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Vitamin A status in wheezing Saudi children
Sherein A Shalaby1, Khaild M Al-Harbi, Shereen A El-Tarhouny
1Department of Pediatrics, College of Medicine, Taibah University, PO Box 30001, Al-Madinah Al-Munawarah, Kingdom of Saudi Arabia. shalaby25@hotmail.com
Insights
Wheezing infants in Saudi Arabia often have low vitamin A levels. Lower serum retinol concentrations correlate with more severe and persistent wheezing, indicating vitamin A status is linked to wheeze severity.
Area of Science:
- Pediatric Pulmonology
- Nutritional Biochemistry
- Public Health
Background:
- Wheezing is a common respiratory symptom in infants and young children.
- Vitamin A deficiency can impact immune function and respiratory health.
- Understanding vitamin A status in wheezing children is crucial for effective management.
Purpose of the Study:
- To determine serum retinol levels in Saudi children experiencing wheezing.
- To assess the relationship between serum retinol and the severity and course of wheezing.
Main Methods:
- A prospective cohort study involved 400 Saudi children aged 3-36 months with wheezing.
- Children were categorized into persistent (93) and acute (307) wheeze groups.
- Wheeze severity was graded as mild, moderate, or severe.
Main Results:
- Higher prevalence of deficient and marginal vitamin A was observed in persistent wheezing patients (9.7% deficient, 20.4% marginal) compared to acute wheezing patients (1.6% deficient, 8.1% marginal).
- A significant association (p<0.05) was found between lower vitamin A concentrations and persistent wheezing.
- Vitamin A deficiency was exclusively identified in children with severe wheezing.
Conclusions:
- Prevalent vitamin A deficiency and marginal deficiency exist among wheezing infants in Saudi Arabia.
- Serum vitamin A levels are significantly related to both the severity and the course of wheezing in children.
Objective:
To examine the serum retinol levels of wheezing children, and to investigate the relation as an biochemical indicator of vitamin A status in wheezing children between serum levels of retinol and severity of wheezing.
Methods:
A prospective cohort study including 400 wheezing Saudi children aged 3-36 months, who were treated in the pediatrics ward of Ohoud Public Hospital in Al-Madinah, Kingdom of Saudi Arabia between January 2009 and August 2010. Patients were subdivided according to the course of wheeze into 93 patients with persistent wheeze, and 307 patients with acute wheeze. Severity of wheeze was graded mild, moderate, and severe.
Results:
Among the persistent wheezing patients 9.7% had deficient, and 20.4% had marginal serum vitamin A concentration, while in the acute wheezing patients, 1.6% had deficient, and 8.1% had marginal serum vitamin A concentrations. Results revealed that the prevalence of deficient and marginal vitamin A concentration is higher in the persistent than in the acute wheezing group (p<0.05). Serum vitamin A was related to wheezing severity. Deficient serum vitamin A was found only in severe wheezing groups.
Conclusion:
Wheezing Saudi infants had prevalent deficiency and marginal deficiency of vitamin A. Serum vitamin A concentrations were related to the wheezing severity and course.
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