were raised in smog-ridden and crowded conditions and were victims of an urban-based form of rickets lasting from the 1640s to the 1930s. With the discovery of vitamin D, arising from both dietary sources and from photocutaneous biosynthesis by exposure to ultraviolet B wavelengths from the sun, and recognition of its use as a therapeutic agent, epidemic rickets largely disappeared. The pro-sunshine era was ushered in between 1930 and 1965. Since, rising rates of skin cancer have greatly tempered enthusiasm for sun exposure and led to recommendations for sun protection strategies. Beginning in the 1960s, examples of nutritional rickets have been seen in dark-skinned immigrants moving to northern latitudes. Often rickets occurred in association with vitamin D-deficient mothers who exclusively breast-fed their offspring. Also, vitamin D deficiency is more evident in young children, adolescents, pregnant mothers and the elderly, many of who remain indoors and do not use vitamin supplements. These factors - child labor, the almost universal use of coal as a fuel, dietary deprivations during wars, migration of dark-skinned populations to regions where sunshine is scarce, and cancer-associated fear of sun exposure - have resulted in the persistence of nutritional rickets despite the knowledge of medical practitioners, nutritionists, and even parents. This manuscript reviews these factors and their impact on the health of children.
rickets; vitamin D; history; etiology
Birincil Dil en Reviews Yazar: Russell CHESNEY Yayımlanma Tarihi : 3 Aralık 2012
 Bibtex @ { jps202273, journal = {Journal of Pediatric Sciences}, issn = {}, eissn = {1309-1247}, address = {}, publisher = {Bilal YILDIZ}, year = {2012}, volume = {4}, pages = {1 - 13}, doi = {10.17334/jps.65786}, title = {Economic and Social Factors in the Etiology of Childhood Rickets over the Past Four Centuries}, key = {cite}, author = {Chesney, Russell} } APA Chesney, R . (2012). Economic and Social Factors in the Etiology of Childhood Rickets over the Past Four Centuries . Journal of Pediatric Sciences , 4 (4) , 1-13 . Retrieved from https://dergipark.org.tr/tr/pub/jps/issue/19088/202273 MLA Chesney, R . "Economic and Social Factors in the Etiology of Childhood Rickets over the Past Four Centuries" . Journal of Pediatric Sciences 4 (2012 ): 1-13 Chicago Chesney, R . "Economic and Social Factors in the Etiology of Childhood Rickets over the Past Four Centuries". Journal of Pediatric Sciences 4 (2012 ): 1-13 RIS TY - JOUR T1 - Economic and Social Factors in the Etiology of Childhood Rickets over the Past Four Centuries AU - Russell Chesney Y1 - 2012 PY - 2012 N1 - DO - T2 - Journal of Pediatric Sciences JF - Journal JO - JOR SP - 1 EP - 13 VL - 4 IS - 4 SN - -1309-1247 M3 - UR - Y2 - 2021 ER - EndNote %0 Journal of Pediatric Sciences Economic and Social Factors in the Etiology of Childhood Rickets over the Past Four Centuries %A Russell Chesney %T Economic and Social Factors in the Etiology of Childhood Rickets over the Past Four Centuries %D 2012 %J Journal of Pediatric Sciences %P -1309-1247 %V 4 %N 4 %R %U ISNAD Chesney, Russell . "Economic and Social Factors in the Etiology of Childhood Rickets over the Past Four Centuries". Journal of Pediatric Sciences 4 / 4 (Aralık 2012): 1-13 . AMA Chesney R . Economic and Social Factors in the Etiology of Childhood Rickets over the Past Four Centuries. Journal of Pediatric Sciences. 2012; 4(4): 1-13. Vancouver Chesney R . Economic and Social Factors in the Etiology of Childhood Rickets over the Past Four Centuries. Journal of Pediatric Sciences. 2012; 4(4): 1-13. IEEE R. Chesney , "Economic and Social Factors in the Etiology of Childhood Rickets over the Past Four Centuries", Journal of Pediatric Sciences, c. 4, sayı. 4, ss. 1-13, Ara. 2012, doi:10.17334/jps.65786

Makalenin Yazarları